Facilitating stress prevention in micro and small-sized enterprises: protocol for a mixed method study to evaluate the effectiveness and implementation process of targeted web-based interventions

Workplace-related stress is a major risk factor for mental and physical health problems and related sickness absence and productivity loss. Despite evidence regarding the effectiveness of different workplace-based interventions, the implementation of stress prevention interventions is rare, especial...

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Bibliographic Details
Published in:	BMC public health Vol. 22; no. 1; p. 591
Main Authors:	Engels, Miriam, Boß, Leif, Engels, Judith, Kuhlmann, Rebekka, Kuske, Johanna, Lepper, Sarah, Lesener, Lutz, Pavlista, Valeria, Diebig, Mathias, Lunau, Thorsten, Ruhle, Sascha A, Zapkau, Florian B, Angerer, Peter, Hoewner, Jörg, Lehr, Dirk, Schwens, Christian, Süß, Stefan, Wulf, Ines C, Dragano, Nico
Format:	Journal Article
Language:	English
Published:	England BioMed Central Ltd 26-03-2022 BioMed Central BMC
Subjects:	Behavior modification Costs COVID-19 Data collection Employees Employers Evaluation Health aspects Health problems Humans Implementation Internet-Based Intervention Intervention Job stress Management Mental health Mixed methods research MSE Occupational health Occupational health and safety Occupational stress Occupational Stress - prevention & control Prevention Prevention programs Process evaluation Psychological aspects Qualitative analysis Questionnaires Research Design Research projects Risk analysis Risk assessment Risk factors Social aspects Stress prevention Study Protocol Surveys and Questionnaires Sustainability Web-based intervention Worker absenteeism Working conditions Workplace Germany Occupational health Web-based intervention Stress prevention Process evaluation Implementation MSE
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Summary:	Workplace-related stress is a major risk factor for mental and physical health problems and related sickness absence and productivity loss. Despite evidence regarding the effectiveness of different workplace-based interventions, the implementation of stress prevention interventions is rare, especially in micro and small-sized enterprises (MSE) with fewer than 50 employees. The joint research project "PragmatiKK" aims to identify and address the specific barriers to the implementation of stress prevention interventions in MSE. This study protocol describes a mixed method study design to evaluate the effectiveness of adapted stress prevention interventions and the implementation process via an integrated web-based platform ("System P") specifically targeted at MSE. First, we develop a web-based intervention, which accounts for the specific working conditions in MSE and addresses stress prevention at a structural and behavioral level. Second, we use common methods of implementation research to perform an effect and process evaluation. We analyze the effectiveness of the web-based stress prevention interventions by comparing depressive symptoms at baseline and follow-up (after 6 months and 12 months). Indicators for a successful implementation process include acceptability, adoption, feasibility, reach, dose, and fidelity, which we will measure with quantitative web-based questionnaires and qualitative interviews. We will also analyze the accumulated usage data from the web-based platform. Collecting data on the implementation process and the effectiveness of a web-based intervention will help to identify and overcome common barriers to stress prevention in MSE. This can improve the mental health of employees in MSE, which constitute more than 90% of all enterprises in Germany. Full Project Name: "PragmatiKK - Pragmatische Lösungen für die Implementation von Maßnahmen zur Stressprävention in Kleinst- und Kleinbetrieben "(= Pragmatic solutions for the implementation of stress prevention interventions in micro and small-sized enterprises). German Register of Clinical Studies (DRKS): DRKS00026154 , date of registration: 2021-09-16.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1471-2458 1471-2458
DOI:	10.1186/s12889-022-12921-7