评估儿童数字心理健康护理对看护者职业倦怠和缺勤的影响:纵向观察研究。

IF 2.1 Q2 PEDIATRICS
Darian Lawrence-Sidebottom, Kelsey McAlister, Aislinn Brenna Beam, Rachael Guerra, Amit Parikh, Monika Roots, Donna McCutchen, Landry Goodgame Huffman, Jennifer Huberty
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引用次数: 0

摘要

背景:有心理健康问题儿童的照料者出现倦怠和缺勤的风险较高。这种压力影响了他们的健康和工作表现,导致了广泛的职场问题。数字心理健康干预(DMHIs)越来越多地用于支持儿科心理健康,但它们对护理人员结果的影响仍未得到充分探讨。目的:本研究旨在探讨护理人员职业倦怠、缺勤(即缺勤)、共病症状与儿童心理健康问题之间的关系,并评估儿童参加儿童DMHI后护理人员职业倦怠和缺勤是否有所改善。方法:这项回顾性研究包括6506名照顾者,他们的孩子(1-17岁)接受Bend Health, Inc .的照顾。Bend Health, Inc .是一家儿科DMHI,提供基于数字的治疗和指导、数字内容和照顾者支持。护理人员倦怠、缺勤、共病症状和儿童心理健康症状通过每月评估来测量。累积关联模型用于评估儿童症状与照顾者结果之间的关联,并评估在DMHI过程中照顾者结果的变化。基线关联分析包括全样本(n=6506),而在开始护理后进行评估的照顾者中,对倦怠升高(n=2121)和缺勤(n=1327)的照顾者结果进行了前后变化分析。结果:基线时,45.96%(2990/6506)的护理人员报告倦怠升高,28.96%(1884/6506)的护理人员报告缺勤升高。更严重的职业倦怠与孩子有任何类型的症状升高相关(所有结论:儿童DMHIs可以减少照顾者的职业倦怠和缺勤。这些发现强调了雇主提供儿科DMHIs作为员工福利的一部分的价值,潜在地提高了工作成果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluating the Impact of Pediatric Digital Mental Health Care on Caregiver Burnout and Absenteeism: Longitudinal Observational Study.

Background: Caregivers of children with mental health challenges are at heightened risk for burnout and absenteeism. This strain affects both their well-being and work performance, contributing to widespread workplace issues. Digital mental health interventions (DMHIs) are increasingly used to support pediatric mental health, but their impact on caregiver outcomes remains underexplored.

Objective: This study aimed to explore the associations between caregiver burnout, absenteeism (ie, missing work), comorbid symptoms, and child mental health problems, and to assess whether caregiver burnout and absenteeism improved as their child participated in a pediatric DMHI.

Methods: This retrospective study included 6506 caregivers whose children (aged 1-17 years) received care from Bend Health, Inc, a pediatric DMHI providing digital-based therapy and coaching, digital content, and caregiver support. Caregiver burnout, absenteeism, comorbid symptoms, and child mental health symptoms were measured by monthly assessments. Cumulative link models were used to assess the associations of between child symptoms and caregiver outcomes and to assess changes in caregiver outcomes over the course of the DMHI. Analyses of baseline associations included the full sample (n=6506), while analyses of pre-post changes in caregiver outcomes were conducted in caregivers with elevated burnout (n=2121) and absenteeism (n=1327) who had an assessment after starting care.

Results: At baseline, 45.96% (2990/6506) of caregivers reported elevated burnout and 28.96% (1884/6506) reported elevated absenteeism. More severe burnout was associated with having a child with elevated symptoms of any type (all P<.01). More severe absenteeism was significantly associated with having a child with elevated symptoms of depression (z=3.33; P<.001), anxiety (z=3.96; P<.001), inattention (z=2.48; P=.013), and hyperactivity (z=2.12; P=.03). Burnout decreased for 68.64% (1456/2121) and absenteeism decreased for 87.26% (1158/ 1327). Greater months in care was associated with less severe caregiver burnout (z=-5.48; P<.001) and absenteeism (z=-6.74; P<.001).

Conclusions: DMHIs for children may reduce caregiver burnout and absenteeism. These findings emphasize the value of employers offering pediatric DMHIs as part of employee benefits, potentially enhancing workplace outcomes.

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来源期刊
JMIR Pediatrics and Parenting
JMIR Pediatrics and Parenting Medicine-Pediatrics, Perinatology and Child Health
CiteScore
5.00
自引率
5.40%
发文量
62
审稿时长
12 weeks
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