Web-based occupational stress prevention in German micro- and small-sized enterprises - process evaluation results of an implementation study

被引：4

作者：

Engels, Miriam ^{[1
]}

Scheepers, Louisa ^{[2
,3
,4
]}

Engels, Judith ^{[1
,5
]}

Boss, Leif ^{[6
]}

Kuhlmann, Rebekka ^{[5
]}

Kuske, Johanna ^{[7
]}

Lesener, Lutz ^{[8
]}

Pavlista, Valeria ^{[2
,4
]}

Schmidt-Stiedenroth, Kira ^{[2
,4
]}

Diebig, Mathias ^{[12
]}

Ruhle, Sascha A. ^{[6
,9
]}

Zapkau, Florian B. ^{[10
]}

Angerer, Peter ^{[3
,4
]}

Hoewner, Jorg ^{[8
]}

Lehr, Dirk ^{[6
]}

Schwens, Christian ^{[7
]}

Suess, Stefan ^{[5
]}

Wulf, Ines C. ^{[2
,3
,11
]}

Dragano, Nico ^{[2
,3
]}

机构：

[1] Open Univ Netherlands, Fac Psychol, Dept Work & Org Psychol, Valkenburgerweg 177, NL-6419 AT Heerlen, Netherlands

[2] Heinrich Heine Univ Dusseldorf, Inst Med Sociol, Med Fac, Ctr Hlth & Soc, Moorenstr 5, D-40225 Dusseldorf, Germany

[3] Heinrich Heine Univ Dusseldorf, Univ Hosp, Moorenstr 5, D-40225 Dusseldorf, Germany

[4] Heinrich Heine Univ Dusseldorf, Inst Occupat Social & Environm Med, Med Fac, Ctr Hlth & Soc, Moorenstr 5, D-40225 Dusseldorf, Germany

[5] Heinrich Heine Univ Dusseldorf, Fac Business Adm & Econ, Chair Business Adm, Human Resource Management & Org Studies, Univ Str 1, D-40225 Dusseldorf, Germany

[6] Leuphana Univ Luneburg, Inst Psychol, Dept Hlth Psychol & Appl Biol Psychol, Univ Allee 1, D-21335 Luneburg, Germany

[7] Univ Cologne, Fac Management Econ & Social Sci, Chair Entrepreneurship & Management, Albertus Magnus Pl, D-50923 Cologne, Germany

[8] K12 Agentur Kommunikat & Innovat GmbH, Schirmerstr 76, D-40211 Dusseldorf, Germany

[9] Tilburg Univ, Dept Human Resource Studies, Prof Cobbenhagenlaan 225, NL-5037 DB Tilburg, Netherlands

[10] Vienna Univ Econ & Business, Inst Int Business, Dept Global Business & Trade, Welthandelspl 1, A-1020 Vienna, Austria

[11] German Social Accid Insurance Inst Adm Sect, Markgrafenstr 18, D-10969 Berlin, Germany

[12] Trier Univ, Fac Psychol 1, Dept Work & Org Psychol, Univ Ring 15, D-54296 Trier, Germany

来源：

BMC PUBLIC HEALTH | 2024年 / 24卷 / 01期

关键词：

Web-based intervention; Micro- and small-sized enterprises; Occupational health; Psychosocial risk assessment; stress management; PSYCHOSOCIAL RISK-ASSESSMENT; WORKPLACE INTERVENTIONS; MANAGEMENT; HEALTH; OPPORTUNITIES; INNOVATION; ADOPTION; SMES;

D O I：

10.1186/s12889-024-19102-8

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background Structural and behavioral interventions to manage work-related stress are effective in employees. Nonetheless, they have been implemented insufficiently, particularly in micro- and small-sized enterprises (MSE). Main barriers include a lack of knowledge and limited resources, which could potentially be overcome with simplified web-based alternatives for occupational stress prevention. However, there is a lack of implementation research about web-based prevention in realistic settings of MSE. Objective The aim of this study is to evaluate the implementation process and success of an integrated web-based platform for occupational stress prevention ("System P") and to identify potential barriers for its uptake and use in MSE in Germany. Methods This study with a mixed-methods approach investigates eight process-related outcomes in a quantitative part I (adoption, reach, penetration, fidelity/dose, costs, acceptability) and a qualitative part II (acceptability, appropriateness and feasibility). Part I has a pre-post design with two measurements (6 months apart) with 98 individual participants and part II consists of 12 semi-structured interviews with managers and intercorporate stakeholders. Results Part I revealed shortcomings in the implementation process. Adoption/Reach: Despite extensive marketing efforts, less than 1% of the contacted MSE responded to the offer of System P. A total of 40 MSE registered, 24 of which, characterized by good psychosocial safety climate, adopted System P. Penetration: Within these 24 MSE, 15% of the employees used the system. Fidelity/Dose: 11 MSE started a psychosocial risk-assessment (PRA), and no MSE finished it. The stress-management training (SMT) was started by 25 users and completed by 8. Costs: The use of System P was free of charge, but the time required to engage with was an indirect cost. Part II added insights on the perception of the web-based intervention: Acceptance of System P by users and stakeholders was good and it was assessed as appropriate for MSE. Results for feasibility were mixed. Conclusions Although System P was generally perceived as useful and appropriate, only a small number of contacted MSE implemented it as intended. Prior experience and sensitivity for occupational (stress) prevention were mentioned as key facilitators, while (perceived) indirect costs were a key barrier. Enabling MSE to independently manage stress prevention online did not result in successful implementation. Increasing external support could be a solution.

引用

页数：22

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