Concluding remarks
SECONDARY
There were no differences between groups in the primary and
secondary outcomes at 6 months, while at 12 months differences were
observed for some outcomes to the advantage of the discrete group.
However, a positive association of adherence to guideline
recommendations was found at both 6 and 12 months for the majority of
the intervention outcomes irrespective of the group. Better
implementation, as manifested by adherence to guideline
recommendations in this study, was clearly related to improvements in
negative exhaustion and other health-related outcomes, psychosocial
safety climate as well as social and organizational risk factors in
the school work environments. These findings confirm that adhering to
evidence-based guidelines for the prevention of work-related MHP can
result in improvement in health and organizational and social risk
factors in the work environment. Future studies should examine which
implementation strategies can lead to better adherence to such
guidelines.