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- PMID: 26503383
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Article: Pilot study of a cluster randomised trial of a guided e-learning health promotion intervention for managers based on management standards for the improvement of employee well-being and reduction of sickness absence: GEM Study
Title | Pilot study of a cluster randomised trial of a guided e-learning health promotion intervention for managers based on management standards for the improvement of employee well-being and reduction of sickness absence: GEM Study |
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Authors | |
Issue Date | 2015 |
Citation | BMJ Open, 2015, v. 5, n. 10, article no. e007981 How to Cite? |
Abstract | Objectives: To investigate the feasibility of recruitment, adherence and likely effectiveness of an e-learning intervention for managers to improve employees' well-being and reduce sickness absence. Methods: The GEM Study (guided e-learning for managers) was a mixed methods pilot cluster randomised trial. Employees were recruited from four mental health services prior to randomising three services to the intervention and one to no-intervention control. Intervention managers received a facilitated e-learning programme on work-related stress. Main outcomes were Warwick Edinburgh Mental Wellbeing Scale (WEMWBS), 12-item GHQ and sickness absence <21 days from human resources. 35 in-depth interviews were undertaken with key informants, managers and employees, and additional observational data collected. Results: 424 of 649 (65%) employees approached consented, of whom 350 provided WEMWBS at baseline and 284 at follow-up; 41 managers out of 49 were recruited from the three intervention clusters and 21 adhered to the intervention. WEMWBS scores fell from 50.4-49.0 in the control (n=59) and 51.0-49.9 in the intervention (n=225), giving an intervention effect of 0.5 (95% CI-3.2 to 4.2). 120/225 intervention employees had a manager who was adherent to the intervention. HR data on sickness absence (n=393) showed no evidence of effect. There were no effects on GHQ score or work characteristics. Online quiz knowledge scores increased across the study in adherent managers. Qualitative data provided a rich picture of the context within which the intervention took place and managers' and employees' experiences of it. Conclusions: A small benefit from the intervention on well-being was explained by the mixed methods approach, implicating a low intervention uptake by managers and suggesting that education alone may be insufficient. A full trial of the guided e-learning intervention and economic evaluation is feasible. Future research should include more active encouragement of manager motivation, reflection and behaviour change. Trial Registration number: ISRCTN58661009. |
Persistent Identifier | http://hdl.handle.net/10722/307165 |
PubMed Central ID | |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Stansfeld, Stephen A. | - |
dc.contributor.author | Kerry, Sally | - |
dc.contributor.author | Chandola, Tarani | - |
dc.contributor.author | Russell, Jill | - |
dc.contributor.author | Berney, Lee | - |
dc.contributor.author | Hounsome, Natalia | - |
dc.contributor.author | Lanz, Doris | - |
dc.contributor.author | Costelloe, Céire | - |
dc.contributor.author | Smuk, Melanie | - |
dc.contributor.author | Bhui, Kamaldeep | - |
dc.date.accessioned | 2021-11-03T06:22:04Z | - |
dc.date.available | 2021-11-03T06:22:04Z | - |
dc.date.issued | 2015 | - |
dc.identifier.citation | BMJ Open, 2015, v. 5, n. 10, article no. e007981 | - |
dc.identifier.uri | http://hdl.handle.net/10722/307165 | - |
dc.description.abstract | Objectives: To investigate the feasibility of recruitment, adherence and likely effectiveness of an e-learning intervention for managers to improve employees' well-being and reduce sickness absence. Methods: The GEM Study (guided e-learning for managers) was a mixed methods pilot cluster randomised trial. Employees were recruited from four mental health services prior to randomising three services to the intervention and one to no-intervention control. Intervention managers received a facilitated e-learning programme on work-related stress. Main outcomes were Warwick Edinburgh Mental Wellbeing Scale (WEMWBS), 12-item GHQ and sickness absence <21 days from human resources. 35 in-depth interviews were undertaken with key informants, managers and employees, and additional observational data collected. Results: 424 of 649 (65%) employees approached consented, of whom 350 provided WEMWBS at baseline and 284 at follow-up; 41 managers out of 49 were recruited from the three intervention clusters and 21 adhered to the intervention. WEMWBS scores fell from 50.4-49.0 in the control (n=59) and 51.0-49.9 in the intervention (n=225), giving an intervention effect of 0.5 (95% CI-3.2 to 4.2). 120/225 intervention employees had a manager who was adherent to the intervention. HR data on sickness absence (n=393) showed no evidence of effect. There were no effects on GHQ score or work characteristics. Online quiz knowledge scores increased across the study in adherent managers. Qualitative data provided a rich picture of the context within which the intervention took place and managers' and employees' experiences of it. Conclusions: A small benefit from the intervention on well-being was explained by the mixed methods approach, implicating a low intervention uptake by managers and suggesting that education alone may be insufficient. A full trial of the guided e-learning intervention and economic evaluation is feasible. Future research should include more active encouragement of manager motivation, reflection and behaviour change. Trial Registration number: ISRCTN58661009. | - |
dc.language | eng | - |
dc.relation.ispartof | BMJ Open | - |
dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | - |
dc.title | Pilot study of a cluster randomised trial of a guided e-learning health promotion intervention for managers based on management standards for the improvement of employee well-being and reduction of sickness absence: GEM Study | - |
dc.type | Article | - |
dc.description.nature | published_or_final_version | - |
dc.identifier.doi | 10.1136/bmjopen-2015-007981 | - |
dc.identifier.pmid | 26503383 | - |
dc.identifier.pmcid | PMC4636656 | - |
dc.identifier.scopus | eid_2-s2.0-84949484876 | - |
dc.identifier.volume | 5 | - |
dc.identifier.issue | 10 | - |
dc.identifier.spage | article no. e007981 | - |
dc.identifier.epage | article no. e007981 | - |
dc.identifier.eissn | 2044-6055 | - |
dc.identifier.isi | WOS:000365467600024 | - |