title: A web-based approach to managing stress and mood disorders in the workforce.
abstract: OBJECTIVE
  To evaluate the effectiveness of a web-based multimedia health promotion program for the workplace, designed to help reduce stress and to prevent depression, anxiety, and substance abuse.
  
  
  METHODS
  Using a randomized controlled trial design, 309 working adults were randomly assigned to the web-based condition or to a wait-list control condition. All participants were assessed on multiple self-reported outcomes at pretest and posttest.
  
  
  RESULTS
  Relative to controls, the web-based group reduced their stress, increased their knowledge of depression and anxiety, developed more positive attitudes toward treatment, and adopted a more healthy approach to alcohol consumption.
  
  
  CONCLUSIONS
  We found that a brief and easily adaptable web-based stress management program can simultaneously reduce worker stress and address stigmatized behavioral health problems by embedding this prevention material into a more positive stress management framework.
authors.affiliation: ISA Associates, Inc., 201 North Union Street, Suite 330, Alexandria, VA 22314-2650, USA. dbillings@isagroup.com
authors.forename: Douglas W
authors.initials: DW
authors.lastname: Billings
authors.forename: Royer F
authors.initials: RF
authors.lastname: Cook
authors.forename: April
authors.initials: A
authors.lastname: Hendrickson
authors.forename: David C
authors.initials: DC
authors.lastname: Dove
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000437:Alcoholism / Q000517:prevention & control* / Q000523:psychology; D004526:Efficiency; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D019964:Mood Disorders / Q000628:therapy*; D016272:Occupational Health; D013315:Stress, Psychological / Q000628:therapy*; D016896:Treatment Outcome; D055815:Young Adult