Evidence map›Paper›PMID 41527061›Full record

Trial reportBMC public health2026

Stress management training for managers in small and medium-sized enterprises (KMU-GO): results of a randomized controlled trial.

Sophie Hofmann, Svenja Schlachter, Michael Gast, Rebecca Erschens, Carla Schröpel, Mathias Diebig, Susan Gritzka, Janina A M Lehmann, Elena Schwarz, Marc N Jarczok and 6 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Sophie Hofmann *Department of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Albert-Einstein-Allee 23, Ulm, 89081, Germany. sophie.hofmann@uniklinik-ulm.de.ORCID 0000-0001-9372-7775
Svenja Schlachter *Department of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Albert-Einstein-Allee 23, Ulm, 89081, Germany.ORCID 0000-0002-6289-6098
Michael GastDepartment of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Albert-Einstein-Allee 23, Ulm, 89081, Germany.ORCID 0009-0006-1300-4862
Rebecca ErschensDepartment of Psychosomatic Medicine and Psychotherapy, Internal Medicine, University Medical Hospital Tübingen, Tübingen, Germany.ORCID 0000-0002-4433-9378
Carla SchröpelDepartment of Psychosomatic Medicine and Psychotherapy, Internal Medicine, University Medical Hospital Tübingen, Tübingen, Germany.ORCID 0009-0006-4953-8815
Mathias DiebigWork and Organizational Psychology, Trier University, Trier, Germany.ORCID 0000-0001-5657-6971
Susan GritzkaInstitute of Occupational, Social and Environmental Medicine, Center for Health and Society, Faculty of Medicine, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany.ORCID 0000-0002-3128-3379
Janina A M LehmannDepartment of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Albert-Einstein-Allee 23, Ulm, 89081, Germany.ORCID 0000-0003-4297-3487
Elena SchwarzDepartment of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Albert-Einstein-Allee 23, Ulm, 89081, Germany.ORCID 0000-0002-1010-9734
Marc N JarczokDepartment of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Albert-Einstein-Allee 23, Ulm, 89081, Germany.ORCID 0000-0002-6055-385X
Elisabeth M BalintDepartment of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Albert-Einstein-Allee 23, Ulm, 89081, Germany.ORCID 0000-0002-4172-2689
Urs M NaterDepartment of Psychology, Institute of Clinical and Health Psychology, University of Vienna, Vienna, Austria.ORCID 0000-0002-2430-5090
Nadine SkoludaDepartment of Psychology, Institute of Clinical and Health Psychology, University of Vienna, Vienna, Austria.ORCID 0000-0002-4140-2423
Florian JunneDepartment of Psychosomatic Medicine and Psychotherapy, Otto von Guericke University Magdeburg, University Hospital Magdeburg, Magdeburg, Germany.ORCID 0000-0002-3925-6949
Peter AngererInstitute of Occupational, Social and Environmental Medicine, Center for Health and Society, Faculty of Medicine, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany.ORCID 0000-0002-9602-7405
Harald GündelDepartment of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Albert-Einstein-Allee 23, Ulm, 89081, Germany.ORCID 0000-0001-7827-320X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLeadership in small and medium-sized enterprises (SMEs) is associated with a variety of challenges and stressors, which are reflected in their managers' commonly experienced high stress levels. In this context, psychological strain can arise, but compared to large companies, SMEs face particular difficulties in implementing mental health promotion intervention. These difficulties partially originate in a profound lack of comprehensive research on the effectiveness and prospects of success of intervention strategies in SMEs. This study aims to close this gap by evaluating a stress management training for managers in SMEs (KMU-GO). Implementing established stress management strategies and making them more accessible within the SME context, the training aims to improve participants' psychological and physiological well-being.

methodsWe conducted a randomized controlled trial with an intervention and a waitlist control group in Germany. The intervention comprised 1.5 days of stress management training and two refresher sessions, focusing on short- and long-term coping strategies and self-reflection. Based on a sample of N = 155 managers, we conducted a multilevel analysis of covariance on psychological measures, namely stress reactivity, depression, and anxiety. Additionally, changes in physiological stress indices (i.e., hair cortisol concentration and salivary alpha-amylase activity) were examined.

resultsRegarding the psychological measures, we found significant training effects six months after baseline. Twelve months after baseline, there were no significant differences between the intervention and control groups for either psychological or physiological variables.

conclusionIn conclusion, the present stress management training is effective in reducing psychological strain in SME managers. In order to achieve more sustainable effects, a continuation of the refresher sessions could be considered.

trial registrationBefore including the first participant, the KMU-GO trial is registered at the German Clinical Trial Register (DRKS): DRKS00023457 (registered on 5 November 2020).

Indexed as

Administrative PersonnelOccupational StressSmall BusinessStress, PsychologicalAdaptation, PsychologicalAdultFemaleGermanyHumansMaleMiddle AgedLeadersManagersMental healthRandomized controlled trialSmall and medium-sized enterprises (SME)Stress management trainingStress preventionWell-being

Identifiers

PMID41527061
PMCPMC12849744

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.