A Brief Participatory Workplace Intervention on Dietary Barriers and Healthy Eating Intentions Among Employees: A Pilot Study
Abstract
1. Introduction
1.1. Background and Public Health Context
1.2. Workplace as a Setting for Dietary Interventions
1.3. Barriers to Healthy Eating in Occupational Settings
1.4. Teachers and School Staff as a Priority Group
1.5. Key Determinants of an Effective Workplace Nutrition Intervention
1.6. Aim of the Study
2. Theoretical Framework and Study Hypotheses
3. Materials and Methods
3.1. Study Type
3.2. Participants and Recruitment Process
3.3. Intervention Description
3.4. Primary and Secondary Outcomes
- Maintenance of the declared intention to modify dietary behaviors three weeks after the intervention (T2 vs. T3).
- Increase in subjectively perceived knowledge about healthy eating in the workplace (T2).
- Subjective evaluation of the usefulness of the intervention on a 0–10 scale (T2).
3.5. Scientific Tools
3.5.1. Sociodemographic, Occupational, and Dietary Data
3.5.2. Workplace Healthy Eating Barriers Scale
3.5.3. Psychological Resources
3.5.4. Assessment of Intent to Change and Intervention Usefulness
3.5.5. Assessment of Effect Maintenance at Three-Week Follow-Up
3.6. Statistical Analysis
3.7. Ethics and Informed Consent
4. Results
4.1. Participants
4.2. Baseline Barriers and Perceptions
4.3. Primary Outcome: Changes in Perceived Barriers Following the Intervention
4.4. Immediate Post-Intervention Outcomes (T2)
4.5. Sustained Effects at Three-Week Follow-Up (T3)
4.6. Summary of Primary and Secondary Outcomes
5. Discussion
5.1. Summary of Main Findings
5.2. Interpretation in Relation to Prior Research
5.3. Implications for Practice
5.4. Strengths and Limitations
5.5. Future Directions
6. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Abbreviations
| WHO | World Health Organization |
| OECD | Organization for Economic Co-operation and Development |
| GDP | Gross Domestic Product |
| NLB approach | Needs-based, learner-centered, and behaviorally focused approach |
| TREND | Transparent Reporting of Evaluations with Nonrandomized Designs |
| T1 | Baseline |
| T2 | Immediately post-intervention |
| T3 | Three-week follow-up |
| GSES | Generalized Self-Efficacy Scale |
| LOT-R | Life Orientation Test-Revised |
| BRCS | Brief Resilient Coping Scale |
| N | Number of responses |
| SD | Standard deviation |
| M | Mean |
| Min. | Minimum |
| Max. | Maximum |
| Z | Wilcoxon signed-rank test |
| p | Significance level |
| RD | Risk difference |
| CI | Confidence interval |
| OR | Odds ratio |
| h | Cohen’s h |
| pp | Percentage points |
| SFA | Solution-Focused Approach |
| OHS | Occupational health and safety initiatives |
| CSR | Corporate social responsibility initiatives |
| SDT | Self-Determination Theory |
| CBTs | Cognitive–Behavioral Techniques |
| TIDieR | Template for Intervention Description and Replication |
| COM-B | Capability, Opportunity, Motivation → Behavior |
| CONSORT | Consolidated Standards of Reporting Trials |
| BCT | Behavior Change Technique |
| BPBEWI | Brief Participatory Behavioral and Educational Workplace Intervention |
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| Segment of the Intervention | Intervention Goals and Theoretical Basis | Model | Actions Supporting Psychological Resources (Self-Efficacy, Optimism, Resilience) | Methods of Verifying Goal Attainment | Duration |
|---|---|---|---|---|---|
| Introduction | Establish relevance for behavioral change; present evidence on the impact of workplace nutrition on cognitive function, mood, and productivity; introduce key behavioral economics principles (default options, decision fatigue, heuristics) and examples of workplace “nudges”. | Behavioral Economics [26], Situational Optimism [16] | Positive message framing; minimizing fear of failure; use of engaging examples; emphasis on benefits of small environmental changes | Active engagement, verbal reflection | 10 min |
| Practical Exercise 1: “Lunchbox Building Blocks” | Simplify decision-making and promote creation of healthy default lunch options; increase planning skills and nutrition knowledge. | NLB approach [13], Choice Architecture [26], Bandura’s Self-Efficacy Theory [14] | Low-barrier task with immediate mastery experience; autonomy in food selection; visual guidance through five product categories (protein, complex carbohydrates, fruit/vegetables, healthy fats, additions) | Post-intervention readiness-to-change questionnaire; pre–post comparison of perceived barriers; 3-week follow-up behavioral analysis | 20 min |
| Practical Exercise 2: “Healthy Eating Plate” | Develop intuitive skills for assessing and planning healthy meals using the Harvard Healthy Eating Plate model, emphasizing balanced proportions of food groups (½ fruit and vegetables, ¼ whole grains, ¼ healthy protein) | NLB approach [13], Healthy Eating Plate Guidelines [28,29] | Peer discussion; shared evaluation of meal examples; autonomy in creating balanced meals | Pre–post evaluation of nutrition knowledge; facilitator qualitative notes | 15 min |
| Practical Exercise 3: Overcoming Barriers | Identify and reframe personal barriers to healthy eating at work; generate coping strategies and foster agency in addressing them. | NLB approach [13], Cognitive Load Theory [30] | Normalization of challenges; collective problem solving; peer-generated strategies | Pre–post comparison of barrier checklists; qualitative discussion notes | 10 min |
| Behavioral Call to Action | Translate session content into immediate action; encourage commitment to at least one small change starting the next day (e.g., preparing a healthy lunch). | NLB approach [13], Small Wins Theory [31], Bandura’s Self-Efficacy Theory [14] | Verbal and written goal commitment; public sharing to reinforce accountability | Participant intention statements; readiness-to-change indicators | 5 min |
| Intervention Component | Mapped BCT (v1) | Psychological Mechanism/Mediator | Expected Outcome |
|---|---|---|---|
| Identification of personal dietary barriers | Problem solving (BCT 1.2) | Awareness of obstacles; cognitive reframing | Reduced perceived barriers |
| “Lunchbox Building Blocks” exercise (planning balanced meals) | Action planning (BCT 1.4) | Concrete goal formation; increased perceived control | Improved meal-preparation intentions |
| “Healthy Eating Plate” visual task (portion composition) | Instruction on how to perform the behavior (BCT 4.1) | Procedural knowledge; visualization of healthy proportions | Enhanced nutrition-related knowledge |
| Group discussion and facilitator feedback | Feedback on behavior (BCT 2.2); social support (unspecified) (BCT 3.1) | Social modeling; self-evaluation; relatedness | Increased motivation and engagement |
| Encouragement and reinforcement from facilitator | Verbal persuasion about capability (BCT 15.1) | Strengthened self-efficacy and optimism | Higher readiness for change |
| Educational brochure with recipes and strategies | Adding objects to the environment (BCT 12.5) | Environmental cue for autonomous continuation | Maintenance of self-directed behavior |
| Psychological Variable | Min. | Max. | M | SD | Variable Intensity Level (*) | ||
|---|---|---|---|---|---|---|---|
| Low n (%) | Medium n (%) | High n (%) | |||||
| Self-efficacy | 20 | 40 | 29.06 | 4.510 | 5 (13.90) | 14 (38.90) | 17 (47.20) |
| Resilience | 6 | 20 | 14.39 | 3.064 | 10 (27.80) | 15 (41.70) | 11 (30.60) |
| Optimism | 6 | 22 | 15.06 | 4.084 | 10 (27.80) | 14 (38.90) | 12 (33.30) |
| Variable | n | % | |
|---|---|---|---|
| Number of meals consumed at work | 0 | 1 | 2.80 |
| 1 | 11 | 30.60 | |
| 2 | 19 | 52.80 | |
| 3 | 5 | 13.90 | |
| Breakfast consumption at work | yes | 22 | 61.10 |
| no | 14 | 38.90 | |
| Lunch consumption at work | yes | 14 | 38.90 |
| no | 22 | 61.10 | |
| Snack consumption at work | yes | 28 | 77.80 |
| no | 8 | 22.20 | |
| Self-preparation of meals for work | no | 11 | 30.60 |
| yes, sometimes | 12 | 33.30 | |
| yes, always | 13 | 36.10 | |
| Barriers to Preparing Healthy Meals for Work | Number of Responses (n) | Percentage (%) |
|---|---|---|
| Lack of time at work to eat a healthy meal | 29 | 80.60 |
| Insufficient knowledge | 0 | 0 |
| Unavailability of appropriate ingredients | 8 | 22.20 |
| Lack of motivation | 6 | 16.70 |
| Reluctance to cook | 7 | 19.40 |
| Other—excessive workload | 1 | 2.80 |
| Type of Change | Number of Cases (n) | Mean Rank | Sum of Ranks |
|---|---|---|---|
| Reduction in the number of barriers (negative ranks) | 26 | 13.50 | 351.00 |
| Increase in the number of barriers (positive ranks) | 0 | 0 | 0 |
| No change (ties) | 10 | – | – |
| Variable | n | % | |
|---|---|---|---|
| Perceived ease of preparing healthy meals for work | Definitely no | 1 | 2.80 |
| Rather no | 4 | 11.10 | |
| Rather yes | 27 | 75.00 | |
| Definitely yes | 4 | 11.10 | |
| Stability of motivation to prepare healthy meals for work | Low | 8 | 13.90 |
| Moderate | 18 | 50.00 | |
| High | 13 | 36.10 | |
| Regularity of planning meals for work | Never | 2 | 5.60 |
| Sometimes | 23 | 63.90 | |
| Rarely | 4 | 11.10 | |
| Always | 7 | 19.40 | |
| Development of culinary skills in preparing healthy meals for work | No, my skills have not changed | 5 | 13.90 |
| Not really, but I feel more motivated | 14 | 38.90 | |
| Yes, but I still need more practice | 15 | 41.70 | |
| Yes, definitely | 2 | 5.60 | |
| Durability of introduced dietary changes | Yes | 33 | 91.70 |
| No | 3 | 8.30 | |
| Outcome | T1 | T2 | Δ (Change) | Test | p | Effect Size [95% CI] |
|---|---|---|---|---|---|---|
| Primary outcome | ||||||
| Perceived dietary barriers (total score) | Median = 1.0 [IQR: 1–2] | Median = 0 [IQR: 0–1] | −1 [IQR: −2 to 0] | Paired Wilcoxon Z = −4.69 | <0.001 | r = −0.78 |
| Secondary outcomes | ||||||
| Intention to change eating habits (Yes, %) | 36.10% | 86.10% | +50.0 pp | McNemar χ2(1) = 13.14 | <0.001 | OR = 10.00 [1.80–54.50] |
| Intention to prepare healthy meals for work (Yes, %) | 33.30% | 91.70% | +58.3 pp | McNemar χ2(1) = 17.39 | <0.001 | OR = 22.00 [2.90–165.50] |
| Nutrition-related knowledge (Yes, %) | 25.00% | 86.10% | +61.6 pp | McNemar χ2(1) = 21.7 | <0.001 | OR = 23.00 [3.10–170.10] |
| Workshop satisfaction (0–10 scale) | - | Mean = 8.28 (SD = 1.15) | - | - | - | Cohen’s d = 1.98 |
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Hyży, A.; Cieślak, I.; Gotlib-Małkowska, J.; Panczyk, M.; Jaworski, M. A Brief Participatory Workplace Intervention on Dietary Barriers and Healthy Eating Intentions Among Employees: A Pilot Study. Nutrients 2025, 17, 3371. https://doi.org/10.3390/nu17213371
Hyży A, Cieślak I, Gotlib-Małkowska J, Panczyk M, Jaworski M. A Brief Participatory Workplace Intervention on Dietary Barriers and Healthy Eating Intentions Among Employees: A Pilot Study. Nutrients. 2025; 17(21):3371. https://doi.org/10.3390/nu17213371
Chicago/Turabian StyleHyży, Aleksandra, Ilona Cieślak, Joanna Gotlib-Małkowska, Mariusz Panczyk, and Mariusz Jaworski. 2025. "A Brief Participatory Workplace Intervention on Dietary Barriers and Healthy Eating Intentions Among Employees: A Pilot Study" Nutrients 17, no. 21: 3371. https://doi.org/10.3390/nu17213371
APA StyleHyży, A., Cieślak, I., Gotlib-Małkowska, J., Panczyk, M., & Jaworski, M. (2025). A Brief Participatory Workplace Intervention on Dietary Barriers and Healthy Eating Intentions Among Employees: A Pilot Study. Nutrients, 17(21), 3371. https://doi.org/10.3390/nu17213371

