scholarly journals Smartphone-delivered, therapist-supported digital health intervention for physicians with burnout

2019 ◽  
Author(s):  
Valerie Hoffman ◽  
Anu Raevuori ◽  
philippe goldin ◽  
Erin Gillung ◽  
Susan Connolly ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Effect Size ◽  
Mindfulness Meditation ◽  
Behavioral Therapy ◽  
Digital Health ◽  
Smartphone Application ◽  
Health Intervention ◽  
Evidence Based ◽  
Work Related ◽  
Related Stress

Objective: The aim was to examine change in burnout and depressive symptoms among physicians enrolled in an evidence-based digital health intervention, the Meru Health Program (MHP). Methods: We recruited 27 physicians with evidence of work-related stress as reported from a single-item burnout measure from the Palo Alto Foundation Medical Group and enrolled them into an 8-week, smartphone-delivered and therapist-supported program that combines several evidence-based depression treatments such as cognitive behavioral therapy and mindfulness meditation. Results: We observed a decrease in burnout (p = 0.049, effect size r = 0.71) and depressive symptoms (p = 0.001, effect size d = -0.9) at post-treatment. Engagement metrics were not significantly associated with outcomes. Conclusion: The MHP, a digital therapist-supported intervention delivered via smartphone application, was found to be a promising intervention for physicians suffering from burnout.

日本における抑うつ症状に対する心理学的介入を目的とした スマートフォン用アプリケーション・プログラムのレビュー

2020 ◽  
Author(s):  
Hikari Takashina ◽  
Kengo Yokomitsu
Keyword(s):  
Depressive Symptoms ◽  
Daily Life ◽  
Behavioral Therapy ◽  
Mobile Apps ◽  
Evaluation Model ◽  
Ease Of Use ◽  
Background Information ◽  
Evidence Based ◽  
Privacy And Security ◽  
Current State

There are thousands of mobile apps delivering information and offering support and intervention in situations of daily life. The aim of this study was to identify the current state of apps for depressive symptoms or prevention of depression within the official Android and iOS app stores in Japan. The 47 apps for depression available for download from the app stores were evaluated by the App Evaluation Model regarding background information, risk/ privacy and security, evidence, ease of use, and interoperability. Also, we evaluated their primary purpose, technology components, and cognitive-behavioral therapy components. The results suggest that in general few apps have been developed that are evidence-based, secure, and provide the services that users expect. In the future, it will be necessary to develop a framework for developing and disseminating more effective apps. This study is the first review of apps for depression available in Japan and seeks to help create a framework for such apps.

scholarly journals Work-related stress and depressive symptoms among dental hygienists

2015 ◽  
Vol 15 (5) ◽  
pp. 917-924 ◽  
Author(s):  
Mi-Young Kwon ◽  
Ji Hyun Kim
Keyword(s):  
Depressive Symptoms ◽  
Dental Hygienists ◽  
Work Related Stress ◽  
Work Related ◽  
Related Stress

Traditional-versus Online videoconferencing with smartphone application support Cognitive Behavioral Therapy for Depression: A retrospective cohort study (Preprint)

2021 ◽  
Author(s):  
Annemiek van Dijke ◽  
Gisela R.M. Emmory-Lijde ◽  
Mathijs Deen
Keyword(s):  
Cohort Study ◽  
Depressive Symptoms ◽  
Major Depression ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Behavioral Therapy ◽  
Smartphone Application ◽  
Post Treatment ◽  
Reliable Change ◽  
Significant Change

BACKGROUND Background: The prevalence of major depression is very high and it is considered one of the most hindering disorders, associated with a strong social- and financial impact. Despite the effectiveness of traditional cognitive behavioral therapy (CBT), response, improvement, remission and recovery rates are low and relapse percentages are considerably high. This study is the first to investigate the effectiveness of online videoconferencing CBT with smartphone app support in patients with major depression. With this ‘modern’ way of online CBT, we aim to enhance the effectiveness of CBT OBJECTIVE Objective: The objective is to assess the results of online videoconferencing CBT with app-support compared to TAU in patients with depression. To enhance therapy outcome and patient satisfaction for the treatment of depression. METHODS Methods: A retrospective cohort study was conducted in an outpatient treatment center (PsyQ-Parnassia, the Netherlands). Routine Outcome Monitoring (ROM) data was collected from September 2018 to March 2020, at pre- and post-treatment. Seven hundred and seventy patients were included; 40 for psyQ-online and 730 for psyQ-TAU. The primary outcome measure is the symptoms of depression measured with the Quick Inventory of Depressive Symptomatology (QIDS-SR-16; Trivedi et al., 2004). To assess ‘significant change’ in depressive symptoms we compared pre-and post-treatment scores for PsyQ-online group compared with the PsyQ-TAU group. Clinical significant change or remission was defined as ‘going from above the clinical cut-off score at pre-treatment to below the cut-off score’ which equals ‘normalcy’ or ‘no depression’ (in this case below 6) at post-treatment. ‘Reliable change’ was defined as ‘whether people changed sufficiently that the change is unlikely to be due to simple measurement unreliability’. Reliable changes were grouped in four categories: (1) Recovered = reliable and clinical significant change in QIDS-SR-16, (2) Improved = reliable change, without clinical significant change, (3) No change = no reliable change and no clinical significant change, and (4) Deteriorated = negative reliable change in the QIDS-SR-16 (Jakobsen et al., 2017). To investigate patients satisfaction for online psychotherapy when compared to the patients in the PsyQ-TAU group, we used KLANT scores (Huijbrechts et al., 2009). RESULTS Results: The psyQ-online patients showed significantly higher improvement, remission and recovery percentages compared to the psyQ-TAU patients. Online patients were more satisfied with their therapy compared to TAU patients. CONCLUSIONS Conclusion: ‘Significant reduction’ in depressive symptoms and high percentages of ‘improvement’, ‘remission’ and ‘recovery’, can be obtained when performing online cbt with smartphone-application-support for depression. This even enhances CBT-outcome in highly satisfied patients. CLINICALTRIAL n/a

scholarly journals Work-related Stress, Caregiver Role, and Depressive Symptoms among Japanese Workers

2014 ◽  
Vol 5 (1) ◽  
pp. 7-12 ◽  
Author(s):  
Ayumi Honda ◽  
Yutaka Date ◽  
Yasuyo Abe ◽  
Kiyoshi Aoyagi ◽  
Sumihisa Honda
Keyword(s):  
Depressive Symptoms ◽  
Work Related Stress ◽  
Work Related ◽  
Japanese Workers ◽  
Related Stress ◽  
Caregiver Role

scholarly journals Co-Creating an Occupational Health Intervention within the Construction Industry in Sweden. Stakeholder Perceptions of the Process and Output

2021 ◽  
Vol 18 (24) ◽  
pp. 12872
Author(s):  
Emma Cedstrand ◽  
Helle Mølsted Alvesson ◽  
Hanna Augustsson ◽  
Theo Bodin ◽  
Erika Bodin ◽  
...  
Keyword(s):  
Occupational Health ◽  
Health Intervention ◽  
Health Interventions ◽  
Stakeholder Perceptions ◽  
Structured Interviews ◽  
Work Related ◽  
Contextual Fit ◽  
Implementation Failure ◽  
Occupational Health Intervention ◽  
Related Stress

One way to prevent work-related stress, is to implement primary occupational health interventions aimed at improving the psychosocial work environment. However, such interventions have shown a limited effect, often due to implementation failure and poor contextual fit. Co-creation, where researchers, together with end-users and other relevant stakeholders, develop the intervention is increasingly encouraged. However, few studies have evaluated the effects of co-created interventions, and participants’ experience of the co-creation process. This is one of the first studies evaluating stakeholder perceptions of co-creating an occupational health intervention. We applied a thematic analysis, with data from 12 semi-structured interviews with stakeholders involved in the co-creation. Our results show that the respondents, in general, were satisfied with engaging in the co-creation, and they reported an increased awareness regarding risk factors of stress and how these should be handled. Additionally, the respondents described trust in the intervention activities and a good fit into the context. The study indicates that co-creating occupational health interventions can enhance the implementation and the contextual fit.

25 Evidence based training for hostel staff around supporting homeless people with deteriorating health

2018 ◽  
Vol 8 (3) ◽  
pp. 369.1-369
Author(s):  
Briony F Hudson ◽  
Caroline Shulman ◽  
Peter Kennedy ◽  
Niamh Brophy ◽  
Patrick Stone
Keyword(s):  
Palliative Care ◽  
Homeless People ◽  
Routine Practice ◽  
Evidence Based ◽  
List Type ◽  
Care Needs ◽  
Work Related Stress ◽  
Work Related ◽  
Related Stress ◽  
The Impact

IntroductionMany people experiencing homelessness remain in homeless hostels as their health deteriorates due to lack of alternative places of care (Shulman et al. 2017). Palliative care services are rarely involved and hostel staff face significant emotional and practical difficulties (Hudson et al. 2017). We developed evidence-based training for hostel staff around supporting residents with deteriorating health.AimsTo pilot and evaluate the impact of training.MethodsMixed methods pre-and-post training evaluation. Knowledge of palliative care confidence in and openness to supporting residents with deteriorating health and work-related stress were assessed at baseline and immediately post-training using a novel questionnaire. Following training group discussions were facilitated and participants identified team goals for implementation. Additional focus groups were held after three months.ResultsAll staff from two hostels attended 87% completed the course (n=21). Modest improvements in knowledge confidence openness and work-related stress were observed. Participants particularly valued the inclusion of strategies for identifying and addressing their emotional needs. At three months team goals were partially met. Identification and recognition of palliative care needs had improved. However the recovery focused ethos of hostels and significant staff turnover limited change. Systems designed to monitor ‘recovery’ did not accommodate or encourage a person-centred approach for people with deteriorating health.ConclusionsTraining in isolation is not enough for system change. Recommendations include embedding ongoing training into routine practice identifying champions to promote multidisciplinary working and incorporating flexibility in outcome measures to reflect complexity in person-centred care including where recovery may not be realistic.References. Hudson BF, Shulman C, Low J, Hewett N, Daley J, Davis S, Brophy N, Howard D, Vivat B, Kennedy P, Stone P. Challenges to discussing palliative care with people who are homeless: A qualitative study. BMJ Open2017;7:e017502. doi:10.1136/bmjopen-2017-017502. Shulman C, Hudson BF, Low J, Hewett N, Daley J, Kennedy P, et al. Homelessness at the end of life: A qualitative analysis of the barriers in providing palliative care for people who are homeless. Palliative Medicine2017. https://doi.org/10.1177/0269216317717101

“God is my doctor”: mindfulness meditation/prayer as a spiritual well-being coping strategy for Jamaican school principals to manage their work-related stress and anxiety

2020 ◽  
Vol 58 (4) ◽  
pp. 467-480
Author(s):  
Annette Rosemarie Walker
Keyword(s):  
Coping Strategy ◽  
Mindfulness Meditation ◽  
School Principals ◽  
Secondary School Principals ◽  
Well Being ◽  
Work Related Stress ◽  
Content Type ◽  
Work Related ◽  
Spiritual Well Being ◽  
Related Stress

PurposeThis article explores Jamaican secondary school principals' use of mindfulness meditation as a spiritual well-being strategy to manage their work-related stress and anxiety.Design/methodology/approachThe author used qualitative semi-structured interviews to collect the data from 12 Jamaican secondary school principals working in schools supporting rural, urban and inner-city school communities. Thematic coding of the analyzed data was used to understand how principals deal with their work-related stress and anxiety.FindingsThe findings indicate that Jamaican school principals are experiencing work-related stress and anxiety as a result of work intensification, and use mindfulness meditation/prayer as a spiritual coping strategy. The data indicate that principals' primary source of support is their spiritual belief – faith in God and mindfulness meditation/prayer – when dealing with issues related to well-being.Originality/valueThis article explores the use of mindfulness meditation as a non-secular coping strategy, and focuses on an understudied area of educational administration research: Jamaican school principals' well-being. The findings can help inform future education and health policy around occupational health and well-being for professionals, and lay the foundation for greater studies on principal well-being in Jamaican and the Caribbean more generally.

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