Cluster Randomized Controlled Trial of the WHO's ASCEND Training for Supervisors in Dutch Small and Medium-sized Enterprises (SMEs)

What this Trial Is About

Researchers are evaluating the effectiveness of an in-person group training called Advancing Supervisors' Capacity for Mental Health at Work (ASCEND) for workplace supervisors in Dutch Small and Medium-sized Enterprises (SMEs). This trial aims to see if ASCEND improves supervisors' confidence, responsiveness, mental health knowledge, and self-care practices, while reducing stigma about mental health. The study also examines effects on employee mental health, work outcomes, and overall absenteeism rates, including barriers and opportunities for wider use in the Netherlands. The study compares two groups: one receiving the ASCEND training immediately and another waitlist group receiving it about six months later. The training covers five core topics and lasts about 8 hours, delivered in person by trained professionals with interactive exercises. Participants also receive a Manager Reference Booklet summarizing key points and practical tools. Supervisors in the intervention group have surveys at baseline, immediately after training, and at 1- and 3-month follow-ups. The control group and employees complete surveys at baseline, 1 month, and 3 months. Participants complete online questionnaires about supervisor confidence, responsiveness, stigma, mental health literacy, and self-care, while employees provide data on perceived support, psychological distress, work stress, absenteeism, and presenteeism. Organizational absenteeism data are collected from representatives. A second phase involves interviews and focus groups to explore implementation. The study plans to recruit 74 SMEs, with two supervisors each, and participation lasts at least 3 months post-training with ongoing monitoring.

Implementation of the ASCEND Training for Supervisors in Dutch Small and Medium-sized Enterprises (SMEs)