Bouwens Luuk, Anema Johannes R, Juurlink Trees T, Beekman Aartjan T F, Schelvis Roosmarijn M C
Amsterdam UMC location Vrije Universiteit Amsterdam, Department Public and Occupational Health, De Boelelaan 1117, Amsterdam, 1081 HV, The Netherlands.
Amsterdam Public Health Research Institute location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
BMC Public Health. 2025 Aug 30;25(1):2970. doi: 10.1186/s12889-025-24367-8.
Evidence links psychosocial work factors to work-related mental health problems, which affect productivity and highlight the need for workplace interventions. In order to establish sustainable change, a participatory strategy that considers the behavioral, organizational, and contextual (BOC) determinants when selecting and implementing interventions is needed. The objective of the current study, Vital@Work, is to prevent and reduce work-related mental health problems by using an evidence based Participatory Approach (PA) as strategy to compose a set of intervention activities tailored to BOC determinants. While the PA has proven effective in other contexts, in this study we examine the impact of contextual factors on the effectiveness of intervention activities delivered through the PA strategy.
The PA is evaluated as a strategy to implement intervention activities to prevent and reduce unfavorable psychosocial work factors in a multicenter cluster randomized controlled trial, including an intervention and control group in four different organizations. These four organizations are characterized by unique BOC determinants and differ in sector, size (small and large organizations), type of organization (private or public) and type of work. Employees in the intervention group receive the PA alongside usual practice, while the control group receives only the usual preventive measures. Effectiveness will be assessed through questionnaires administered at baseline, and 6 (T1) and 12 months (T2) after baseline. According to a power analysis, we strive to include a total sample of 1,040 persons at baseline. As primary outcome, stress will be measured using DASS-21. In addition, various secondary outcomes (sense of community, presenteeism and absenteeism) will be assessed. Longitudinal mixed model analyses, including subgroup analyses, will be conducted, along with a process evaluation to assess implementation.
The current study will evaluate the PA as a strategy to develop and implement a set of mental health intervention activities tailored to the organizational context, in order to prevent and reduce work-related mental health problems. By doing this, we aim to identify common and sector-specific challenges, contributing to knowledge on tailoring workplace interventions.
The trial has been retrospectively registered at ClinicalTrials.gov on 31 May 2024 ( NCT06445101).
有证据表明工作中的社会心理因素与工作相关的心理健康问题存在关联，这些问题会影响生产力，并凸显了工作场所干预措施的必要性。为了实现可持续的变革，需要一种参与式策略，在选择和实施干预措施时考虑行为、组织和环境（BOC）决定因素。当前的“工作中的活力（Vital@Work）”研究的目标是，通过使用基于证据的参与式方法（PA）作为策略，来制定一套针对BOC决定因素的干预活动，以预防和减少与工作相关的心理健康问题。虽然PA在其他背景下已被证明是有效的，但在本研究中，我们将考察环境因素对通过PA策略开展的干预活动效果的影响。
在一项多中心整群随机对照试验中，PA被评估为一种实施干预活动的策略，以预防和减少不利的工作社会心理因素，该试验包括四个不同组织中的干预组和对照组。这四个组织具有独特的BOC决定因素，在部门、规模（小型和大型组织）、组织类型（私营或公共）和工作类型方面存在差异。干预组的员工在接受常规做法的同时还接受PA，而对照组仅接受常规预防措施。将通过在基线时以及基线后6个月（T1）和12个月（T2）进行问卷调查来评估有效性。根据功效分析，我们力争在基线时纳入总共1040人的样本。作为主要结果，将使用DASS-21量表来测量压力。此外，还将评估各种次要结果（社区感、出勤主义和旷工）。将进行纵向混合模型分析，包括亚组分析，同时进行过程评估以评估实施情况。
当前的研究将评估PA作为一种制定和实施一套针对组织环境的心理健康干预活动的策略，以预防和减少与工作相关的心理健康问题。通过这样做，我们旨在识别常见的和特定部门的挑战，为有关定制工作场所干预措施的知识做出贡献。
该试验已于2024年5月31日在ClinicalTrials.gov上进行了回顾性注册（NCT06445101）。
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