Effects of Computer-based Stress Management Training on Psychological Well-being and Work Performance in Japanese Employees: A Cluster Randomized Controlled Trial
Open accessAbstract
This study evaluated the effectiveness of a computer-based stress management training (SMT) program in improving employees' psychological well-being and work performance. A total of 12 work units (N=263) were randomly assigned to either an intervention group (8 work units, n=142) or to a wait-list control group (4 work units, n=121). All participants were requested to answer online questionnaires assessing psychological well-being as a primary outcome, and coping style, social support, and knowledge about stress management as secondary outcomes at baseline (T0), immediately after the intervention (T1), and 2 months after the intervention (T2). The group × time interaction was tested using a mixed-model repeated measures ANOVA. Results showed a group × time interaction for "knowledge about stress management" in the entire sample. Among participants who had more than 3 d of training, a significant group × time interaction was observed for "problem-solving" and "avoidance and suppression" as well as "knowledge about stress management." Our computer-based stress management program was effective for improving knowledge about stress management. It was also effective for improving coping skills in instances where participants had enough time (at least 3 d) to complete all sessions.
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Several studies missed reporting on specific demographics of their samples and might risk confounders, whereas 4/28 (14%) clearly outlined their risk of confounding.
“Several studies missed reporting on the specific demographics of their samples and, thus, might risk the presence of confounders, whereas other studies (4/28, 14%) clearly outlined their risk of confounding [25,26,30,42].”
From Acceptability of Web-Based Mental Health Interventions in the Workplace: Systematic Review (2022) · cites this paper as [30]
The Results (Baseline characteristics; page unavailable) report sample demographics and a baseline difference in work engagement, while Methods (Statistical Analyses; page unavailable) identify job demands as a covariate. These passages support treating this study as one that reported information relevant to confounding, but the paper does not clearly outline an overall risk of confounding. The 4/28 figure is the citing authors’ tally, not a figure this individual trial could establish. (LLM, conf=0.82)
Experimental — accuracy not yet measuredMost interventions (18/28, 64%) focused on reducing stress and depressive symptoms in employees.
“Most interventions (18/28, 64%) were focused on reducing stress [21-35] and depressive symptoms [23,31,36-39] in employees.”
From Acceptability of Web-Based Mental Health Interventions in the Workplace: Systematic Review (2022) · cites this paper as [30]
Of the 27 studies of cognitive-behavioral and/or relaxation techniques, 21 were randomized controlled trials, 16 of which supported the efficacy of these techniques, while 5 reported limited or no impact on measures of worker well-being or psychological stress and strain.
“These studies include 21 randomized controlled trials (RCTs), 16 of which supported the efficacy of these techniques, while 5 reported that a web-based intervention had only limited26,28,29) or no impact30,31) on measures of worker well-being or psychological stress and strain”
From Web-based interventions for the management of stress in the workplace: Focus, form, and efficacy (2017) · cites this paper as [26]
Five interventions that referenced social cognitive theory (SCT) were identified, including one that delivered SIT on mobile devices to oncology nurses.
“Five interventions26,27,43,56,57) that referenced social cognitive theory (SCT) were also identified, including one that delivered SIT on mobile devices to oncology nurses43).”
From Web-based interventions for the management of stress in the workplace: Focus, form, and efficacy (2017) · cites this paper as [26]
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BackgroundMethodResultInfluentialComputer-based versus in-person interventions for preventing and reducing stress in workers
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- Authors
- UMANODAN, R., SHIMAZU, A., MINAMI, M., & KAWAKAMI, N.
- Affiliations
- The University of Tokyo (JP)
- Corresponding author
- UMANODAN, Rino
- Venue
- Industrial Health
- Published
- 2014
- Volume
- 52
- Issue
- 6
- Pages
- 480-491
- ISSN
- 0019-8366 (ISSN-L)
- 1880-8026
- PMC
- PMC4273016
- OpenAlex
- W2051955354
- Cited by
- 36
- References
- 39
- Citations by year
- 2026: 1 · 2025: 3 · 2023: 2 · 2022: 6 · 2021: 3 · 2020: 2 · 2019: 3 · 2018: 5 · 2017: 11
- FWCI
- 6.62
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Industrial Health (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Keywords
- psychological well-being, employee performance, workers, coping styles, social support, problem-solving coping, workplace stress intervention
- MeSH terms
- Adaptation, Psychological, Adult, Computer-Assisted Instruction, Efficiency, Female, Health Promotion, Humans, Japan, Health Knowledge, Attitudes, Practice, Male, Mental Health, Surveys and Questionnaires, Stress, Psychological, Task Performance and Analysis, Therapy, Computer-Assisted, Occupational Health, Workplace
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