Behavioural activation for low mood and anxiety in male frontline NHS workers (BALM): a pre-post intervention study
Notice bibliographique
Résumé
Abstract Objectives To evaluate the impact and acceptability of a tailored, gender-responsive behavioural activation intervention for improving depression and anxiety in male NHS frontline workers. Design Pre-post intervention study. Setting Three National Health Service (NHS) organisations in the North of England. Participants Forty-five men aged ≥ 18 years working in a frontline NHS role scoring in the subclinical range (5-14) on the PHQ-9 (depression) and/or the GAD-7 (anxiety) at baseline. Interventions A tailored Behavioural Activation treatment programme consisting of up to eight telephone support sessions over a period of 4–6 weeks, accompanied by a Behavioural Activation self-help manual. Main outcome measures Self-reported symptom severity of depression, assessed by PHQ-9, and anxiety, assessed by GAD-7, at baseline and 4- and 6-months. Acceptability from the perspectives of male study participants and coaches who delivered the intervention was assessed in a nested qualitative study using the theoretical framework of acceptability (TFA). Results PHQ-9 and GAD-7 scores decreased from baseline to 4 months on both the PHQ-9 and GAD-7. While scores increased from 4 months to 6 months, the 6-month scores remained below those of the baseline scores. Acceptability of the intervention was high across all constructs of the TFA. The practical and action-oriented strategies of the intervention, and the confidential, flexible, convenient mode of delivery, worked to support men’s engagement with the intervention. Conclusions Delivery of a tailored, gender-responsive Behavioural Activation intervention was appealing to, and beneficial for, men working in frontline NHS roles with less severe depression and anxiety. The BALM intervention offers promise as a tailored workplace mental health programme that is aligned with men’s needs and preferences and can help overcome a reticence to engage with mental health support in NHS staff and beyond. Trial registration ISRCTN 48636092 Strengths and limitations of this study This is the first study to evaluate the impact and acceptability of a Behavioural Activation intervention for improving depression and anxiety in men using a gendered lens, contributing novel findings of relevance wider than the study context. The use of the TFA to inform data collection and analysis enabled a theoretically informed, systematic evaluation of the acceptability of the intervention. Rich data were gathered from qualitative interviews with a large sample of male participants and coaches who supported intervention delivery, including participant non-completers. Participants were a self-selecting sample of men who may have been particularly motivated to take part in the intervention. It is possible their views on the acceptability of the Behavioural Activation (BALM) intervention are more positive than the wider population of male NHS staff. Our sample also lacked ethnocultural diversity and representation of some NHS staff groups, particularly ancillary roles, that limits the transferability of the findings. The quasi-experimental research design is not sufficiently reliable to make causal inferences.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,002 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,001 | 0,000 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,001 | 0,000 |
| Science ouverte | 0,001 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,008 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».