ArticleInternational journal of environmental research and public health2022
The Implementation of Preventive Health Measures in Small- and Medium-Sized Enterprises-A Combined Quantitative/Qualitative Study of Its Determinants from the Perspective of Enterprise Representatives.
Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Stakeholders' perceptions and experiences of factors influencing the commissioning, delivery, and uptake of general health checks: a qualitative evidence synthesis.The Cochrane database of systematic reviews · 2025Pooled it
- Web-Based Interactive Training for Managers (Managing Minds at Work) to Promote Mental Health at Work: Pilot Feasibility Cluster Randomized Controlled Trial.JMIR mental health · 2025Trial
- Digital mental health intervention for well-being among low-distress workers in small enterprises on a secondary analysis of an RCT.Scientific reports · 2025Trial
- A mixed methods process evaluation of the implementation of a peer coaching intervention to improve the execution of preventive tasks by occupational physicians.BMC health services research · 2025Trial
- [Implementation of psychotherapeutic consultation at work (PT-A): expectations, announcement, and use : Results of the friaa-study].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2024Trial
- Felt and expressed needs regarding occupational health services from the perspective of micro-, small and medium-sized enterprises: a scoping review.BMC public health · 2026Article
- Effectiveness and Lessons Learned From an Occupational E-Mental Health Intervention for Enhancing Workplace Mental Health: The EMPOWER Cluster Randomized Controlled Trial.Interactive journal of medical research · 2026Article
- The association between self-employed workers' risk perception and use of preventive occupational physician care.BMC public health · 2025Article
- Workplace Health and Wellbeing in Small and Medium Sized Enterprises (SMEs): A Mixed Methods Evaluation of Provision and Support Uptake.International journal of environmental research and public health · 2025Article
- In or out of reach? Long-term trends in the reach of health assessments in the Swedish occupational setting.Scandinavian journal of work, environment & health · 2024Article
- Effectiveness of an online text-based stress management program for employees who work in micro- and small-sized enterprises: A randomized controlled trial.Internet interventions · 2024Article
- Web-based occupational stress prevention in German micro- and small-sized enterprises - process evaluation results of an implementation study.BMC public health · 2024Article
- Typology of employers offering line manager training for mental health.Occupational medicine (Oxford, England) · 2024Article
- Implementation of an internet-based stress management program in micro- and small-sized enterprises: a study protocol for a pre-post feasibility study of the effectiveness-implementation hybrid type 2 trial.Pilot and feasibility studies · 2024Article
- Personality functioning and mental distress in leaders of small- and medium sized enterprises.PloS one · 2024Article
- Enablers and barriers to mental health initiatives in construction SMEs.Occupational medicine (Oxford, England) · 2023Article
- Promoting employee wellbeing and preventing non-clinical mental health problems in the workplace: a preparatory consultation survey.Journal of occupational medicine and toxicology (London, England) · 2023Article
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Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The workplace is an ideal environment for promoting workers' health. Nevertheless, preventive health measures are insufficiently implemented, especially in small and medium-sized enterprises (SMEs) with up to 250 employees. The aim of this study was to investigate determinants for the implementation of measures to prevent musculoskeletal and mental health disorders from the perspective of enterprise representatives in Dutch SMEs. An online survey was completed by 79 SME representatives (e.g., owners, HR professionals and occupational health and safety officers) in the cleaning, care, construction and transport sectors. In addition, semi-structured interviews were conducted with 18 enterprise representatives. The interview transcripts were analyzed using an inductive approach. Survey data showed that the focus of prevention efforts by SMEs is on improving working conditions and complying with legally required occupational health requirements, while lifestyle measures are rarely implemented. The determinants of implementation according to enterprise representatives were associated with 10 distinct themes. These were (1) available resources (both finances and staff), (2) complexity of implementation of measures, (3) awareness, (4) knowledge and expertise, (5) availability of time, (6) employer and worker commitment, (7) workers' openness for measures, (8) communication, (9) workers' trust and autonomy and (10) integration in organizational policy. These findings can serve as a support for developing strategies for implementing preventive health measures in SMEs.
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