Log in and breathe out: internet-based recovery training for sleepless employees with work-related strain - results of a randomized controlled trial

Thiart H, Lehr D, Ebert D, Berking M, Heleen R (2015)


Publication Language: English

Publication Status: Published

Publication Type: Journal article, other

Publication year: 2015

Journal

Publisher: Nordic Association of Occupational Safety and Health (NOROSH)

Book Volume: 41

Pages Range: 164-174

Journal Issue: 2

DOI: 10.5271/sjweh.3478

Abstract

Objectives The primary purpose of this randomized controlled trial (RCT) was to evaluate the efficacy of a guided internet-based recovery training for employees who suffer from both work-related strain and sleep problems (GET.ON Recovery). The recovery training consisted of six lessons, employing well-established methods from cognitive behavioral therapy for insomnia (CBT-I) such as sleep restriction, stimulus control, and hygiene interventions as well as techniques targeted at reducing rumination and promoting recreational activities. Methods In a two-arm RCT (N=128), the effects of GET.ON Recovery were compared to a waitlist-control condition (WLC) on the basis of intention-to-treat analyses. German teachers with clinical insomnia complaints (Insomnia Severity Index =15) and work-related rumination (Irritation Scale, cognitive irritation subscale =15) were included. The primary outcome measure was insomnia severity. Results Analyses of covariance (ANCOVA) revealed that, compared to the WLC, insomnia severity of the intervention group decreased significantly stronger (F=74.11, P<0.001) with a d=1.45 [95% confidence interval (95% CI) 1.06–1.84] The number needed to treat (NNT) was <2 for reliable change and NNT <4 for reduction in expert-rated diagnosis of primary insomnia. Conclusion The training significantly reduces sleep problems and fosters mental detachment from work and recreational behavior among adult stressed employees at post-test and 6-months follow up. Given the low threshold access this training could reach out to a large group of stressed employees when results are replicated in other studies.

Authors with CRIS profile

Involved external institutions

How to cite

APA:

Thiart, H., Lehr, D., Ebert, D., Berking, M., & Heleen, R. (2015). Log in and breathe out: internet-based recovery training for sleepless employees with work-related strain - results of a randomized controlled trial. Scandinavian Journal of Work Environment & Health, 41(2), 164-174. https://dx.doi.org/10.5271/sjweh.3478

MLA:

Thiart, Hanne, et al. "Log in and breathe out: internet-based recovery training for sleepless employees with work-related strain - results of a randomized controlled trial." Scandinavian Journal of Work Environment & Health 41.2 (2015): 164-174.

BibTeX: Download