Effectiveness of a person-centred eHealth intervention in reducing symptoms of burnout in patients with common mental disorders – secondary outcome analysis of a randomized controlled trial

BMC Primary Care

Research

Sara Alsén¹  Lilas Ali²  Andreas Fors³  Emina Hadžibajramović⁴  Ingibjörg H Jonsdottir⁴ 

[1] Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Box 457, 405 30, Gothenburg, Sweden;Gothenburg Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden;Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Box 457, 405 30, Gothenburg, Sweden;Gothenburg Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden;Psychiatric Department, Sahlgrenska University Hospital, Gothenburg, Sweden;Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Box 457, 405 30, Gothenburg, Sweden;Gothenburg Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden;Research, Education, Development and Innovation, Primary Health Care, Region Västra Götaland, Gothenburg, Sweden;Institute of Stress Medicine, Region Västra Götaland, Gothenburg, Sweden;School of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden;

关键词: Depression;    Anxiety;    Stress;    Exhaustion disorder;    Shirom-Melamed Burnout Questionnaire;    Patient-centred care;    Person-centred care;    Telehealth;    mHealth;    Intervention;    Randomized controlled trial;   

DOI  :  10.1186/s12875-023-02172-9

 received in 2022-11-17, accepted in 2023-10-05,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundThe 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.ObjectiveThe 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.MethodsThis 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.ResultsOur 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.ConclusionThis 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.Trial registration: The trial was registered in ClinicalTrials.gov (Identifier NCT03404583). Date of registration: 19/01/2018. https://clinicaltrials.gov/ct2/show/NCT03404583.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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