TY - JOUR AU - Stratton, Elizabeth AU - Lampit, Amit AU - Choi, Isabella AU - Malmberg Gavelin, Hanna AU - Aji, Melissa AU - Taylor, Jennifer AU - Calvo, Rafael A AU - Harvey, Samuel B AU - Glozier, Nick PY - 2022 DA - 2022/9/27 TI -组织电子健康干预在解决员工心理健康方面的有效性趋势:系统回顾和元分析JO - J医疗互联网Res SP - e37776 VL - 24 IS - 9kw - eHealth KW -心理健康KW -员工KW -系统回顾KW -手机AB -背景:心理健康状况被认为是残疾、疾病缺席和长期工作能力丧失的主要原因。电子健康干预措施为员工提供心理援助。在工作场所广泛实施和提供电子保健干预措施，作为解决常见精神疾病的一种廉价和匿名方式。目的:这项更新的综述旨在综合关于电子健康干预对组织环境中员工样本的焦虑、抑郁和压力结果的有效性的文献，并评估其有效性是否随着时间的推移而提高。方法:系统检索2004年至2020年7月发表的关注员工心理健康的电子健康干预试验(app- or - web)的相关文章。评估所有研究的质量和偏倚。通过比较标准化心理健康结果的效应量差异(Hedge g)，我们从出版物中提取了均值和SDs。我们使用随机效应模型对这些数据进行元分析。结果:我们确定了证据体的三倍，从14,747篇文章的联合样本中有75项试验可用于荟萃分析。 eHealth interventions showed small positive effects for anxiety (Hedges g=0.26, 95% CI 0.13-0.39; P<.001), depression (Hedges g=0.26, 95% CI 0.19-0.34; P<.001), and stress (Hedges g=0.25, 95% CI 0.17-0.34; P<.001) in employees’ after intervention, with similar effects seen at the medium-term follow-up. However, there was evidence of no increase in the effectiveness of these interventions over the past decade. Conclusions: This review and meta-analysis confirmed that eHealth interventions have a small positive impact on reducing mental health symptoms in employees. Disappointingly, we found no evidence that, despite the advances in technology and the enormous resources in time, research, and finance devoted to this area for over a decade, better interventions are being produced. Hopefully, these small effect sizes do not represent optimum outcomes in organizational settings. Trial Registration: PROSPERO CRD42020185859; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=185859 SN - 1438-8871 UR - //www.mybigtv.com/2022/9/e37776 UR - https://doi.org/10.2196/37776 UR - http://www.ncbi.nlm.nih.gov/pubmed/36166285 DO - 10.2196/37776 ID - info:doi/10.2196/37776 ER -