Web-Based Interactive Training for Managers (Managing Minds at Work) to Promote Mental Health at Work: Pilot Feasibility Cluster Randomized Controlled Trial.

IF 5.8 2区 医学 Q1 PSYCHIATRY
Jmir Mental Health Pub Date : 2025-09-02 DOI:10.2196/76373
Juliet Hassard, Holly Blake, Teixiera Mishael Dulal-Arthur, Alexandra Frost, Craig Bartle, Joanna Yarker, Fehmidah Munir, Ben Vaughan, Guy Daly, Caroline Meyer, Sean Russell, Louise Thomson
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引用次数: 0

Abstract

Background: Line managers play a key role in preventing poor mental health but often lack necessary skills and knowledge. Existing interventions typically focus on mental health awareness rather than practical skills. The evidence-based Managing Minds at Work (MMW) web-based training program was developed to address this gap by enhancing line managers' confidence and competence in prevention.

Objective: This study piloted the MMW intervention to assess its feasibility. Objectives included evaluating (1) uptake potential across small, medium, and large companies; (2) perceived suitability and effectiveness of the intervention; and (3) feasibility of outcome data collection methods.

Methods: We conducted a 2-arm pilot cluster randomized controlled trial of a self-guided, web-based training intervention for line managers. Twenty-four organizations were randomly assigned to the MMW intervention or a 3-month waitlist. A total of 224 line managers completed baseline measures (intervention: n=141, 62.9%; control: n=83, 37.1%), along with 112 of their direct reports (intervention: n=74, 66.1%; control: n=38, 33.9%). Follow-up data were collected at 3 and 6 months. Semistructured interviews with line managers and stakeholders (n=20) explored experiences with the study and intervention, and qualitative data were analyzed thematically. Line managers also completed feedback forms after each of the 5 MMW modules.

Results: The recruitment of organizations and line managers exceeded targets, and retention rates of line managers were good at 3 months (161/224, 71.9%) but not at the 6-month follow-up (55/224, 24.6%). Feedback on the intervention was very positive, indicating that line managers and organizational stakeholders found the intervention acceptable, usable, and useful. We observed significant improvements with moderate to large effect sizes for all trial outcomes for line managers in the intervention arm from baseline to the 3-month follow-up. Line managers completed a variety of questionnaires, which showed increased scores for confidence in creating a mentally healthy workplace (intervention group: mean change 3.8, SD 3.2; control group: mean change 0.6, SD 3.2), mental health knowledge (intervention group: mean change 1.9, SD 3.0; control group: mean change 0.2, SD 2.9), psychological well-being (intervention group: mean change 3.6, SD 8.3; control group: mean change -0.7, SD 7.7), and mental health literacy at work (intervention group: mean change 11.8, SD 8.9; control group: mean change 0.8, SD 6.2). Collecting data from direct reports in both study arms was challenging, with results inconclusive regarding observed changes in trial outcomes. Time constraints and workload were commonly cited barriers to completion of the intervention.

Conclusions: This pilot feasibility trial provides strong evidence for the usability and acceptability of the MMW digital training and the research design. MMW shows potential to improve line managers' confidence and competencies in promoting mental health. The study also identified key considerations for future large-scale implementation and evaluation.

Trial registration: ClinicalTrials.gov NCT05154019; https://clinicaltrials.gov/study/NCT05154019.

Abstract Image

Abstract Image

基于网络的管理人员互动培训(管理工作中的思想)促进工作中的心理健康:试点可行性群随机对照试验。
背景:部门经理在预防不良心理健康方面发挥关键作用,但往往缺乏必要的技能和知识。现有的干预措施通常侧重于心理健康意识,而不是实用技能。基于证据的“工作中的管理思想”(MMW)网络培训项目旨在通过提高直线经理的信心和预防能力来解决这一差距。目的:初步探讨毫米波干预的可行性。目标包括评估(1)小型、中型和大型公司的吸收潜力;(2)感知干预的适宜性和有效性;(3)结局数据收集方法的可行性。方法:我们对直线管理人员进行了一项自我指导、基于网络的培训干预的两组随机对照试验。24个组织被随机分配到MMW干预组或3个月的等待组。共有224名直线经理完成了基线测量(干预:n=141, 62.9%;对照组:n=83, 37.1%),以及他们的112名直接下属(干预:n=74, 66.1%;对照组:n=38, 33.9%)。随访3个月和6个月。对部门经理和利益相关者的半结构化访谈(n=20)探讨了研究和干预的经验,并对定性数据进行了主题分析。生产线经理还在每个5mmw模块完成后填写了反馈表格。结果:组织和一线管理人员的招聘超额完成,一线管理人员的保留率在随访3个月时较好(161/224,71.9%),但在随访6个月时较差(55/224,24.6%)。对干预的反馈是非常积极的,表明部门经理和组织涉众发现干预是可接受的、可用的和有用的。我们观察到,从基线到3个月随访期间,干预组直线管理人员的所有试验结果均有中等到较大的显著改善。直线经理完成了各种问卷调查,结果显示,在创建心理健康工作场所的信心(干预组:平均变化3.8,SD 3.2;对照组:平均变化0.6,SD 3.2)、心理健康知识(干预组:平均变化1.9,SD 3.0;对照组:平均变化0.2,SD 2.9)、心理健康(干预组:平均变化3.6,SD 8.3;对照组:平均变化-0.7,SD 7.7),以及工作时的心理健康素养(干预组:平均变化11.8,SD 8.9;对照组:平均变化0.8,SD 6.2)。从两个研究组的直接报告中收集数据具有挑战性,关于观察到的试验结果变化的结果尚无定论。时间限制和工作量是完成干预的常见障碍。结论:该试点可行性试验为毫米波数字化训练和研究设计的可用性和可接受性提供了有力的证据。MMW显示出提高直线经理在促进心理健康方面的信心和能力的潜力。该研究还确定了今后大规模实施和评价的关键考虑因素。试验注册:ClinicalTrials.gov NCT05154019;https://clinicaltrials.gov/study/NCT05154019。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Jmir Mental Health
Jmir Mental Health Medicine-Psychiatry and Mental Health
CiteScore
10.80
自引率
3.80%
发文量
104
审稿时长
16 weeks
期刊介绍: JMIR Mental Health (JMH, ISSN 2368-7959) is a PubMed-indexed, peer-reviewed sister journal of JMIR, the leading eHealth journal (Impact Factor 2016: 5.175). JMIR Mental Health focusses on digital health and Internet interventions, technologies and electronic innovations (software and hardware) for mental health, addictions, online counselling and behaviour change. This includes formative evaluation and system descriptions, theoretical papers, review papers, viewpoint/vision papers, and rigorous evaluations.
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