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Towards an assessment of psychosocial work factors in a multi-level mental health intervention in the workplace: results from the MENTUPP pilot-study

  • Fotini Tsantila,
  • Reiner Rugulies,
  • Evelien Coppens,
  • Hans De Witte,
  • Ella Arensman,
  • Abdulla Kahar,
  • Arlinda Cerga-Pashoja,
  • Paul Corcoran,
  • Lars De Winter,
  • Birgit Greiner,
  • Eve Griffin,
  • Bridget Hogg,
  • Caleb Leduc,
  • Mallorie Leduc,
  • Margaret Maxwell,
  • Hanna Reich,
  • Victoria Ross,
  • Chantal Van Audenhove,
  • Birgit Aust,
  • Kahar Abula,
  • Benedikt Amann,
  • Laura Cox,
  • Johanna Creswell-Smith,
  • Grace Cully,
  • Luigia D Alessandro,
  • Grace Davey,
  • Kim Dooyoung,
  • Asmae Doukani,
  • Arilda Dushaj,
  • Naim Fanaj,
  • Stefan Hackel,
  • Ulrich Hegerl,
  • Carolyn Holland,
  • Sharna Mathieu,
  • Ana Moreno-Alcazar,
  • Karen Mulcahy,
  • Ainslie O. Connor,
  • Wendy Orchard,
  • Charlotte Paterson,
  • György Purebl,
  • Gentiana Qirjako,
  • Saara Rapeli,
  • Sarita Sanches,
  • Andras Szekely,
  • Jaap Weeghel,
  • Kristian Wahlbeck,
  • Eva Zsak

摘要

Background

Mental health in the workplace is a growing concern for enterprises and policy makers. MENTUPP is a multi-level mental health intervention implemented in small and medium size enterprises from three work sectors in nine countries. This pilot study aimed to evaluate the feasibility, delivery, and instruments for the MENTUPP intervention to inform the planning of a clustered randomized controlled trial.

Methods

We administered items from the Copenhagen Psychosocial Questionnaire and the Danish Work Environment Cohort Study measuring psychosocial workplace factors. The questionnaire was answered by 382 participants at baseline, of which 98 participants also answered after six months at follow-up. We calculated mean scores of 19 psychosocial factors at baseline and conducted repeated measures ANOVAs to assess differences in eight psychosocial factors at follow-up. We also examined whether outcomes differed between work sectors and job positions at follow-up.

Results

The construction sector and workers with no or a lower leadership role reported more negative working environment factors at baseline. We observed a statistically significant decline in social support from colleagues and social community at work, and a marginally significant decline in justice at work. For the rest of the constructs, we did not observe statistically significant changes.

Conclusions

We found significant differences in psychosocial work environment factors among work sectors and job positions at baseline. Contrary to our hypotheses, three psychosocial work environment factors decreased at follow-up. Possible explanations are the utilization of specific psychosocial factors as resources to cope with psychosocial stressors, high participant expectations that were not met by the intervention, insufficient time for structural changes, or the intervention prompting critical evaluations of the work environment. These findings will inform the design and implementation of the forthcoming clustered randomized controlled trial, where they will also be further investigated to validate their significance.