Reducing occupational psychological distress: A randomized controlled trial of a mailed intervention

Jackie Holt, Chris Del Mar

Research output: Contribution to journalArticleResearchpeer-review

9 Citations (Scopus)

Abstract

There are increasing levels of psychological distress among general practitioners (GPs). The purpose of this study is to evaluate the effectiveness of a mailed intervention to reduce distress among 'at-risk' GPs. A questionnaire was sent to 1356 GPs from eight Divisions of General Practice. Out of 819 (60%) who responded, 233 GPs were recruited with scores indicative of psychological distress. These GPs were randomized to intervention (n = 120) or control (n = 113). The intervention consisted of a simple letter feeding back and interpreting the psychological score together with a self-help sheet. During the study, an educational program was offered to GPs by Divisions of General Practice. The main outcome measure used was changes in psychological distress (General Health Questionnaire 12) score after 3 months. Significance was set at P < 0.05. Initial analysis of the data showed borderline significance (P = 0.05). However, analysis of the data post hoc excluding GPs who participated in the educational program showed a significant reduction in psychological distress (P = 0.03). It appears that there may have been a dilution of the intervention effect. Mailed interventions are a cost-effective way of reaching at-risk GPs and may contribute to a reduction in psychological morbidity.

Original languageEnglish
Pages (from-to)501-507
Number of pages7
JournalHealth Education Research
Volume21
Issue number4
DOIs
Publication statusPublished - Aug 2006

Fingerprint

general practitioner
General Practitioners
Randomized Controlled Trials
Psychology
educational program
General Practice
questionnaire
self-help
morbidity
Outcome Assessment (Health Care)
Morbidity
Costs and Cost Analysis
Health
costs
health

Cite this

@article{80c28b9ccb11469eb92a82b9391e2c70,
title = "Reducing occupational psychological distress: A randomized controlled trial of a mailed intervention",
abstract = "There are increasing levels of psychological distress among general practitioners (GPs). The purpose of this study is to evaluate the effectiveness of a mailed intervention to reduce distress among 'at-risk' GPs. A questionnaire was sent to 1356 GPs from eight Divisions of General Practice. Out of 819 (60{\%}) who responded, 233 GPs were recruited with scores indicative of psychological distress. These GPs were randomized to intervention (n = 120) or control (n = 113). The intervention consisted of a simple letter feeding back and interpreting the psychological score together with a self-help sheet. During the study, an educational program was offered to GPs by Divisions of General Practice. The main outcome measure used was changes in psychological distress (General Health Questionnaire 12) score after 3 months. Significance was set at P < 0.05. Initial analysis of the data showed borderline significance (P = 0.05). However, analysis of the data post hoc excluding GPs who participated in the educational program showed a significant reduction in psychological distress (P = 0.03). It appears that there may have been a dilution of the intervention effect. Mailed interventions are a cost-effective way of reaching at-risk GPs and may contribute to a reduction in psychological morbidity.",
author = "Jackie Holt and {Del Mar}, Chris",
year = "2006",
month = "8",
doi = "10.1093/her/cyh076",
language = "English",
volume = "21",
pages = "501--507",
journal = "Health Education Research",
issn = "0268-1153",
publisher = "Oxford University Press",
number = "4",

}

Reducing occupational psychological distress : A randomized controlled trial of a mailed intervention. / Holt, Jackie; Del Mar, Chris.

In: Health Education Research, Vol. 21, No. 4, 08.2006, p. 501-507.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Reducing occupational psychological distress

T2 - A randomized controlled trial of a mailed intervention

AU - Holt, Jackie

AU - Del Mar, Chris

PY - 2006/8

Y1 - 2006/8

N2 - There are increasing levels of psychological distress among general practitioners (GPs). The purpose of this study is to evaluate the effectiveness of a mailed intervention to reduce distress among 'at-risk' GPs. A questionnaire was sent to 1356 GPs from eight Divisions of General Practice. Out of 819 (60%) who responded, 233 GPs were recruited with scores indicative of psychological distress. These GPs were randomized to intervention (n = 120) or control (n = 113). The intervention consisted of a simple letter feeding back and interpreting the psychological score together with a self-help sheet. During the study, an educational program was offered to GPs by Divisions of General Practice. The main outcome measure used was changes in psychological distress (General Health Questionnaire 12) score after 3 months. Significance was set at P < 0.05. Initial analysis of the data showed borderline significance (P = 0.05). However, analysis of the data post hoc excluding GPs who participated in the educational program showed a significant reduction in psychological distress (P = 0.03). It appears that there may have been a dilution of the intervention effect. Mailed interventions are a cost-effective way of reaching at-risk GPs and may contribute to a reduction in psychological morbidity.

AB - There are increasing levels of psychological distress among general practitioners (GPs). The purpose of this study is to evaluate the effectiveness of a mailed intervention to reduce distress among 'at-risk' GPs. A questionnaire was sent to 1356 GPs from eight Divisions of General Practice. Out of 819 (60%) who responded, 233 GPs were recruited with scores indicative of psychological distress. These GPs were randomized to intervention (n = 120) or control (n = 113). The intervention consisted of a simple letter feeding back and interpreting the psychological score together with a self-help sheet. During the study, an educational program was offered to GPs by Divisions of General Practice. The main outcome measure used was changes in psychological distress (General Health Questionnaire 12) score after 3 months. Significance was set at P < 0.05. Initial analysis of the data showed borderline significance (P = 0.05). However, analysis of the data post hoc excluding GPs who participated in the educational program showed a significant reduction in psychological distress (P = 0.03). It appears that there may have been a dilution of the intervention effect. Mailed interventions are a cost-effective way of reaching at-risk GPs and may contribute to a reduction in psychological morbidity.

UR - http://www.scopus.com/inward/record.url?scp=33748171050&partnerID=8YFLogxK

U2 - 10.1093/her/cyh076

DO - 10.1093/her/cyh076

M3 - Article

VL - 21

SP - 501

EP - 507

JO - Health Education Research

JF - Health Education Research

SN - 0268-1153

IS - 4

ER -