- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04907604
European platforM to PromOte Wellbeing and HEalth in the Workplace (EMPOWER) (EMPOWER)
European platforM to PromOte Wellbeing and HEalth in the woRkplace
Study Overview
Status
Conditions
Detailed Description
The EMPOWER Project's main objective is to develop, test and evaluate a multi-modal and inclusive e-Health platform, compiling the most feasible, brief and cost-effective interventions currently available in Europe to promote health and wellbeing, prevent mental health problems and reduce the impact of mental health problems in the workplace.
Specifically, three intervention levels will be represented by interventions within the eHealth platform that are specially designed for the relevant populations and desired outcomes:
- Universal (primary) prevention: interventions to improve awareness and reduce stigma; to reduce psychosocial risk factors and providing early detection of mental disorders.
Secondary prevention programs: interventions designed to improve wellbeing and reduce psychological distress and to promote healthy lifestyles. EMPOWER individual eHealth intervention will be based on the following components:
- Psychoeducational material.
- Challenges
- Tracking
- Tertiary prevention program: return to work intervention. The intensive collaborative approach will design strategies to overcome the barriers that have already been identified for the widespread implementation of programs to promote wellbeing and reduce mental health problems in the workplace. EMPOWER aims to address the increasing burden of mental health problems in the workplace and improve mental health in the EU working population, having a positive impact on productivity. Partners from the consortium are coming from countries such as Spain, Italy, Netherlands, Poland, UK, Switzerland and Australia.
An eHealth platform to reduce the impact of mental health problems at the workplace Mental health problems cause an enormous burden both for the individual and the society. A number of interventions have been developed to promote wellbeing and prevent or treat mental disorders in the workplace. Attempts to implement interventions by means of digital technologies have had statistically significant but minimally positive effects in reducing overall mental health problems, such as depression, anxiety and stress. However, most eHealth interventions focus on a single mental health condition and neglect comorbidity, particularly in the case of the more common mental disorders. Although effective and cost-effective workplace interventions are available, widespread implementation face a number of barriers. The stigma and discrimination at the workplace have been associated with delayed access to treatment, weakened social support, difficulties in the performance of occupational and social roles, unemployment, and diminished self-esteem. Although anti-stigma interventions targeting the general population and workplace settings have been implemented, there is room for improvement.
Collaboration among stakeholders is essential when developing and implementing effective interventions to reduce the impact of mental health problems at the workplace and evaluate their impact. The organization of work is rapidly changing. This growing diversity of what it means to work makes it clear that addressing mental health issues at the workplace will require ingenuity and flexibility to tailor interventions to the realities of the workplace setting.
The Framework Directive on Occupational Safety and Health, 89/391/EEC, lays down the employers' general duty to ensure workers' health and safety, "addressing all types of risk". Although the Framework does not explicitly address mental health issues in the workplace, it implicitly addresses them since it requires the employer to be aware of and address all types of health-related risks. At the same time, the European Commission's 2008 European Pact for Mental Health and Well-being20 and the 2016 European Framework for Action on Mental Health and Well-being21 have clearly raised the issue of mental health as a public health priority across society and the economy, mentioning workplace mental health as one target area. Although there has not as yet been a direct regulatory focus on mental health in the workplace, there is certainly a general consensus that it is incumbent on European employers to adequately identify and address known psychosocial risks.
Due to the fragmented landscape of interventions and related implementation barriers, there is an urgent need for a multi-modal and integrative eHealth platform aimed at reducing mental health problems in the workplace and improving employees' wellbeing, by compiling the most feasible, brief and cost-effective interventions currently available in Europe. The platform will take advantage of proven cost-effective tools and address the need to reduce stigma, increase help-seeking behaviour, raise awareness about and minimalize psychosocial risks, improve self-management strategies, taking into account mental and physical comorbidities, and promote a healthy lifestyle - all while considering gender and cultural differences that impact successful implementation. This is especially relevant for small and medium enterprises (SMEs), which represent the majority of all enterprises in the EU but have very limited resources. The development and implementation of a multi-modal and integrative eHealth platform should, finally, be guided and supported by close collaboration with stakeholders, including employee and employer organisations, insurance companies, patient associations, and health professionals.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Ellen Vorstenbosch
- Phone Number: 12544 +34 93 640 63 50
- Email: e.vorstenbosch@pssjd.org
Study Contact Backup
- Name: Desiree Gutierrez Marin
- Phone Number: 12544 +34 93 640 63 50
- Email: dg.marin@pssjd.org
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Older than 18 years
- Having a mobile phone with internet access
- Having sufficient knowledge of the local language
- Accepting the informed consent.
- Being employed at the time of recruitment (baseline)
Exclusion Criteria:
- Younger than 18
- Not having sufficient knowledge of the local language
- Being unemployed at the time of recruitment (baseline)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Other: First intervention group
Clusters 1 and 2 (group 1) will start the intervention at month 1, immediately after completing the baseline assessment.
After 7 weeks of using the app and having access to the EMPOWER website (with material related to the anti-stigma campaign and recommendations for employees to deal with psychosocial risk factors), they will answer a post-treatment assessment protocol through the app.
|
It addresses six main domains: improving awareness of mental health problems and reducing stigma; reducing psychosocial risk factors in the workplace; improving wellbeing and reducing psychological symptoms; ensuring early detection of mental disorders; promoting healthy behaviours and lifestyles; and facilitating early return to work.
|
Other: Second intervention group
Clusters 3 and 4 (group 2) that serve as control group of cluster 1 and 2 (group 1), will also complete the assessment at T1. Clusters 3 and 4 (group 2) will start the intervention in step 2, after completing the second assessment.
|
It addresses six main domains: improving awareness of mental health problems and reducing stigma; reducing psychosocial risk factors in the workplace; improving wellbeing and reducing psychological symptoms; ensuring early detection of mental disorders; promoting healthy behaviours and lifestyles; and facilitating early return to work.
|
Other: Third intervention group
Clusters 5 and 6 (group 3), that serve as control group of group 1 and 2, will also complete the assessment at T2.
Clusters 5 and 6 (group 3) will start the intervention in step 3.
All clusters will answer a total of five assessments
|
It addresses six main domains: improving awareness of mental health problems and reducing stigma; reducing psychosocial risk factors in the workplace; improving wellbeing and reducing psychological symptoms; ensuring early detection of mental disorders; promoting healthy behaviours and lifestyles; and facilitating early return to work.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Depressive symptoms
Time Frame: at both 7 weeks and 3-month follow-up
|
Change in depressive symptomatology for employees, measured with the Patient Health Questionnaire-9 (PHQ-9) sum score.
It ranges from 0 to 27, with higher scores indicating more severe symptomatology.
A score higher than 19 is considered as indicative of high risk of depression
|
at both 7 weeks and 3-month follow-up
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Anxiety symptoms
Time Frame: at both 7 weeks and 3-month follow-up
|
Change in anxiety symptoms (by means of the Generalized Anxiety Disorder-7-GAD-7- total scores).
The total score ranges from 0 to 21, with higher scores indicating higher level of anxiety.
|
at both 7 weeks and 3-month follow-up
|
Perceived stress
Time Frame: at both 7 weeks and 3-month follow-up
|
Change of perceived stress measured with the Perceived Stress Scale-4 (PSS-4).
The total score ranges from 0 to 16, with higher scores correlating with higher levels of stress.
|
at both 7 weeks and 3-month follow-up
|
Insomnia severity
Time Frame: at both 7 weeks and 3-month follow-up
|
Change in insomnia severity uisng three items of Insomnia Severity Index (ISI).
We will calculate a total score which will range from 0 to 16.
Higher scores will indicate severe levels of insomnia.
|
at both 7 weeks and 3-month follow-up
|
Well-being
Time Frame: at both 7 weeks and 3-month follow-up
|
Change in well-being (assessed with the World Health Organization-5; WHO-5 scale).
The raw score ranges from 0 to 25, 0 representing worst possible and 25 representing best possible quality of life.
|
at both 7 weeks and 3-month follow-up
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Beatriz Olaya, Parc Sanitari Sant Joan de Déu
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- PIC-39-20
- Grant Agreement:848180 (Other Grant/Funding Number: Research and Innovation Framework Programme SC1-BHC-22-2019)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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