A Randomized Controlled Trial of an Online Psychoeducation Course for Improving Knowledge and Access to Mental Health Accommodations in Canadian Enterprises
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 89
- 试验地点
- 2
- 主要终点
- Assessing change of requesting and/or receiving accommodations between course start date and 8 weeks post course completion.
研究概览
简要总结
Available research on mental health accommodations within the workplace suggests that employees with mental health concerns require accommodations (e.g., flexible scheduling, quiet spaces), but only a fraction of employees will receive the accommodations they have requested. Reported barriers to receiving mental health accommodations include concerns regarding stigma, lack of knowledge about appropriate accommodations, financial constraints of the employer, and size of the organization. While there is growing research on workplace accommodations, there is a paucity of research available on interventions aimed at improving accommodation usage, particularly within SMEs. To address this gap, the intent of the proposed study is to develop and implement an online psychoeducation course to increase employees' accommodation knowledge and usage within Canadian enterprises. Once the course is developed, reviewed, and implemented, an additional aim of the proposed study will be to test the efficacy of the course using a two-arm, randomized controlled trial comparing the intervention to a wait-list control group. A total of 86 participants experiencing workplace impairments due to a depressive and/or anxiety disorder will be randomly assigned to a psychoeducation group or wait-list control group. A 2x3 repeated measures (i.e., pre-course, at four weeks and eight weeks) mixed model ANOVA will be used to analyze the effects of the intervention on accommodation requests, knowledge of accommodations, absenteeism/presenteeism rates, employee self-efficacy, and psychological symptoms. The results of the study may be used to develop future offerings of the course and improve mental health accommodations practices within Canadian enterprises.
详细描述
In this study, the first phase of the study will be to develop the online psychoeducation course. Once the course is developed it will be reviewed by experts in the field of accommodations (e.g., Human Resource professionals, lawyers) and their suggestions will be reviewed and possibly implemented before the course is delivered to employees. Experts providing feedback will be asked to review and complete a consent form prior to reviewing one or more lessons. After reviewing a lesson, they will be provided with an opportunity to give lesson feedback through the completion of a short questionnaire. Total participation time is expected to be 1 hour. Experts will be eligible for the study if they meet the following criteria: (1) are 18 years of age or older; (2) have knowledge or experience with workplace accommodations; and (3) are Canadian residents. Experts will be excluded if he/she: (1) is not 18 years of age or older); (2) Do not have knowledge or experience with workplace accommodations; (3) are not a resident of Canada
The course will be comprised of the following lessons:
Lesson 1: Anxiety and depression in the workplace. This lesson will include information on how to identify symptoms of depression and anxiety in the workplace. To accomplish this the DSM-5 criteria for depression and anxiety will be provided along with practical work examples (e.g., difficulty with concentration in meetings). Participants will also be presented with examples of the functional limitations that are commonly associated with depression and anxiety symptoms (e.g., missing important deadlines due to procrastination behaviours). Information on the prevalence of depression and anxiety in Canada/World will also be provided to counteract any stigmatic attitudes or beliefs.
Lesson 2: Accommodations for mental health concerns. Within this lesson, participants will be presented with the Canadian legislation on reasonable workplace accommodations. This information will include a discussion on undue hardship and how this may impact the receipt and types of accommodations available within Canadian enterprises. Participants will also be provided with common examples of accommodations frequently identified within the research literature (e.g., flexible work schedules, quiet spaces). In addition, the benefits of receiving accommodations for mental health concerns (e.g., improved productivity, reduced symptomology) will be discussed. The lesson will conclude with the potential barriers (e.g., stigma, organizational barriers) and facilitators (e.g., supportive work environments) to requesting and receiving accommodations. Strategies to overcome potential barriers will also be addressed.
Lesson 3: Requesting an accommodation and disclosure. This lesson will focus on strategies for requesting an accommodation within a Canadian enterprise. This will include information on when, how, to whom, and what should be disclosed when requesting an accommodation. Employees will also be provided with information on the pros and cons of making an accommodation request. In addition, they will be provided with information on what to disclose when making the request (i.e., full disclosure ["I have depression] or selective disclosure ["I have an illness]), the pros and cons of disclosure, and information on the tasks for preparing to disclose. It will also be emphasized within the lesson that full disclosure may not be required to receive an acceptable accommodation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •are 18 years of age or older;
- •are a resident of Canada;
- •are experiencing at least clinically significant symptoms of anxiety and/or depression (i.e., symptoms are severe enough to impact work performance);
- •I.e., a GAD-7 score of 10 or greater, or SIAS score of 7 or greater, SPS-6 score of 2 or greater, PHQ-0 score of 10 or greater, be absent from work a minimum of .3 days in the last 28 days, have a presenteeism score of 40 or greater.
- •have not been hospitalized within the last year for mental health and/or suicide risk concerns;
- •have access to a secure computer and the Internet, and is comfortable using technology.
排除标准
- •are younger than 18 years of age;
- •are not a resident of Canada;
- •are experiencing minimal or no symptoms of anxiety and/or depression;
- •have been hospitalized within the last year for mental health and/or suicide risk concerns;
- •have unmanaged problems with alcohol, drugs, psychosis, or mania;
- •do not have access to a secure computer and the Internet or is not comfortable using technology.
结局指标
主要结局
Assessing change of requesting and/or receiving accommodations between course start date and 8 weeks post course completion.
时间窗: 8 weeks
We will be assessing the impact of the psychoeducation course on requesting and/or receiving workplace accommodations for anxiety and/or depression symptoms. This will be assessed using a questionnaire, which will include questions such as "Have you ever requested from your current company any change or accommodation in your job or workplace to better meet your mental health needs?" This questionnaire includes dichotomous questions (yes/no) and there is one scale that asks how comfortable participants are requesting an accommodation (min: 1; max: 10). A higher value represents more comfort requesting an accommodation.
Efficacy of online psychoeducation course on self-stigmatizing attitudes as measured by Self-stigma of Mental Illness Scale - Short Form (SSMIS-SF)
时间窗: 8 weeks
We will be assessing the impact of the psychoeducation course on employees' self-stigmatizing attitudes. The investigators will be assessing 4 sub-scales (Aware, Agree, Apply, and Hurts Self). Each sub-scale has the following minimum and maximum values Min: 5 Max: 45 Higher values represent more self-stigmatizing attitudes.
Assessing change in employee knowledge of accommodations between course start date and 8 weeks post course completion
时间窗: 8 weeks
We will be assessing employees' knowledge of accommodations before and after receiving the course material. This will be assessed using a questionnaire that includes likert scales and open-ended questions such as "On a scale from 1 to 10, where 1 is "no knowledge" and 10 is "very knowledgeable how much do you know about workplace accommodations for mental health conditions?" and "Please list the accommodations you are comfortable requesting?"
Impact of receiving accommodations on employee symptom severity as measured by social phobia anxiety measures (SPS-6).
时间窗: 8 weeks
Change in employees' self-reported symptom severity during the previous 4 weeks. SPS-6: Min score = 0; Max score = 24 - Higher scores represents more severe symptoms
Identification of workplace accommodations received for anxiety and/or depression symptoms.
时间窗: 8 weeks
Participants will be asked to list any workplace accommodations they have received for the anxiety and/or depression symptoms in the past 4 weeks. This is an open-ended question and does not have a scale.
Impact of supervisor's leadership and organizational inclusion on receiving an accommodation and disclosing in the workplace.
时间窗: 8 weeks
Supervisors Leader and Organizational Inclusion scales will be used to measure the impact of both on receiving an accommodation or disclosing in the workplace. Supervisor Leadership - Min score = 7; Max score = 35 - Higher scores represents more supportive leadership style Organization Inclusion: Min score = 1; Max score = 34 - Higher scores represents a more inclusive and support organization.
Impact of receiving accommodations on employee symptom severity as measured bygeneral anxiety measures (GAD-7)
时间窗: 8 weeks
Change in employees' self-reported symptom severity during the previous 4 weeks. GAD-7- Min score = 0; Max score = 21 - Higher scores represents more severe symptoms
Impact of receiving accommodations on employee symptom severity as measured by social interaction anxiety measures (SIAS-6).
时间窗: 8 weeks
Change in employees' self-reported symptom severity during the previous 4 weeks. SIAS-6: Min score = 0; Max score = 24 - Higher scores represents more severe symptoms
Impact of receiving accommodations on employee symptom severity as measured by depression measures (PHQ-9)
时间窗: 8 weeks
Change in employees' self-reported symptom severity during the previous 4 weeks. PHQ-9 - Min score = 0; Max score = 27 - Higher scores represents more severe symptoms
Assessing change in employee relationships within the workplace as measured by the Workplace Relationships Scale (WRS).
时间窗: 8 weeks
Change in employees' workplace relationships during the previous 4 weeks. WRS scores will range from: Min: 9 Max: 63 Higher scores represents more interpersonal conflict at work.
Impact of receiving accommodations on absenteeism and presenteeism rates as measured by the World Health and Work Performance Questionnaire (WHO-HPQ).
时间窗: 8 weeks
Change in absenteeism and presenteeism rates in terms of the total number of missed work days or lower productivity days during the previous 28 days.
Impact of receiving accommodations on employee self-efficacy as measured by New General Self-Efficacy Scale (NGSE).
时间窗: 8 weeks
Change in employees' self-efficacy scores during the previous 4 weeks. The total score is calculated by total score for each participant and taking the average rating of the items selected. Minimum score: 1 Maxium score: 5 Lower values represent lower self-efficacy
次要结局
- Identification of the barriers and facilitators to requesting/receiving workplace accommodations for anxiety and/or depression symptoms(8 weeks)
- Impact of psychoeducation course on comfort level of disclosing a mental health condition in the workplace(8 weeks)
- Feedback on the course structure and content(1 week)
- Impact of psychoeducation course on rates of disclosure in the workplace(8 weeks)