Effective interventions for mental health in male-dominated workplaces

2014 ◽  
Vol 19 (4) ◽  
pp. 237-250 ◽  
Author(s):  
Nicole K. Lee ◽  
Ann Roche ◽  
Vinita Duraisingam ◽  
Jane A. Fischer ◽  
Jacqui Cameron

Purpose – The purpose of this paper is to identify mental health interventions within male-dominated industries. Design/methodology/approach – A systematic literature review was undertaken, examining mental health interventions within male-dominated industries. Major electronic databases, grey literature and reference lists for English language studies published January 1990-June 2012 were searched. Independent extraction of the studies was completed by two reviewers using predefined data fields including study quality measures. Findings – Five studies met inclusion criteria. The available evidence suggests that effective interventions to address anxiety and depression in male-dominated industries include: improving mental health literacy and knowledge, increasing social support, improving access to treatment, providing education for managers and addressing workload issues. Practical implications – Working conditions and the workplace can have a significant impact on a worker's mental health. Work-related factors including working conditions, job demands and social support in the workplace are particularly important for the mental health workers. Indeed, poor work conditions have been associated with poorer mental health outcomes in particular anxiety and depression, however, little work has been conducted on mental health interventions in the workplace and further the impact on male-dominated industries. Originality/value – Overall, the body of evidence supporting effective interventions for mental health problems among workers in male-dominated industries is limited. Nonetheless, the evidence does suggest that mental health interventions in male-dominated industries is logistically feasible and can have some positive impact on the mental health of workers, particularly for high prevalence low severity disorders such as anxiety and depression.

2020 ◽  
Vol 25 (2) ◽  
pp. 153-167
Author(s):  
Winifred Asare-Doku ◽  
Jane Rich ◽  
Brian Kelly ◽  
Carole James

Purpose Previous research has suggested high levels of unaddressed mental health needs among male-dominated work settings. The mining industry has been a recent focus internationally. This paper aims to critically examine research regarding organizational mental health interventions for people working in mining industries. Design/methodology/approach The narrative review used a systematic standardized search strategy in six databases and grey literature from 1990 to 2019. Findings Of the 418 studies identified, seven studies (five quantitative and two qualitative studies) met the inclusion criteria. Analysis of these studies revealed the organisational interventions available to address mental health needs of miners. Interventions were categorised into organisational and individual-focused approaches. Evidence shows there is great potential in conducting workplace mental health programs, yet further research is required to create a strong evidence base for substantiated policy and practice implications. Practical implications Mental health interventions and programs should be available in mining industry to enhance mental health. Organisations can also improve mental health by implementing significant changes in the work environment and identifying workplace factors that induce strain and contribute to psychological distress in employees. Attempt can be made at restructuring safety policies and practices to include mental health, addressing organisational structures such as work schedules and providing training for managers and supervisors. Originality/value This review focuses on the unique characteristics pertaining to male-dominated mining industries and workplace mental health interventions which are aimed at supporting employee mental health.


2007 ◽  
Vol 29 (4) ◽  
pp. 301-321 ◽  
Author(s):  
Julie Hakim-Larson ◽  
Ray Kamoo ◽  
Sylvia Nassar-McMillan ◽  
John Porcerelli

The last century has seen an increase in the population of Americans of Arab and Chaldean descent. In recent decades, clinicians have articulated the goal of enhancing their knowledge of cultural diversity for the purpose of improving their appreciation for diversity and the quality of their mental health interventions with diverse populations. However, there is currently little systematic empirical research regarding the counseling of Arab and Chaldean Americans, although awareness of the need for such research among mental health professionals has started to emerge. The purpose of this paper is to provide an integrative review of the values and socio-cultural forces that are relevant to the counseling of this population in North America, and to provide some culturally sensitive recommendations for working with American families of Arab and Chaldean ethnicity. In particular, we propose that effective interventions with clients of Arab and Chaldean ethnic backgrounds will need to be informed by an understanding of the everyday sociopolitical contextual background of target clients and the impact of values and acculturation processes on the family network.


2021 ◽  
Author(s):  
Maxime Sasseville ◽  
Annie LeBlanc ◽  
Jack Tchuente ◽  
Mylene Boucher ◽  
Michele Dugas ◽  
...  

Background: A rapid review of systematic reviews was conducted to assess the effectiveness of digital mental health interventions for people with a chronic disease. Although it provided an overview of the evidence, it offered limited understanding of ethe types of interventions that were the most effective. The aim of this study was to perform a meta-analysis of primary studies identified in this rapid review of systematic reviews by focusing on the needs of knowledge users. Methods: This secondary meta-analysis follows a rapid review of systematic reviews, a virtual workshop with knowledge users to identify research questions and a modified Delphi study to guide research methods. We conducted a secondary analysis of the primary studies identified in the rapid review. Two reviewers independently screened the titles and abstracts and applied inclusion criteria: RCT design using a digital mental health intervention in a population of adults with another chronic condition, published after 2010 in French or English, and including an outcome measurement of anxiety or depression. Results: 708 primary studies were extracted from the systematic reviews and 84 primary studies met the inclusion criteria Digital mental health interventions were significantly more effective than in-person care for both anxiety and depression outcomes. Online messaging was the most effective technology to improve anxiety and depression scores; however, all technology types were effective. Interventions partially supported by healthcare professionals were more effective than self-administered. Conclusions: While our meta-analysis identifies digital interventions characteristics that are more effective, all technologies and levels of support can be used considering implementation context and population. Review registration: The protocol for this review is registered in the National Collaborating Centre for Methods and Tools (NCCMT) COVID-19 Rapid Evidence Service (ID 75).


2020 ◽  
Vol 13 (6) ◽  
pp. 671-686
Author(s):  
Husayn Marani ◽  
Brenda Roche ◽  
Laura Anderson ◽  
Minnie Rai ◽  
Payal Agarwal ◽  
...  

PurposeThis descriptive qualitative study explores how working conditions impact the health of taxi drivers in Toronto, Canada.Design/methodology/approachDrivers were recruited between September 2016 and March 2017. A total of 14 semi-structured qualitative interviews and one focus group (n = 11) were conducted. Transcripts were analyzed inductively through a socioecological lens.FindingsThe findings of this study are as follows: drivers acknowledged that job precariousness (represented by unstable employment, long hours and low wages) and challenging workplace conditions (sitting all day and limited breaks) contribute to poor physical/mental health. Also, these conditions undermine opportunities to engage in health-protective behaviors (healthy eating, regularly exercising and taking breaks). Drivers do not receive health-enabling reinforcements from religious/cultural networks, colleagues or their taxi brokerage. Drivers do seek support from their primary care providers and family for their physical health but remain discreet about their mental health.Research limitations/implicationsAs this study relied on a convenience sample, the sample did not represent all Toronto taxi drivers. All interviews were completed in English and all drivers were male, thus limiting commentary on other experiences and any gender differences in health management approaches among drivers.Practical implicationsGiven the global ubiquity of taxi driving and an evolving workplace environment characterized by growing competition, findings are generalizable across settings and may resonate with other precarious professions, including long-haul truck operators and Uber/Lyft drivers. Findings also expose areas for targeted intervention outside the workplace setting.Originality/valueHealth management among taxi drivers is understudied. A fulsome, socioecological understanding of how working conditions (both within and outside the workplace) impact their health is essential in developing targeted interventions to improve health outcomes.


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Elizabeth Stratton ◽  
Michael J. Player ◽  
Ariane Dahlheimer ◽  
Isabella Choi ◽  
Nicholas Glozier

PurposeDiscrimination and bullying contribute to mental ill-health in the workplace. At face value, they would seem linked but are often dealt with by different legislations. Workplace studies generally focus on bullying and population studies on discrimination. The authors aimed to evaluate the prevalence and relationship of discrimination and bullying in a male-dominated workforce, associated factors and relative impact on mental ill-health.Design/methodology/approachAn online cohort survey was conducted amongst employees of an Australian mining company, measuring discrimination, bullying, demographics and workplace and health factors over two months. Cross-sectional and prospective analyses assessed the prevalence of each, their association and their effects on depression and anxiety.FindingsA total of 580 employees (82% male) participated. There was no association between workplace bullying (n = 56, 9.7%) and discrimination (n = 160, 27.6%). Discrimination, but not bullying, was associated with higher depression, anxiety and suicidal ideation and lower well-being and resilience. After controlling for demographic, workplace and health and well-being factors, depression had the main effect on discrimination ß = 0.39, p = 0.003. Discrimination predicted an increase in depression scores at follow-up F (1, 129) = 4.88, p = 0.029.Originality/valueIn this male-dominated industry, discrimination was more prevalent than bullying. Discrimination, but not bullying, was associated with poorer mental health both cross sectionally and prospectively. Supporting the need to assess and manage discrimination and bullying in the workplace independently and the need for interventions to reduce a broader range of adverse interpersonal behaviours.


2017 ◽  
Vol 35 (5_suppl) ◽  
pp. 184-184 ◽  
Author(s):  
Nancy Borstelmann ◽  
Shoshana M. Rosenberg ◽  
Shari I. Gelber ◽  
Meghan E Meyer ◽  
Kathryn Jean Ruddy ◽  
...  

184 Background: While evidence of the challenges of cancer caregiving has been growing, scant research addresses the experience of partners of young adults with cancer. These individuals and their relationships may be particularly vulnerable to stress, especially when managing the complexity of cancer care and survivorship with their partner. We sought to evaluate psychosocial concerns and mental health in the partners of young survivors of early stage breast cancer (BC). Methods: We invited partners of young women w/BC diagnosed at age ≤ 40 yrs enrolled in a prospective cohort study to participate in a one-time survey evaluating psychosocial concerns including quality of life, coping, social support, financial insecurity, partnership concerns, parenting concerns, anxiety and depression. Logistic regression was used to explore predictors of anxiety (score > 8 on Hospital Anxiety and Depression Scale (HADS)). Results: Most respondents (284/289) were male, with median age 43 yrs (range 27-65). The median time of survey completion was 62 months (range 16 -114) after their partner’s dx. Respondents were mostly white (93%), working full time (94%), and college educated (78%); 29% reported some financial stress, 74% were parenting children < 18 yrs, and 32% reported at least a fair amount of relationship concern. 42% (106/250) had anxiety (39/289 respondents (13%) had incomplete/missing HADS). In univariable analyses, lower education, working full time, parenting concerns, insufficient social support and maladaptive coping were associated (p < .05) with anxiety. In the multivariable model, only maladaptive coping remained significantly associated with anxiety (p < .01, OR = 2.32 (95% CI: 1.22, 4.39)). Conclusions: Partners of young BC survivors who used less constructive/more maladaptive coping strategies experience negative mental health outcomes after tx has ended. Caregivers’ anxiety may have implications for both their own and survivors’ health and QOL. Future interventions might focus on the development of constructive coping strategies to enhance adjustment and role effectiveness in dealing with the impact of cancer.


2021 ◽  
Author(s):  
Vanessa Rentrop ◽  
Mirjam Damerau ◽  
Adam Schweda ◽  
Jasmin Steinbach ◽  
Lynik Chantal Schüren ◽  
...  

BACKGROUND The rapid increase in the number of overweight and obese people is a worldwide health problem. Obesity is often associated with physiological and mental health burdens. Due to several barriers of face-to-face psychotherapy, one promising approach is to exploit recent developments and implement innovative e-mental health interventions that offer various benefits to obese patients as well as for the healthcare system. OBJECTIVE This study aimed to assess the acceptance of e-mental health interventions in patients with obesity and explore its influencing predictors. In addition, the well-established, Unified Theory of Acceptance and Use of Technology model (UTAUT) will be compared with an extended UTAUT model in terms of variance explanation of acceptance. METHODS A cross-sectional online survey study was conducted from July 2020 to January 2021 in Germany. Eligibility requirement was adult age (18 or above), internet access, a good command of the German language, and a BMI > 30 kg/m2 (obesity). 448 patients with obesity (grade I, II and III) were recruited via specialized social media platforms. The impact of various socio-demographic, medical, and mental health characteristics were assessed. eHealth-related data and acceptance of e-mental health interventions were examined using a modified questionnaire, which is based on the UTAUT. RESULTS Acceptance of e-mental health interventions in obese patients was overall moderate (M = 3.18, SD = 1.11). There are significant differences in acceptance of e-mental health interventions among obese patients depending on the degree of obesity, age, gender, occupational status, and mental health status. In an extended UTAUT regression model acceptance was significantly predicted by the depression score (PHQ-8) (β = .07, P = .028), stress due to constant availability via mobile phone or email (β = .06, P = .024) and the confidence in using digital media (β = -.058, P = .042), as well as by the UTAUT core predictors performance expectancy (PE) (β = .45, P < .001), effort expectancy (EE) (β = .22, P < .001), and social influence (SI) (β = .27, P < .001). The comparison between an extended UTAUT model (16 predictors) and the restrictive UTAUT model (PE, EE, SI) revealed a significant difference in explained variance (F13,431= 2.366, P = .005). CONCLUSIONS The UTAUT model has proven to be a valuable instrument to predict the acceptance of e-mental health interventions in patients with obesity. Furthermore, when additional predictors were added, a significantly higher percentage of explained variance in acceptance could be achieved. Based on the strong association between acceptance and future utilization, new interventions should focus on these UTAUT predictors to promote the urgently needed establishment of effective e-mental health interventions for patients with obesity, who suffer from mental health burdens.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Shoshana Cohen-Fraade ◽  
Maura Donahue

Purpose The purpose of this paper is to examine teachers’ experiences with mental health during the COVID-19 pandemic. Design/methodology/approach The authors administered an online survey to full-time public school teachers simultaneously enrolled in a master’s degree program in education. Out of 455 teachers who were sent the survey, 96 completed it, resulting in a 21.1% survey completion rate. The survey was composed of both quantitative and qualitative items which assessed teachers’ self-perceptions about their mental health before and during the COVID-19 pandemic, as well as their use of mental health resources. Most questions were drawn from the Patient Health Questionnaire-4 (PHQ-4), so focused primarily on symptoms of depression and anxiety. Findings The results of the survey indicated that overall, teachers felt an increase in symptoms of anxiety and depression between March 2020 and February 2021. A noteworthy percentage of participants said they were seeking mental health supports. Research limitations/implications This study was conducted with teachers in an alternative certification program, so their experiences might not be widely generalizable to teachers enrolled in traditional pathways to certification. Originality/value While some research has been conducted on mental health, less has been conducted with public school teachers and even less has assessed the impact of the COVID-19 pandemic. This study aims to add to the existing literature about teachers' experiences with anxiety and depression, as well as the specific impact of COVID-19.


2018 ◽  
Vol 80 (4) ◽  
pp. 666-684 ◽  
Author(s):  
Xiancai Cao ◽  
Chongming Yang ◽  
Dahua Wang

The number of parents who have lost their only child (PLOCs) has increased annually with the implementation of the birth control policy in mainland China. This study aimed to investigate the mental health status of PLOCs and the influence of social support and resilience. Study 1 recruited 100 PLOCs and 88 nonbereaved parents, and compared differences in depression, anxiety, and loneliness. Study 2 investigated the influence of social support and resilience on the mental health of PLOCs via a mediating model. Results indicate that PLOCs reported more anxiety and depression symptoms than nonbereaved counterparts. Perceived close family support, objective support, and resilience negatively predicted anxiety and depression. In addition, perceived close family support was found to influence mental health via resilience. The current findings reveal that losing an only child has long-term negative impacts on the mental health of PLOCs. However, perceived close family support and objective support can protect their mental health either directly or indirectly via resilience.


2021 ◽  
pp. 1-12
Author(s):  
Peter Musiat ◽  
Catherine Johnson ◽  
Melissa Atkinson ◽  
Simon Wilksch ◽  
Tracey Wade

Abstract Web-based interventions are increasingly used for the prevention, treatment and aftercare of mental disorders. A crucial factor to the efficacy of such online programmes is adherence to the intervention content and procedure. It has been frequently suggested that adherence in web-based interventions is low and little is known about which factors influence adherence. To increase intervention uptake and completion, studies increasingly include interventions with some form of guidance. Guided interventions have been shown to have higher efficacy, however, evidence for the impact on adherence is limited and mixed. This meta-analysis explored the impact of human guidance on intervention completion in web-based mental health interventions. A total of 22 studies were included with interventions primarily targeting symptoms of depression and anxiety disorders. Results showed that guidance significantly increases the average amount of intervention completion [g = 0.29, 95% confidence interval (CI) 0.18–0.40] and the proportion of intervention completers [log odds ratio (OR) = 0.50, 95% CI 0.34–0.66] with small effects. On average, full completion rates were 12% higher in guided intervention groups. This meta-analysis demonstrated that guidance in web-based mental health interventions does increase adherence, but more research is required to better understand the specific mechanisms between guidance, adherence and outcomes.


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