Department of Obstetrics and Gynaecology, Ziekenhuisgroep Twente (ZGT), Post box 7600, 7600 SZ Almelo, The Netherlands.
Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, VU University Medical Centre, van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands.
Maturitas. 2023 Aug;174:48-56. doi: 10.1016/j.maturitas.2023.05.005. Epub 2023 May 26.
To evaluate the effects of a workplace educational intervention on menopause on self-efficacy regarding working during the climacteric.
Quasi-experimental design, with one intervention and one control group. Women aged 40 to 67, working in one of the two participating departments of a large municipality in the Netherlands, were recruited to participate in the study. The allocation of participants to intervention or control group was done at the departmental level. The main component of the multifaceted intervention consisted of educational workshops on menopause and work. The primary outcome was score on the Self-Efficacy to Manage Symptoms Scale. Secondary outcomes were scores on other self-efficacy scales, knowledge about the menopausal transition, menopausal symptoms, beliefs and behaviours and work-related variables. Differences between groups were analysed with Pearson's chi-square, Student's t-test or Mann-Whitney U. Analysis of covariance (ANCOVA) was used to correct for baseline and potential confounders.
Data from 54 women were analysed, 25 in the intervention group and 29 in the control group. After 12 weeks of follow-up, the mean score on the Self-Efficacy to Manage Symptoms Scale was higher in the intervention group than in the control group: 6.52 (SD 1.45) versus 5.84 (SD 1.51), respectively, adjusted mean difference 0.75 (95 % CI 0.03-1.46, p = 0.040). The educational intervention increased self-reported knowledge (scored on the range 1-10) (adjusted mean difference 0.7, 95 % CI 0.26-1.15, p = 0.002) and resulted in a lower level of presenteeism (i.e., less impaired work performance) due to menopausal symptoms, measured by the Dutch Stanford Presenteeism Scale (adjusted mean difference 2.15, 95 % CI 0.13-4.18, p = 0.038), compared to the control group.
This educational workplace intervention study shows promising positive effects on self-efficacy regarding working during the climacteric, knowledge about the menopausal transition and presenteeism due to menopausal symptoms. This is especially true for women already experiencing menopausal symptoms, while premenopausal women were harder to engage in the intervention. A larger study, with longer follow-up, preferably a randomized controlled trial, is needed to investigate the clinical relevance of these findings.
评估工作场所教育干预对围绝经期女性工作期间自我效能感的影响。
准实验设计，干预组和对照组各一组。招募年龄在 40 至 67 岁之间、在荷兰两个参与部门之一工作的女性参加这项研究。参与者被分配到干预组或对照组是在部门层面上进行的。多方面干预的主要内容是关于围绝经期和工作的教育研讨会。主要结果是自我管理症状量表的评分。次要结果是其他自我效能感量表的评分、对绝经过渡期的知识、更年期症状、信念和行为以及与工作相关的变量。采用 Pearson 卡方检验、学生 t 检验或曼-惠特尼 U 检验分析组间差异。协方差分析（ANCOVA）用于校正基线和潜在混杂因素。
共分析了 54 名女性的数据，其中干预组 25 名，对照组 29 名。经过 12 周的随访，干预组的自我管理症状量表评分高于对照组：分别为 6.52（SD 1.45）和 5.84（SD 1.51），调整后的平均差异为 0.75（95%CI 0.03-1.46，p=0.040）。教育干预提高了自我报告的知识（评分范围为 1-10）（调整后的平均差异为 0.7，95%CI 0.26-1.15，p=0.002），并通过荷兰斯坦福出席率量表（调整后的平均差异为 2.15，95%CI 0.13-4.18，p=0.038），降低了由于更年期症状导致的出席率（即工作表现受损程度降低），与对照组相比。
这项关于工作场所教育干预的研究显示，对围绝经期女性工作期间的自我效能感、对绝经过渡期的知识以及由于更年期症状导致的出席率有积极影响。对于已经出现更年期症状的女性来说，这些效果更为显著，而对于围绝经期前的女性来说，参与干预的难度更大。需要一项更大规模的研究，包括更长时间的随访，最好是一项随机对照试验，以调查这些发现的临床相关性。
