Reducing sickness absence and stigma due to mental health difficulties: a randomised control treatment trial (RCT) of a low intensity psychological intervention and stigma reduction programme for common mental disorder (Prevail)

Gray, Nicola; Davies, Helen; Brad, Rhodri; Snowden, Robert J.

doi:10.1186/s12889-023-16200-x

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Reducing sickness absence and stigma due to mental health difficulties: a randomised control treatment trial (RCT) of a low intensity psychological intervention and stigma reduction programme for common mental disorder (Prevail)

Nicola Gray

, Helen Davies, Rhodri Brad, Robert J. Snowden

BMC Public Health, Volume: 23, Issue: 1

Swansea University Author: Nicola Gray

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DOI (Published version): 10.1186/s12889-023-16200-x

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BackgroundCommon mental disorders are the leading cause of workplace absences. The Prevail intervention programme aims to reduce stigma and to educate staff and managers about evidence-based low intensity psychological interventions for common mental disorders (depression, anxiety, stress, and distr...

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Published in:	BMC Public Health
ISSN:	1471-2458
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fullrecord	<?xml version="1.0" encoding="utf-8"?><rfc1807 xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema"><bib-version>v2</bib-version><id>65514</id><entry>2024-01-26</entry><title>Reducing sickness absence and stigma due to mental health difficulties: a randomised control treatment trial (RCT) of a low intensity psychological intervention and stigma reduction programme for common mental disorder (Prevail)</title><swanseaauthors><author><sid>d3dfb6fa4b6e057dd587f5e9f28a581f</sid><ORCID>0000-0003-3849-8118</ORCID><firstname>Nicola</firstname><surname>Gray</surname><name>Nicola Gray</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2024-01-26</date><deptcode>HPS</deptcode><abstract>BackgroundCommon mental disorders are the leading cause of workplace absences. The Prevail intervention programme aims to reduce stigma and to educate staff and managers about evidence-based low intensity psychological interventions for common mental disorders (depression, anxiety, stress, and distress). Prevail is innovative in taking a public health approach. It is designed to be given to all employees irrespective of their past or current mental health. Prevail was evaluated in three studies examining: (1) the acceptability of the intervention and perceived usefulness; (2) whether the intervention altered stigmatic attitudes and motivation to seek help; and (3) whether the intervention reduced sickness absence, both overall and due to mental health problems.MethodsA two-armed cluster randomised control trial (RCT) evaluated the effectiveness of Prevail. Employees (N = 1051) at a large UK government institution were randomised to an active intervention or control arm in teams identified by their managers (n = 67). Employees in the active arm received the Prevail Staff Intervention. The managers in the active arm also received the Prevail Managers Intervention. Participants’ satisfaction and analysis of the Prevail Intervention were gathered by a bespoke questionnaire. Questionnaire measures of attitudes to mental health and mental health stigma were taken 1–2 weeks prior to the intervention and approximately 4 weeks post-intervention. Data relating to sickness absence were gathered via the official records in the time period 3-month post-intervention and for the same period 12 months earlier.ResultsPrevail was evaluated highly favourably by both the staff and their managers. Prevail produced significant reductions in self-stigma and anticipated stigma due to mental health difficulties. Crucially, sickness absence was significantly reduced by the Prevail Intervention.DiscussionPrevail achieved its goals of producing a palatable and engaging intervention that altered staff’s attitudes and stigmatic beliefs related to mental health and, crucially, produced a strong reduction in work-pace absenteeism. As the Prevail programme is aimed at common mental health problems and was not specialised to this particular workforce, the study provides the evidence-base for a mental health intervention programme that could be used by many organisations across the world.Trial RegistrationISRCTN12040087. Registered 04/05/2020. https://doi.org/10.1186/ISRCTN12040087. A full protocol for the randomised control trial was published: Gray NS, Davies H, Snowden RJ: Reducing stigma and increasing workplace productivity due to mental health difficulties in a large government organization in the UK: a protocol for a randomised control treatment trial (RCT) of a low intensity psychological intervention and stigma reduction programme for common mental disorder (Prevail). BMC Public Health 2020, 20(1):1–9.</abstract><type>Journal Article</type><journal>BMC Public Health</journal><volume>23</volume><journalNumber>1</journalNumber><paginationStart/><paginationEnd/><publisher>Springer Science and Business Media LLC</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint/><issnElectronic>1471-2458</issnElectronic><keywords>Randomised Control Trial, Prevail, Work-based intervention, Self-stigma, Stigma, Absenteeism, Lowintensity psychological interventions, Co-production, Absenteeism</keywords><publishedDay>10</publishedDay><publishedMonth>7</publishedMonth><publishedYear>2023</publishedYear><publishedDate>2023-07-10</publishedDate><doi>10.1186/s12889-023-16200-x</doi><url/><notes>Data Availability:The datasets generated during this research and/or analysed following completion of the current study are stored in a publicly available repository (Mendeley). Snowden, Robert (2022), “Reducing stigma and increasing workplace productivity due to mental health difficulties: A randomised control treatment trial (RCT) of a low intensity psychological intervention and stigma reduction programme for common mental disorder (Prevail).”, Mendeley Data, V1, doi: https://doi.org/10.17632/4ph3dr3vg5.1 The data shared are: (1) Results from the survey of opinions about the Prevail course. Data are at a group level. (2) an anonymised SPSS database that contains the item by item scores from the psychometric measures as well as the scale scores and demographic information, (3) an excel database containing data on number of sick days taken. These are at a group level only. The data was published at the time of provisional acceptance of this paper and will remain available indefinitely. 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spelling	v2 65514 2024-01-26 Reducing sickness absence and stigma due to mental health difficulties: a randomised control treatment trial (RCT) of a low intensity psychological intervention and stigma reduction programme for common mental disorder (Prevail) d3dfb6fa4b6e057dd587f5e9f28a581f 0000-0003-3849-8118 Nicola Gray Nicola Gray true false 2024-01-26 HPS BackgroundCommon mental disorders are the leading cause of workplace absences. The Prevail intervention programme aims to reduce stigma and to educate staff and managers about evidence-based low intensity psychological interventions for common mental disorders (depression, anxiety, stress, and distress). Prevail is innovative in taking a public health approach. It is designed to be given to all employees irrespective of their past or current mental health. Prevail was evaluated in three studies examining: (1) the acceptability of the intervention and perceived usefulness; (2) whether the intervention altered stigmatic attitudes and motivation to seek help; and (3) whether the intervention reduced sickness absence, both overall and due to mental health problems.MethodsA two-armed cluster randomised control trial (RCT) evaluated the effectiveness of Prevail. Employees (N = 1051) at a large UK government institution were randomised to an active intervention or control arm in teams identified by their managers (n = 67). Employees in the active arm received the Prevail Staff Intervention. The managers in the active arm also received the Prevail Managers Intervention. Participants’ satisfaction and analysis of the Prevail Intervention were gathered by a bespoke questionnaire. Questionnaire measures of attitudes to mental health and mental health stigma were taken 1–2 weeks prior to the intervention and approximately 4 weeks post-intervention. Data relating to sickness absence were gathered via the official records in the time period 3-month post-intervention and for the same period 12 months earlier.ResultsPrevail was evaluated highly favourably by both the staff and their managers. Prevail produced significant reductions in self-stigma and anticipated stigma due to mental health difficulties. Crucially, sickness absence was significantly reduced by the Prevail Intervention.DiscussionPrevail achieved its goals of producing a palatable and engaging intervention that altered staff’s attitudes and stigmatic beliefs related to mental health and, crucially, produced a strong reduction in work-pace absenteeism. As the Prevail programme is aimed at common mental health problems and was not specialised to this particular workforce, the study provides the evidence-base for a mental health intervention programme that could be used by many organisations across the world.Trial RegistrationISRCTN12040087. Registered 04/05/2020. https://doi.org/10.1186/ISRCTN12040087. A full protocol for the randomised control trial was published: Gray NS, Davies H, Snowden RJ: Reducing stigma and increasing workplace productivity due to mental health difficulties in a large government organization in the UK: a protocol for a randomised control treatment trial (RCT) of a low intensity psychological intervention and stigma reduction programme for common mental disorder (Prevail). BMC Public Health 2020, 20(1):1–9. Journal Article BMC Public Health 23 1 Springer Science and Business Media LLC 1471-2458 Randomised Control Trial, Prevail, Work-based intervention, Self-stigma, Stigma, Absenteeism, Lowintensity psychological interventions, Co-production, Absenteeism 10 7 2023 2023-07-10 10.1186/s12889-023-16200-x Data Availability:The datasets generated during this research and/or analysed following completion of the current study are stored in a publicly available repository (Mendeley). Snowden, Robert (2022), “Reducing stigma and increasing workplace productivity due to mental health difficulties: A randomised control treatment trial (RCT) of a low intensity psychological intervention and stigma reduction programme for common mental disorder (Prevail).”, Mendeley Data, V1, doi: https://doi.org/10.17632/4ph3dr3vg5.1 The data shared are: (1) Results from the survey of opinions about the Prevail course. Data are at a group level. (2) an anonymised SPSS database that contains the item by item scores from the psychometric measures as well as the scale scores and demographic information, (3) an excel database containing data on number of sick days taken. These are at a group level only. The data was published at the time of provisional acceptance of this paper and will remain available indefinitely. Access will be open to anyone via the usual access to Mendeley. COLLEGE NANME Psychology COLLEGE CODE HPS Swansea University 2024-03-19T19:58:27.7434974 2024-01-26T13:17:30.1919819 Faculty of Medicine, Health and Life Sciences School of Psychology Nicola Gray 0000-0003-3849-8118 1 Helen Davies 2 Rhodri Brad 3 Robert J. Snowden 0000-0001-9900-480x 4 65514__29483__9acdbd851c0f44d08eae737669464ab4.pdf 65514.pdf 2024-01-26T13:19:45.7226897 Output 2896025 application/pdf Version of Record true This article is licensed under a Creative Commons Attribution 4.0 International License true eng https://creativecommons.org/licenses/by/4.0/
title	Reducing sickness absence and stigma due to mental health difficulties: a randomised control treatment trial (RCT) of a low intensity psychological intervention and stigma reduction programme for common mental disorder (Prevail)
spellingShingle	Reducing sickness absence and stigma due to mental health difficulties: a randomised control treatment trial (RCT) of a low intensity psychological intervention and stigma reduction programme for common mental disorder (Prevail) Nicola Gray
title_short	Reducing sickness absence and stigma due to mental health difficulties: a randomised control treatment trial (RCT) of a low intensity psychological intervention and stigma reduction programme for common mental disorder (Prevail)
title_full	Reducing sickness absence and stigma due to mental health difficulties: a randomised control treatment trial (RCT) of a low intensity psychological intervention and stigma reduction programme for common mental disorder (Prevail)
title_fullStr	Reducing sickness absence and stigma due to mental health difficulties: a randomised control treatment trial (RCT) of a low intensity psychological intervention and stigma reduction programme for common mental disorder (Prevail)
title_full_unstemmed	Reducing sickness absence and stigma due to mental health difficulties: a randomised control treatment trial (RCT) of a low intensity psychological intervention and stigma reduction programme for common mental disorder (Prevail)
title_sort	Reducing sickness absence and stigma due to mental health difficulties: a randomised control treatment trial (RCT) of a low intensity psychological intervention and stigma reduction programme for common mental disorder (Prevail)
author_id_str_mv	d3dfb6fa4b6e057dd587f5e9f28a581f
author_id_fullname_str_mv	d3dfb6fa4b6e057dd587f5e9f28a581f_***_Nicola Gray
author	Nicola Gray
author2	Nicola Gray Helen Davies Rhodri Brad Robert J. Snowden
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publishDate	2023
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doi_str_mv	10.1186/s12889-023-16200-x
publisher	Springer Science and Business Media LLC
college_str	Faculty of Medicine, Health and Life Sciences
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description	BackgroundCommon mental disorders are the leading cause of workplace absences. The Prevail intervention programme aims to reduce stigma and to educate staff and managers about evidence-based low intensity psychological interventions for common mental disorders (depression, anxiety, stress, and distress). Prevail is innovative in taking a public health approach. It is designed to be given to all employees irrespective of their past or current mental health. Prevail was evaluated in three studies examining: (1) the acceptability of the intervention and perceived usefulness; (2) whether the intervention altered stigmatic attitudes and motivation to seek help; and (3) whether the intervention reduced sickness absence, both overall and due to mental health problems.MethodsA two-armed cluster randomised control trial (RCT) evaluated the effectiveness of Prevail. Employees (N = 1051) at a large UK government institution were randomised to an active intervention or control arm in teams identified by their managers (n = 67). Employees in the active arm received the Prevail Staff Intervention. The managers in the active arm also received the Prevail Managers Intervention. Participants’ satisfaction and analysis of the Prevail Intervention were gathered by a bespoke questionnaire. Questionnaire measures of attitudes to mental health and mental health stigma were taken 1–2 weeks prior to the intervention and approximately 4 weeks post-intervention. Data relating to sickness absence were gathered via the official records in the time period 3-month post-intervention and for the same period 12 months earlier.ResultsPrevail was evaluated highly favourably by both the staff and their managers. Prevail produced significant reductions in self-stigma and anticipated stigma due to mental health difficulties. Crucially, sickness absence was significantly reduced by the Prevail Intervention.DiscussionPrevail achieved its goals of producing a palatable and engaging intervention that altered staff’s attitudes and stigmatic beliefs related to mental health and, crucially, produced a strong reduction in work-pace absenteeism. As the Prevail programme is aimed at common mental health problems and was not specialised to this particular workforce, the study provides the evidence-base for a mental health intervention programme that could be used by many organisations across the world.Trial RegistrationISRCTN12040087. Registered 04/05/2020. https://doi.org/10.1186/ISRCTN12040087. A full protocol for the randomised control trial was published: Gray NS, Davies H, Snowden RJ: Reducing stigma and increasing workplace productivity due to mental health difficulties in a large government organization in the UK: a protocol for a randomised control treatment trial (RCT) of a low intensity psychological intervention and stigma reduction programme for common mental disorder (Prevail). BMC Public Health 2020, 20(1):1–9.
published_date	2023-07-10T19:58:26Z
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Reducing sickness absence and stigma due to mental health difficulties: a randomised control treatment trial (RCT) of a low intensity psychological intervention and stigma reduction programme for common mental disorder (Prevail)

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