Effects of work–family life support program on the work–family interface and mental health among Japanese dual-earner couples with a preschool child: A randomized controlled trial

Author:

Shimazu Akihito1ORCID,Fujiwara Takeo2,Iwata Noboru3,Kato Yoko4,Kawakami Norito5,Maegawa Nobuaki6,Nakao Mutsuhiro7,Nomiyama Tetsuo8ORCID,Takahashi Miho9,Tayama Jun10ORCID,Watai Izumi11,Arima Makiko12,Hasegawa Tomoko13ORCID,Matsudaira Ko14,Matsuyama Yutaka15,Miyazawa Yoshimi16,Shimada Kyoko17,Takahashi Masaya18,Watanabe Mayumi19,Yamaguchi Astushige20,Adachi Madoka21ORCID,Tomida Makiko22,Chen Di23,Doi Satomi24,Hirano Sachiko25,Isokawa Sanae26,Kamijo Tomoko27,Kobayashi Toshio28,Matsuzaki Kichinosuke29,Moridaira Naoko29,Nitto Yukari29,Ogawa Sayaka30,Sakurai Mariko31,Sasaki Natsu32ORCID,Tobayama Mutsuko25,Yamauchi Kanako33,Obikane Erika34,Odawara Miyuki35,Sakka Mariko36,Takeuchi Kazuki37,Tokita Masahito27

Affiliation:

1. Faculty of Policy Management, Keio University , Fujisawa, Japan

2. Department of Global Health Promotion, Tokyo Medical and Dental University , Tokyo, Japan

3. Faculty of Healthcare, Kiryu University , Midori, Japan

4. Faculty of Human Sciences, Sugiyama Jogakuen University , Nagoya, Japan

5. Department of Digital Mental Health, Graduate School of Medicine, The University of Tokyo , Tokyo, Japan

6. Student Support and Counseling Office, University of Fukui , Fukui, Japan

7. Department of Psychosomatic Medicine, School of Medicine, International University of Health and Welfare , Chiba, Japan

8. Department of Preventive Medicine and Public Health, Shinshu University School of Medicine , Matsumoto, Japan

9. Department of Clinical Psychology, Graduate School of Education, The University of Tokyo , Tokyo, Japan

10. Faculty of Human Sciences, Waseda University , Tokyo, Japan

11. Faculty of Nursing, Community Health Nursing, Hamamatsu University School of Medicine , Hamamatsu, Japan

12. Department of Medical Education, Showa University School of Medicine , Tokyo, Japan

13. Faculty of Psychology and Sociology, Taisho University , Tokyo, Japan

14. Department of Medical Research and Management for Musculoskeletal Pain, Faculty of Medicine, 22nd Century Medical and Research Center, The University of Tokyo Hospital , Tokyo, Japan

15. Department of Biostatistics, Graduate School of Medicine, The University of Tokyo , Tokyo, Japan

16. Japan Ground Self-Defense Force Camp Sabae , Sabae, Japan

17. Institute of Social Sciences, Toyo University , Tokyo, Japan

18. Research Center for Overwork-Related Disorders, National Institute of Occupational Safety and Health , Kanagawa, Japan

19. College of Nursing, Kanto Gakuin University , Yokohama, Japan

20. Japan Health Promotion Club, Wadayama Medical Office , Wadayama, Japan

21. Nursing Research and Collaboration Center, Gifu College of Nursing , Gifu, Japan

22. Graduate School of Humanities and Social Sciences, Nagoya City University , Nagoya, Japan

23. Human Sciences, Kinjo Gakuin University , Nagoya, Japan

24. Department of Health Policy, Tokyo Medical and Dental University , Tokyo, Japan

25. Seirei Social Welfare Community , Hamamastu, Japan

26. Matsubara Hospital , Fukui, Japan

27. Keio Research Institute at SFC , Fujisawa, Japan

28. School of Nursing, Aichi Prefectural University , Nagoya, Japan

29. Faculty of Human Society, Sagami Women’s University , Sagamihara, Japan

30. Health Center, Nagasaki University , Nagasaki, Japan

31. Graduate School of Public Health, Teikyo University , Tokyo, Japan

32. Department of Mental Health, Graduate School of Medicine, The University of Tokyo , Tokyo, Japan

33. Faculty of Education, Fukuyama City University , Fukuyama, Japan

34. Department of Social Medicine, National Center for Child Health and Development , Tokyo, Japan

35. Division of Behavioral Sciences, National Cancer Center Institute for Cancer Control , Tokyo, Japan

36. The Faculty of Medicine, University of Tsukuba , Tsukuba, Japan

37. Labor Trust LCC , Tokyo, Japan

Abstract

Abstract Objectives This study examined the effectiveness of a newly developed work–family life support program on the work–family interface and mental health indicators among Japanese dual-earner couples with a preschool child(/ren) using a randomized controlled trial with a waitlist. Methods Participants who met the inclusion criteria were randomly allocated to the intervention or the control groups (n = 79 and n = 85, respectively). The program comprised two 3-h sessions with a 1-month interval between them and provided comprehensive skills by including self-management, couple management, and parenting management components. The program sessions were conducted on weekends in a community center room with 3–10 participants. Outcomes were assessed at baseline, 1-month, and 3-month follow-ups. Primary outcomes were work–family balance self-efficacy (WFBSE), four types of work–family spillovers (i.e., work-to-family conflict, family-to-work conflict, work-to-family facilitation, and family-to-work facilitation), psychological distress, and work engagement reported by the participants. Results The program had significantly pooled intervention effects on WFBSE (P = .031) and psychological distress (P = .014). The effect sizes (Cohen’s d) were small, with values of 0.22 at the 1-month follow-up and 0.24 at the 3-month follow-up for WFBSE, and −0.36 at the 3-month follow-up for psychological distress. However, the program had nonsignificant pooled effects on four types of work–family spillovers and work engagement. Conclusions The program effectively increased WFBSE and decreased psychological distress among Japanese dual-earner couples with a preschool child(/ren).

Funder

Japan Society for the Promotion of Science

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health

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