促进小微企业的压力预防：一项混合方法研究方案，旨在评估基于网络的针对性干预措施的有效性和实施过程。
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.
机构信息
Institute of Medical Sociology, Centre for Health and Society, Medical Faculty, Heinrich-Heine-University Dusseldorf, Moorenstr. 5, 40225, Dusseldorf, Germany.
Department of Work and Organisational Psychology, Faculty of Psychology, Open University of the Netherlands, Valkenburgerweg 177, 6419 AT, Heerlen, The Netherlands.
出版信息
BMC Public Health. 2022 Mar 26;22(1):591. doi: 10.1186/s12889-022-12921-7.
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.
背景
与工作相关的压力是导致身心健康问题以及相关病假和生产力损失的主要风险因素。尽管有证据表明不同的基于工作场所的干预措施具有有效性，但压力预防干预措施的实施却很少见，尤其是在员工人数少于 50 人的微型和小型企业（MSE）中。联合研究项目“PragmatiKK”旨在确定和解决 MSE 中实施压力预防干预措施的具体障碍。本研究方案描述了一项混合方法研究设计，旨在通过专门针对 MSE 的集成式基于网络的平台（“System P”）评估经改编的压力预防干预措施的有效性和实施过程。
方法
首先，我们开发一个基于网络的干预措施，该措施考虑了 MSE 的特定工作条件，并从结构和行为层面解决压力预防问题。其次，我们使用常见的实施研究方法进行效果和过程评估。我们通过比较基线和随访（6 个月和 12 个月后）时的抑郁症状来分析基于网络的压力预防干预措施的有效性。成功实施过程的指标包括可接受性、采用、可行性、覆盖范围、剂量和保真度，我们将通过基于网络的定量问卷和定性访谈进行测量。我们还将分析来自基于网络平台的累积使用数据。
讨论
收集有关实施过程和基于网络的干预措施有效性的数据将有助于确定和克服 MSE 中压力预防的常见障碍。这可以改善 MSE 中员工的心理健康，而 MSE 占德国所有企业的 90%以上。
全项目名称
“PragmatiKK - Pragmatische Lösungen für die Implementation von Maßnahmen zur Stressprävention in Kleinst- und Kleinbetrieben”（= 微型和小型企业中实施压力预防干预措施的实用解决方案）。
试验注册
德国临床试验注册处（DRKS）：DRKS00026154，注册日期：2021 年 9 月 16 日。
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