Organisational interventions for improving wellbeing and reducing work-related stress in teachers

Article


Naghieh, A., Montgomery, Paul, Bonell, Christopher P, Thompson, Marc and Aber, J Lawrence 2015. Organisational interventions for improving wellbeing and reducing work-related stress in teachers. Cochrane Database of Systematic Reviews.
AuthorsNaghieh, A., Montgomery, Paul, Bonell, Christopher P, Thompson, Marc and Aber, J Lawrence
Abstract

Background
The teaching profession is an occupation with a high prevalence of work-related stress. This may lead to sustained physical and mental
health problems in teachers. It can also negatively affect the health, wellbeing and educational attainment of children, and impose
a financial burden on the public budget in terms of teacher turnover and sickness absence. Most evaluated interventions for the
wellbeing of teachers are directed at the individual level, and so do not tackle the causes of stress in the workplace. Organisational-level
interventions are a potential avenue in this regard.
Objectives
To evaluate the effectiveness of organisational interventions for improving wellbeing and reducing work-related stress in teachers.
Search methods
We searched the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, PsycINFO, ASSIA, AEI, BEI,
BiblioMap, DARE, DER, ERIC, IBSS, SSCI, Sociological Abstracts, a number of specialist occupational health databases, and a
number of trial registers and grey literature sources from the inception of each database until January 2015.
Selection criteria
Randomised controlled trials (RCTs), cluster-RCTs, and controlled before-and-after studies of organisational-level interventions for
the wellbeing of teachers.
Data collection and analysis
We used standard methodological procedures expected by Cochrane.
Main results
Four studies met the inclusion criteria. They were three cluster-randomised controlled trials and one with a stepped-wedge design.
Changing task characteristics
One study with 961 teachers in eight schools compared a task-based organisational change intervention along with stress management
training to no intervention. It found a small reduction at 12 months in 10 out of 14 of the subscales in the Occupational Stress
Inventory, with a mean difference (MD) varying from -3.84 to 0.13, and a small increase in the Work Ability Index (MD 2.27; 95%
confidence interval (CI) 1.64 to 2.90; 708 participants, low-quality evidence).
Changing organisational characteristics
Two studies compared teacher training combined with school-wide coaching support to no intervention. One study with 59 teachers
in 43 schools found no significant effects on job-related anxiety (MD -0.25 95% CI -0.61 to 0.11, very low-quality evidence) or
depression (MD -0.26 95% CI -0.57 to 0.05, very low-quality evidence) after 24 months. The other study with 77 teachers in 18
schools found no significant effects on the Maslach Burnout Inventory subscales (e.g. emotional exhaustion subscale: MD -0.05 95%
CI -0.52 to 0.42, low-quality evidence) or the Teacher Perceived Emotional Ability subscales (e.g. regulating emotions subscale: MD
0.11 95% CI -0.11 to 0.33, low-quality evidence) after six months.
Multi-component intervention
One study with 1102 teachers in 34 schools compared a multi-component intervention containing performance bonus, job promotion
opportunities and mentoring support to a matched-comparison group consisting of 300 schools. It found moderately higher teacher
retention rates (MD 11.50 95% CI 3.25 to 19.75 at 36 months follow-up, very low-quality evidence). However, the authors reported
results only from one cohort out of four (eight schools), demonstrating a high risk of reporting bias.
Authors’ conclusions
We found low-quality evidence that organisational interventions lead to improvements in teacher wellbeing and retention rates. We
need further evaluation of the effects of organisational interventions for teacher wellbeing. These studies should follow a complexinterventions
framework, use a cluster-randomised design and have large sample sizes.

Keywordsorganisational intervention; work-related stress; wellbeing
JournalCochrane Database of Systematic Reviews
ISSN1469-493X
Year2015
PublisherWiley
Publisher's version
Digital Object Identifier (DOI)doi:10.1002/14651858.CD010306.pub2
Web address (URL)https://doi.org/10.1002/14651858.CD010306.pub2
Publication dates
Online08 Apr 2015
Publication process dates
Deposited14 Dec 2018
Accepted04 Jan 2015
Accepted04 Jan 2015
Copyright information© 2015 The Cochrane Collaboration. This Cochrane Review was published in the Cochrane Database of Systematic Reviews 2015, Issue 4. Cochrane Reviews are regularly updated as new evidence emerges and in response to feedback, and the Cochrane Database of Systematic Reviews should be consulted for the most recent version of the Cochrane Review.
LicenseAll rights reserved
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