Group-level workplace interventions to improve mental health in low control, high demand office-based jobs. A scoping review

Demou, E. , Blake, C. , Llorin, C. T., Salanga, M. G., Mateo, N. J., Lewis, R. and Mitchell, K. R. (2024) Group-level workplace interventions to improve mental health in low control, high demand office-based jobs. A scoping review. Annals of Work Exposures and Health, (doi: 10.1093/annweh/wxae012) (PMID:38489824) (Early Online Publication)

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Abstract

Objectives: Workplace psychosocial risk factors, including low autonomy and high demands, have negative consequences for employee mental health and wellbeing. There is a need to support employees experiencing mental health and well-being problems in these jobs. This scoping review aims to describe group-level workplace interventions and their approaches to improving the mental health and well-being of employees in office-based, low autonomy, and high demands jobs. Methods: Following PRISMA-ScR guidelines, a search was conducted across 4 databases (Medline, PsycINFO, CINAHL, ASSIA). We explored studies presenting group-level interventions, mode of implementation, facilitators and barriers, and intervention effectiveness. The search was restricted to include office-based, low autonomy, and high-demands jobs. Primary outcome of interest was mental health and secondary outcomes were work-related and other well-being outcomes. Results: Group-level workplace interventions include an array of organizational, relational, and individual components. Almost all included a training session or workshop for intervention delivery. Several had manuals but theories of change were rare. Most workplace interventions did not use participatory approaches to involve employees in intervention development, implementation and evaluation, and challenges and facilitators were not commonly reported. Key facilitators were shorter intervention duration, flexible delivery modes, and formalized processes (e.g. manuals). A key barrier was the changeable nature of workplace environments. All studies employing behavioural interventions reported significant improvements in mental health outcomes, while no clear pattern of effectiveness was observed for other outcomes or types of interventions employed. Conclusions: Group-based interventions in low-autonomy office settings can be effective but few studies used participatory approaches or conducted process evaluations limiting our knowledge of the determinants for successful group-based workplace interventions. Involving stakeholders in intervention development, implementation, and evaluation is recommended and can be beneficial for better articulation of the acceptability and barriers and facilitators for delivery and engagement.

Item Type:Articles
Additional Information:We acknowledge funding from the Medical Research Council (MR/V004093/1). This study was also supported by award EP/X528201/1. We further acknowledge funding from the Medical Research Council (MC_UU_00022/2 for ED and MC_UU_00022/3 for CB, RL, KM) and the Chief Scientist Office (SPHSU17 for ED and SPHSU18 for CB, RL and KM). The funders had no role in study design, data collection, data analysis, data interpretation, or writing of the manuscript.
Keywords:Workplaces, occupational health, intervention, workplace intervention, group-level, mental health, office based, low autonomy.
Status:Early Online Publication
Refereed:Yes
Glasgow Author(s) Enlighten ID:Demou, Dr Evangelia and Mitchell, Professor Kirstin and Lewis, Dr Ruth and Blake, Ms Carolyn
Authors: Demou, E., Blake, C., Llorin, C. T., Salanga, M. G., Mateo, N. J., Lewis, R., and Mitchell, K. R.
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU
Journal Name:Annals of Work Exposures and Health
Publisher:Oxford University Press
ISSN:2398-7308
ISSN (Online):2398-7316
Published Online:15 March 2024
Copyright Holders:Copyright © The Author(s) 2024
First Published:First published in Annals of Work Exposures and Health 2024
Publisher Policy:Reproduced under a Creative Commons licence

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
310330Mental wellbeing among call centres employees in the Philippines: A complex systems approach to intervention developmentKirstin MitchellMedical Research Council (MRC)MR/V004093/1SHW - MRC/CSO Social & Public Health Sciences Unit
319064Other ODA block grant 22-23Christopher PearceEngineering and Physical Sciences Research Council (EPSRC)EP/X528201/1US - Office of the Vice Principals
3048230021Inequalities in healthAlastair LeylandMedical Research Council (MRC)MC_UU_00022/2HW - MRC/CSO Social and Public Health Sciences Unit
3048230031Relationships and healthKirstin MitchellMedical Research Council (MRC)MC_UU_00022/3HW - MRC/CSO Social and Public Health Sciences Unit
3048230071Inequalities in healthAlastair LeylandOffice of the Chief Scientific Adviser (CSO)SPHSU17HW - MRC/CSO Social and Public Health Sciences Unit
3048230081Relationships and healthKirstin MitchellOffice of the Chief Scientific Adviser (CSO)SPHSU18HW - MRC/CSO Social and Public Health Sciences Unit