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A Cluster Randomized Controlled Trial to Evaluate HeadCoach: An Online Mental Health Training Program for Workplace
Aimée Gayed1, Bridget T Bryan, Anthony D LaMontagne
1School of Psychiatry, University of New South Wales, Sydney, Australia (Ms Gayed and Dr Mykletun); Black Dog Institute, Faculty of Medicine, University of New South Wales, Sydney, Australia (Ms Bryan, Dr Deady, Dr Mackinnon, Dr Christensen, and Dr Harvey); Centre for Population Health Research, Deakin University, Geelong, Victoria, Australia (Dr LaMontagne); School of Population and Global Health, The University of Melbourne, Melbourne, Australia (Dr LaMontagne and Dr Milner); School of Electrical and Information Engineering, University of Sydney, Sydney, Australia (Dr Calvo); Centre for Mental Health, University of Melbourne, Melbourne, Australia (Dr Mackinnon); Department of Mental Health and Suicide, Norwegian Institute of Public Health, Oslo, Norway (Dr Mykletun); Department of Community Medicine, University of Tromsø, Tromsø, Norway (Dr Mykletun); Centre for Work and Mental Health, Nordland Hospital Trust, Bodø, Norway (Dr Mykletun); Centre for Research and Education in Forensic Psychiatry and Psychology, Haukeland University Hospital, Bergen, Norway (Dr Mykletun); and Brain and Mind Centre & Central Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, Australia (Dr Glozier).
Objective:
Mental ill-health is now the leading cause of sickness absence and occupational incapacity in high-income countries. This study evaluated HeadCoach online manager training, designed to improve confidence, and managerial behaviors that create mentally healthy workplaces.
Methods:
A cluster randomized controlled trial was conducted comparing managers who received HeadCoach (N = 87) to waitlist control (N = 123). Managers' confidence and behavior were investigated at baseline, postintervention, and follow-up. Psychological distress of direct reports was evaluated.
Results:
Confidence significantly increased postintervention only; however, per-protocol analyses indicated a significant improvement for program completers compared with control at both time points. Responsive and preventive behaviors significantly improved. Psychological distress of direct reports remained unchanged.
Conclusions:
HeadCoach online mental health training is an effective and scalable way to improve managers' confidence and workplace practices around mental health. The impact on direct reports remains unknown.
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