Log in and breathe out: internet-based recovery training for sleepless employees with work-related strain – results of a randomized controlled trial
OBJECTIVES: The primary purpose of this randomized controlled trial (RCT) was to evaluate the efficacy of a guided internet-based recovery training for employees who suffer from both work-related strain and sleep problems (GET.ON Recovery). The recovery training consisted of six lessons, employing w...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Nordic Association of Occupational Safety and Health (NOROSH)
2015-03-01
|
| Series: | Scandinavian Journal of Work, Environment & Health |
| Subjects: | |
| Online Access: |
https://www.sjweh.fi/show_abstract.php?abstract_id=3478
|
| _version_ | 1819275841617526784 |
|---|---|
| author | Hanne Thiart Dirk Lehr David Daniel Ebert Matthias Berking Heleen Riper |
| author_facet | Hanne Thiart Dirk Lehr David Daniel Ebert Matthias Berking Heleen Riper |
| author_sort | Hanne Thiart |
| collection | DOAJ |
| description | OBJECTIVES: The primary purpose of this randomized controlled trial (RCT) was to evaluate the efficacy of a guided internet-based recovery training for employees who suffer from both work-related strain and sleep problems (GET.ON Recovery). The recovery training consisted of six lessons, employing well-established methods from cognitive behavioral therapy for insomnia (CBT-I) such as sleep restriction, stimulus control, and hygiene interventions as well as techniques targeted at reducing rumination and promoting recreational activities. METHODS: In a two-arm RCT (N=128), the effects of GET.ON Recovery were compared to a waitlist-control condition (WLC) on the basis of intention-to-treat analyses. German teachers with clinical insomnia complaints (Insomnia Severity Index ≥15) and work-related rumination (Irritation Scale, cognitive irritation subscale ≥15) were included. The primary outcome measure was insomnia severity. RESULTS: Analyses of covariance (ANCOVA) revealed that, compared to the WLC, insomnia severity of the intervention group decreased significantly stronger (F=74.11, P<0.001) with a d=1.45 [95% confidence interval (95% CI) 1.06–1.84] The number needed to treat (NNT) was <2 for reliable change and NNT <4 for reduction in expert-rated diagnosis of primary insomnia. CONCLUSION: The training significantly reduces sleep problems and fosters mental detachment from work and recreational behavior among adult stressed employees at post-test and 6-months follow up. Given the low threshold access this training could reach out to a large group of stressed employees when results are replicated in other studies. |
| first_indexed | 2024-12-23T23:30:44Z |
| format | Article |
| id | doaj.art-052fb48611ae4f96a2bea053e8391481 |
| institution | Directory Open Access Journal |
| issn | 0355-3140 1795-990X |
| language | English |
| last_indexed | 2024-12-23T23:30:44Z |
| publishDate | 2015-03-01 |
| publisher | Nordic Association of Occupational Safety and Health (NOROSH) |
| record_format | Article |
| series | Scandinavian Journal of Work, Environment & Health |
| spelling | doaj.art-052fb48611ae4f96a2bea053e83914812022-12-21T17:26:03ZengNordic Association of Occupational Safety and Health (NOROSH)Scandinavian Journal of Work, Environment & Health0355-31401795-990X2015-03-0141216417410.5271/sjweh.34783478Log in and breathe out: internet-based recovery training for sleepless employees with work-related strain – results of a randomized controlled trialHanne Thiart0Dirk LehrDavid Daniel EbertMatthias BerkingHeleen RiperInnovation Incubator, Division of Health Training Online, Leuphana University Lueneburg, Rotenbleicher Weg 67, 21335 Lueneburg, Germany.OBJECTIVES: The primary purpose of this randomized controlled trial (RCT) was to evaluate the efficacy of a guided internet-based recovery training for employees who suffer from both work-related strain and sleep problems (GET.ON Recovery). The recovery training consisted of six lessons, employing well-established methods from cognitive behavioral therapy for insomnia (CBT-I) such as sleep restriction, stimulus control, and hygiene interventions as well as techniques targeted at reducing rumination and promoting recreational activities. METHODS: In a two-arm RCT (N=128), the effects of GET.ON Recovery were compared to a waitlist-control condition (WLC) on the basis of intention-to-treat analyses. German teachers with clinical insomnia complaints (Insomnia Severity Index ≥15) and work-related rumination (Irritation Scale, cognitive irritation subscale ≥15) were included. The primary outcome measure was insomnia severity. RESULTS: Analyses of covariance (ANCOVA) revealed that, compared to the WLC, insomnia severity of the intervention group decreased significantly stronger (F=74.11, P<0.001) with a d=1.45 [95% confidence interval (95% CI) 1.06–1.84] The number needed to treat (NNT) was <2 for reliable change and NNT <4 for reduction in expert-rated diagnosis of primary insomnia. CONCLUSION: The training significantly reduces sleep problems and fosters mental detachment from work and recreational behavior among adult stressed employees at post-test and 6-months follow up. Given the low threshold access this training could reach out to a large group of stressed employees when results are replicated in other studies. https://www.sjweh.fi/show_abstract.php?abstract_id=3478 sleepless employeesleeplessinternet-based trainingstressoccupational healthteacherrandomized controlled trialrecoveryinsomniarecreationonlineguided self-helpcognitive behavioral therapy for insomniacbt-iinternetrecovery training |
| spellingShingle | Hanne Thiart Dirk Lehr David Daniel Ebert Matthias Berking Heleen Riper Log in and breathe out: internet-based recovery training for sleepless employees with work-related strain – results of a randomized controlled trial Scandinavian Journal of Work, Environment & Health sleepless employee sleepless internet-based training stress occupational health teacher randomized controlled trial recovery insomnia recreation online guided self-help cognitive behavioral therapy for insomnia cbt-i internet recovery training |
| title | Log in and breathe out: internet-based recovery training for sleepless employees with work-related strain – results of a randomized controlled trial |
| title_full | Log in and breathe out: internet-based recovery training for sleepless employees with work-related strain – results of a randomized controlled trial |
| title_fullStr | Log in and breathe out: internet-based recovery training for sleepless employees with work-related strain – results of a randomized controlled trial |
| title_full_unstemmed | Log in and breathe out: internet-based recovery training for sleepless employees with work-related strain – results of a randomized controlled trial |
| title_short | Log in and breathe out: internet-based recovery training for sleepless employees with work-related strain – results of a randomized controlled trial |
| title_sort | log in and breathe out internet based recovery training for sleepless employees with work related strain results of a randomized controlled trial |
| topic | sleepless employee sleepless internet-based training stress occupational health teacher randomized controlled trial recovery insomnia recreation online guided self-help cognitive behavioral therapy for insomnia cbt-i internet recovery training |
| url |
https://www.sjweh.fi/show_abstract.php?abstract_id=3478
|
| work_keys_str_mv | AT hannethiart loginandbreatheoutinternetbasedrecoverytrainingforsleeplessemployeeswithworkrelatedstrainresultsofarandomizedcontrolledtrial AT dirklehr loginandbreatheoutinternetbasedrecoverytrainingforsleeplessemployeeswithworkrelatedstrainresultsofarandomizedcontrolledtrial AT daviddanielebert loginandbreatheoutinternetbasedrecoverytrainingforsleeplessemployeeswithworkrelatedstrainresultsofarandomizedcontrolledtrial AT matthiasberking loginandbreatheoutinternetbasedrecoverytrainingforsleeplessemployeeswithworkrelatedstrainresultsofarandomizedcontrolledtrial AT heleenriper loginandbreatheoutinternetbasedrecoverytrainingforsleeplessemployeeswithworkrelatedstrainresultsofarandomizedcontrolledtrial |