Ivandic Ivana, Freeman Aislinne, Birner Ulrich, Nowak Dennis, Sabariego Carla
Department of Medical Informatics, Biometry and Epidemiology, Research Unit for Biopsychosocial Health, Ludwig-Maximilians-Universität (LMU), Marchioninistr. 17, 81377 Munich, Germany.
Scand J Work Environ Health. 2017 Mar 1;43(2):99-108. doi: 10.5271/sjweh.3616. Epub 2017 Jan 2.
Objectives The aim of the systematic review was to provide an overview of the evidence on the effectiveness of brief interventions targeting mental health and well-being in organizational settings and compare their effects with corresponding interventions of common (ie, longer) duration. Methods An extensive systematic search was conducted using the Medline and PsycINFO databases for the period of 2000-2016. Randomized-controlled trials (RCT) and quasi-experimental studies evaluating primary or secondary brief interventions carried out in the workplace settings were included. Subsequently, common interventions matching brief interventions by type and assessed outcomes were included. The methodological quality of included studies was appraised using NICE guidelines and the best evidence synthesis approach was applied. Results The review identified 11 brief interventions and 9 corresponding common interventions. Included studies varied substantially in sample size and characteristics, methodological quality, duration of follow-up, types of intervention, and assessed outcomes. All but one study evaluating brief interventions had high risk of bias. No evidence was found on the effectiveness of brief stress management, relaxation, massage, mindfulness meditation, or multimodal interventions. We found limited evidence on the effectiveness of brief positive psychology interventions. Conclusions Our review highlights the need for high-quality studies evaluating brief mental health and well-being interventions in organizational settings. Future studies should use methodologically rigorous designs and improved reporting of methods and results to provide conclusive evidence on the effectiveness and sustainability of the intervention effects.
目标 本系统评价的目的是概述针对组织环境中精神健康和幸福的简短干预措施有效性的证据,并将其效果与相应的常规(即较长时间)干预措施进行比较。方法 利用Medline和PsycINFO数据库对2000年至2016年期间进行了广泛的系统检索。纳入在工作场所环境中开展的评估一级或二级简短干预措施的随机对照试验(RCT)和准实验研究。随后,纳入了按类型和评估结果与简短干预措施相匹配的常规干预措施。使用英国国家卫生与临床优化研究所(NICE)指南评估纳入研究的方法学质量,并应用最佳证据综合方法。结果 该评价确定了11项简短干预措施和9项相应的常规干预措施。纳入研究在样本量和特征、方法学质量、随访时间、干预类型和评估结果方面差异很大。除一项评估简短干预措施的研究外,所有研究均存在较高的偏倚风险。未发现简短压力管理、放松、按摩、正念冥想或多模式干预措施有效性的证据。我们发现简短积极心理学干预措施有效性的证据有限。结论 我们的评价强调需要开展高质量研究,评估组织环境中简短精神健康和幸福干预措施。未来的研究应采用方法学严谨的设计,并改进方法和结果的报告,以提供关于干预效果有效性和可持续性的确凿证据。