Evidence map›Paper›PMID 38886711›Full record

ArticleBMC public health2024

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

Miriam Engels, Louisa Scheepers, Judith Engels, Leif Boß, Rebekka Kuhlmann, Johanna Kuske, Lutz Lesener, Valeria Pavlista, Kira Schmidt-Stiedenroth, Mathias Diebig and 9 more

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Article in BMC public health, 2024. 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. Article
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

19 authors.

Miriam Engels *Department of Work and Organisational Psychology, Faculty of Psychology, Open University of the Netherlands, Valkenburgerweg 177, Heerlen, 6419 AT, The Netherlands.
Louisa Scheepers *Institute of Medical Sociology, Centre for Health and Society, Medical Faculty and University Hospital, Heinrich-Heine-University Dusseldorf, Moorenstr. 5, 40225, Düsseldorf, Germany. louisa.scheepers@hhu.de.
Judith EngelsDepartment of Work and Organisational Psychology, Faculty of Psychology, Open University of the Netherlands, Valkenburgerweg 177, Heerlen, 6419 AT, The Netherlands.
Leif BoßDepartment of Health Psychology and Applied Biological Psychology, Institute of Psychology, Leuphana University Luneburg, Universitätsallee 1, 21335, Lüneburg, Germany.
Rebekka KuhlmannChair of Business Administration, in particular Work, Human Resource Management and Organization Studies, Faculty of Business Administration and Economics, Heinrich-Heine-University Dusseldorf, Universitätsstr. 1, 40225, Düsseldorf, Germany.
Johanna KuskeChair for Entrepreneurship and Management, Faculty of Management, Economics and Social Sciences, University of Cologne, Albertus‑Magnus‑Platz, 50923, Köln, Germany.
Lutz LesenerK12 Agentur für Kommunikation und Innovation GmbH, Schirmerstr. 76, 40211, Düsseldorf, Germany.
Valeria PavlistaInstitute of Occupational, Social and Environmental Medicine, Centre for Health and Society, Medical Faculty and University Hospital, Heinrich-Heine-University Dusseldorf, Moorenstr. 5, 40225, Düsseldorf, Germany.
Kira Schmidt-StiedenrothInstitute of Occupational, Social and Environmental Medicine, Centre for Health and Society, Medical Faculty and University Hospital, Heinrich-Heine-University Dusseldorf, Moorenstr. 5, 40225, Düsseldorf, Germany.
Mathias DiebigDepartment of Work and Organisational Psychology, Faculty I - Psychology, Trier University, Universitätsring 15, 54296, Trier, Germany.
Sascha A RuhleDepartment of Health Psychology and Applied Biological Psychology, Institute of Psychology, Leuphana University Luneburg, Universitätsallee 1, 21335, Lüneburg, Germany.
Florian B ZapkauInstitute for International Business, Department of Global Business and Trade, Vienna University of Economics and Business, Welthandelsplatz 1, Wien, 1020, Austria.
Peter AngererInstitute of Occupational, Social and Environmental Medicine, Centre for Health and Society, Medical Faculty and University Hospital, Heinrich-Heine-University Dusseldorf, Moorenstr. 5, 40225, Düsseldorf, Germany.
Jörg HoewnerK12 Agentur für Kommunikation und Innovation GmbH, Schirmerstr. 76, 40211, Düsseldorf, Germany.
Dirk LehrDepartment of Health Psychology and Applied Biological Psychology, Institute of Psychology, Leuphana University Luneburg, Universitätsallee 1, 21335, Lüneburg, Germany.
Christian SchwensChair for Entrepreneurship and Management, Faculty of Management, Economics and Social Sciences, University of Cologne, Albertus‑Magnus‑Platz, 50923, Köln, Germany.
Stefan SüßChair of Business Administration, in particular Work, Human Resource Management and Organization Studies, Faculty of Business Administration and Economics, Heinrich-Heine-University Dusseldorf, Universitätsstr. 1, 40225, Düsseldorf, Germany.
Ines C WulfInstitute of Medical Sociology, Centre for Health and Society, Medical Faculty and University Hospital, Heinrich-Heine-University Dusseldorf, Moorenstr. 5, 40225, Düsseldorf, Germany.
Nico DraganoInstitute of Medical Sociology, Centre for Health and Society, Medical Faculty and University Hospital, Heinrich-Heine-University Dusseldorf, Moorenstr. 5, 40225, Düsseldorf, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStructural 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.

objectiveThe 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.

methodsThis 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.

resultsPart 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.

conclusionsAlthough 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. ⁺ 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).

trial registrationGerman Register of Clinical Studies (DRKS) DRKS00026154, date of registration 2021-09-16.

Indexed as

Occupational StressAdultFemaleGermanyHumansInternetInternet-Based InterventionMaleMiddle AgedProgram EvaluationQualitative ResearchSmall BusinessMicro- and small-sized enterprisesOccupational healthPsychosocial risk assessment, stress managementWeb-based intervention

Identifiers

PMID38886711
PMCPMC11184923

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LicenceCC BY
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Registered trials

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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.