{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T10:58:23Z","timestamp":1777633103927,"version":"3.51.4"},"reference-count":18,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T00:00:00Z","timestamp":1769472000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Despite the growing availability of Employee Assistance Programs (EAP) aimed at improving workplace psychological wellbeing, the implementation and effectiveness of EAPs has not been well described nor well studied in the literature. This study seeks to describe and evaluate an insourced, multidisciplinary EAP consisting of Occupational Medicine Physicians, Psychiatrists, Psychologists as well as Human Resource Professionals to promote psychological wellbeing among healthcare workers in a tertiary hospital in Singapore.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study utilized a health service evaluation framework and analyzed the implementation of the EAP across five dimensions, namely: Reach and Adoption, Effectiveness, Implementation and Maintenance. Anonymous longitudinal data of all participants enrolled into the EAP program between 01 Jan 2024 to 30 April 2025 were collected for analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Data from a total of 39 EAP participants were analyzed. Nursing staff formed the largest proportion of staff who utilized the EAP at 51.3%. The most common route of access to the EAP program was through referral by the staff\u2019s department at 43.6%, followed by self-referral (23.1%) and referral by a peer-supporter (23.1%). The most common reason for EAP attendance was work-related stressors at 48.7%. A statistically significant decrease between the median pre-EAP Patient Health Questionnaire-4 (PHQ-4) score (7) and median post-EAP PHQ-4 score (2) was noted. 59% of participants were able to return to work. An estimated average running cost of $648.48 per participating staff was required to sustain the program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This is the first longitudinal study in Southeast Asia describing the evaluation of an EAP. Using an objective clinical questionnaire, an improvement in psychosocial wellbeing was noted for EAP participants. The evaluation methods and outcomes described provide a framework for companies and human resources department to review ongoing EAPs as the organization and structure of EAPs continue to evolve.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2025.1711622","type":"journal-article","created":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T06:41:21Z","timestamp":1769496081000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Promoting workplace psychological wellbeing: evaluation of a multidisciplinary Employee Assistance Program at a tertiary hospital in Asia"],"prefix":"10.3389","volume":"13","author":[{"given":"Kenneth Bao Ren","family":"Leong","sequence":"first","affiliation":[{"name":"Preventive Health and Occupational Medicine, Woodlands Hospital","place":["Singapore, Singapore"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon Shujin","family":"Tan","sequence":"additional","affiliation":[{"name":"HR Centre of Excellence, Woodlands Hospital","place":["Singapore, Singapore"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Say Leong","family":"Ooi","sequence":"additional","affiliation":[{"name":"Department of Psychology, Woodlands Hospital","place":["Singapore, Singapore"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wen Phei","family":"Lim","sequence":"additional","affiliation":[{"name":"Medical Psychiatry, Woodlands Hospital","place":["Singapore, Singapore"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katie Kai Teng","family":"Lim","sequence":"additional","affiliation":[{"name":"Ambulatory Care (SOC), Woodlands Hospital","place":["Singapore, Singapore"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nur Syafilla Iqma","family":"Samat","sequence":"additional","affiliation":[{"name":"Ambulatory Care (SOC), Woodlands Hospital","place":["Singapore, Singapore"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hui","family":"Zhu","sequence":"additional","affiliation":[{"name":"Ambulatory Care (SOC), Woodlands Hospital","place":["Singapore, Singapore"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asanachiyaar","family":"Chinnathamby","sequence":"additional","affiliation":[{"name":"Ambulatory Care (SOC), Woodlands Hospital","place":["Singapore, Singapore"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosman Bin","family":"Surie","sequence":"additional","affiliation":[{"name":"Preventive Health and Occupational Medicine, Woodlands Hospital","place":["Singapore, Singapore"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeremiah","family":"Chng","sequence":"additional","affiliation":[{"name":"Preventive Health and Occupational Medicine, Woodlands Hospital","place":["Singapore, Singapore"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeff Yi-Fu","family":"Hwang","sequence":"additional","affiliation":[{"name":"Preventive Health and Occupational Medicine, Woodlands Hospital","place":["Singapore, Singapore"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,1,27]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"409","DOI":"10.47102\/annals-acadmedsg.2021338","article-title":"Prevalence of burnout among healthcare professionals in Singapore","volume":"51","author":"Tan","year":"2022","journal-title":"Ann Acad Med Singap"},{"key":"ref2","volume-title":"The ROI in workplace mental health programes: Good for people, good for business","author":"Kangasniemi","year":"2019"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1007\/s00127-012-0526-5","article-title":"Mental disorders: employment and work productivity in Singapore","volume":"48","author":"Chong","year":"2013","journal-title":"Soc Psychiatry Psychiatr Epidemiol"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1712","DOI":"10.1186\/s12889-019-8029-x","article-title":"Psychological well-being as part of the public health debate? Insight into dimensions, interventions, and policy","volume":"19","author":"Trudel-Fitzgerald","year":"2019","journal-title":"BMC Public Health"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1016\/j.cobeha.2017.05.003","article-title":"A healthy mix of emotions: underlying biological pathways linking emotions to physical health","volume":"15","author":"Trudel-Fitzgerald","year":"2017","journal-title":"Curr Opin Behav Sci"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"500","DOI":"10.1007\/s12160-016-9873-x","article-title":"Are optimism and cynical hostility associated with smoking cessation in older women?","volume":"51","author":"Progovac","year":"2017","journal-title":"Ann Behav Med"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"105754","DOI":"10.1016\/j.ypmed.2019.105754","article-title":"Prospective associations of happiness and optimism with lifestyle over up to two decades","volume":"126","author":"Trudel-Fitzgerald","year":"2019","journal-title":"Prev Med"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"100941","DOI":"10.1016\/j.hrmr.2022.100941","article-title":"Advancing the field of employee assistance programs research and practice: a systematic review of quantitative studies and future research agenda","volume":"33","author":"Long","year":"2023","journal-title":"Hum Resour Manage Rev"},{"key":"ref9","volume-title":"Written answer by Teo, Josephine, minister for manpower, to PQ on companies that do not offer employee assistance Programmes (EAPS)","year":"2024"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/1359432X.2017.1374245","article-title":"Evaluating the effectiveness of employee assistance programmes: a systematic review","volume":"27","author":"Joseph","year":"2018","journal-title":"Eur J Work Organ Psychol"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"64","DOI":"10.3389\/fpubh.2019.00064","article-title":"RE-AIM planning and evaluation framework: adapting to new science and practice with a 20-year review","volume":"7","author":"Glasgow","year":"2019","journal-title":"Front Public Health"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"398","DOI":"10.1186\/s12889-025-21358-7","article-title":"Access to employee assistance programs and employee wellbeing: a cross-sectional study of employees in Southeast Asia","volume":"25","author":"Abdul Aziz","year":"2025","journal-title":"BMC Public Health"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"613","DOI":"10.1176\/appi.psy.50.6.613","article-title":"An ultra-brief screening scale for anxiety and depression: the PHQ-4","volume":"50","author":"Kroenke","year":"2009","journal-title":"Psychosomatics"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"23333936231161127","DOI":"10.1177\/23333936231161127","article-title":"Stressors among healthcare workers: a summative content analysis","volume":"10","author":"Rink","year":"2023","journal-title":"Glob Qual Nurs Res"},{"key":"ref15","year":"2025"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"392","DOI":"10.1111\/inr.12769","article-title":"Noneconomic and economic impacts of nurse turnover in hospitals: a systematic review","volume":"69","author":"Bae","year":"2022","journal-title":"Int Nurs Rev"},{"key":"ref17","year":"2025"},{"key":"ref18","author":"Ong","year":"2023"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1711622\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T06:41:25Z","timestamp":1769496085000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1711622\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,27]]},"references-count":18,"alternative-id":["10.3389\/fpubh.2025.1711622"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2025.1711622","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,27]]},"article-number":"1711622"}}