Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Box 457, Gothenburg, 405 30, Sweden.
Gothenburg Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
BMC Prim Care. 2023 Oct 19;24(1):210. doi: 10.1186/s12875-023-02172-9.
The number of people with common mental disorders (CMDs), especially stress-related disorders, has increased in several countries, including Sweden, during the past decade. Patients seeking care for long-term stress report severe symptoms. Although person-centred care (PCC) has shown several benefits, studies evaluating the effects of a PCC eHealth intervention on patients with CMDs are scarce.
The aim of this study was to compare levels of self-reported symptoms of burnout between a control group receiving treatment as usual (TAU) and an intervention group receiving TAU with the addition of a person-centred eHealth intervention, in patients on sick leave for CMDs.
This study reports analysis of a secondary outcome measure from a randomized controlled trial. Patients (n = 209) on sick leave for CMDs were recruited from nine primary health care centres and allocated to either a control group (n = 107) or an intervention group (n = 102). The intervention consisted of phone support and an interactive digital platform built on PCC principles. Self-reported symptoms of burnout were assessed using the Shirom-Melamed Burnout Questionnaire (SMBQ) at baseline and at 3 and 6 months.
Our findings showed changes in SMBQ scores over time in both the control and the intervention group. There was no significant difference in SMBQ scores between the groups; however, a difference in change over time between the groups was observed. The SMBQ scores decreased significantly more in the intervention group than in the controls between 0 and 3 months and between 0 and 6 months. No differences in change between the two groups were seen between the 3- and 6-month follow-ups.
This person-centred eHealth intervention for patients on sick leave for CMDs showed a slight initial effect in reducing symptoms of burnout. Taking into account that both groups reported comparable SMBQ scores throughout the study period, the overall effect may be considered limited.
The trial was registered in ClinicalTrials.gov (Identifier NCT03404583). Date of registration: 19/01/2018. https://clinicaltrials.gov/ct2/show/NCT03404583 .
在过去十年中，包括瑞典在内的几个国家的常见精神障碍（CMD）患者人数增加，尤其是与压力相关的障碍患者人数增加。寻求长期压力治疗的患者报告了严重的症状。尽管以患者为中心的护理（PCC）已显示出多种益处，但评估针对 CMD 患者的 PCC 电子健康干预效果的研究却很少。
本研究旨在比较接受常规治疗（TAU）的对照组和接受 TAU 加基于患者为中心的电子健康干预的干预组的报告的倦怠症状水平，以评估这两种方法在治疗因 CMD 而请病假的患者中的效果。
这是一项随机对照试验的次要结局分析。从九家初级保健中心招募因 CMD 而请病假的患者（n=209），并将其分为对照组（n=107）和干预组（n=102）。干预措施包括电话支持和基于 PCC 原则构建的交互式数字平台。在基线和 3 个月及 6 个月时使用 Shirom-Melamed 倦怠问卷（SMBQ）评估自我报告的倦怠症状。
我们的研究结果显示，对照组和干预组的 SMBQ 评分随时间的变化。两组之间的 SMBQ 评分无显着差异；但是，观察到两组之间的时间变化差异。干预组在 0 至 3 个月和 0 至 6 个月之间的 SMBQ 评分下降幅度明显大于对照组。两组之间在 3 个月和 6 个月的随访之间没有变化差异。
对于因 CMD 而请病假的患者，这种基于患者为中心的电子健康干预在减轻倦怠症状方面显示出轻微的初始效果。考虑到整个研究期间两组报告的 SMBQ 评分相似，总体效果可能被认为是有限的。
该试验在 ClinicalTrials.gov 注册（标识符 NCT03404583）。注册日期：2018 年 1 月 19 日。https://clinicaltrials.gov/ct2/show/NCT03404583
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