| Methods |
RCT, USA |
| Participants |
108 healthcare professionals (42 nurses, 24 hospital/clinical staff, 10 physicians/surgeons, 15 administrators, 9 psychologists/counselors/social workers and 8 health educators) |
| Interventions |
1) Experimental 1: Stress management/adaptive coping training: 6 weekly 90‐minute sessions. Purpose of sessions was to develop problem‐focused strategies when addressing problems that generally have solutions and emotion‐focused strategies when solutions are not available. Participants practised employing these strategies in small groups (6 ‐ 8 people) on real‐life problems faced recently in the work environment.
2) Experimental 2: Stress management/adaptive coping training, with 1‐hour refresher sessions at 5 months, 11 months and 17 months
3) Control: No intervention |
| Outcomes |
MBI, Stress Assessment Inventory, State‐Trait Anxiety Inventory |
| Notes |
|
| Risk of bias |
| Bias |
Authors' judgement |
Support for judgement |
| Random sequence generation (selection bias) |
Unclear risk |
"Of those willing, approximately 40% (N=126) were randomly selected and assigned to 3 groups..." (p. 606) |
| Allocation concealment (selection bias) |
Unclear risk |
Not reported |
| Blinding (performance bias and detection bias)
All outcomes |
High risk |
Not possible, self report |
| Incomplete outcome data (attrition bias)
All outcomes |
High risk |
No imputation used or last observation carried forward |
| Selective reporting (reporting bias) |
Low risk |
Only MBI measured and reported at each follow‐up point but the author explained when contacted that this was always the plan. |
| Other bias |
Unclear risk |
We did not find any indications of other sources of bias |
