Implementation of a Web-Based Work-Related Psychological Aftercare Program Into Clinical Routine: Results of a Longitudinal Observational Study
As inpatient medical rehabilitation serves to promote work ability, vocational reintegration is a crucial outcome. However, previous Web-based trials on coping with work-related stress have been limited to Web-based recruitment of study participants. The aim of our study was to evaluate the implemen...
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| Veröffentlicht in: | Journal of medical Internet research 2019-06, Vol.21 (6), p.e12285-e12285 |
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| creator | Zwerenz, Rüdiger Baumgarten, Carlotta Dahn, Ingo Labitzke, Nicole Schwarting, Andreas Rudolph, Matthias Ferdinand, Peter Dederichs-Masius, Ute Beutel, Manfred E |
| description | As inpatient medical rehabilitation serves to promote work ability, vocational reintegration is a crucial outcome. However, previous Web-based trials on coping with work-related stress have been limited to Web-based recruitment of study participants.
The aim of our study was to evaluate the implementation of an empirically supported transdiagnostic psychodynamic Web-based aftercare program GSA (Gesund und Stressfrei am Arbeitsplatz [Healthy and stress-less at the workplace])-Online plus into the clinical routine of inpatient medical rehabilitation, to identify characteristics of patients who have received the recommendation for GSA-Online plus, and to determine helpfulness of the intervention and satisfaction of the participants as well as improvement in quality of life and mental health status of the regular users of GSA-Online plus.
GSA-Online plus was prescribed by physicians at termination of orthopedic psychosomatic inpatient rehabilitation. Participants' use of the program, work-related attitudes, distress, and quality of life were assessed on the Web.
In 2 rehabilitation centers, 4.4% (112/2562) of rehabilitants got a recommendation for GSA-Online plus during inpatient rehabilitation. Compared with usual person aftercare, the Web-based aftercare program was rarely recommended by physicians. Recommendations were made more frequently in psychosomatic (69/1172, 5.9%) than orthopedic (43/1389, 3.1%) rehabilitation (χ
=11.845, P=.001, Cramér V=-0.068) and to younger patients (P=.004, d=0.28) with longer inpatient treatment duration (P |
| doi_str_mv | 10.2196/12285 |
| format | Article |
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The aim of our study was to evaluate the implementation of an empirically supported transdiagnostic psychodynamic Web-based aftercare program GSA (Gesund und Stressfrei am Arbeitsplatz [Healthy and stress-less at the workplace])-Online plus into the clinical routine of inpatient medical rehabilitation, to identify characteristics of patients who have received the recommendation for GSA-Online plus, and to determine helpfulness of the intervention and satisfaction of the participants as well as improvement in quality of life and mental health status of the regular users of GSA-Online plus.
GSA-Online plus was prescribed by physicians at termination of orthopedic psychosomatic inpatient rehabilitation. Participants' use of the program, work-related attitudes, distress, and quality of life were assessed on the Web.
In 2 rehabilitation centers, 4.4% (112/2562) of rehabilitants got a recommendation for GSA-Online plus during inpatient rehabilitation. Compared with usual person aftercare, the Web-based aftercare program was rarely recommended by physicians. Recommendations were made more frequently in psychosomatic (69/1172, 5.9%) than orthopedic (43/1389, 3.1%) rehabilitation (χ
=11.845, P=.001, Cramér V=-0.068) and to younger patients (P=.004, d=0.28) with longer inpatient treatment duration (P<.001, r=-0.12) and extended sick leaves before inpatient medical rehabilitation (P=.004; Cramér V=0.072). Following recommendation, 77% (86/112) of rehabilitants participated in Web-based aftercare. Completers (50/86, 58%) reported statistically significant improvements between discharge of inpatient treatment and the end of the aftercare program for subjective work ability (P=.02, d=0.41), perceived stress (P=.01, d=-0.38), functioning (P=.002, d=-0.60), and life satisfaction (P=.008, d=0.42).
Physicians' recommendations of Web-based aftercare are well accepted by patients who derive considerable benefits from participation. However, a low rate of prescription compared with other usual aftercare options points to barriers among physicians to prescribing Web-based aftercare.</description><identifier>ISSN: 1438-8871</identifier><identifier>ISSN: 1439-4456</identifier><identifier>EISSN: 1438-8871</identifier><identifier>DOI: 10.2196/12285</identifier><identifier>PMID: 31215515</identifier><language>eng</language><publisher>Canada: Journal of Medical Internet Research</publisher><subject>After care ; Aftercare - methods ; Beliefs, opinions and attitudes ; Coping ; Employees ; Female ; Health status ; Helping behavior ; Humans ; Inpatient care ; Internet ; Job stress ; Life satisfaction ; Longitudinal Studies ; Male ; Mental health ; Mental illness ; Observational studies ; Occupational stress ; Original Paper ; Physicians ; Prescribing ; Psychological distress ; Psychophysiologic Disorders - therapy ; Quality of life ; Quality of Life - psychology ; Recruitment ; Rehabilitation ; Risk factors ; Termination ; Treatment Outcome ; Web sites ; Work ; Workplace - psychology ; Workplaces</subject><ispartof>Journal of medical Internet research, 2019-06, Vol.21 (6), p.e12285-e12285</ispartof><rights>Rüdiger Zwerenz, Carlotta Baumgarten, Ingo Dahn, Nicole Labitzke, Andreas Schwarting, Matthias Rudolph, Peter Ferdinand, Ute Dederichs-Masius, Manfred E Beutel. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 18.06.2019.</rights><rights>COPYRIGHT 2019 Journal of Medical Internet Research</rights><rights>Copyright Gunther Eysenbach MD MPH, Associate Professor Jun 2019</rights><rights>Rüdiger Zwerenz, Carlotta Baumgarten, Ingo Dahn, Nicole Labitzke, Andreas Schwarting, Matthias Rudolph, Peter Ferdinand, Ute Dederichs-Masius, Manfred E Beutel. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 18.06.2019. 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c492t-dcda125d59f2cf9268c9857755f916f613b3044d815ae5475a712f743b951ceb3</citedby><cites>FETCH-LOGICAL-c492t-dcda125d59f2cf9268c9857755f916f613b3044d815ae5475a712f743b951ceb3</cites><orcidid>0000-0002-3317-9583 ; 0000-0001-6834-6428 ; 0000-0002-8970-2169 ; 0000-0001-8413-9912 ; 0000-0002-4486-0112 ; 0000-0003-1743-0042 ; 0000-0002-0566-598X ; 0000-0003-1491-0905 ; 0000-0003-1746-0313</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,723,776,780,860,881,27901,27902,30976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31215515$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zwerenz, Rüdiger</creatorcontrib><creatorcontrib>Baumgarten, Carlotta</creatorcontrib><creatorcontrib>Dahn, Ingo</creatorcontrib><creatorcontrib>Labitzke, Nicole</creatorcontrib><creatorcontrib>Schwarting, Andreas</creatorcontrib><creatorcontrib>Rudolph, Matthias</creatorcontrib><creatorcontrib>Ferdinand, Peter</creatorcontrib><creatorcontrib>Dederichs-Masius, Ute</creatorcontrib><creatorcontrib>Beutel, Manfred E</creatorcontrib><title>Implementation of a Web-Based Work-Related Psychological Aftercare Program Into Clinical Routine: Results of a Longitudinal Observational Study</title><title>Journal of medical Internet research</title><addtitle>J Med Internet Res</addtitle><description>As inpatient medical rehabilitation serves to promote work ability, vocational reintegration is a crucial outcome. However, previous Web-based trials on coping with work-related stress have been limited to Web-based recruitment of study participants.
The aim of our study was to evaluate the implementation of an empirically supported transdiagnostic psychodynamic Web-based aftercare program GSA (Gesund und Stressfrei am Arbeitsplatz [Healthy and stress-less at the workplace])-Online plus into the clinical routine of inpatient medical rehabilitation, to identify characteristics of patients who have received the recommendation for GSA-Online plus, and to determine helpfulness of the intervention and satisfaction of the participants as well as improvement in quality of life and mental health status of the regular users of GSA-Online plus.
GSA-Online plus was prescribed by physicians at termination of orthopedic psychosomatic inpatient rehabilitation. Participants' use of the program, work-related attitudes, distress, and quality of life were assessed on the Web.
In 2 rehabilitation centers, 4.4% (112/2562) of rehabilitants got a recommendation for GSA-Online plus during inpatient rehabilitation. Compared with usual person aftercare, the Web-based aftercare program was rarely recommended by physicians. Recommendations were made more frequently in psychosomatic (69/1172, 5.9%) than orthopedic (43/1389, 3.1%) rehabilitation (χ
=11.845, P=.001, Cramér V=-0.068) and to younger patients (P=.004, d=0.28) with longer inpatient treatment duration (P<.001, r=-0.12) and extended sick leaves before inpatient medical rehabilitation (P=.004; Cramér V=0.072). Following recommendation, 77% (86/112) of rehabilitants participated in Web-based aftercare. Completers (50/86, 58%) reported statistically significant improvements between discharge of inpatient treatment and the end of the aftercare program for subjective work ability (P=.02, d=0.41), perceived stress (P=.01, d=-0.38), functioning (P=.002, d=-0.60), and life satisfaction (P=.008, d=0.42).
Physicians' recommendations of Web-based aftercare are well accepted by patients who derive considerable benefits from participation. However, a low rate of prescription compared with other usual aftercare options points to barriers among physicians to prescribing Web-based aftercare.</description><subject>After care</subject><subject>Aftercare - methods</subject><subject>Beliefs, opinions and attitudes</subject><subject>Coping</subject><subject>Employees</subject><subject>Female</subject><subject>Health status</subject><subject>Helping behavior</subject><subject>Humans</subject><subject>Inpatient care</subject><subject>Internet</subject><subject>Job stress</subject><subject>Life satisfaction</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Mental health</subject><subject>Mental illness</subject><subject>Observational studies</subject><subject>Occupational stress</subject><subject>Original Paper</subject><subject>Physicians</subject><subject>Prescribing</subject><subject>Psychological distress</subject><subject>Psychophysiologic Disorders - therapy</subject><subject>Quality of life</subject><subject>Quality of Life - psychology</subject><subject>Recruitment</subject><subject>Rehabilitation</subject><subject>Risk factors</subject><subject>Termination</subject><subject>Treatment Outcome</subject><subject>Web sites</subject><subject>Work</subject><subject>Workplace - psychology</subject><subject>Workplaces</subject><issn>1438-8871</issn><issn>1439-4456</issn><issn>1438-8871</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNptkt1u1DAQhSMEoqX0FVAkhAQXKbEdJzEXlZYVPyutaLUF9dJynHHq4tiL7VTsU_DKeLuldBHyhT0z35yRjybLjlF5ghGr3yKMW_ooO0QVaYu2bdDjB--D7FkI12WJy4qhp9kBQRhRiuhh9msxrg2MYKOI2tncqVzkl9AV70WAPr90_nuxAiNiCs7DRl454wYthclnKoKXwkN-7t3gxZgvbHT53Gh7W1-5KWoL7_IVhMnEsJNeOjvoOPXaJuSsC-Bvbgen6CKlN8-zJ0qYAMd391H27eOHr_PPxfLs02I-WxayYjgWvewFwrSnTGGpGK5byVraNJQqhmpVI9KRsqr6FlEBtGqoaBBWTUU6RpGEjhxlpzvd9dSN0MtkgBeGr70ehd9wJzTfr1h9xQd3w-u6rGjZJIHXdwLe_ZggRD7qIMEYYcFNgWNckYqVpMUJffkPeu0mn768pWpGWoJo9ZcahAGurXJprtyK8lmTKFqXmCXq5D9UOj2MWjoLSqf8XsObvYbERPgZBzGFwBcXX_bZVztWeheCB3XvByr5dsv47ZYl7sVD8-6pP2tFfgPZgMsB</recordid><startdate>20190618</startdate><enddate>20190618</enddate><creator>Zwerenz, Rüdiger</creator><creator>Baumgarten, Carlotta</creator><creator>Dahn, Ingo</creator><creator>Labitzke, Nicole</creator><creator>Schwarting, Andreas</creator><creator>Rudolph, Matthias</creator><creator>Ferdinand, Peter</creator><creator>Dederichs-Masius, Ute</creator><creator>Beutel, Manfred E</creator><general>Journal of Medical Internet Research</general><general>Gunther Eysenbach MD MPH, Associate Professor</general><general>JMIR Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ISN</scope><scope>7QJ</scope><scope>E3H</scope><scope>F2A</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-3317-9583</orcidid><orcidid>https://orcid.org/0000-0001-6834-6428</orcidid><orcidid>https://orcid.org/0000-0002-8970-2169</orcidid><orcidid>https://orcid.org/0000-0001-8413-9912</orcidid><orcidid>https://orcid.org/0000-0002-4486-0112</orcidid><orcidid>https://orcid.org/0000-0003-1743-0042</orcidid><orcidid>https://orcid.org/0000-0002-0566-598X</orcidid><orcidid>https://orcid.org/0000-0003-1491-0905</orcidid><orcidid>https://orcid.org/0000-0003-1746-0313</orcidid></search><sort><creationdate>20190618</creationdate><title>Implementation of a Web-Based Work-Related Psychological Aftercare Program Into Clinical Routine: Results of a Longitudinal Observational Study</title><author>Zwerenz, Rüdiger ; Baumgarten, Carlotta ; Dahn, Ingo ; Labitzke, Nicole ; Schwarting, Andreas ; Rudolph, Matthias ; Ferdinand, Peter ; Dederichs-Masius, Ute ; Beutel, Manfred E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c492t-dcda125d59f2cf9268c9857755f916f613b3044d815ae5475a712f743b951ceb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>After care</topic><topic>Aftercare - methods</topic><topic>Beliefs, opinions and attitudes</topic><topic>Coping</topic><topic>Employees</topic><topic>Female</topic><topic>Health status</topic><topic>Helping behavior</topic><topic>Humans</topic><topic>Inpatient care</topic><topic>Internet</topic><topic>Job stress</topic><topic>Life satisfaction</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Mental health</topic><topic>Mental illness</topic><topic>Observational studies</topic><topic>Occupational stress</topic><topic>Original Paper</topic><topic>Physicians</topic><topic>Prescribing</topic><topic>Psychological distress</topic><topic>Psychophysiologic Disorders - therapy</topic><topic>Quality of life</topic><topic>Quality of Life - psychology</topic><topic>Recruitment</topic><topic>Rehabilitation</topic><topic>Risk factors</topic><topic>Termination</topic><topic>Treatment Outcome</topic><topic>Web sites</topic><topic>Work</topic><topic>Workplace - psychology</topic><topic>Workplaces</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zwerenz, Rüdiger</creatorcontrib><creatorcontrib>Baumgarten, Carlotta</creatorcontrib><creatorcontrib>Dahn, Ingo</creatorcontrib><creatorcontrib>Labitzke, Nicole</creatorcontrib><creatorcontrib>Schwarting, Andreas</creatorcontrib><creatorcontrib>Rudolph, Matthias</creatorcontrib><creatorcontrib>Ferdinand, Peter</creatorcontrib><creatorcontrib>Dederichs-Masius, Ute</creatorcontrib><creatorcontrib>Beutel, Manfred E</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Canada</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Library & Information Sciences Abstracts (LISA)</collection><collection>Library & Information Science Abstracts (LISA)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of medical Internet research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zwerenz, Rüdiger</au><au>Baumgarten, Carlotta</au><au>Dahn, Ingo</au><au>Labitzke, Nicole</au><au>Schwarting, Andreas</au><au>Rudolph, Matthias</au><au>Ferdinand, Peter</au><au>Dederichs-Masius, Ute</au><au>Beutel, Manfred E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Implementation of a Web-Based Work-Related Psychological Aftercare Program Into Clinical Routine: Results of a Longitudinal Observational Study</atitle><jtitle>Journal of medical Internet research</jtitle><addtitle>J Med Internet Res</addtitle><date>2019-06-18</date><risdate>2019</risdate><volume>21</volume><issue>6</issue><spage>e12285</spage><epage>e12285</epage><pages>e12285-e12285</pages><issn>1438-8871</issn><issn>1439-4456</issn><eissn>1438-8871</eissn><abstract>As inpatient medical rehabilitation serves to promote work ability, vocational reintegration is a crucial outcome. However, previous Web-based trials on coping with work-related stress have been limited to Web-based recruitment of study participants.
The aim of our study was to evaluate the implementation of an empirically supported transdiagnostic psychodynamic Web-based aftercare program GSA (Gesund und Stressfrei am Arbeitsplatz [Healthy and stress-less at the workplace])-Online plus into the clinical routine of inpatient medical rehabilitation, to identify characteristics of patients who have received the recommendation for GSA-Online plus, and to determine helpfulness of the intervention and satisfaction of the participants as well as improvement in quality of life and mental health status of the regular users of GSA-Online plus.
GSA-Online plus was prescribed by physicians at termination of orthopedic psychosomatic inpatient rehabilitation. Participants' use of the program, work-related attitudes, distress, and quality of life were assessed on the Web.
In 2 rehabilitation centers, 4.4% (112/2562) of rehabilitants got a recommendation for GSA-Online plus during inpatient rehabilitation. Compared with usual person aftercare, the Web-based aftercare program was rarely recommended by physicians. Recommendations were made more frequently in psychosomatic (69/1172, 5.9%) than orthopedic (43/1389, 3.1%) rehabilitation (χ
=11.845, P=.001, Cramér V=-0.068) and to younger patients (P=.004, d=0.28) with longer inpatient treatment duration (P<.001, r=-0.12) and extended sick leaves before inpatient medical rehabilitation (P=.004; Cramér V=0.072). Following recommendation, 77% (86/112) of rehabilitants participated in Web-based aftercare. Completers (50/86, 58%) reported statistically significant improvements between discharge of inpatient treatment and the end of the aftercare program for subjective work ability (P=.02, d=0.41), perceived stress (P=.01, d=-0.38), functioning (P=.002, d=-0.60), and life satisfaction (P=.008, d=0.42).
Physicians' recommendations of Web-based aftercare are well accepted by patients who derive considerable benefits from participation. However, a low rate of prescription compared with other usual aftercare options points to barriers among physicians to prescribing Web-based aftercare.</abstract><cop>Canada</cop><pub>Journal of Medical Internet Research</pub><pmid>31215515</pmid><doi>10.2196/12285</doi><orcidid>https://orcid.org/0000-0002-3317-9583</orcidid><orcidid>https://orcid.org/0000-0001-6834-6428</orcidid><orcidid>https://orcid.org/0000-0002-8970-2169</orcidid><orcidid>https://orcid.org/0000-0001-8413-9912</orcidid><orcidid>https://orcid.org/0000-0002-4486-0112</orcidid><orcidid>https://orcid.org/0000-0003-1743-0042</orcidid><orcidid>https://orcid.org/0000-0002-0566-598X</orcidid><orcidid>https://orcid.org/0000-0003-1491-0905</orcidid><orcidid>https://orcid.org/0000-0003-1746-0313</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access |
| subjects | After care Aftercare - methods Beliefs, opinions and attitudes Coping Employees Female Health status Helping behavior Humans Inpatient care Internet Job stress Life satisfaction Longitudinal Studies Male Mental health Mental illness Observational studies Occupational stress Original Paper Physicians Prescribing Psychological distress Psychophysiologic Disorders - therapy Quality of life Quality of Life - psychology Recruitment Rehabilitation Risk factors Termination Treatment Outcome Web sites Work Workplace - psychology Workplaces |
| title | Implementation of a Web-Based Work-Related Psychological Aftercare Program Into Clinical Routine: Results of a Longitudinal Observational Study |
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