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Effectiveness of Worksite Intervention on Stress Management: An Analytic Literature Review  

Park Kyoung-Ok (Department of Health Education in Ewha Womans University)
Publication Information
Korean Journal of Health Education and Promotion / v.21, no.4, 2004 , pp. 15-33 More about this Journal
Abstract
With growing significance of psychological well-being in the worksite, the purpose of this analysis was to overview the empirical studies on worksite stress management and to identity the overall effect of worksite health promotion programs on stress management through meta-analysis. Literature retrieval was conducted on-line first in MEDLINE, EBSCOhost Academic Search Premier, and PSYCHINFO databases in public health, psychology, sociology, and human resource management areas. All studies written in English and published in the peer-reviewed journals during 1990 and 2002 were recruited. Key words used in literature retrieval were 'worksite,' 'intervention,' 'program,' 'work stress,' 'strain,' 'burnout,' 'management,' 'prevention,' 'education,' and 'health promotion.' A total of 18 worksite intervention studies with 48 effect sizes were analyzed and the results were as follows. Approximately 60％ of the studies had quasi-experimental design and were conducted in manufacturing company and public sector. General psychological strains and burnout were frequently used measures of psychological stress. The lecturing and discussion typed intervention and the participatory problem-solving typed intervention were employed more than others in the studies. The average effect (r: pearson's simple correlation coefficient) weighted by sampling error was -0.14 (-0.32 to 0.05). In the conventional category of effects this is a small effect ranging from -0.59 to 0.05. Binomial effect size showed that success rates increased from 43％ without intervention to 57％ after an intervention. Sampling error explained 47.14％ of the observed variance and its effectiveness on stress management were heterogeneous. In regression analysis with suspected moderating factors affecting the worksite interventions, research design was the only significant moderating factor. The studies with quasi-experimental design had greater effects than the studies with experimental design.
Keywords
Health promotion; Intervention; Stress Management; Literature Review; Meta-analysis; Worksite;
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