Self-help cognitive behaviour therapy for working women with problematic hot flushes and night sweats (MENOS@Work): a multicentre randomised controlled trial
Objective: The aim of the study was to examine the efficacy of an unguided, self-help cognitive behavior therapy (SH-CBT) booklet on hot flush and night sweat (HFNS) problem rating, delivered in a work setting. Methods: Women aged 45 to 60 years, having 10 or more problematic HFNS a week, were...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Published: |
North American Menopause Society
2018
|
| Subjects: | |
| Online Access: | https://eprints.nottingham.ac.uk/52315/ |
| _version_ | 1848798697843851264 |
|---|---|
| author | Hardy, Claire Griffiths, Amanda Norton, Sam Hunter, Myra S. |
| author_facet | Hardy, Claire Griffiths, Amanda Norton, Sam Hunter, Myra S. |
| author_sort | Hardy, Claire |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Objective:
The aim of the study was to examine the efficacy of an unguided, self-help cognitive behavior therapy (SH-CBT) booklet on hot flush and night sweat (HFNS) problem rating, delivered in a work setting.
Methods:
Women aged 45 to 60 years, having 10 or more problematic HFNS a week, were recruited to a multicenter randomized controlled trial, via the occupational health/human resources departments of eight organizations. Participants were 1:1 randomized to SH-CBT or no treatment waitlist control (NTWC). The primary outcome was HFNS problem rating; secondary outcomes included HFNS frequency, work and social adjustment, sleep, mood, beliefs and behaviors, and work-related variables (absence, performance, turnover intention, and work impairment due to presenteeism). Intention-to-treat analysis was used, and between-group differences estimated using linear mixed models.
Results:
A total of 124 women were randomly allocated to SH-CBT ( n = 60) and NTWC ( n = 64). 104 (84%) were assessed for primary outcome at 6 weeks and 102 (82%) at 20 weeks. SH-CBT significantly reduced HFNS problem rating at 6 weeks (SH-CBT vs NTWC adjusted mean difference, −1.49; 95% CI, −2.11 to −0.86; P < 0.001) and at 20 weeks (−1.09; 95% CI, −1.87 to −0.31; P < 0.01). SH-CBT also significantly reduced HFNS frequency, improved work and social adjustment; sleep, menopause beliefs, HFNS beliefs/behaviors at 6 and 20 weeks; improved wellbeing and somatic symptoms and reduced work impairment due to menopause-related presenteeism at 20 weeks, compared with the NTWC. There was no difference between groups in other work-related outcomes.
Conclusions:
A brief, unguided SH-CBT booklet is a potentially effective management option for working women experiencing problematic HFNS. |
| first_indexed | 2025-11-14T20:23:54Z |
| format | Article |
| id | nottingham-52315 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T20:23:54Z |
| publishDate | 2018 |
| publisher | North American Menopause Society |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-523152024-08-15T15:28:28Z https://eprints.nottingham.ac.uk/52315/ Self-help cognitive behaviour therapy for working women with problematic hot flushes and night sweats (MENOS@Work): a multicentre randomised controlled trial Hardy, Claire Griffiths, Amanda Norton, Sam Hunter, Myra S. Objective: The aim of the study was to examine the efficacy of an unguided, self-help cognitive behavior therapy (SH-CBT) booklet on hot flush and night sweat (HFNS) problem rating, delivered in a work setting. Methods: Women aged 45 to 60 years, having 10 or more problematic HFNS a week, were recruited to a multicenter randomized controlled trial, via the occupational health/human resources departments of eight organizations. Participants were 1:1 randomized to SH-CBT or no treatment waitlist control (NTWC). The primary outcome was HFNS problem rating; secondary outcomes included HFNS frequency, work and social adjustment, sleep, mood, beliefs and behaviors, and work-related variables (absence, performance, turnover intention, and work impairment due to presenteeism). Intention-to-treat analysis was used, and between-group differences estimated using linear mixed models. Results: A total of 124 women were randomly allocated to SH-CBT ( n = 60) and NTWC ( n = 64). 104 (84%) were assessed for primary outcome at 6 weeks and 102 (82%) at 20 weeks. SH-CBT significantly reduced HFNS problem rating at 6 weeks (SH-CBT vs NTWC adjusted mean difference, −1.49; 95% CI, −2.11 to −0.86; P < 0.001) and at 20 weeks (−1.09; 95% CI, −1.87 to −0.31; P < 0.01). SH-CBT also significantly reduced HFNS frequency, improved work and social adjustment; sleep, menopause beliefs, HFNS beliefs/behaviors at 6 and 20 weeks; improved wellbeing and somatic symptoms and reduced work impairment due to menopause-related presenteeism at 20 weeks, compared with the NTWC. There was no difference between groups in other work-related outcomes. Conclusions: A brief, unguided SH-CBT booklet is a potentially effective management option for working women experiencing problematic HFNS. North American Menopause Society 2018-05-01 Article PeerReviewed Hardy, Claire, Griffiths, Amanda, Norton, Sam and Hunter, Myra S. (2018) Self-help cognitive behaviour therapy for working women with problematic hot flushes and night sweats (MENOS@Work): a multicentre randomised controlled trial. Menopause, 25 (5). pp. 508-519. ISSN 1530-0374 Menopause; Work; Menopausal symptoms; Hot flushes; Cognitive behaviour therapy; Vasomotor symptoms; RCT https://journals.lww.com/menopausejournal/Abstract/2018/05000/Self_help_cognitive_behavior_therapy_for_working.9.aspx doi:10.1097/GME.0000000000001048 doi:10.1097/GME.0000000000001048 |
| spellingShingle | Menopause; Work; Menopausal symptoms; Hot flushes; Cognitive behaviour therapy; Vasomotor symptoms; RCT Hardy, Claire Griffiths, Amanda Norton, Sam Hunter, Myra S. Self-help cognitive behaviour therapy for working women with problematic hot flushes and night sweats (MENOS@Work): a multicentre randomised controlled trial |
| title | Self-help cognitive behaviour therapy for working women with problematic hot flushes and night sweats (MENOS@Work): a multicentre randomised controlled trial |
| title_full | Self-help cognitive behaviour therapy for working women with problematic hot flushes and night sweats (MENOS@Work): a multicentre randomised controlled trial |
| title_fullStr | Self-help cognitive behaviour therapy for working women with problematic hot flushes and night sweats (MENOS@Work): a multicentre randomised controlled trial |
| title_full_unstemmed | Self-help cognitive behaviour therapy for working women with problematic hot flushes and night sweats (MENOS@Work): a multicentre randomised controlled trial |
| title_short | Self-help cognitive behaviour therapy for working women with problematic hot flushes and night sweats (MENOS@Work): a multicentre randomised controlled trial |
| title_sort | self-help cognitive behaviour therapy for working women with problematic hot flushes and night sweats (menos@work): a multicentre randomised controlled trial |
| topic | Menopause; Work; Menopausal symptoms; Hot flushes; Cognitive behaviour therapy; Vasomotor symptoms; RCT |
| url | https://eprints.nottingham.ac.uk/52315/ https://eprints.nottingham.ac.uk/52315/ https://eprints.nottingham.ac.uk/52315/ |