The Effects of E-mental Health Program and Job Coaching on the Risk of Major Depression in Canadian Working Men

NCT02777112 | Completed DMC

• 1 other identifier: #UCAL_01
• Study Type: interventional
• Target: 1,133
• Locations: 1 country
• Sites: 1

Brief Summary

There is a pressing need for innovation in prevention of major depression in male workers. Major depression (MDE) affects workers' health and productivity. In the United States, workers with depression cost an estimated US $44.01 billion per year in lost productivity. One of the severe consequences of having MDE is potential suicide and Canadian national data showed that 76% of all suicides in 2009 were male. In the workplace, risk factors for having MDE differ for men and women. For instance, job strain, family to work conflict and job insecurity seem to be more prominent MDE risk factors in men than in women. Compounding men's risk, men are less likely than women to seek help and to disclose depressive symptoms and often delay help seeking until symptoms become severe. Men are socialized to be emotionally stoic and exemplify traditional masculine characteristics such as independence, self-reliance and dominance. Men are concerned over the perceived negative judgments from family and friends if they access treatment for depression. These gender specific experiences along with a limited knowledge base about effective interventions call for innovative solutions tailored for men. The proposed study was to evaluate the effectiveness of an e-mental health program on reducing the risk of major depression in Canadian working men.

Conditions

Depression; Men

Keywords

high-risk; early prevention; productivity; return on investment; workplace; e-mental health program; job coach

Outcome Measures

Primary Outcomes (1)

• Risk proportion of major depressive episode (MDE) over 12 months

  MDE occurred over the 12-month follow-up period will be measured by the Composite International Diagnostic Interview

  12-month follow-up assessment

Secondary Outcomes (5)

• Change in depression score

  6- and 12-month follow-up assessment

• Change in presenteeism

  baseline, 6- and 12-month follow-up assessment

• Change in absenteeism

  baseline, 6- and 12-month follow-up assessment

• Return on investment

  baseline, 6- and 12-month follow-up assessment

• Change in anxiety score

  baseline, 6- and 12-month follow-up assessment

Other Outcomes (2)

• Change in sleep disturbance

  baseline, 6- and 12-month follow-up assessment

• Change in anger

  baseline, 6- and 12-month follow-up assessment

Study Arms (3)

Control

PLACEBO COMPARATOR

This group will receive generic information about depression and serve as control

Other: No intervention

e-mental health program

EXPERIMENTAL

This group will receive the developed e-mental health program

Other: e-mental health program

e-mental health program and job coaching

EXPERIMENTAL

This group will receive the developed e-mental health program plus interactive job coaching through telephone.

Other: e-mental health program and job coaching

Interventions

e-mental health program OTHER

This program is delivered over the Internet, which includes modules of Information (about depression, workplace factors and alcohol use), Practical Tips (Cognitive Behavioral Therapy, Mindfulness relaxation, workplace strategies), Tools (for monitoring and predicting depression and occupational functioning), and Goal Setting and Tracking.

e-mental health program

e-mental health program and job coaching OTHER

This combines the e-mental health program and interactive job coaching delivered through telephone. The e-mental health program is delivered over the Internet, which includes modules of Information (about depression, workplace factors and alcohol use), Practical Tips (Cognitive Behavioral Therapy, Mindfulness relaxation, workplace strategies), Tools (for monitoring and predicting depression and occupational functioning), and Goal Setting and Tracking. The job coaching can be accessed by appointment.

e-mental health program and job coaching

No intervention OTHER

Receiving generic information about men's depression from the Movember Foundation website: https://ca.movember.com/programs/mental-health

Also known as: control group

Control

Eligibility Criteria

• Age: 18 Years+
• Sex: male
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• At the time of recruitment, working for pay
• At the time of recruitment and baseline assessment, have a high risk of having major depressive episode (MDE) based on our prediction algorithm. For the proposed study, 6.51+% will be defined as high risk for men
• May have MDE in the past 12 months, but in remission for at least 2 months prior to the study
• Have no language barriers to English or French
• Have access to the internet
• Provide email and mailing address

Sponsors & Collaborators

• University of Calgary: lead
• Movember Foundation: collaborator

Study Sites (1)

Mathison Centre for Mental Health Research and Education

Calgary, Alberta, T2N 4Z6, Canada

Location

Related Publications (1)

• Wang J, Patten SB, Lam RW, Attridge M, Ho K, Schmitz N, Marchand A, Lashewicz BM. The Effects of an E-Mental Health Program and Job Coaching on the Risk of Major Depression and Productivity in Canadian Male Workers: Protocol for a Randomized Controlled Trial. JMIR Res Protoc. 2016 Nov 15;5(4):e218. doi: 10.2196/resprot.6350.

  PMID: 27847352 DERIVED

MeSH Terms

Conditions

Depression; Multiple Endocrine Neoplasia Type 1

Interventions

Control Groups

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior; Multiple Endocrine Neoplasia; Endocrine Gland Neoplasms; Neoplasms by Site; Neoplasms; Neoplasms, Multiple Primary; Neoplastic Syndromes, Hereditary; Genetic Diseases, Inborn; Congenital, Hereditary, and Neonatal Diseases and Abnormalities; Endocrine System Diseases

Intervention Hierarchy (Ancestors)

Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods

Study Officials

• JianLi Wang

  University of Calgary

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: May 11, 2016
• First Posted: May 19, 2016
• Study Start: September 1, 2016
• Primary Completion: October 1, 2018
• Study Completion: December 1, 2018
• Last Updated: May 17, 2019

Record last verified: 2019-05

Locations

CA (1)