Process Evaluation of the Nationwide Implementation of a Lifestyle Intervention in the Construction Industry

Tonnon, Susanne; Proper, Karin I.; Ploeg, Hidde P. van der; Anema, Johannes R.; Beek, Allard J. van der

doi:10.1097/jom.0000000000000628

Cited by 4 publications

(3 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The low reach found in the present study is in line with other implementation studies, for example that performed by Tonnon et al [17], where the implementation of a lifestyle intervention in a workplace setting reached only 2.4% of the target population. The reach of the current study was not as high as for example the study performed by Buist et al, where the reach was 22.4% in an integrated healthcare system [18].…”

Section: Discussionsupporting

confidence: 91%

A multimedia campaign to improve back beliefs in patients with non-specific low back pain: a process evaluation

Suman

Schaafsma

Bamarni³

et al. 2017

BMC Musculoskelet Disord

Self Cite

View full text Add to dashboard Cite

BackgroundLow back pain (LBP) is one of the most prevalent and costly disorders worldwide. To reduce its burden in the Netherlands, implementation of a multidisciplinary guideline for LBP was supported by a multifaceted eHealth campaign for patients with LBP. The current study aims 1) to evaluate whether the implementation strategy was performed as planned; 2) to assess the feasibility, barriers and facilitators of the patient based eHealth campaign; 3) to gain insight into the satisfaction and experiences of patients with various ethnic backgrounds with the implementation strategy and to make a comparison between them; and 4) to explore the association between exposure to and satisfaction with the implementation strategy.MethodsThis process evaluation was performed using the Linnan and Steckler framework, and used a mixed methods approach for data collection and analysis. The relationship between satisfaction of patients and exposure to the strategy was statistically examined. Semi-structured interviews were analysed using qualitative data analysis methods.ResultsTwo hundred and fourteen patients participated in the quantitative, and 44 in the qualitative analysis. Most were female and had a high level of education. Many patients did not use the campaign at all or only once, and those that did rated it as reasonable. Patient satisfaction with the campaign increased significantly with an increase in its use. Qualitative analysis showed that four main themes played a role in campaign rating and use: satisfaction with intervention components, perceived benefits of the intervention, usage of the intervention, and satisfaction with the medium used.ConclusionThis process evaluation showed that the eHealth campaign was used only by a small proportion of patients with non-specific LBP. It seemed that the campaign was offered to the patients too late, that the lay-out of the campaign did not meet patient needs, and that healthcare providers rarely discussed the campaign with their patients, while involvement of those providers seemed to improve trustworthiness of the campaign and increase its usage. It is important to invest effort into healthcare providers to motivate patients to use eHealth intervention and to tailor strategies better to the needs of users.Trial registrationNetherlands Trial Register (NTR): NTR4329. Registered December 20th, 2013.

show abstract

Section: Discussionsupporting

confidence: 91%

A multimedia campaign to improve back beliefs in patients with non-specific low back pain: a process evaluation

Suman

Schaafsma

Bamarni³

et al. 2017

BMC Musculoskelet Disord

Self Cite

View full text Add to dashboard Cite

show abstract

“…Another influential factor for implementing health promotion for contractors was the time required to implement such programs given their high workload and tight project schedules (Du Plessis, 2012; Tonnon et al , 2016; Chau et al , 2019). Pressure from organisations was linked with the lack of time to implement health promotion programs (Lingard and Turner, 2017).…”

Section: Resultsmentioning

confidence: 99%

A systematic review of factors influencing the implementation of health promotion programs in the construction industry

Fuller¹,

Hasan

Kamardeen

2021

ECAM

View full text Add to dashboard Cite

PurposeThe construction industry has a poor reputation for an unhealthy lifestyle and a high prevalence of health problems such as obesity, stress and hypertension among construction workers. The review examines the factors influencing the design and delivery of health promotion programs implemented by construction organisations to educate workers and promote a healthy lifestyle. It also identifies gaps in research and practices and proposes directions for future research.Design/methodology/approachA systematic review of 51 relevant journal articles published during 2010–2019 was undertaken to achieve the aim of the study.FindingsThe review reveals 46 different factors grouped into four major themes related to individuals, organisations, industry and the program, influencing the successful implementation of health promotion programs. The top ten most cited factors are cost, time, facilities and resources, transient workforce, delivery method, influence from managers, long working hours, masculine culture, production pressure and interest. The review also found a noticeable lack of studies on implementing health promotion programs in the context of developing countries, small and medium-sized construction organisations, residential sector workers, and construction professionals and female workers.Research limitations/implicationsThe review's scope is limited to research on health promotion programs, and it did not investigate the factors affecting the health of construction workers in construction projects.Practical implicationsA better understanding of various influencing factors present at different decision levels will inform the future implementation of targeted workforce health promotion strategies to foster construction workers' health and well-being.Originality/valueThe review reveals bottlenecks that need to be addressed to successfully implement health promotion programs in the construction industry. It provides new insights that can improve existing health and workplace policies and health promotion programs in the construction industry. Finally, it identifies new research directions in a neglected but crucial area of workers' health and safety management.

show abstract

“…A majority Program reach reflects a willingness to participate in a welldesigned program among all potential participants in the target population (18). The individual-level reach rate (26.8%) of this complex intervention conducted was higher than that of other occupational healthcare programs, whose reaches ranged from 2.4 to 25% (25)(26)(27)(28). Our good level of participation rate may be due to several factors, including assistance provided by the local administration, a good occupational health atmosphere in enterprises (i.e., the vast majority of research enterprises provided due occupational health services), and the unique recruitment strategy used in this study, whereby we approached the managers first, and then managers invited IMWs.…”

Section: Maintenancementioning

confidence: 95%

Implementation Evaluation of a Cluster Randomized Controlled Trial to Promote the Use of Respiratory Protective Equipment Among Migrant Workers Exposed to Organic Solvents in Small and Medium-Sized Enterprises

Lin

Zou

et al. 2022

Front. Public Health

View full text Add to dashboard Cite

BackgroundWhile the effectiveness of several occupational healthcare interventions has been demonstrated, successful implementation of such programs among internal migrant workers (IMWs) in small and medium-sized enterprises (SMEs) has been limited. This study aimed to evaluate the implementation of a three-arm cluster randomized controlled trial promoting respiratory protective equipment (RPE) use among IMWs exposed to organic solvents in SMEs and to assess the association between participants' compliance and effectiveness of intervention.MethodsA total of 60 SMEs were randomly allocated to a low- or high-intensive intervention group, or a control group that did not receive any intervention. The low-intensive intervention group was subjected to both traditional and mHealth occupational health education. The high-intensive intervention group was subjected to the low-intensive group activities and peer education. The Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework was used to guide implementation evaluation of this 6-months intervention. Generalized linear mixed models (GLMMs) were used to evaluate the effects of participants' compliance with the intervention on the primary outcomes, regarding the appropriate use of RPE.ResultsOf 4,527 potentially eligible participants, 1,211 individuals were enrolled, with a reach rate of 26.8%. Sixty of the 66 SMEs approached (90.9%) SMEs adopted the intervention. Fidelity to traditional education (100.0%) and mHealth intervention (97.5%) was higher than fidelity to peer education (20.0%). Peer leaders cited inconvenient time and unfamiliarity with peers as two major barriers to delivering peer education. Compared with the control group, IMWs who complied with the interventions in both groups were more likely to wear RPE appropriately [low-intensive group: adjusted odds ratio (aOR) = 2.58, 95% confidence interval (CI): 1.56–4.28; high-intensive group: aOR = 7.52, 95% CI: 3.72–15.23]. Most participants (95.8%) were satisfied with the program and 93.1% stated that they would maintain the use of RPE in the future.ConclusionsA multi-component occupational health intervention to promote the use of RPE among IMWs in SMEs was feasible and acceptable. Peer education had great potential to enhance the occupational health behavior of IMWs, and thus strategies to improve participants' adherence to this component warrant further investigation.Clinical Trial Registrationhttp://www.chictr.org.cn, identifier: ChiCTR-IOR-15006929.

show abstract

Process Evaluation of the Nationwide Implementation of a Lifestyle Intervention in the Construction Industry

Abstract: Even though important conditions for scale up were met, the implementation was characterized by a low reach, a high drop-out rate, and a low quality of the counseling technique.

Cited by 4 publications

References 38 publications

A multimedia campaign to improve back beliefs in patients with non-specific low back pain: a process evaluation

A multimedia campaign to improve back beliefs in patients with non-specific low back pain: a process evaluation

A systematic review of factors influencing the implementation of health promotion programs in the construction industry

Implementation Evaluation of a Cluster Randomized Controlled Trial to Promote the Use of Respiratory Protective Equipment Among Migrant Workers Exposed to Organic Solvents in Small and Medium-Sized Enterprises

Contact Info

Product

Resources

About