Key terms
stress-related disorders, depression, anxiety
SECONDARY
Mental health problems (MHP) such as anxiety, depression, and
stress-related disorders are common in the working population, resulting
in individual suffering and high costs for employers and society (A recent systematic review (Although guidelines are based on scientific evidence, the systematic
review by Nexø et al (In 2017, we conducted a cluster randomized controlled trial within a
school setting to test the effectiveness of different implementation
strategies on adherence to the recommendations of the The current study addresses the following research questions: (i) Is
there a difference in the primary outcome of exhaustion and the secondary
outcomes of health, stress, recovery, psychosocial safety climate, and
organizational and social work-environment risk factors between the
multifaceted and discrete implementation strategy at 6 and 12 months? (ii)
Do the levels of exhaustion, stress, health, recovery, psychosocial safety
climate, and social and organizational risk factors differ on the basis of
the levels of guideline adherence at 6 and 12 months, irrespective of
group? The second research question was formulated post-hoc as it was
deemed important to examine whether adhering to a guideline that supports
an organizational approach is associated with improvements in the
organizational and social work environment in accordance with research
evidence.