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International Archives of Occupational and Environmental Health
Published in: International Archives of Occupational and Environmental Health 3/2018

01-04-2018 | Original Article

Acceptance and barriers to access of occupational e-mental health: cross-sectional findings from a health-risk population of employees

Authors: Severin Hennemann, Michael Witthöft, Matthias Bethge, Katja Spanier, Manfred E. Beutel, Rüdiger Zwerenz

Published in: International Archives of Occupational and Environmental Health | Issue 3/2018

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Abstract

Purpose

Occupational e-mental-health (OEMH) may extend existing instruments for preservation or restoration of health and work ability. As a key precondition to efficient implementation, this study examined acceptance and person-centered barriers to potential uptake of OEMH for work-related distress in employees with an elevated risk of early retirement.

Methods

Within the framework of the “Third German Sociomedical Panel of Employees”, 1829 employees with prior sickness absence payments filled out a self-administered questionnaire. Participants had a mean age of 49.93 years (SD = 4.06). 6.2% indicated prior use of eHealth interventions. Potential predictors of acceptance of OEMH were examined based on the “Unified Theory of Acceptance and Use of Technology” (UTAUT) extended by work ability, mental health, eHealth literacy and demographic characteristics.

Results

89.1% (n = 1579) showed low to moderate acceptance (M = 2.20, SD = 1.05, range 1–5). A path analysis revealed significant, positive direct effects of UTAUT predictors on acceptance (performance expectancy: 0.48, SE = 0.02, p < 0.001; effort expectancy: 0.20, SE = 0.02, p < 0.001; social influence: 0.28, SE = 0.02, p < 0.001).Online time and frequency of online health information search were further positive direct predictors of acceptance. Model fit was good [χ 2(7) = 12.91, p = 0.07, RMSEA = 0.02, CFI = 1.00, TLI = 0.99, SRMR = 0.01].

Conclusions

Attitudes towards OEMH are rather disadvantageous in the studied risk group. Implementation of OEMH, therefore, requires a-priori education including promotion of awareness, favorable attitudes regarding efficacy and usability in a collaborative approach.
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Metadata
Title
Acceptance and barriers to access of occupational e-mental health: cross-sectional findings from a health-risk population of employees
Authors
Severin Hennemann
Michael Witthöft
Matthias Bethge
Katja Spanier
Manfred E. Beutel
Rüdiger Zwerenz
Publication date
01-04-2018
Publisher
Springer Berlin Heidelberg
Published in
International Archives of Occupational and Environmental Health / Issue 3/2018
Print ISSN: 0340-0131
Electronic ISSN: 1432-1246
DOI
https://doi.org/10.1007/s00420-017-1280-5

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