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Completed

NCT Number: NCT02694211

Stress Prevention at Work: Intervention Efficacy and Implementation Process Evaluation

The Stress prevention at work (SPA) project intends to evaluate the method named Productivity Measurement and Enhancement System (ProMES) as a stress preventive approach among health care employees.

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Key information

Age range

18 year–67 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

About this study

Stress-related illnesses are today together with musculoskeletal disorders the predominant cause of production loss and absenteeism. The risks of developing stress-related mental illness is today well established, however, it is less studied how this can be successfully treated or prevented in workplaces through interventions.

The SPA project intends to evaluate the method the Productivity Measurement and Enhancement System (ProMES). The method is mainly evaluated for production improvement, but there are indications that it also has stress-reducing effect on working groups. The method gives employees within health care opportunities to participate actively in productivity-enhancing measures. The employees, along with their immediate supervisors, identify and prioritize responsive and desirable results in all of the activities important dimensions. International studies have shown that participation (participation) has positive effects on employee performance and attitudes.

The aim of this study is to test whether efforts in targeting the organization and work environment can reduce stress and prevent stress-related ill health in the workplace. Primary outcomes of the study are tense work i.e. imbalance between demand and control and other primary indicators of stress, such as sleep and recovery.

The hypothesis in study 1 is that productivity enhancing workplace interventions based on a participative approach also increases employees' sense of control and control over their own work. This in turn means that the method also could be used to reduce the occurrence of tense work and thus affect / reduce the stress-related illness.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • All employees (18-67 years) employed at the intervention and control primary care units, who were actually working at the time for this study

Exclusion criteria

  • employees absent due to long-term illness,
  • employees absent due to parental leave
  • employees absent due to long-term studies

Treatment and study plan

ProMES

Behavioral

Productivity measurement and enhancement system (ProMES) is a participatory intervention for productivity enhancement. Core strategies of this method could be addressing known work stressors such as absence of influence and control, insufficient interaction with coworkers, unclear and conflicting tasks, insufficient participation in decision-making and insufficient feedback

Primary outcomes

  1. Change in job strain (a measure of the balance between job demand and job control)

    Time frame: baseline, 6-months, 12-months

    QPSNordic questionnaire

Secondary outcomes

  1. Change in Effort-Reward Imbalance

    Time frame: baseline, 6-months, 12-months

    Effort-Reward Imbalance Questionnaire

  2. Change in experience of stress

    Time frame: baseline, 6-months, 12-months

    Single item stress question from Elo, A-L., Leppänen, A., Lindström K., Ropponen, T. OSQ-Occupational Stress Questionnaire: user's instructions. Helsinki: Finnish Institute of Occupational health; 1992. Reviews 19.

  3. change in sleep difficulties

    Time frame: baseline, 6-months, 12-months

    Two single questions Reference: Åkerstedt, T., Knutsson, A., et al. 2002. Att predicera sömnstörning, insomningsrisk och mental trötthet - tre delstudier. Psykosocial belastning och riskfaktorer för hjärtkärlsjukdom. Arbete och Hälsa 2002:7. Westerholm, P. Stockholm, Arbetslivsinstitutet

  4. change in Recovery

    Time frame: baseline, 6-months, 12-months

    One single question. Reference: Aronsson, G. och Svensson, L. 1997. Nedvarvning, återhämtning och hälsa bland lärare i grund- och gymnasieskolan. Arbete och Hälsa 1997:21. Stockholm, Arbetslivsinstitutet.

  5. change in depression

    Time frame: baseline, 6-months, 12-months

    Hospital Anxiety and Depression Scale

  6. change in Sick leave

    Time frame: baseline, 6-months, 12-months

    One single question:How many working days during the last 7 days, have you been away from work because of sick leave?

  7. change in General health

    Time frame: baseline, 6-months, 12-months

    A question from General Health Questionnaire (WHO)

  8. change in Productivity

    Time frame: baseline, 6-months, 12-months

    Questions from "Measuring production loss due to health and work environment problems: construct validity and implications."(Report) Lohela Karlsson, Malin ; Hagberg, Jan ; Bjorklund, Christina ; Bergstrom, Gunnar ; Jensen, Irene Journal of Occupational and Environmental Medicine, Dec, 2013, Vol.55(12), p.1475(9). Karolinska institutet. Stockholm

  9. change in Exhaustion

    Time frame: baseline, 6-months, 12-months

    Oldenburg Burnout Inventory

Sponsors and collaborators

Lead sponsor

Karolinska Institutet

Other

Registry information

Official study title

Stress Prevention at Work: Intervention Efficacy and Implementation Process Evaluation (SPA)

Acronym: SPA

Important dates

Study start
2013
Primary completion
2014
Study completion
2015
First posted
Feb 29, 2016
Registry last updated
Feb 29, 2016

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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