Development of MHFA-based 2-h educational program for early intervention in depression among office workers: A single-arm pilot trial

PLoS One. 2018 Dec 7;13(12):e0208114. doi: 10.1371/journal.pone.0208114. eCollection 2018.

Abstract

Objective: In the workplace depression and suicide are serious mental health problems. A lack of knowledge and mental health skills along with the stigma toward mental health problems often results in delays in seeking professional help. Interventions targeting not only persons with mental health problems but also people around the individual are warranted in order to encourage supporting behavior within entire workplace. In the present study, we investigated the efficacy of our newly developed educational training program in the management with depression and suicidal risk in the workplace as a single-arm pilot trial.

Methods: The program is a two-hour (2-h) training course for employees based on the Mental Health First Aid (MHFA) program which aims to increase public mental health literacy. We conducted this program at a company workplace among 91 employees, and ultimately 83 participants completed the self-rated questionnaires. Changes in confidence and practical skills in early intervention of depression and suicide-prevention, and stigma toward mental health problems were evaluated using self-rated questionnaires at 3 time-points; pre-program, immediately post-program, and 1 month after the program.

Results: Confidence and practical skills were significantly improved even 1 month after the program, and stigma reduced just after the program.

Conclusions: Our pilot study suggests that the program has a positive impact on encouraging employees to support their co-workers with mental health problems, and is applicable for busy workers due to its short duration. A single-arm design, evaluation using self-rated questionnaire and short-term follow up period are the main limitations of the present study. Hence, future research is required to validate the effects of this program with control groups, and also to assess long-term effectiveness and objective changes such as absenteeism and sick leave.

Trial registration: UMIN Clinical Trials Registry (UMIN-CTR) R000023258.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Depression / prevention & control*
  • Depression / psychology
  • Female
  • Health Knowledge, Attitudes, Practice
  • Health Literacy / organization & administration*
  • Humans
  • Male
  • Mental Health / education*
  • Occupational Stress / psychology
  • Office Management
  • Pilot Projects
  • Program Evaluation
  • Social Stigma
  • Suicide / psychology
  • Suicide Prevention*
  • Workplace / organization & administration*
  • Young Adult

Grants and funding

This work was supported by a Grant-in-Aid for Scientific Research on (1) The Japan Agency for Medical Research and Development (AMED) (https://www.amed.go.jp/) (JP16dk0307028 & JP17dk0307073 to TAK), and (2) KAKENHI - the Japan Society for the Promotion of Science (https://www.jsps.go.jp/j-grantsinaid/index.html) (JP16H06403 to TAK & JP25461781 to KO). The funder had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication. TOTO Ltd. provided support in the form of salaries for authors [MH & SU], but did not have any additional role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. The specific roles of these authors are articulated in the 'author contributions' section.