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A Multimodal Stress-Prevention Program Supplemented by Telephone-Coaching Sessions to Reduce Perceived Stress among German Farmers: Results from a Randomized Controlled Trial

Author

Listed:
  • Marita Stier-Jarmer

    (Chair of Public Health and Health Services Research, Institute for Medical Information Processing, Biometry, and Epidemiology (IBE), Ludwig-Maximilians-Universität München, 81377 Munich, Germany
    Pettenkofer School of Public Health, Institute for Medical Information Processing, Biometry and Epidemiology (IBE), Ludwig-Maximilians-Universität München, 81377 Munich, Germany)

  • Cornelia Oberhauser

    (Chair of Public Health and Health Services Research, Institute for Medical Information Processing, Biometry, and Epidemiology (IBE), Ludwig-Maximilians-Universität München, 81377 Munich, Germany
    Pettenkofer School of Public Health, Institute for Medical Information Processing, Biometry and Epidemiology (IBE), Ludwig-Maximilians-Universität München, 81377 Munich, Germany)

  • Dieter Frisch

    (Chair of Public Health and Health Services Research, Institute for Medical Information Processing, Biometry, and Epidemiology (IBE), Ludwig-Maximilians-Universität München, 81377 Munich, Germany
    Pettenkofer School of Public Health, Institute for Medical Information Processing, Biometry and Epidemiology (IBE), Ludwig-Maximilians-Universität München, 81377 Munich, Germany)

  • Götz Berberich

    (Klinik für Psychosomatische Medizin und Psychotherapie, Windach, 86949 Windach, Germany)

  • Thomas Loew

    (Department of Psychosomatic Medicine, University Hospital of Regensburg, 93053 Regensburg, Germany)

  • Carina Schels-Klemens

    (Department of Psychosomatic Medicine, Römerbad-Klinik GmbH/Klinik Kaiser Trajan, 93333 Bad Gögging, Germany)

  • Birgit Braun

    (Department of Psychosomatic Medicine, University Hospital of Regensburg, 93053 Regensburg, Germany)

  • Angela Schuh

    (Chair of Public Health and Health Services Research, Institute for Medical Information Processing, Biometry, and Epidemiology (IBE), Ludwig-Maximilians-Universität München, 81377 Munich, Germany
    Pettenkofer School of Public Health, Institute for Medical Information Processing, Biometry and Epidemiology (IBE), Ludwig-Maximilians-Universität München, 81377 Munich, Germany)

Abstract

This study compared the effectiveness of a 12-day stress-prevention program (SGS) supplemented by individualized, structured, four-session telephone-coaching to that of an SGS without telephone-coaching in entrepreneurs from the green professions presenting with increased stress levels. All participants went through the SGS before being randomized either to the telephone-coaching group (TC) or to the control group without telephone-coaching (noTC). SGS included four key therapeutic elements: stress-management intervention, relaxation, physical exercise, and balneotherapy. The primary outcome was the current degree of subjectively experienced stress assessed with the Perceived Stress Questionnaire (PSQ) at a 9-month follow-up. Secondary outcomes included burnout symptoms, well-being, health status, sleep disorders, expectation of self-efficacy, depression, anxiety, ability to work, pain, and days of sick leave. Assessments were conducted at baseline, 12 days (end of program), and 1 (start telephone-coaching), 3, 6 (end of telephone-coaching), and 9 months. Data from 103 adults (TC = 51; noTC = 52), mostly fulltime farmers, were available for analysis (mean age: 55.3; 49.1% female). Participants experienced significant immediate improvement in all outcome measurements, which declined somewhat during the first three months after the end of SGS and then remained stable for at least another six months. While within-group changes from baseline to 9 months showed significant improvements at medium to large effect sizes for all target variables (PSQ-total, TC: −13.38 (±14.98); 95%-CI: (−17.68; −9.07); noTC: −11.09 (±14.15); 95%-CI: (−15.11; −7.07)), no statistically significant differences were found between the groups at any time and for any target variable (between-group ANCOVA for PSQ-total at 9 months, parameter estimator for the group: −1.58; 95%-CI: (−7.29; 4.13)). The stress-prevention program SGS is a feasible, effective, and practical way to reduce perceived stress and improve participants’ resources. Four subsequent telephone-coaching sessions do not seem to contribute to a further improvement in the results.

Suggested Citation

  • Marita Stier-Jarmer & Cornelia Oberhauser & Dieter Frisch & Götz Berberich & Thomas Loew & Carina Schels-Klemens & Birgit Braun & Angela Schuh, 2020. "A Multimodal Stress-Prevention Program Supplemented by Telephone-Coaching Sessions to Reduce Perceived Stress among German Farmers: Results from a Randomized Controlled Trial," IJERPH, MDPI, vol. 17(24), pages 1-18, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:24:p:9227-:d:459816
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    References listed on IDEAS

    as
    1. Sahar Daghagh Yazd & Sarah Ann Wheeler & Alec Zuo, 2019. "Key Risk Factors Affecting Farmers’ Mental Health: A Systematic Review," IJERPH, MDPI, vol. 16(23), pages 1-23, December.
    2. Martin Härter & Jörg Dirmaier & Sarah Dwinger & Levente Kriston & Lutz Herbarth & Elisabeth Siegmund-Schultze & Isaac Bermejo & Herbert Matschinger & Dirk Heider & Hans-Helmut König, 2016. "Effectiveness of Telephone-Based Health Coaching for Patients with Chronic Conditions: A Randomised Controlled Trial," PLOS ONE, Public Library of Science, vol. 11(9), pages 1-18, September.
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