National Institute for Public Health and the Environment, Bilthoven, Netherlands
Amsterdam UMC Locatie AMC, Amsterdam, Netherlands.
Occup Environ Med. 2024 Jul 10;81(6):321-328. doi: 10.1136/oemed-2024-109454.
Work-related stress complaints are a growing societal problem. Occupational health professionals often play a key role in its prevention. However, studies providing an overview of preventive interventions and their effectiveness are lacking. Therefore, the aim of this systematic review was to summarise the evidence on the effectiveness of interventions delivered by occupational health professionals to prevent work-related stress complaints.A systematic search in PubMed, Embase, PsycInfo and Medline was performed in May 2023 based on PICO (population, intervention, control and outcomes) elements. Inclusion criteria were: peer-reviewed papers with a randomised controlled trial design, quasi-experimental design and pre-post evaluations with a control group; working populations not on sick leave; interventions delivered by occupational health professionals; and stress outcomes. Data were extracted using a predefined extraction form, risk of bias was assessed using the Cochrane risk of bias tool for randomised trials (RoB-2) and Risk of Bias in non-randomised Studies-of Interventions tool, and a narrative analysis was performed to summarise data.Nine studies were included in this review and encompassed a diverse range of populations, interventions and professionals involved, outcome measures, and effects observed. Five studies found either mixed effects on stress outcomes, short-term positive effects, or positive effects in a subgroup of participants demonstrating high adherence to the intervention.As the results show mixed findings, a high risk of bias, and a limited number of studies was available, more research is needed to the effectiveness of the interventions and the factors underlying this.
工作相关的压力投诉是一个日益严重的社会问题。职业健康专业人员在其预防中经常发挥关键作用。然而，缺乏对预防干预措施及其效果进行概述的研究。因此，本系统评价的目的是总结职业健康专业人员实施的预防工作相关压力投诉的干预措施的有效性证据。2023 年 5 月，根据 PICO（人群、干预、对照和结果）要素，在 PubMed、Embase、PsycInfo 和 Medline 中进行了系统搜索。纳入标准为：具有随机对照试验设计、准实验设计和有对照组的前后评估的同行评审论文；非病假工作人群；由职业健康专业人员实施的干预措施；以及压力结果。使用预定义的提取表格提取数据，使用随机试验的 Cochrane 偏倚风险工具（RoB-2）和非随机干预研究偏倚风险工具评估偏倚风险，并进行叙述性分析以总结数据。本综述纳入了 9 项研究，涵盖了不同的人群、干预措施和涉及的专业人员、结局测量以及观察到的效果。五项研究发现压力结局存在混合效应、短期积极效应或对高遵医组参与者的积极效应。由于结果显示出混合发现、高偏倚风险和可用研究数量有限，需要更多的研究来了解干预措施的有效性及其背后的因素。
