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Therapist effects in workplace stress management interventions: A systematic review


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Thomas, MJ 2015 , 'Therapist effects in workplace stress management interventions: A systematic review', Coursework Master thesis, University of Tasmania.

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This systematic review sought to report on the level and quality of process evaluation in workplace
stress management interventions (SMIs) for the period 2004 – 2013. The second aim was to
determine the extent to which ‘therapist variables’ have been adequately considered for their effect
on implementation and outcome in workplace SMIs. The inclusion criteria comprised empirical
studies: (a) published in the English language, (b) focused on analysis of a workplace SMI aimed at
changing employee’s response to job stress and (c) involving an SMI that includes face to face
contact between the employee and the therapist/program provider. Forty-four studies were included
in the analysis and of these around half evaluated between three and five components of process
evaluation. Reporting about fidelity, dose delivered and implementation components, was more
challenging for researchers. Around 50% of studies linked a component of process evaluation to
outcome but only six studies provided a quantitative link. The majority of studies involved an
external therapist, most commonly a psychologist, and most studies provided some information about
therapist recruitment and background training. However, therapist demographic information,
information about therapist adherence to protocol and therapeutic alliance was less often reported. It
is encouraging to observe that several authors did consider the impact of therapist variables in their
research and linked therapist variable to outcomes. It is recommended that future research continue
to focus on the systematic planning, monitoring and assessment of process components in
programme implementation, with the specific aim of identifying the process predictors of SMI
outcomes. The therapist is hypothesised to be an essential component of an SMI and therefore
researchers are encouraged to include therapist variables in their process evaluation framework.

Item Type: Thesis - Coursework Master
Authors/Creators:Thomas, MJ
Keywords: process evaluation, systematic review, workplace stress management interventions, therapeutic alliance
Copyright Holders: Copyright the Author
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Copyright 2015 the Author

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