Evidence map›Paper›PMID 38849924›Full record

SynthesisSystematic reviews2024

Barriers and facilitators to implementing workplace interventions to promote mental health: qualitative evidence synthesis.

Charlotte Paterson, Caleb Leduc, Margaret Maxwell, Birgit Aust, Heather Strachan, Ainslie O'Connor, Fotini Tsantila, Johanna Cresswell-Smith, Gyorgy Purebl, Lars Winter and 10 more

Abstract readSystematic Review
In one paragraph

Synthesis in Systematic reviews, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 5 pooled it
–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

26 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  13. Barriers and Facilitators to Participation in Interventions for Employee Health and Wellbeing in the University Context.Stress and health : journal of the International Society for the Investigation of Stress · 2026
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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

20 authors.

Charlotte PatersonNursing, Midwifery and Allied Health Professional Research Unit, University of Stirling, Pathfoot Building, Stirling, FK9 4LA, Scotland, UK.
Caleb LeducSchool of Public Health, University College Cork, Western Gateway Building, Cork, Ireland.
Margaret MaxwellNursing, Midwifery and Allied Health Professional Research Unit, University of Stirling, Pathfoot Building, Stirling, FK9 4LA, Scotland, UK. Margaret.maxwell@stir.ac.uk.ORCID 0000-0003-3318-9500
Birgit AustNational Research Centre for the Working Environment, Lersø Parkallé 105, Copenhagen, 2100, Denmark.
Heather StrachanNursing, Midwifery and Allied Health Professional Research Unit, University of Stirling, Pathfoot Building, Stirling, FK9 4LA, Scotland, UK.
Ainslie O'ConnorPintail Limited, Co., Dublin, Ireland.
Fotini TsantilaLUCAS, Centre for Care Research and Consultancy, KU Leuven, Louvain, 3000, Belgium.
Johanna Cresswell-SmithFinnish Institute for Health and Welfare (THL) Equality Unit-Mental Health Team, Helsinki, Finland.
Gyorgy PureblInstitute of Behavioural Sciences, Semmelweis University, Budapest, Hungary.
Lars WinterPhrenos Center of Expertise for Severe Mental Illnesses, Utrecht, the Netherlands.
Naim FanajMental Health Center Prizren, Prizren, Kosovo.
Asmae DoukaniCentre for Global Mental Health, Department of Population Health, London School of Hygiene & Tropical Medicine, Keppel Street, London, WC1E 7HT, UK.
Bridget HoggCentre Fòrum Research Unit, Institute of Mental Health, Hospital del Mar Barcelona, Barcelona, SpainHospital del Mar Research Institute, Barcelona, Spain.
Paul CorcoranSchool of Public Health, University College Cork, Western Gateway Building, Cork, Ireland.
Luigia D'AlessandroInternational Association for Suicide Prevention (IASP), 5221 Wisconsin Avenue NW, Washington, DC, 20015, USA.
Sharna MathieuAustralian Institute for Suicide Research and Prevention, World Health Organization Collaborating Centre for Research and Training in Suicide Prevention, Brisbane, Australia.
Ulrich HegerlEuropean Alliance Against Depression E.V., Leipzig, 04109, Germany.
Ella ArensmanSchool of Public Health, University College Cork, Western Gateway Building, Cork, Ireland.
Birgit A GreinerSchool of Public Health, University College Cork, Western Gateway Building, Cork, Ireland.
MENTUPP Consortium

Funding

Horizon 2020 Framework Programme 848137
6 · The paper itself

Abstract

backgroundDespite growing interest in workplace mental health interventions, evidence of their effectiveness is mixed. Implementation science offers a valuable lens to investigate the factors influencing successful implementation. However, evidence synthesis is lacking, especially for small-to-medium-sized enterprises (SMEs) and for specific work sectors. The objectives of this review are to establish the scope of research with explicit analysis of implementation aspects of workplace mental health interventions and to identify barriers and facilitators to implementation in general and within SMEs and selected sectors.

methodsA systematic scoping review and meta-synthesis of mixed methods process evaluation research from 11 databases, with the evaluation of methodological quality (MMAT) and confidence in findings (CERQual), was conducted. We selected information-rich studies and synthesised them using domains within the Nielsen and Randall implementation framework: context, intervention activities, implementation; and mental models.

resultsWe included 43 studies published between 2009 and 2022, of which 22 were rated as information-rich to be analysed for barriers and facilitators. Most studies were conducted in healthcare. Facilitators reflecting 'high confidence' included: relevant and tailored content, continuous and pro-active leadership buy-in and support, internal or external change agents/champions, assistance from managers and peers, resources, and senior-level experience and awareness of mental health issues. Healthcare sector-specific facilitators included: easy accessibility with time provided, fostering relationships, clear communication, and perceptions of the intervention. Stigma and confidentiality issues were reported as barriers overall. Due to the small number of studies within SMEs reported findings did not reach 'high confidence'. A lack of studies in construction and Information and Communication Technology meant separate analyses were not possible.

conclusionsThere is dependable evidence of key factors for the implementation of workplace mental health interventions which should be used to improve implementation. However, there is a lack of studies in SMEs and in a larger variety of sectors. SYSTEMATIC REVIEW REGISTRATION: Research Registry ( reviewregistry897 ).

Indexed as

Health PromotionMental HealthWorkplaceHumansLeadershipOccupational HealthQualitative ResearchBarriers and facilitatorsImplementation scienceMental healthOrganisation interventionsScoping reviewSystematic reviewWellbeingWorkplace

Identifiers

PMID38849924
PMCPMC11157821

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.