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A Web-Based Approach to Managing Stress and Mood Disorders in the Workforce

Billings, Douglas W. PhD; Cook, Royer F. PhD; Hendrickson, April MA; Dove, David C. PhD

Journal of Occupational and Environmental Medicine: August 2008 - Volume 50 - Issue 8 - p 960-968
doi: 10.1097/JOM.0b013e31816c435b
Original Articles

Objective: To evaluate the effectiveness of a web-based multimedia health promotion program for the workplace, designed to help reduce stress and to prevent depression, anxiety, and substance abuse.

Methods: Using a randomized controlled trial design, 309 working adults were randomly assigned to the web-based condition or to a wait-list control condition. All participants were assessed on multiple self-reported outcomes at pretest and posttest.

Results: Relative to controls, the web-based group reduced their stress, increased their knowledge of depression and anxiety, developed more positive attitudes toward treatment, and adopted a more healthy approach to alcohol consumption.

Conclusions: We found that a brief and easily adaptable web-based stress management program can simultaneously reduce worker stress and address stigmatized behavioral health problems by embedding this prevention material into a more positive stress management framework.

From ISA Associates (Drs Billings and Cook) Alexandria, VA; OMNI (Mr Hendrickson) Denver, CO; and Department of Psychiatry and Human Behavior (Dr Dove), Brown Medical School, Providence, RI.

Address correspondence to: Douglas W. Billings, ISA Associates, Inc., 201 North Union Street, Suite 330, Alexandria, VA 22314-2650; E-mail:

Copyright © 2008 by the American College of Occupational and Environmental Medicine