The Selah trial: A preference-based partially randomized waitlist control study of three stress management interventions (original) (raw)
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2021
Introduction: Like many helping professionals in emotional labor occupations, clergy experience high rates of mental and physical comorbidities. Regular stress management practices may reduce stress-related symptoms and morbidity, but more research is needed into what practices can be reliably included in busy lifestyles, and practiced at a high enough level to meaningfully reduce stress symptoms. Methods and analysis: The overall design is a preference-based randomized waitlist-control trial. United Methodist clergy in North Carolina will be eligible to participate. The intervention and waitlist-control groups will be recruited by email. The interventions offered are specifically targeted to clergy preference and include: Mindfulness-Based Stress Reduction, Daily Examen and stress inoculation training. Surveys will be conducted at 0, 12 and 24 weeks with heart rate data collected at 0 and 12 weeks. The primary outcomes for this study are self-reported symptoms of stress and heart r...
BMC Public Health
Background: The purpose of the present study was to conduct a pilot randomised controlled trial (RCT) to lend support to a larger effectiveness RCT comparing Mindfulness-Based Stress Reduction (MBSR), a locally-developed stress reduction intervention (LSR) and a waiting list control group in a Danish municipal health care center setting. Methods: A three-armed parallel pilot RCT was conducted among 71 adults who contacted a Danish municipal health care center due to stress-related problems. Recruitment was made between January and April 2018 and followed usual procedures. Exclusion criteria: 1) acute treatment-demanding clinical depression or diagnosis of psychosis or schizophrenia, 2) abuse of alcohol, drugs, medicine, 3) pregnancy. Randomisation was performed by an independent data manager using the REDCap electronic data capture tool. The primary outcome was a description of RCT feasibility (recruitment and retention rates regarding intervention participation and 12-week follow-up). Secondary outcomes were completion rates regarding questionnaire data and proposed effect-estimates of outcome measures considered to be used in the following real RCT. Type of intervention and outcome assessment were not blinded. Results: We recruited 71 of 129 eligible individuals from the target population (55, 95%CI: 46-64). Forty-two (59%) were females. Median age: 44 years (1-quartile:34, 3-quartile:50). Twenty-nine (41%) had < 16 years of education. Fortyeight (68%) were employed; 30 of these 48 (63%) were on sick leave. Mean scores for perceived stress (PSS): 25.4 ± 5.3; symptoms of anxiety and depression (SCL-5): 2.9 ± 0.6, and well-being (WHO-5): 31.7 ± 8.5 indicated a need for intervention. 16/24 (67, 95%CI: 45 to 84) who were allocated to MBSR and 17/23 (74, 95%CI: 52 to 90) who were allocated to LSR participated in ≥5 sessions. The loss to follow-up at 12 weeks: MBSR: 5 (21% (95% CI: 7 to 42), LSR: 5 (22% (95% CI: 7 to 44) and waiting list: 4 (17% (95% CI: 5 to 37). This was acceptable and evenly distributed. The results indicated MBSR to be superior.
Journal of Environmental and Occupational Science, 2012
Objective: The aim of this study was to evaluate the effects of a group based multidisciplinary stress treatment program on reductions in symptom levels and the return to work (RTW) rate. Methods: General practitioners referred 199 patients with persistent work related stress symptoms to the project. The inclusion criteria included being employed and being on sick leave. Using a randomized wait-list control design, the participants were randomized into three groups: the intervention group (IG, 70 participants) was treated using the Stress Therapy Concept of Kalmia, which consists of an integrative approach of group psychotherapy for 2.5 hours per week and Basic Body Awareness Therapy (BBAT) with mindfulness meditation for 1.5 hours per week, which runs in a parallel process supplemented with workplace dialogue; the treatment-as-usual control group (TAUCG, 71 participants), who received 12 consultations with a psychologist; and the wait-listed control group (WLCG, 58 participants). Treatment in the IG and the TAUCG lasted 10 and 12 weeks, respectively. Results :Reductions in symptom levels (as measured by scores on the SCL92) were significantly larger in the IG (Cohen´s d= 0.73) and TAUCG compared to the WLCG. Further, the prevalence of depression declined significantly in the IG and the TAUCG compared to the WLCG. Regarding the RTW rate, 66% of the participants in the IG had returned to full time work after three months. This rate was significantly greater than the percentage in the TAUCG (36%) and the WLCG (24%). Conclusion : The stress treatment program significantly reduced symptom levels and increased the RTW rate in the IG compared to the TAUCG and the WLCG.
Journal of Environmental and Occupational Science, 2014
Objective: The aim of this study was to evaluate the effects of a group based multidisciplinary stress treatment program on reductions in symptom levels and the return to work (RTW) rate. Methods: General practitioners referred 199 patients with persistent work related stress symptoms to the project. The inclusion criteria included being employed and being on sick leave. Using a randomized wait-list control design, the participants were randomized into three groups: the intervention group (IG, 70 participants) was treated using the Stress Therapy Concept of Kalmia, which consists of an integrative approach of group psychotherapy for 2.5 hours per week and Basic Body Awareness Therapy (BBAT) with mindfulness meditation for 1.5 hours per week, which runs in a parallel process supplemented with workplace dialogue; the treatment-as-usual control group (TAUCG, 71 participants), who received 12 consultations with a psychologist; and the wait-listed control group (WLCG, 58 participants). Treatment in the IG and the TAUCG lasted 10 and 12 weeks, respectively. Results :Reductions in symptom levels (as measured by scores on the SCL92) were significantly larger in the IG (Cohen´s d= 0.73) and TAUCG compared to the WLCG. Further, the prevalence of depression declined significantly in the IG and the TAUCG compared to the WLCG. Regarding the RTW rate, 66% of the participants in the IG had returned to full time work after three months. This rate was significantly greater than the percentage in the TAUCG (36%) and the WLCG (24%). Conclusion : The stress treatment program significantly reduced symptom levels and increased the RTW rate in the IG compared to the TAUCG and the WLCG.
Systematic Review Stress Management Shiralkar Harris Eddins Folensbee Coverdale
Objective: Because medical students experience a considerable amount of stress during training, academic leaders have recognized the importance of developing stress-management programs for medical students. The authors set out to identify all controlled trials of stress-management interventions and determine the efficacy of those interventions.
Psychosocial Benefits of Three Formats of a Standardized Behavioral Stress Management Program
Psychosomatic Medicine, 2006
Objective: Psychosocial factors are associated with increased morbidity and mortality in healthy and clinical populations. Behavioral interventions are needed to train the large number of people in the community setting who are affected by stressors to use coping skills that will reduce these risk factors. The aim of the current study was to evaluate the efficacy of three forms of delivery of a standardized, behavioral intervention-the Williams LifeSkills program-designed to reduce levels of psychosocial risk factors in nonclinical populations. Methods: One hundred ninety-six participants screening positive for elevated psychosocial distress were randomized to either a waitlist control group or one of three intervention groups: the LifeSkills Workshop, the LifeSkills Video, or the LifeSkills Video and Workshop combined. Psychosocial risk factors were evaluated at baseline and at 10 days, 2 months, and 6 months after the training/wait period. Results: At 10 days follow up, the workshop ϩ video and video-only groups showed significant improvements over control subjects in trait anxiety and perceived stress. Moreover, the workshop ϩ video group maintained benefit over control subjects throughout 6 months follow up in both of these measures, whereas the video-only group maintained benefit in trait anxiety. Conclusions: Because the psychosocial well-being of two of the treated groups improved over that of the control group, it appears that the Williams LifeSkills program accelerates and maintains a normal return to low distress after a stressful time. This is the first study to show that a commercially available, facilitator-or self-administered behavioral training product can have significant beneficial effects on psychosocial well-being in a healthy community sample. Key words: psychosocial risk factor, stress management, evidence based behavioral medicine, cognitive behavioral therapy, LifeSkills, translational research.
A Review on the Effectiveness of Current Approaches to Stress Management
Asian Journal of Pharmaceutical Research and Development
Stress is your body’s way of responding to any kind of demand or threat. When you sense danger—whether it’s real or imagined—the body's defenses kick into high gear in a rapid, automatic process known as the “fight-or-flight” reaction or the "stress response. The stress response is the body’s way of protecting you. When working properly, it helps you stay focused, energetic and alert. In emergency situations, stress can save your life—giving you extra strength to defend yourself, for example, or spurring you to slam on the brakes to avoid an accident. Stress can also help you rise to meet challenges. It’s what keeps you on your toes during a presentation at work, sharpens your concentration when you’re attempting the game-winning free throw, or drives you to study for an exam when you'd rather be watching TV. But beyond a certain point, stress stops being helpful and starts causing major damage to your health, your mood, your productivity, your relationships, and your q...
Occupational and Environmental Medicine, 2010
Objective To examine the long-term effects of a stress management intervention (SMI) based on the effortereward imbalance (ERI) model, on psychological and biological reactions to work stress. Methods 174 lower or middle management employees (99% male) were randomly assigned to an intervention or a waiting control group. The programme comprised 24345 min group sessions (2 full days followed by two 4345 min sessions within the next 8 months) on individual work stress situations. The primary endpoint was perceived stress reactivity (Stress Reactivity Scale, SRS), while secondary endpoints were salivary cortisol and a-amylase, anxiety and depression, and ERI.