Scheutzow Johanna, Attoe Chris, Harwood Joshua
Department of Psychosis, Institute of Psychiatry, Psychology and Neuroscience, School of Academic Psychiatry, King's College London, London, United Kingdom.
Maudsley Learning, South London & Maudsley NHS Foundation Trust, London, United Kingdom.
JMIR Ment Health. 2022 May 11;9(5):e34655. doi: 10.2196/34655.
Web-based interventions have proven to be effective not only in clinical populations but also in the occupational setting. Recent studies conducted in the work environment have focused on the effectiveness of these interventions. However, the role of employees' acceptability of web-based interventions and programs has not yet enjoyed a similar level of attention.
The objective of this systematic review was to conduct the first comprehensive study on employees' level of acceptability of web-based mental health interventions based on direct and indirect measures, outline the utility of different types of web-based interventions for work-related mental health issues, and build a research base in the field.
The search was conducted between October 2018 and July 2019 and allowed for any study design. The studies used either qualitative or quantitative data sources. The web-based interventions were generally aimed at supporting employees with their mental health issues. The study characteristics were outlined in a table as well as graded based on their quality using a traffic light schema. The level of acceptability was individually rated using commonly applied methods, including percentile quartiles ranging from low to very high.
A total of 1303 studies were identified through multiple database searches and additional resources, from which 28 (2%) were rated as eligible for the synthesis. The results of employees' acceptability levels were mixed, and the studies were very heterogeneous in design, intervention characteristics, and population. Approximately 79% (22/28) of the studies outlined acceptability measures from high to very high, and 54% (15/28) of the studies reported acceptability levels from low to moderate (overlap when studies reported both quantitative and qualitative results). Qualitative studies also provided insights into barriers and preferences, including simple and tailored application tools as well as the preference for nonstigmatized language. However, there were multiple flaws in the methodology of the studies, such as the blinding of participants and personnel.
The results outline the need for further research with more homogeneous acceptability studies to draw a final conclusion. However, the underlying results show that there is a tendency toward general acceptability of web-based interventions in the workplace, with findings of general applicability to the use of web-based mental health interventions.
基于网络的干预措施已被证明不仅在临床人群中有效，在职业环境中也同样有效。最近在工作环境中进行的研究主要关注这些干预措施的有效性。然而，员工对基于网络的干预措施和项目的接受程度所起的作用尚未得到类似程度的关注。
本系统评价的目的是基于直接和间接测量方法，首次对员工对基于网络的心理健康干预措施的接受程度进行全面研究，概述不同类型的基于网络的干预措施对工作相关心理健康问题的效用，并在该领域建立研究基础。
检索时间为2018年10月至2019年7月，允许任何研究设计。研究使用定性或定量数据源。基于网络的干预措施通常旨在帮助员工解决心理健康问题。研究特征在表格中列出，并使用交通灯模式根据其质量进行分级。接受程度水平使用常用方法进行单独评分，包括从低到非常高的百分位数四分位数。
通过多个数据库搜索和其他资源共识别出1303项研究，其中28项（2%）被评为符合综合分析的条件。员工接受程度水平的结果参差不齐，研究在设计、干预特征和人群方面差异很大。大约79%（22/28）的研究将接受程度测量结果描述为高到非常高，54%（15/28）的研究报告接受程度水平为低到中等（当研究同时报告定量和定性结果时存在重叠）。定性研究还提供了对障碍和偏好的见解，包括简单且量身定制的应用工具以及对无污名化语言的偏好。然而，这些研究在方法上存在多个缺陷，例如参与者和工作人员的盲法。
结果表明需要进行更多同类接受程度研究的进一步研究才能得出最终结论。然而，基本结果显示在工作场所基于网络的干预措施存在普遍接受的趋势，基于网络的心理健康干预措施的使用具有普遍适用性的研究结果。
