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

Miriam Engels; Leif Boß; Judith Engels; Rebekka Kuhlmann; Johanna Kuske; Sarah Lepper; Lutz Lesener; Valeria Pavlista; Mathias Diebig; Thorsten Lunau; Sascha A. Ruhle; Florian B. Zapkau; Peter Angerer; Jörg Hoewner; Dirk Lehr; Christian Schwens; Stefan Süß; Ines C. Wulf; Nico Dragano

doi:10.1186/s12889-022-12921-7

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

Miriam Engels^*, Leif Boß, Judith Engels, Rebekka Kuhlmann, Johanna Kuske, Sarah Lepper, Lutz Lesener, Valeria Pavlista, Mathias Diebig, Thorsten Lunau, Sascha A. Ruhle, Florian B. Zapkau, Peter Angerer, Jörg Hoewner, Dirk Lehr, Christian Schwens, Stefan Süß, Ines C. Wulf, Nico Dragano

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

1 Citation (Web of Science)

Abstract

Background

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.
Methods

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.
Discussion

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).
Trial registration

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

Original language	English
Article number	591
Pages (from-to)	1-13
Number of pages	13
Journal	BMC Public Health
Volume	22
Issue number	1
DOIs	https://doi.org/10.1186/s12889-022-12921-7
Publication status	Published - Dec 2022

Keywords

EFFICACY
EMPLOYEES
GUIDANCE
HEALTH-PROMOTION
Implementation
MANAGEMENT INTERVENTION
MENTAL-ILLNESS
MSE
Occupational health
Process evaluation
RANDOMIZED CONTROLLED-TRIAL
SCALE
SYSTEMS
Stress prevention
WORKPLACE
Web-based intervention

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3 Conference Abstract/Poster in journal
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Organizational digital stress prevention in small enterprises: Process evaluation results of a combined web-based intervention
Scheepers, L., Engels, M., Boß, L., Engels, J., Kuhlmann, R., Kuske, J., Pavlista, V., Schmidt-Stiedenroth, K., Diebig, M., Angerer, P., Hoewner, J., Lehr, D., Schwens, C., Süß, S. & Dragano, N., 3 Jul 2024, In: Occupational Medicine-Oxford. 74, Supplement_1, p. i341-i342
Research output: Contribution to journal › Conference Abstract/Poster in journal › Academic › peer-review
Organizational digital stress prevention in small enterprises – Process evaluation results of a combined web-based intervention
Scheepers, L., Engels, M., Boß, L., Engels, J., Kuhlmann, R., Kuske, J., Lesener, L., Pavlista, V., Schmidt-Stiedenroth, K., Diebig, M., Ruhle, S. A., Zapkau, F. B., Angerer, P., Hoewner, J., Lehr, D., Schwens, C., Süß, S., Wulf, I. C. & Dragano, N., May 2024.
Research output: Contribution to conference › Poster › Academic
Web-based occupational stress prevention in German micro- and small-sized enterprises - process evaluation results of an implementation study
Engels, M., Scheepers, L., Engels, J., Boß, L., Kuhlmann, R., Kuske, J., Lesener, L., Pavlista, V., Schmidt-Stiedenroth, K., Diebig, M., Ruhle, S. A., Zapkau, F. B., Angerer, P., Hoewner, J., Lehr, D., Schwens, C., Süß, S., Wulf, I. C. & Dragano, N., 17 Jun 2024, In: BMC Public Health. 24, 1, 22 p., 1618.
Research output: Contribution to journal › Article › Academic › peer-review

Open Access

Cite this

Engels, M., Boß, L., Engels, J., Kuhlmann, R., Kuske, J., Lepper, S., Lesener, L., Pavlista, V., Diebig, M., Lunau, T., Ruhle, S. A., Zapkau, F. B., Angerer, P., Hoewner, J., Lehr, D., Schwens, C., Süß, S., Wulf, I. C., & Dragano, N. (2022). 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. BMC Public Health, 22(1), 1-13. Article 591. https://doi.org/10.1186/s12889-022-12921-7

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title = "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",

abstract = "BackgroundWorkplace-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.MethodsFirst, 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.DiscussionCollecting 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 L{\"o}sungen f{\"u}r die Implementation von Ma{\ss}nahmen zur Stresspr{\"a}vention 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.",

keywords = "EFFICACY, EMPLOYEES, GUIDANCE, HEALTH-PROMOTION, Implementation, MANAGEMENT INTERVENTION, MENTAL-ILLNESS, MSE, Occupational health, Process evaluation, RANDOMIZED CONTROLLED-TRIAL, SCALE, SYSTEMS, Stress prevention, WORKPLACE, Web-based intervention",

author = "Miriam Engels and Leif Bo{\ss} and Judith Engels and Rebekka Kuhlmann and Johanna Kuske and Sarah Lepper and Lutz Lesener and Valeria Pavlista and Mathias Diebig and Thorsten Lunau and Ruhle, {Sascha A.} and Zapkau, {Florian B.} and Peter Angerer and J{\"o}rg Hoewner and Dirk Lehr and Christian Schwens and Stefan S{\"u}{\ss} and Wulf, {Ines C.} and Nico Dragano",

year = "2022",

month = dec,

doi = "10.1186/s12889-022-12921-7",

language = "English",

volume = "22",

pages = "1--13",

journal = "BMC Public Health",

issn = "1471-2458",

publisher = "BioMed Central Ltd.",

number = "1",

}

Engels, M, Boß, L, Engels, J, Kuhlmann, R, Kuske, J, Lepper, S, Lesener, L, Pavlista, V, Diebig, M, Lunau, T, Ruhle, SA, Zapkau, FB, Angerer, P, Hoewner, J, Lehr, D, Schwens, C, Süß, S, Wulf, IC & Dragano, N 2022, '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', BMC Public Health, vol. 22, no. 1, 591, pp. 1-13. https://doi.org/10.1186/s12889-022-12921-7

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. / Engels, Miriam; Boß, Leif; Engels, Judith et al.
In: BMC Public Health, Vol. 22, No. 1, 591, 12.2022, p. 1-13.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Facilitating stress prevention in micro and small-sized enterprises

T2 - protocol for a mixed method study to evaluate the effectiveness and implementation process of targeted web-based interventions

AU - Engels, Miriam

AU - Boß, Leif

AU - Engels, Judith

AU - Kuhlmann, Rebekka

AU - Kuske, Johanna

AU - Lepper, Sarah

AU - Lesener, Lutz

AU - Pavlista, Valeria

AU - Diebig, Mathias

AU - Lunau, Thorsten

AU - Ruhle, Sascha A.

AU - Zapkau, Florian B.

AU - Angerer, Peter

AU - Hoewner, Jörg

AU - Lehr, Dirk

AU - Schwens, Christian

AU - Süß, Stefan

AU - Wulf, Ines C.

AU - Dragano, Nico

PY - 2022/12

Y1 - 2022/12

N2 - BackgroundWorkplace-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.MethodsFirst, 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.DiscussionCollecting 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).Trial registrationGerman Register of Clinical Studies (DRKS): DRKS00026154, date of registration: 2021-09-16.

AB - BackgroundWorkplace-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.MethodsFirst, 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.DiscussionCollecting 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).Trial registrationGerman Register of Clinical Studies (DRKS): DRKS00026154, date of registration: 2021-09-16.

KW - EFFICACY

KW - EMPLOYEES

KW - GUIDANCE

KW - HEALTH-PROMOTION

KW - Implementation

KW - MANAGEMENT INTERVENTION

KW - MENTAL-ILLNESS

KW - MSE

KW - Occupational health

KW - Process evaluation

KW - RANDOMIZED CONTROLLED-TRIAL

KW - SCALE

KW - SYSTEMS

KW - Stress prevention

KW - WORKPLACE

KW - Web-based intervention

U2 - 10.1186/s12889-022-12921-7

DO - 10.1186/s12889-022-12921-7

M3 - Article

SN - 1471-2458

VL - 22

SP - 1

EP - 13

JO - BMC Public Health

JF - BMC Public Health

IS - 1

M1 - 591

ER -

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

Abstract

Keywords

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Research output

Organizational digital stress prevention in small enterprises: Process evaluation results of a combined web-based intervention

Organizational digital stress prevention in small enterprises – Process evaluation results of a combined web-based intervention

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

Cite this