0
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Practise till you drop: Trialing an online intervention for late-career medical practitioners to promote planning for retirement

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Many medical practitioners in Australia work beyond the traditional retirement age. Transitioning to retirement is important, however, because the likelihood of poorer clinical outcomes increases with practitioner age. The objective of the present study was to develop and trial an online educational intervention to promote planning for a smoother transition to retirement using a non-randomized control group pre- and post-test design. Medical practitioners aged 55 or over ( N = 262, Mage = 61.9) and working 30 or more hours per week were recruited to complete four online modules that addressed a range of topics (physical, health, financial, social, cognitive, and emotional well-being) and encouraged planning for retirement resources. Outcome measures included work centrality, mastery, and goal perceptions across the aforementioned resource domains. Eighty-one doctors completed post-training measures; a control group who completed only the measures ( n = 23) and a training group ( n = 58). Pre-post comparisons showed no significant changes for the control group. However, the training group at Time 2 showed lower work centrality t(57) = 2.12, ( p = .036), and changes to social t(57) = 2.35, ( p = .022), emotional t(57) = 3.18, ( p = .002) and health goal perceptions t(57) = −2.02, ( p = .049). Controlling for baseline scores and self-selection bias determinants, Generalized Linear Model (GLM) analyses indicated a training group increase in mastery scores (β = 0.87, p = .045) and decrease in negative perception of the consequence of not meeting emotional goals (β = −0.37, p = .043). Although not significant, GLM results also showed an increase in resources, three of four health goal domains and financial goals, indicating the potential for positive training effects in future applications of the program. The online retirement planning resource showed promise in promoting a sense of mastery and a reassessment of retirement plans, taking into consideration resource accumulation and goal setting across five specific goal domains. We discuss the theoretical and practical implications of our findings.

          Highlights

          • An online retirement planning intervention for late-career doctors was assessed.

          • Compared to control, the intervention had an increased effect on mastery.

          • Other training effects were lower work centrality and changes to goal perceptions.

          • The intervention is a promising approach to encourage retirement planning for older doctors.

          Related collections

          Most cited references25

          • Record: found
          • Abstract: found
          • Article: found
          Is Open Access

          Interrater reliability: the kappa statistic

          The kappa statistic is frequently used to test interrater reliability. The importance of rater reliability lies in the fact that it represents the extent to which the data collected in the study are correct representations of the variables measured. Measurement of the extent to which data collectors (raters) assign the same score to the same variable is called interrater reliability. While there have been a variety of methods to measure interrater reliability, traditionally it was measured as percent agreement, calculated as the number of agreement scores divided by the total number of scores. In 1960, Jacob Cohen critiqued use of percent agreement due to its inability to account for chance agreement. He introduced the Cohen’s kappa, developed to account for the possibility that raters actually guess on at least some variables due to uncertainty. Like most correlation statistics, the kappa can range from −1 to +1. While the kappa is one of the most commonly used statistics to test interrater reliability, it has limitations. Judgments about what level of kappa should be acceptable for health research are questioned. Cohen’s suggested interpretation may be too lenient for health related studies because it implies that a score as low as 0.41 might be acceptable. Kappa and percent agreement are compared, and levels for both kappa and percent agreement that should be demanded in healthcare studies are suggested.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Advantages and limitations of Internet-based interventions for common mental disorders.

            Several Internet interventions have been developed and tested for common mental disorders, and the evidence to date shows that these treatments often result in similar outcomes as in face-to-face psychotherapy and that they are cost-effective. In this paper, we first review the pros and cons of how participants in Internet treatment trials have been recruited. We then comment on the assessment procedures often involved in Internet interventions and conclude that, while online questionnaires yield robust results, diagnoses cannot be determined without any contact with the patient. We then review the role of the therapist and conclude that, although treatments including guidance seem to lead to better outcomes than unguided treatments, this guidance can be mainly practical and supportive rather than explicitly therapeutic in orientation. Then we briefly describe the advantages and disadvantages of treatments for mood and anxiety disorders and comment on ways to handle comorbidity often associated with these disorders. Finally we discuss challenges when disseminating Internet interventions. In conclusion, there is now a large body of evidence suggesting that Internet interventions work. Several research questions remain open, including how Internet interventions can be blended with traditional forms of care. Copyright © 2014 World Psychiatric Association.
              Bookmark
              • Record: found
              • Abstract: not found
              • Article: not found

              The structure of coping.

                Bookmark

                Author and article information

                Contributors
                Journal
                Internet Interv
                Internet Interv
                Internet Interventions
                Elsevier
                2214-7829
                09 September 2021
                December 2021
                09 September 2021
                : 26
                : 100452
                Affiliations
                [a ]Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, NSW, Australia
                [b ]Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia
                [c ]Sydney School of Medicine, University of Notre Dame, Western Australia, Australia
                [d ]NSW Doctors Health Advisory Service, St Leonards, NSW, Australia
                Author notes
                [* ]Corresponding author at: Department of Psychology, Macquarie University, NSW 2109, Australia. anna.mooney@ 123456mq.edu.au
                Article
                S2214-7829(21)00092-0 100452
                10.1016/j.invent.2021.100452
                8463851
                19a010bb-ead6-40fa-94e4-38baf692d754
                © 2021 The Authors

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 3 June 2021
                : 4 September 2021
                : 6 September 2021
                Categories
                Full length Article

                doctors,planning,encore career,mastery,goals
                doctors, planning, encore career, mastery, goals

                Comments

                Comment on this article