Outcome assessment of a complex mental health intervention in the workplace. Results from the MENTUPP pilot study.

Journal: International archives of occupational and environmental health

Volume: 96

Issue: 8

Year of Publication: 2023

Affiliated Institutions:  Centre for Care Research and Consultancy, LUCAS, KU Leuven, Louvain, Belgium. fotini.tsantila@kuleuven.be. Centre for Care Research and Consultancy, LUCAS, KU Leuven, Louvain, Belgium. Research Group Work, Organisational and Personnel Psychology (WOPP-OL), KU Leuven, Louvain, Belgium. School of Public Health, University College Cork, Cork, Ireland. Centre Fòrum Research Unit, Hospital del Mar Research Institute, Parc de Salut Mar, Barcelona, Spain. Department of Population Health, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK. National Institute for Health and Welfare (THL), Helsinki, Finland. Institute of Behavioural Sciences, Semmelweis University, Budapest, Hungary. European Alliance against Depression e.V., Leipzig, Germany. National Suicide Research Foundation, University College Cork, Cork, Ireland. University of Stirling, Nursing, Midwifery and Allied Health Professionals Research Unit, Stirling, Scotland, UK. German Depression Foundation, Leipzig, Germany. Australian Institute for Suicide Research and Prevention, School of Applied Psychology, Griffith University, Brisbane, Australia. National Research Centre for the Working Environment, Copenhagen, Denmark. Phrenos Center of Expertise for Severe mental illness, Utrecht, The Netherlands. International Association of Suicide Prevention, Washington, DC, USA.

Abstract summary 

Multicomponent interventions are recommendable to achieve the greatest mental health benefits, but are difficult to evaluate due to their complexity. Defining long-term outcomes, arising from a Theory of Change (ToC) and testing them in a pilot phase, is a useful approach to plan a comprehensive and meaningful evaluation later on. This article reports on the pilot results of an outcome evaluation of a complex mental health intervention and examines whether appropriate evaluation measures and indicators have been selected ahead of a clustered randomised control trial (cRCT).The MENTUPP pilot is an evidence-based intervention for Small and Medium Enterprises (SMEs) active in three work sectors and nine countries. Based on our ToC, we selected the MENTUPP long-term outcomes, which are reported in this article, are measured with seven validated scales assessing mental wellbeing, burnout, depression, anxiety, stigma towards depression and anxiety, absenteeism and presenteeism. The pilot MENTUPP intervention assessment took place at baseline and at 6 months follow-up.In total, 25 SMEs were recruited in the MENTUPP pilot and 346 participants completed the validated scales at baseline and 96 at follow-up. Three long-term outcomes significantly improved at follow-up (p < 0.05): mental wellbeing, symptoms of anxiety, and personal stigmatising attitudes towards depression and anxiety.The results of this outcome evaluation suggest that MENTUPP has the potential to strengthen employees' wellbeing and decrease anxiety symptoms and stigmatising attitudes. Additionally, this study demonstrates the utility of conducting pilot workplace interventions to assess whether appropriate measures and indicators have been selected. Based on the results, the intervention and the evaluation strategy have been optimised.

Authors & Co-authors:  Tsantila Fotini F Coppens Evelien E De Witte Hans H Arensman Ella E Amann Benedikt B Cerga-Pashoja Arlinda A Corcoran Paul P Creswell-Smith Johanna J Cully Grace G Toth Monika Ditta MD Greiner Birgit B Griffin Eve E Hegerl Ulrich U Holland Carolyn C Leduc Caleb C Leduc Mallorie M Ni Dhalaigh Doireann D O'Brien Cliodhna C Paterson Charlotte C Purebl György G Reich Hanna H Ross Victoria V Rugulies Reiner R Sanches Sarita S Thompson Katherine K Van Audenhove Chantal C

Study Outcome 

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Statistics
Citations :  Arensman E, O'Connor C, Leduc C, Griffin E, Cully G, Ni Dhalaigh D, Holland C, Van Audenhove C, Coppens E, Tsantila F, Ross V, Aust B, Pashoja AC, Cresswell-Smith J, Cox L, de Winter L, Fanaj N, Greiner BA, Hegerl U, Mathieu S, Moreno-Alcazar A, Orchard W, Paterson C, Purebl G, Qirjako G, Reich H, Corcoran P. Mental health promotion and intervention in occupational settings: protocol for a pilot study of the MENTUPP intervention. Int J Environ Res Public Health. 2022;19(2):947. doi: 10.3390/ijerph19020947.
Authors :  27
Identifiers
Doi : 10.1007/s00420-023-01996-3
SSN : 1432-1246
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
MENTUPP;Mental health interventions;Outcome evaluation;SMEs;Theory of change;Workplace interventions
Study Design
Case Control Trial,Cross Sectional Study
Study Approach
Country of Study
Publication Country
Germany