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.

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 ?

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