Cochrane · systematic review · CD002892

Individual‐level interventions for reducing occupational stress in healthcare workers

Tamminga, SJ, Emal, LM, Boschman, JS, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library

Work4 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
12
current version
GRADE rated
11
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 1 · 8.3%Very low 5 · 41.7%Low 6 · 50%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Current version only

An intervention in which one's attention is on the experience of stress (feelings, thoughts, behavior) compared to no intervention/wait list/placebo/no stress‐reduction intervention for stress reduction in healthcare workers

Population: healthcare workers
CD002892.PUB6 (current) · 3 questions
OutcomeEffectEvidenceStatus / GRADE
Stress symptoms (
An intervention in which one's attention is on the experience of stress (feelings, thoughts, behavior) vs no intervention/wait list/placebo/no stress‐reduction intervention
no estimate extracted41 studies · 3645 participantsLow
Downgraded: risk of bias, inconsistency, publication bias
Stress symptoms (
An intervention in which one's attention is on the experience of stress (feelings, thoughts, behavior) vs no intervention/wait list/placebo/no stress‐reduction intervention
no estimate extracted19 studies · 1851 participantsLow
Downgraded: risk of bias, inconsistency, publication bias
Stress symptoms (
An intervention in which one's attention is on the experience of stress (feelings, thoughts, behavior) vs no intervention/wait list/placebo/no stress‐reduction intervention
no estimate extracted1 study · 68 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, publication bias

An intervention in which one's attention is away from the experience of stress compared to no intervention/wait list/placebo/no stress‐reduction intervention for stress reduction in healthcare workers

Population: healthcare workers
CD002892.PUB6 (current) · 3 questions
OutcomeEffectEvidenceStatus / GRADE
Stress symptoms (
An intervention in which one's attention is away from the experience of stress vs no intervention/wait list/placebo/no stress‐reduction intervention
no estimate extracted35 studies · 2366 participantsLow
Downgraded: risk of bias, inconsistency, publication bias
Stress symptoms (
An intervention in which one's attention is away from the experience of stress vs no intervention/wait list/placebo/no stress‐reduction intervention
no estimate extracted6 studies · 427 participantsLow
Downgraded: risk of bias, inconsistency, publication bias
Stress symptoms (
An intervention in which one's attention is away from the experience of stress vs no intervention/wait list/placebo/no stress‐reduction intervention
no estimate extracted0 studies · 0 participantsUngraded

An intervention in which the focus is on work‐related risk factors on an individual level compared to no intervention/no stress‐reduction interventionfor stress reduction in healthcare workers

Population: healthcare workers
CD002892.PUB6 (current) · 3 questions
OutcomeEffectEvidenceStatus / GRADE
Stress symptoms (
An intervention in which the focus is on work‐related risk factors on an individual level vs no intervention/no stress‐reduction interventionfor stress reduction
no estimate extracted3 studies · 87 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Stress symptoms (
An intervention in which the focus is on work‐related risk factors on an individual level vs no intervention/no stress‐reduction interventionfor stress reduction
no estimate extracted2 studies · 152 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Stress symptoms (
An intervention in which the focus is on work‐related risk factors on an individual level vs no intervention/no stress‐reduction interventionfor stress reduction
no estimate extracted1 study · 161 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency

A combination of individual‐level interventions compared to no intervention/wait list/no stress‐reduction intervention for stress reduction in healthcare workers

Population: healthcare workers
CD002892.PUB6 (current) · 3 questions
OutcomeEffectEvidenceStatus / GRADE
Stress symptoms (
A combination of individual‐level interventions vs no intervention/wait list/no stress‐reduction intervention
no estimate extracted15 studies · 1003 participantsLow
Downgraded: risk of bias, inconsistency, publication bias
Stress symptoms (
A combination of individual‐level interventions vs no intervention/wait list/no stress‐reduction intervention
no estimate extracted6 studies · 574 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, publication bias
Stress symptoms (
A combination of individual‐level interventions vs no intervention/wait list/no stress‐reduction intervention
no estimate extracted1 study · 88 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, publication bias

Cognitive‐behavioural intervention compared to no Intervention for reducing stress

Population: Healthcare workers
CD002892.PUB5 · 3 questions
OutcomeEffectEvidenceStatus / GRADE
Stress 1 Month Various Measurement Instruments
Cognitive‐behavioural intervention vs no Intervention
no estimate extracted6 studies · 332 participantsLow
Downgraded: risk of bias, publication bias
Stress 1 ‐ 6 months Various Instruments. Scale from: 0 to 2.
Cognitive‐behavioural intervention vs no Intervention
no estimate extracted8 studies · 549 participantsLow
Downgraded: risk of bias, publication bias
Stress > 6 months Various Instruments
Cognitive‐behavioural intervention vs no Intervention
no estimate extracted2 studies · 157 participantsLow
Downgraded: risk of bias, publication bias

Relaxation compared to no intervention (SMD) for reducing stress

Population: Healthcare workers
CD002892.PUB5 · 3 questions
OutcomeEffectEvidenceStatus / GRADE
Stress 1 month
Relaxation vs no intervention (SMD)
no estimate extracted4 studies · 97 participantsLow
Stress 1 ‐ 6 months
Relaxation vs no intervention (SMD)
no estimate extracted12 studies · 521 participantsModerate
Stress > 6 months
Relaxation vs no intervention (SMD)
no estimate extracted1 study · 40 participantsLow

Cognitive‐behavioural intervention compared to no Intervention for reducing stress

Population: Healthcare workers
CD002892.PUB4 · 3 questions
OutcomeEffectEvidenceStatus / GRADE
Stress 1 Month Various Measurement Instruments
Cognitive‐behavioural intervention vs no Intervention
no estimate extracted6 studies · 332 participantsLow
Downgraded: risk of bias, publication bias
Stress 1 ‐ 6 months Various Instruments. Scale from: 0 to 2.
Cognitive‐behavioural intervention vs no Intervention
no estimate extracted8 studies · 549 participantsLow
Downgraded: risk of bias, publication bias
Stress > 6 months Various Instruments
Cognitive‐behavioural intervention vs no Intervention
no estimate extracted2 studies · 157 participantsLow
Downgraded: risk of bias, publication bias

Relaxation compared to no intervention (SMD) for reducing stress

Population: Healthcare workers
CD002892.PUB4 · 3 questions
OutcomeEffectEvidenceStatus / GRADE
Stress 1 month
Relaxation vs no intervention (SMD)
no estimate extracted4 studies · 97 participantsLow
Stress 1 ‐ 6 months
Relaxation vs no intervention (SMD)
no estimate extracted12 studies · 521 participantsModerate
Stress > 6 months
Relaxation vs no intervention (SMD)
no estimate extracted1 study · 40 participantsLow

Cognitive‐behavioural intervention compared to no Intervention for reducing stress

Population: Healthcare workers
CD002892.PUB3 · 3 questions
OutcomeEffectEvidenceStatus / GRADE
Stress 1 Month Various Measurement Instruments
Cognitive‐behavioural intervention vs no Intervention
no estimate extracted6 studies · 332 participantsLow
Downgraded: risk of bias, publication bias
Stress 1 ‐ 6 months Various Instruments. Scale from: 0 to 2.
Cognitive‐behavioural intervention vs no Intervention
no estimate extracted8 studies · 549 participantsLow
Downgraded: risk of bias, publication bias
Stress > 6 months Various Instruments
Cognitive‐behavioural intervention vs no Intervention
no estimate extracted2 studies · 157 participantsLow
Downgraded: risk of bias, publication bias

Relaxation compared to no intervention (SMD) for reducing stress

Population: Healthcare workers
CD002892.PUB3 · 3 questions
OutcomeEffectEvidenceStatus / GRADE
Stress 1 month
Relaxation vs no intervention (SMD)
no estimate extracted4 studies · 97 participantsLow
Stress 1 ‐ 6 months
Relaxation vs no intervention (SMD)
no estimate extracted12 studies · 521 participantsModerate
Stress > 6 months
Relaxation vs no intervention (SMD)
no estimate extracted1 study · 40 participantsLow