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Article

Process Evaluation of a Participative Organizational Intervention as a Stress Preventive Intervention for Employees in Swedish Primary Health Care

1
Unit of Intervention and Implementation Research for Worker Health, Institute of Environmental Medicine, Karolinska Institute, 17177 Stockholm, Sweden
2
Unit of Clinical Medicine, Occupational and Environmental Medicine, Department of Health, Medicine and Caring Sciences, Linköping University, 58183 Linköping, Sweden
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(19), 7285; https://doi.org/10.3390/ijerph17197285
Received: 2 September 2020 / Revised: 30 September 2020 / Accepted: 2 October 2020 / Published: 6 October 2020
(This article belongs to the Special Issue Workplace Interventions)
This study is a process evaluation of a trial examining the effects of an organizational intervention (Productivity Measurement and Enhancement System or ProMES) on employee stress. The aims were to explore the implementation process and fidelity to the intervention guidelines, examine the influence of contextual factors (hindrances and facilitators) and explore participants’ experience of working with ProMES. We used the UK Medical Research Council (MRC) guidance to guide the process evaluation. The recruitment, reach and dose delivered were satisfactory and participation high. The employees felt ProMES clarified priorities, gave control and increased participation in decision-making. However, difficulty in obtaining statistical productivity data from the central administration office (a central feature of the intervention) hindered full implementation and regular feedback meetings. Staffing shortages interfered with the implementation process, while having seven design teams and one consultant prevented all occupational groups from working simultaneously. A detailed examination of access to necessary organizational data should be undertaken before implementing ProMES. We recommend a better introduction for new employees, more work on design and packaging and giving employees more training in how to use the software program. The study contributes to our understanding of process evaluations in research into organizational stress management interventions. View Full-Text
Keywords: process evaluation; organizational level intervention; implementation; Consolidated Framework for Implementation Research; mixed method design; primary health care process evaluation; organizational level intervention; implementation; Consolidated Framework for Implementation Research; mixed method design; primary health care
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MDPI and ACS Style

Arapovic-Johansson, B.; Jensen, I.; Wåhlin, C.; Björklund, C.; Kwak, L. Process Evaluation of a Participative Organizational Intervention as a Stress Preventive Intervention for Employees in Swedish Primary Health Care. Int. J. Environ. Res. Public Health 2020, 17, 7285. https://doi.org/10.3390/ijerph17197285

AMA Style

Arapovic-Johansson B, Jensen I, Wåhlin C, Björklund C, Kwak L. Process Evaluation of a Participative Organizational Intervention as a Stress Preventive Intervention for Employees in Swedish Primary Health Care. International Journal of Environmental Research and Public Health. 2020; 17(19):7285. https://doi.org/10.3390/ijerph17197285

Chicago/Turabian Style

Arapovic-Johansson, Bozana, Irene Jensen, Charlotte Wåhlin, Christina Björklund, and Lydia Kwak. 2020. "Process Evaluation of a Participative Organizational Intervention as a Stress Preventive Intervention for Employees in Swedish Primary Health Care" International Journal of Environmental Research and Public Health 17, no. 19: 7285. https://doi.org/10.3390/ijerph17197285

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