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Physical relaxation for occupational stress in healthcare workers: A systematic review and network meta-analysis of randomized controlled trials.

Journal of occupational health
January 1, 2021
Michael Zhang et al. (4 authors)
Journal ArticleMeta-AnalysisSystematic ReviewHuman Study
Study Details

Study Goal

The researchers aimed to determine the effectiveness of massage therapy in alleviating occupational stress and improving physical and mental health in healthcare workers.

Results Summary

Massage therapy alone was found to be more effective than non-intervention controls in reducing occupational stress (SMD -0.43; 95% CI [-0.72 to -0.14]), though yoga was identified as the best method overall.

Population

Healthcare workers, particularly during the COVID-19 era.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
physical relaxation methods overall
decrease
measures of occupational stress
healthcare workers
SMD -0.53; 95% CI [-0.74 to -0.33]; p < .00001
reduced
#1
yoga alone
decrease
measures of occupational stress
healthcare workers
SMD -0.71; 95% CI [-1.01 to -0.41]
were more effective than control
#2
massage therapy alone
decrease
measures of occupational stress
healthcare workers
SMD -0.43; 95% CI [-0.72 to -0.14]
were more effective than control
#3
yoga
decrease
alleviating stress and improving physical and mental health
healthcare workers
p-score = .89
identified as the best method
#4
physical relaxation
decrease
occupational stress
healthcare workers
-
may help reduce
#5
Abstract

OBJECTIVES: Work related stress is a major occupational health problem that is associated with adverse effects on physical and mental health. Healthcare workers are particularly vulnerable in the era of COVID-19. Physical methods of stress relief such as yoga and massage therapy may reduce occupational stress. The objective of this systematic review and network meta-analysis is to determine the effects of yoga, massage therapy, progressive muscle relaxation, and stretching on alleviating stress and improving physical and mental health in healthcare workers. METHODS: Databases were searched for randomized controlled trials on the use of physical relaxation methods for occupational stress in healthcare workers with any duration of follow-up. Meta-analysis was performed for standard mean differences in stress measures from baseline between subjects undergoing relaxation vs non-intervention controls. Network meta-analysis was conducted to determine the best relaxation method. RESULTS: Fifteen trials representing 688 healthcare workers were identified. Random-effects meta-analysis shows that physical relaxation methods overall reduced measures of occupational stress at the longest duration of follow-up vs baseline compared to non-intervention controls (SMD -0.53; 95% CI [-0.74 to -0.33]; p < .00001). On network meta-analysis, only yoga alone (SMD -0.71; 95% CI [-1.01 to -0.41]) and massage therapy alone (SMD -0.43; 95% CI [-0.72 to -0.14]) were more effective than control, with yoga identified as the best method (p-score = .89). CONCLUSION: Physical relaxation may help reduce occupational stress in healthcare workers. Yoga is particularly effective and offers the convenience of online delivery. Employers should consider implementing these methods into workplace wellness programs.

Medical Subject Headings (MeSH)
COVID-19Health PersonnelHumansNetwork Meta-AnalysisOccupational HealthOccupational StressRandomized Controlled Trials as TopicRelaxation TherapyWorkplaceYoga
Study Links
Quality Scores
SafetyNot Assessed
Efficacy70/10
Quality85/10
Citation Metrics
Total Citations42
Citations/Year10.5
Relative Citation Ratio6.27
NIH Percentile95.2%
Research Impact Scores
APT Score0.95
Weight Score2.85
Normalized Score0.65
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