Barriers and facilitators influencing the implementation of the occupational health intervention 'Dynamic Work': a qualitative study

Victoria J E Z Mastenbroek, Judith G M Jelsma, Hidde P van der Ploeg, Dominique P M Stijnman, Maaike A Huysmans, Allard J van der Beek, Femke van Nassau, Victoria J E Z Mastenbroek, Judith G M Jelsma, Hidde P van der Ploeg, Dominique P M Stijnman, Maaike A Huysmans, Allard J van der Beek, Femke van Nassau

Abstract

Background: Sedentary behavior is associated with an increased risk of morbidity and mortality. To reduce occupational sitting time of office workers, the multi-component intervention 'Dynamic Work' was implemented in a Dutch insurance company. Although the results showed no significant reductions in sitting time, associations were found between higher levels of implementation and reductions in sitting time. Building upon these findings, this qualitative study aimed to identify barriers and facilitators from an organizational perspective for the implementation of Dynamic Work. In addition, we explored differences in barriers and facilitators between departments with a low, middle and high level of implementation.

Methods: In total, eighteen semi-structured interviews were conducted with two Dynamic Work coordinators, three occupational physiotherapists who delivered the intervention, and thirteen department managers. All participants were purposively sampled. The data was coded in Atlas.ti and a thematic analysis was performed guided by The Integrated Checklist of Determinants (TICD).

Results: Implementation factors were related to the organization; working culture and financial support facilitated implementation. Factors related to the implementing department mainly hindered implementation, i.e. lack of information at start of the project, late delivery of Dynamic Work equipment, large group sizes, employee's workload and work tasks, and an ongoing reorganization. The facilitating role of managers was experienced as both enabling and hindering. The pre-existing familiarity of the occupational physiotherapists with the departments and alignment amongst the three implementers facilitated implementation. Yet, the non-obligatory nature of the intervention as well as limited availability and technical problems of equipment did not support implementation.

Conclusions: Various barriers and facilitators influenced the implementation of the Dynamic Work intervention, where the key role of the department manager, late delivery of dynamic work equipment and groups sizes varied between low and high implementing departments. These results can contribute to developing and improving implementation strategies in order to increase the effectiveness of future occupational health interventions.

Trial registration: The study protocol was registered on April 14, 2017 in the ClinicalTrials.gov Protocol Registration and Results System under registration number NCT03115645 .

Keywords: Barriers; Facilitators; Implementation; Intervention; Occupational health; Office workers; Qualitative study; Sedentary behavior; Sitting time.

Conflict of interest statement

The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: The authors declare no conflicts of interest. This work was supported by Achmea, Interne Diensten N.V. (Handelsweg 2 Zeist, The Netherlands), which also provided the study population and co-developed the Dynamic Work intervention with the research team. Achmea had no influence on or role in the study design, data collection, analyses and interpretation of the data, the writing of this paper, and the decision to submit the paper for publication.

© 2022. The Author(s).

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Overview themes

References

    1. Loyen A, van der Ploeg HP, Bauman A, Brug J, Lakerveld J. European sitting championship: prevalence and correlates of self-reported sitting time in the 28 European Union Member States. PLoS One. 2016;11(3):e0149320. doi: 10.1371/journal.pone.0149320.
    1. Mackenzie K, Such E, Norman P, Goyder E. The development, implementation and evaluation of interventions to reduce workplace sitting: a qualitative systematic review and evidence-based operational framework. BMC Public Health. 2018;18(1):833. doi: 10.1186/s12889-018-5768-z.
    1. Garne-Dalgaard A, Mann S, Bredahl TVG, Stochkendahl MJ. Implementation strategies, and barriers and facilitators for implementation of physical activity at work: a scoping review. Chiropr Man Therap. 2019;27:48. doi: 10.1186/s12998-019-0268-5.
    1. International Sport and Culture Association (Centre for Economic and Business Research) The economic cost of physical inactivity in Europe. London: Centre for Economic and Business Research; 2015.
    1. Ojo SO, Bailey DP, Hewson DJ, Chater AM. Perceived barriers and facilitators to breaking up sitting time among desk-based office workers: a qualitative investigation using the TDF and COM-B. Int J Environ Res Public Health. 2019;16(16):2903. doi: 10.3390/ijerph16162903.
    1. Shrestha N, Kukkonen-Harjula KT, Verbeek JH, Ijaz S, Hermans V, Bhaumik S. Workplace interventions for reducing sitting at work. Cochrane Database Syst Rev. 2016;3:CD010912.
    1. Renaud LR, Jelsma JGM, Huysmans MA, van Nassau F, Lakerveld J, Spekle EM, et al. Effectiveness of the multi-component dynamic work intervention to reduce sitting time in office workers - Results from a pragmatic cluster randomised controlled trial. Appl Ergon. 2020;84:103027. doi: 10.1016/j.apergo.2019.103027.
    1. Hasson H, Villaume K, von Thiele SU, Palm K. Managing implementation: roles of line managers, senior managers, and human resource professionals in an occupational health intervention. J Occup Environ Med. 2014;56(1):58–65. doi: 10.1097/JOM.0000000000000020.
    1. Jelsma JGM, Van der Ploeg HP, Renaud LR, Stijnman DPM, Loyen A, Huysmans MA, et al. Mixed-methods process evaluation of the Dynamic Work study: a multicomponent intervention for office workers to reduce sitting time. Under review.
    1. Wierenga D, Engbers LH, Van Empelen P, Duijts S, Hildebrandt VH, Van Mechelen W. What is actually measured in process evaluations for worksite health promotion programs: a systematic review. BMC Public Health. 2013;13:1190. doi: 10.1186/1471-2458-13-1190.
    1. Jelsma JGM, Renaud LR, Huysmans MA, Coffeng JK, Loyen A, van Nassau F, et al. The Dynamic Work study: study protocol of a cluster randomized controlled trial of an occupational health intervention aimed at reducing sitting time in office workers. BMC Public Health. 2019;19(1):188. doi: 10.1186/s12889-019-6467-0.
    1. Flottorp SA, Oxman AD, Krause J, Musila NR, Wensing M, Godycki-Cwirko M, et al. A checklist for identifying determinants of practice: a systematic review and synthesis of frameworks and taxonomies of factors that prevent or enable improvements in healthcare professional practice. Implement Sci. 2013;8:35. doi: 10.1186/1748-5908-8-35.
    1. Castleberry A, Nolen A. Thematic analysis of qualitative research data: is it as easy as it sounds? Curr Pharm Teach Learn. 2018;10(6):807–815. doi: 10.1016/j.cptl.2018.03.019.
    1. Weiner BJ, Amick H, Lee SY. Conceptualization and measurement of organizational readiness for change: a review of the literature in health services research and other fields. Med Care Res Rev. 2008;65(4):379–436. doi: 10.1177/1077558708317802.
    1. Weiner BJ. A theory of organizational readiness for change. Implement Sci. 2009;4:67. doi: 10.1186/1748-5908-4-67.
    1. Herrera-Sanchez IM, Leon-Perez JM, Leon-Rubio JM. Steps to ensure a successful implementation of occupational health and safety interventions at an organizational level. Front Psychol. 2017;8:2135. doi: 10.3389/fpsyg.2017.02135.
    1. Borek A, Abraham C. How do small groups promote behaviour change? An integrative conceptual review of explanatory mechanisms. Appl Psychol Health Well Being. 2018;10(1):30–61. doi: 10.1111/aphw.12120.
    1. Powell BJ, Waltz TJ, Chinman MJ, Damschroder LJ, Smith JL, Matthieu MM, et al. A refined compilation of implementation strategies: results from the Expert Recommendations for Implementing Change (ERIC) project. Implement Sci. 2015;10:21. doi: 10.1186/s13012-015-0209-1.
    1. Shea CM, Jacobs SR, Esserman DA, Bruce K, Weiner BJ. Organizational readiness for implementing change: a psychometric assessment of a new measure. Implement Sci. 2014;9:7. doi: 10.1186/1748-5908-9-7.
    1. Mackenzie K, Such E, Norman P, Goyder E. Sitting less at work: a qualitative study of barriers and enablers in organisations of different size and sector. BMC Public Health. 2019;19(1):884. doi: 10.1186/s12889-019-7148-8.

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