The impact of psychosocial safety climate on the intervention effect of psychotherapeutic consultation at work in Germany – secondary analysis of a randomized controlled trial
Abstract
Psychotherapeutic consultation at work (PT-A) aims to reach employees at risk of or suffering from common mental disorders early by offering low-threshold consultation that combines person-related and work-related modules. In addition to this individual-level approach, it is suggested that the psychosocial safety climate (PSC) in an organization precedes psychosocial working conditions and impacts employees' psychological health. The PSC reflects employees' perceptions regarding the extent to which psychological health and safety are prioritized by the management. However, little is known about the role of PSC on the intervention effect in participants receiving PT-A. Therefore, this study aims to investigate whether PSC moderates the effect of PT-A on self-reported depressive symptoms, anxiety, and general health status. As a secondary analysis, this study analyzed data on participants (n = 549) from a multicenter randomized controlled trial in Germany evaluating the effectiveness of PT-A. Participants completed a baseline questionnaire (T0) and follow-up questionnaires nine months (T1) and 15 months later (T2). They provided information on general health status (one item of the 12-items Veterans RAND health survey), depressive symptoms (Patient-Health-Questionnaire-9), anxiety symptoms (Generalized Anxiety Disorder Scale-2) and the four-item PSC questionnaire. To investigate the role of PSC for the intervention effect, an interaction term (PSC*treatment group) was included…
How strong is the evidence?
Evidence Hub reads this as a secondary / pooled analysis, done in people. Its evidence level is 3 of 5 (Moderate · trial / cohort / secondary analysis). Trials without a large randomized design, cohorts and secondary analyses give moderate evidence. Reported size: 549 participants or records.
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