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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >A novel stress and coping workplace program reduces illness and healthcare utilization.
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A novel stress and coping workplace program reduces illness and healthcare utilization.

机译：新颖的压力和应对工作场所计划可减少疾病和医疗保健利用率。

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OBJECTIVE: The purpose of this study was to determine if a novel workplace stress management program, delivered either face-to-face or by self-help, would reduce illness and health services utilization among participants. METHODS: Five hundred one volunteers were randomly allocated to one of three groups: full intervention, which received assessment and personalized self-study feedback and was offered six face-to-face, small-group sessions; partial intervention, a self-help group that received assessment and personalized feedback by mail; and a wait-list control group. All participants completed questionnaires for stress, anxiety, and coping at the start of the study and 6 and 12 months later. Health reports were completed at 0, 3, 6, 9, and 12 months. A subsample of subjects who subscribed to a single health maintenance organization provided objectively recorded doctor visit data across the study year. RESULTS: All three groups reported significant improvement in their stress, anxiety, and coping across the year. Full intervention participants showed a more rapid reduction in negative responses to stress than did participants from the other groups. Full-intervention subjects also reported fewer days of illness than subjects in the other groups. Objectively measured physician visits showed a large (34%) reduction in healthcare utilization for full intervention subjects in the HMO subsample. CONCLUSIONS: These results indicated that a work-site program that focuses on stress, anxiety, and coping measurement along with small-group educational intervention can significantly reduce illness and healthcare utilization.
机译：目的：本研究的目的是确定以面对面或自助方式实施的新型工作场所压力管理计划是否会减少参与者的疾病和卫生服务利用率。方法：501名志愿者被随机分为三组之一：全面干预，接受评估和个性化的自学反馈，并提供六个面对面的小组会议。部分干预：一个自助小组，通过邮件接收评估和个性化反馈;还有一个候补名单对照组。在研究开始时以及6和12个月后，所有参与者都完成了有关压力，焦虑和应对的问卷。健康报告在0、3、6、9和12个月完成。订阅了一个健康维护组织的受试者的子样本提供了整个研究年度客观记录的医生就诊数据。结果：这三组患者的压力，焦虑和应对能力在一年中均得到了显着改善。完全干预的参与者比其他群体的参与者表现出对压力的负面反应更快的减少。与其他组相比，完全干预受试者的患病天数也更少。客观测量的医生就诊显示，HMO子样本中的完全干预对象的医疗利用率大大降低了（34％）。结论：这些结果表明，侧重于压力，焦虑和应对措施的工作现场计划以及小组教育干预可以显着减少疾病和医疗保健的使用。

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