Salvador-Carulla Luis, Lukersmith Sue, Woods Cindy E, Chen Tom, de Miquel Carlota
Health Research Institute, University of Canberra Faculty of Health, Bruce, Australian Capital Territory, Australia.
Health Research Institute, University of Canberra Faculty of Health, Canberra, Australian Capital Territory, Australia
BMJ Open. 2025 Apr 9;15(4):e082219. doi: 10.1136/bmjopen-2023-082219.
Mental health at the workplace has been identified as a major priority by the World Health Organization (WHO). Despite its significance, international studies examining the influence of digital mental health interventions on workplace implementation and outcomes are lacking. The European Platform to Promote Well-being and Health in the Workplace (EMPOWER) platform is an eHealth intervention consisting of a website and web-based app designed to guide employers and employees on the prevention of common health problems, reduce presenteeism and absenteeism in the workplace. The aim of this paper is to describe the rationale and methods that will be used to conduct a maxi impact analysis of the processes undertaken to develop and implement the EMPOWER platform in European workplaces using the Global Impact Analytics Framework (GIAF) methodology.
We will undertake a mixed-methods analysis of the impact of the process of implementation in the two phases of implementation (initiation and maturity-the early implementation phase). The primary methodology that will be used for the analysis is the GIAF and toolkit. The GIAF toolkit includes a taxonomy (knowledge map), glossary and checklists to examine and rate the EMPOWER project across various domains of impact: planning, pre-engagement, readiness, usability, dissemination, adoption and uptake. Information will be collected from a range of sources through different methods and used to rate the EMPOWER platform (website and app) on each domain. For reliability and validity, four raters will independently rate the EMPOWER platform using the same information. The analysis will include qualitative and quantitative methods to rate on standardised ladders and scales in the GIAF toolkit. Analysis will include descriptive statistics and non-parametric tests where relevant. The information gained will be reviewed in a subgroup (per country) and group (three country) analysis for formative and key summative learnings. These key learnings will be synthesised to generate organisational learnings and insights for the EMPOWER consortium to improve future intervention implementation processes.
The impact analysis study protocol has been approved by the Research Ethics Committees of the University of Canberra (ID:202311841) and also the Fundació Sant Joan de Déu (PIC-39-20). The participating countries for the RCT (EMPOWER study) also obtained ethical approval through their respective ethical organisations in the participating countries. The impact analysis is registered with the Open Science Framework ID osf.io/eysc9. The EMPOWER project trial is registered at ClinicalTrial.gov with trial ID NCT04907604. The outcomes of the impact analysis study will be disseminated via conference presentations, peer-reviewed journals and key organisational learnings presented in relevant forums.
NCT04907604.
世界卫生组织（WHO）已将工作场所的心理健康确定为一项主要优先事项。尽管其意义重大，但缺乏关于数字心理健康干预措施对工作场所实施情况和成果影响的国际研究。欧洲促进工作场所福祉与健康平台（EMPOWER）是一项电子健康干预措施，由一个网站和基于网络的应用程序组成，旨在指导雇主和员工预防常见健康问题，减少工作场所的出勤主义和旷工现象。本文的目的是描述将用于使用全球影响分析框架（GIAF）方法对在欧洲工作场所开发和实施EMPOWER平台所采取的过程进行最大影响分析的基本原理和方法。
我们将对实施过程在实施的两个阶段（启动和成熟——早期实施阶段）的影响进行混合方法分析。用于分析的主要方法是GIAF及其工具包。GIAF工具包包括一个分类法（知识图谱）、术语表和检查表，用于在各个影响领域对EMPOWER项目进行检查和评分：规划、预参与、准备情况、可用性、传播、采用和使用。将通过不同方法从一系列来源收集信息，并用于在每个领域对EMPOWER平台（网站和应用程序）进行评分。为了保证可靠性和有效性，四名评估者将使用相同的信息独立对EMPOWER平台进行评分。分析将包括定性和定量方法，以在GIAF工具包中的标准化阶梯和量表上进行评分。分析将包括描述性统计和相关的非参数检验。所获得的信息将在亚组（按国家）和组（三个国家）分析中进行审查，以获取形成性和关键总结性经验教训。这些关键经验教训将被综合起来，为EMPOWER联盟生成组织经验教训和见解，以改进未来的干预实施过程。
影响分析研究方案已获得堪培拉大学研究伦理委员会（编号：202311841）以及圣琼·德乌基金会（PIC - 39 - 20）的批准。随机对照试验（EMPOWER研究）的参与国家也通过其在参与国家各自的伦理组织获得了伦理批准。影响分析已在开放科学框架注册，编号为osf.io/eysc9。EMPOWER项目试验已在ClinicalTrial.gov注册，试验编号为NCT04907604。影响分析研究的结果将通过会议报告、同行评审期刊以及在相关论坛上呈现的关键组织经验教训进行传播。
NCT04907604。
