Claire Hardy
Self-help cognitive behaviour therapy for working women with problematic hot flushes and night sweats (MENOS@Work): a multicentre randomised controlled trial
Hardy, Claire; Griffiths, Amanda; Norton, Sam; Hunter, Myra S.
Authors
Amanda Griffiths
Sam Norton
Myra S. Hunter
Abstract
Objective:
The aim of the study was to examine the efficacy of an unguided, self-help cognitive behavior therapy (SH-CBT) booklet on hot flush and night sweat (HFNS) problem rating, delivered in a work setting.
Methods:
Women aged 45 to 60 years, having 10 or more problematic HFNS a week, were recruited to a multicenter randomized controlled trial, via the occupational health/human resources departments of eight organizations. Participants were 1:1 randomized to SH-CBT or no treatment waitlist control (NTWC). The primary outcome was HFNS problem rating; secondary outcomes included HFNS frequency, work and social adjustment, sleep, mood, beliefs and behaviors, and work-related variables (absence, performance, turnover intention, and work impairment due to presenteeism). Intention-to-treat analysis was used, and between-group differences estimated using linear mixed models.
Results:
A total of 124 women were randomly allocated to SH-CBT ( n = 60) and NTWC ( n = 64). 104 (84%) were assessed for primary outcome at 6 weeks and 102 (82%) at 20 weeks. SH-CBT significantly reduced HFNS problem rating at 6 weeks (SH-CBT vs NTWC adjusted mean difference, −1.49; 95% CI, −2.11 to −0.86; P < 0.001) and at 20 weeks (−1.09; 95% CI, −1.87 to −0.31; P < 0.01). SH-CBT also significantly reduced HFNS frequency, improved work and social adjustment; sleep, menopause beliefs, HFNS beliefs/behaviors at 6 and 20 weeks; improved wellbeing and somatic symptoms and reduced work impairment due to menopause-related presenteeism at 20 weeks, compared with the NTWC. There was no difference between groups in other work-related outcomes.
Conclusions:
A brief, unguided SH-CBT booklet is a potentially effective management option for working women experiencing problematic HFNS.
Citation
Hardy, C., Griffiths, A., Norton, S., & Hunter, M. S. (2018). Self-help cognitive behaviour therapy for working women with problematic hot flushes and night sweats (MENOS@Work): a multicentre randomised controlled trial. Menopause, 25(5), https://doi.org/10.1097/GME.0000000000001048
Journal Article Type | Article |
---|---|
Acceptance Date | Nov 9, 2017 |
Online Publication Date | Jan 8, 2018 |
Publication Date | May 1, 2018 |
Deposit Date | Jun 8, 2018 |
Publicly Available Date | Jan 9, 2019 |
Journal | Menopause |
Print ISSN | 1072-3714 |
Electronic ISSN | 1530-0374 |
Publisher | Lippincott, Williams & Wilkins |
Peer Reviewed | Peer Reviewed |
Volume | 25 |
Issue | 5 |
DOI | https://doi.org/10.1097/GME.0000000000001048 |
Keywords | Menopause; Work; Menopausal symptoms; Hot flushes; Cognitive behaviour therapy; Vasomotor symptoms; RCT |
Public URL | https://nottingham-repository.worktribe.com/output/930688 |
Publisher URL | https://journals.lww.com/menopausejournal/Abstract/2018/05000/Self_help_cognitive_behavior_therapy_for_working.9.aspx |
Contract Date | Jun 8, 2018 |
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