Zusammenfassung
Hintergrund
Kenntnisse der Einflussfaktoren zur Durchführung von Maßnahmen der betrieblichen Gesundheitsförderung (BGF) sind sowohl in der Forschung als auch in der Praxis wesentlich für erfolgreiche Interventionen. Wissen über diese Faktoren kann erfahrungsbasiert sein oder mittels wissenschaftlicher Methoden erhoben werden. Vorrangige Ziele der Arbeit waren daher die Identifizierung von empirischen Einflussfaktoren für die Durchführung von BGF-Forschungsprojekten sowie deren Gegenüberstellung mit jenen aus Praxisprojekten, um dadurch Erfolgsfaktoren für die Durchführung von BGF-Interventionen aufzeigen zu können.
Methode
Ein systematischer Review wurde durchgeführt. Die Auswahl und Analyse der evaluierten BGF-Forschungsprojekte erfolgte in Anlehnung an eine Übersichtsarbeit zu Einflussfaktoren in Praxisprojekten. Anhand vordefinierter Kriterien bestimmten zwei Reviewer unabhängig voneinander über den Ein-/Ausschluss der 798 identifizierten Artikel. Schließlich wurden 53 Volltexte in die Analyse eingeschlossen, Einflussfaktoren identifiziert, extrahiert und einer Themenanalyse unterzogen.
Ergebnisse
Förderliche und hinderliche Einflussfaktoren wurden in den Themenbereichen Kontextfaktoren zur Projektimplementierung‚ Eigenschaften des Betriebs und der Intervention, sowie Eigenschaften und Erwartungen der Umsetzer und der Teilnehmer zusammengefasst.
Diskussion
Jene Faktoren, die als förderlich und hinderlich in Forschungs- und Praxisprojekten identifiziert wurden, können als Erfolgsfaktoren für BGF-Projekte betrachtet werden: die Arbeitsumgebung und organisationale Strukturen, die Unterstützung der Intervention durch das Management, Interventionskonzept und -material, die Abstimmung der Intervention mit vorhandenen Strukturen und Prozessen, die Interaktion unter den Beteiligten sowie Beteiligung, Motivation und Ressourcen der Zielgruppe.
Abstract
Background
Knowledge about factors influencing the operation of workplace health promotion measures (WHP) is essential for successful interventions, both in research and in practice. Evidence for these factors can be based not only on experience, but also derived using empirical methods. Thus, the overarching aims of this study were to identify empirically collected factors influencing WHP research projects and to compare them with results derived from practice-based projects in order to determine key success factors for the realization of WHP projects.
Methods
A systematic review was conducted. Selection of the evaluated WHP-research projects and analysis were in line with an overview on influencing factors in practice-based projects. Based on predefined criteria, two researchers independently identified 798 relevant articles, of which 53 met the inclusion criteria. Influencing factors were extracted and subjected to thematic analysis.
Results
Influencing factors were summarized into contextual and project management issues, characteristics of the organization, the intervention as well as characteristics and expectations of participants (target group) and implementers.
Discussion
The following factors that were identified as facilitating and hindering both in research and practice-based projects can be regarded as key success factors for the execution of WHP projects: work environment and organizational structures; support of the intervention by management; intervention approach and material; fit of the intervention with existing structures and processes; interaction among stakeholders; as well as participation, motivation, and resources of the target group.
Notes
Aus Gründen der Lesbarkeit wird auf die gleichzeitige Verwendung männlicher und weiblicher Sprachformen verzichtet. Sämtliche Personenbezeichnungen gelten gleichermaßen für beide Geschlechter.
http://www.fgoe.org/der-fonds (18.04.2014).
Literatur
Anders H (2009) Workplace health promotion. A salutogenic approach. Milton: Author-House, Bloomington
Atlantis E, Chow CM, Kirby A, Fiatarone Singh MA (2006) Worksite intervention effects on physical health: a randomized controlled trial. Health Promot Int 21(3):191–200
Baranowski T, Stables G (2000) Process evaluations of 5-a-day projects. Health Educ Behav 27:157–166
Behrens TK, Domina L, Fletcher GM (2007) Evaluation of an employer-sponsored pedometer-based physical activity program. Percept Mot Skills 105:968–976
Blaik A, Westphal S, Luley C (2012) The telemedical ABC programme for weight loss as a means of occupational health promotion. Arbeitsmed Sozialmed Umweltmed 47(7):407–411
Blake H, Zhou D, Batt ME (2013) Five-year workplace wellness intervention in the NHS. Perspect. Public Health 133(5):262–271
Bortz J, Döring N (2006) Forschungsmethoden und Evaluation für Human- und Sozialwissenschaftler. Springer, Heidelberg
Bullen PAB (2012) Medics as a Channel for Worksite Health Promotion in Remote Global Locations. Am J Health Promot 26(6):352–355
Chapleau A, Seroczynski AD, Meyers S, Lamb K, Haynes S (2011) Occupational therapy consultation for case managers in community mental health: exploring strategies to improve job satisfaction and self-efficacy. Prof Case Manag 16(2):71–79
Cole G, Leonard B, Hammond S, Fridinger F (1998) Using "stages of behavioral change" constructs to measure the short-term effects of a worksite-based intervention to increase moderate physical activity. Psychol Rep 82(2):615–618
Colkesen EB, Kraaijenhagen RA, Frings-Dresen MHW, Sluiter JK, Van Kalken CK, Tijssen JGP, Peters RJG (2011) Participation in a workplace web-based health risk assessment program. Occup Med 61(8):586–589
Cook C, Simmons G, Swinburn B, Stewart J (2001) Changing risk behaviours for non-communicable disease in New Zealand working men – Is workplace intervention effective? N Z Med J 114(1130):175–178
Cook RF, Billings DW, Hersch RK, Back AS, Hendrickson A (2007) A field test of web-based workplace health promotion program to improve dietary practices, reduce stress, and increase physical activity: randomized controlled trial. J Med Internet Res 9(2):1–14
Cowdery JE, Suggs LS, Parker S (2007) Application of a Web-Based Tailored Health Risk Assessment in a Work-Site Population. Health Promot Pract 8(1):88–95
Croissant B, Klein O, Loeber S, Mann K (2004) Drug prevention at the place of work - Feasibility study in a large chemical company. Gesundheitswesen 66(8–9):505–510
Dababneh AJ, Swanson N, Shell RL (2001) Impact of added rest breaks on the productivity and well being of workers. Ergonomics 44(2):164–174
Dawson J, Dwyer JJ, Evers S, Sheeshka J (2006) Eat smart! Workplace Cafeteria Program evaluation of the nutrition component. Can J Diet Pract Res 67(2):85–90
DeJoy DM, Wilson MG, Padilla HM, Goetzel RZ, Parker KB, Della LJ, Roemer EC (2012) Process evaluation results from an environmentally focused worksite weight management study. Health Educ Behav 39(4):405–418
Dubuy V, De Cocker K, De Bourdeaudhuij I, Maes L, Seghers J, Lefevre J, De Martelaer K, Cardon G (2013) Evaluation of a workplace intervention to promote commuter cycling: a RE-AIM analysis. BMC Public Health 13:587
Elkeles T, Broeskamp-Stone U (2010) Evidenzbasierte Gesundheitsförderung. Leitbegriffe der Gesundheitsförderung BZgA. http://www.leitbegriffe.bzga.de/?uid=3404d2fc77f4eadcc4a9ddce020ebf4e&id=angebote&idx=170. Zugegriffen: 6. Feb. 2014
Elliot DL, Goldberg L, Duncan TE, Kuehl KS, Moe EL, Breger RKR, DeFrancesco CL, Ernst DB, Stevens VJ (2004) The PHLAME firefighters’ study: feasibility and findings. Am J Health Behav 28(1):13–23
Elliot DL, Goldberg L, Kuehl KS, Moe EL, Breger RK, Pickering MA (2007) The PHLAME (Promoting Healthy Lifestyles: alternative Models’ Effects) firefighter study: outcomes of two models of behavior change. J Occup Environ Med 49(2):204–213
Engbers LH, van Poppel MNM, Paw MCA, Van Mechelen W (2006) The effects of a controlled worksite environmental intervention on determinants of dietary behavior and self-reported fruit, vegetable and fat intake. BMC Public Health 6:253
European Network for Workplace Health Promotion (1997) Luxembourg declaration on workplace health promotion. ENWHP, Luxembourg
Eves FF, Webb OJ, Griffin C, Chambers J (2012) A multi-component stair climbing promotional campaign targeting calorific expenditure for worksites; A quasi-experimental study testing effects on behaviour, attitude and intention. BMC Public Health 12(1):423
Federal Institute for Occupational Safety and Health (FIOSH) (Hrsg) (2001) Workplace Health Promotion in Europe. Healthy Employees in Healthy Organisations: the European Network for Workplace Health Promotion. self-publishing company, Dortmund
Froschauer U, Lueger M (2003) Das qualitative Interview. WUV-Universitätsverlag, Wien
Heikkonen J, Louhevaara V (2003) Empowerment in farmers’ occupational health services. Ann Agric Environ Med 10(1):45–52
Hübner NO, Hübner C, Kramer A (2013) Impact of health campaign on hand hygiene with alcohol-based hand rubs in a non-clinical setting. J Hosp Infect 83(Suppl 1):S23–S28
Hunt MK, Stoddard AM, Kaphingst KA, Sorensen G (2007) Characteristics of participants in a cancer prevention intervention designed for multiethnic workers in small manufacturing worksites. Am J Health Promot 22(1):33–37
Kerr J, Yore MM, Ham SA, Dietz WH (2004) Increasing stair use in a worksite through environmental changes. Am J Health Promot 18(4):312–315
Kim AE, Towers A, Renaud J, Zhu J, Shea JA, Galvin R, Volpp KG (2012) Application of the RE-AIM framework to evaluate the impact of a worksite-based financial incentive intervention for smoking cessation. J Occup Environ Med 54(5):610–614
Kimura AC, Nguyen CN, Higa JI, Hurwitz EL, Vugia DJ (2007) The effectiveness of vaccine day and educational interventions on influenza vaccine coverage among health care workers at long-term care facilities. Am J Public Health 97(4):684–690
Krajewski J, Wieland R, Sauerland M (2010) Regulating Strain States by Using the Recovery Potential of Lunch Breaks. J Occup Health Psychol 15(2):131–139
Kwak L, Kremers SPJ, van Baak MA, Brug J (2007) A poster-based intervention to promote stair use in blue- and white-collar worksites. Prev Med 45:177–181
Lassen A, Bruselius-Jensen M, Sommer HM, Thorsen AV, Trolle E (2007) Factors influencing participation rates and employees’ attitudes toward promoting healthy eating at blue-collar worksites. Health Educ Res 22(5):727–736
Linnan L, Steckler A (2002) Process evaluation for public health interventions and research. Jossey-Bass, San Francisco
Lomas L, McLuskey J (2005) Pumping up the pressure: a qualitative evaluation of a workplace health promotion initiative for male employees. Health Educ J 64(1):88–95
Mager U, Nowak P (2012) Effects of student participation in decision making at school. A systematic review and synthesis of empirical research. Educ Res Rev 7:38–61
Malik SH, Blake H, Suggs S (2014) A systematic review of workplace health promotion interventions for increasing physical activity. Br J Health Psychol 19(1):149–180
McCullagh MC (2011) Effects of a low intensity intervention to increase hearing protector use among noise-exposed workers. Am J Ind Med 54(3):210–215
Meade O, MacLennan SJ, Blake H, Coulson N (2009) Workplace complementary and alternative therapies for hospital-site staff. Int J Workplace Health Manag 2(3):258–271
Mills PR, Kessler RC, Cooper J, Sullivan S (2007) Impact of a health promotion program on employee health risks and work productivity. Am J Health Promot 22(1):45–53
Morgan PJ, Collins CE, Plotnikoff RC, Cook AT, Berthon B, Mitchell S, Callister R (2011) Efficacy of a workplace-based weight loss program for overweight male shift workers: the Workplace POWER (Preventing Obesity Without Eating like a Rabbit) randomized controlled trial. Prev Med 52(5):317–325
Mutrie N, Carney C, Blamey A, Crawford F, Aitchison T, Whitelaw A (2002) "Walk in to Work Out": a randomised controlled trial of a self help intervention to promote active commuting. J Epidemiol Community Health 56(6):407–412
Nielsen K, Fredslund H, Christensen KB, Albertsen K (2006) Success or failure? Interpreting and understanding the impact of interventions in four similar worksites. Work Stress 20(3):272–287
Nolan K, Mauer MP (2006) An evaluation of a Lyme disease prevention program in a working population. Am J Health Promot 20(6):379–382
Oberlinner C, Lang S, Germann C, Trauth B, Eberle F, Pluto R, Neumann S, Zober A (2007) Prevention of overweight and obesity in the workplace – BASF-health promotion campaign „trim down the pounds – losing weight without losing your mind“. Gesundheitswesen 69(7):385–392
O’Connell M, Comerford BP, Wall HK, Yanchou-Njike V, Faridi Z, Katz DL (2006) Impediment profiling for smoking cessation: application in the worksite. Am J Health Promot 21(2):97–100
Olson R, Anger WK, Elliot DL, Wipfli B, Gray M (2009) A new health promotion model for lone workers: results of the safety & health involvement for truckers (SHIFT) pilot study. J Occup Environ Med 51(11):1233–1246
Oude Hengel KM, Blatter BM, Van Der Molen HF, Joling CI, Proper KI, Bongers PM, Van Der Beek AJ (2011) Meeting the challenges of implementing an intervention to promote work ability and health-related quality of life at construction worksites: a process evaluation. J Occup Environ Med 53(12):1483–1491
Petticrew M, Roberts H (2006) Systematic reviews in the social sciences. A practical guide. Carlton: Blackwell publishing, Malden
Robroek SJW, Lindeboom DEM, Burdorf A (2012) Initial and sustained participation in an Internet-delivered long-term worksite health promotion program on physical activity and nutrition. J Med Internet Res 14(2):42–55
Scott LD, Hofmeister N, Rogness N, Rogers AE (2010) Implementing a fatigue countermeasures program for nurses: a focus group analysis. J Nurs Adm 40(5):233–240
Simek M, Nitsch M, Rodin K (2014) Praxisprojekte betrieblicher Gesundheitsförderung. Hinderliche und förderliche Faktoren für die Projektdurchführung. Präv Gesundheitsf 9(2):138–143
Takao S, Tsutsumi A, Nishiuchi K, Mineyama S, Kawakami N (2006) Effects of the job stress education for supervisors on psychological distress and job performance among their immediate subordinates: a supervisor-based randomized controlled trial. J Occup Health 48(6):494–503
Taylor WC, Shegog R, Chen V, Rempel DM, Baun MP, Bush CL, Green T, Hare-Everline N (2010) The Booster Break program: description and feasibility test of a worksite physical activity daily practice. Work 37(4):433–443
Terry PE, Seaverson EL, Staufacker MJ, Tanaka A (2011) The effectiveness of a telephone-based tobacco cessation program offered as part of a worksite health promotion program. Popul Health Manag 14(3):117–125
Thomas J, Harden A (2008) Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Med Res Methodol 8:45.http://www.fgoe.org/der-fonds. Accessed: 18 April 2014
Titze S, Martin BW, Seiler R, Marti B (2001) A worksite intervention module encouraging the use of stairs: results and evaluation issues. Soz Praventivmed 46(1):13–19
Trabeau M, Neitzel R, Meischke H, Daniell WE, Seixas NS (2008) A comparison of "Train-the-Trainer" and expert training modalities for hearing protection use in construction. Am J Ind Med 51(2):130–137
Tsutsumi A, Takao S, Mineyama S, Nishiuchi K, Komatsu H, Kawakami N (2005) Effects of a supervisory education for positive mental health in the workplace: a quasi-experimental study. J Occup Health 47(3):226–235
Van Berkel J Boot CRL Proper KI Bongers PM Van Der Beek AJ (2013) Process evaluation of a workplace health promotion intervention aimed at improving work engagement and energy balance. J Occup Environ Med 55(1):19–26
Van Oostrom SH, Van Mechelen W, Terluin B, De Vet HCW, Anema JR (2009) A participatory workplace intervention for employees with distress and lost time: a feasibility evaluation within a randomized controlled trial. J Occup Rehabil 19(2):212–222
Verweij LM, Proper KI, Hulshof CTJ, van Mechelen W (2011) Process evaluation of an occupational health guideline aimed at preventing weight gain among employees. J Occup Environ Med 53(7):722–729
Vosbergen S, Laan EK, Colkesen EB, Niessen MAJ, Kraaijenhagen RA, Essink-Bot ML et al (2012) Evaluation of end-user satisfaction among employees participating in a web-based health risk assessment with tailored feedback. J Med Internet Res 14(5):e140
WHO (1997) Jakarta Declaration on Leading Health Promotion into the 21st Century. WHO, Genf
WHO (2013) Workplace health promotion. The workplace: a priority setting for health promotion. http://www.who.int/occupational_health/topics/workplace/en/ (25.11.13)
Wierenga D, Engbers LH, Van Empelen P, Duijts S, Hildebrandt VH, Van Mechelen W (2013) What is actually measured in process evaluations for worksite health promotion programs: a systematic review. BMC Public Health 13:1190–1205
Wright MT, Kilian H, Brandes S (2013) Praxisbasierte Evidenz in der Prävention und Gesundheitsförderung bei sozial Benachteiligten. https://dx.doi.org/10.1055/s-0032-1327741. Online-Publikation, Gesundheitswesen
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Interessenkonflikt
D. Rojatz, A. Merchant und M. Nitsch geben an, dass kein Interessenkonflikt besteht.
Dieser Beitrag enthält keine Studien an Menschen oder Tieren.
Rights and permissions
About this article
Cite this article
Rojatz, D., Merchant, A. & Nitsch, M. Zentrale Einflussfaktoren der betrieblichen Gesundheitsförderung. Präv Gesundheitsf 10, 134–146 (2015). https://doi.org/10.1007/s11553-015-0488-z
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11553-015-0488-z
Schlüsselwörter
- Gesundheitsförderung, betriebliche
- Systematischer Literaturreview
- Praxis, evidenzbasierte
- Evaluation
- Projektmanagement