TY - JOUR
T1 - A randomized trial of face-to-face counselling versus telephone counselling versus bibliotherapy for occupational stress
AU - Kilfedder, Catherine
AU - Power, Kevin
AU - Karatzias, Thanos
AU - McCafferty, Aileen
AU - Niven, Karen
AU - Chouliara, Zoë
AU - Galloway, Lisa
AU - Sharp, Stephen
PY - 2010/9/1
Y1 - 2010/9/1
N2 - Objective. The aim of the present study was to compare the effectiveness and acceptability of three interventions for occupational stress. Methods/design. A total of 90 National Health Service employees were randomized to face-to-face counselling or telephone counselling or bibliotherapy. Outcomes were assessed at post-intervention and 4-month follow-up. Clinical Outcomes in Routine Evaluation (CORE), General Health Questionnaire (GHQ-12), and Perceived Stress Scale (PSS-10) were used to evaluate intervention outcomes. An intention-to-treat analyses was performed. Results. Repeated measures analysis revealed significant time effects on all measures with the exception of CORE Risk. No significant group effects were detected on all outcome measures. No time by group significant interaction effects were detected on any of the outcome measures with the exception of CORE Functioning and GHQ total. With regard to acceptability of interventions, participants expressed a preference for face-to-face counselling over the other two modalities. Conclusions. Overall, it was concluded that the three intervention groups are equally effective. Given that bibliotherapy is the least costly of the three, results from the present study might be considered in relation to a stepped care approach to occupational stress management with bibliotherapy as the first line of intervention, followed by telephone and face-to-face counselling as required.
AB - Objective. The aim of the present study was to compare the effectiveness and acceptability of three interventions for occupational stress. Methods/design. A total of 90 National Health Service employees were randomized to face-to-face counselling or telephone counselling or bibliotherapy. Outcomes were assessed at post-intervention and 4-month follow-up. Clinical Outcomes in Routine Evaluation (CORE), General Health Questionnaire (GHQ-12), and Perceived Stress Scale (PSS-10) were used to evaluate intervention outcomes. An intention-to-treat analyses was performed. Results. Repeated measures analysis revealed significant time effects on all measures with the exception of CORE Risk. No significant group effects were detected on all outcome measures. No time by group significant interaction effects were detected on any of the outcome measures with the exception of CORE Functioning and GHQ total. With regard to acceptability of interventions, participants expressed a preference for face-to-face counselling over the other two modalities. Conclusions. Overall, it was concluded that the three intervention groups are equally effective. Given that bibliotherapy is the least costly of the three, results from the present study might be considered in relation to a stepped care approach to occupational stress management with bibliotherapy as the first line of intervention, followed by telephone and face-to-face counselling as required.
U2 - 10.1348/147608309X476348
DO - 10.1348/147608309X476348
M3 - Article
C2 - 19843354
AN - SCOPUS:77956220803
VL - 83
SP - 223
EP - 242
JO - Psychology and Psychotherapy: Theory, Research and Practice
JF - Psychology and Psychotherapy: Theory, Research and Practice
SN - 1476-0835
IS - 3
ER -