The Effects of E-mental Health Program and Job Coaching on the Risk of Major Depression and Productivity in Canadian Male Workers
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,133
- 试验地点
- 2
- 主要终点
- Risk proportion of major depressive episode (MDE) over 12 months
研究概览
简要总结
There is a pressing need for innovation in prevention of major depression in male workers. Major depression (MDE) affects workers' health and productivity. In the United States, workers with depression cost an estimated US $44.01 billion per year in lost productivity. One of the severe consequences of having MDE is potential suicide and Canadian national data showed that 76% of all suicides in 2009 were male. In the workplace, risk factors for having MDE differ for men and women. For instance, job strain, family to work conflict and job insecurity seem to be more prominent MDE risk factors in men than in women. Compounding men's risk, men are less likely than women to seek help and to disclose depressive symptoms and often delay help seeking until symptoms become severe. Men are socialized to be emotionally stoic and exemplify traditional masculine characteristics such as independence, self-reliance and dominance. Men are concerned over the perceived negative judgments from family and friends if they access treatment for depression. These gender specific experiences along with a limited knowledge base about effective interventions call for innovative solutions tailored for men. The proposed study was to evaluate the effectiveness of an e-mental health program on reducing the risk of major depression in Canadian working men.
详细描述
Primary Objective:
Among Canadian male workers who are at high risk of having major depressive episode (MDE), to evaluate the impacts of an e-mental health intervention and telephone-based job coaching on the 12-month risk proportion of MDE. MDE will be measured by the WHO's CIDI-SFMD.
Hypothesis: The risk proportions of MDE in the intervention groups will be lower than that in the control group over 12 months.
Secondary Objectives:
Among Canadian male workers who are at high risk of having MDE,
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- Male
- 接受健康志愿者
- 否
入选标准
- •At the time of recruitment, working for pay
- •At the time of recruitment and baseline assessment, have a high risk of having major depressive episode (MDE) based on our prediction algorithm. For the proposed study, 6.51+% will be defined as high risk for men
- •May have MDE in the past 12 months, but in remission for at least 2 months prior to the study
- •Have no language barriers to English or French
- •Have access to the internet
- •Provide email and mailing address
排除标准
- 未提供
研究组 & 干预措施
Control
This group will receive generic information about depression and serve as control
干预措施: No intervention (Other)
e-mental health program
This group will receive the developed e-mental health program
干预措施: e-mental health program (Other)
e-mental health program and job coaching
This group will receive the developed e-mental health program plus interactive job coaching through telephone.
干预措施: e-mental health program and job coaching (Other)
结局指标
主要结局
Risk proportion of major depressive episode (MDE) over 12 months
时间窗: 12-month follow-up assessment
MDE occurred over the 12-month follow-up period will be measured by the Composite International Diagnostic Interview
次要结局
- Change in depression score(6- and 12-month follow-up assessment)
- Change in presenteeism(baseline, 6- and 12-month follow-up assessment)
- Change in absenteeism(baseline, 6- and 12-month follow-up assessment)
- Return on investment(baseline, 6- and 12-month follow-up assessment)
- Change in anxiety score(baseline, 6- and 12-month follow-up assessment)
研究者
JianLi Wang
Professor
University of Calgary
