Barriers and facilitators to implementing workplace interventions to promote mental health: qualitative evidence synthesis.
Barriers and facilitators
Implementation science
Mental health
Organisation interventions
Scoping review
Systematic review
Wellbeing
Workplace
Journal
Systematic reviews
ISSN: 2046-4053
Titre abrégé: Syst Rev
Pays: England
ID NLM: 101580575
Informations de publication
Date de publication:
07 Jun 2024
07 Jun 2024
Historique:
received:
08
11
2023
accepted:
17
05
2024
medline:
8
6
2024
pubmed:
8
6
2024
entrez:
7
6
2024
Statut:
epublish
Résumé
Despite growing interest in workplace mental health interventions, evidence of their effectiveness is mixed. Implementation science offers a valuable lens to investigate the factors influencing successful implementation. However, evidence synthesis is lacking, especially for small-to-medium-sized enterprises (SMEs) and for specific work sectors. The objectives of this review are to establish the scope of research with explicit analysis of implementation aspects of workplace mental health interventions and to identify barriers and facilitators to implementation in general and within SMEs and selected sectors. A systematic scoping review and meta-synthesis of mixed methods process evaluation research from 11 databases, with the evaluation of methodological quality (MMAT) and confidence in findings (CERQual), was conducted. We selected information-rich studies and synthesised them using domains within the Nielsen and Randall implementation framework: context, intervention activities, implementation; and mental models. We included 43 studies published between 2009 and 2022, of which 22 were rated as information-rich to be analysed for barriers and facilitators. Most studies were conducted in healthcare. Facilitators reflecting 'high confidence' included: relevant and tailored content, continuous and pro-active leadership buy-in and support, internal or external change agents/champions, assistance from managers and peers, resources, and senior-level experience and awareness of mental health issues. Healthcare sector-specific facilitators included: easy accessibility with time provided, fostering relationships, clear communication, and perceptions of the intervention. Stigma and confidentiality issues were reported as barriers overall. Due to the small number of studies within SMEs reported findings did not reach 'high confidence'. A lack of studies in construction and Information and Communication Technology meant separate analyses were not possible. There is dependable evidence of key factors for the implementation of workplace mental health interventions which should be used to improve implementation. However, there is a lack of studies in SMEs and in a larger variety of sectors. Research Registry ( reviewregistry897 ).
Sections du résumé
BACKGROUND
BACKGROUND
Despite growing interest in workplace mental health interventions, evidence of their effectiveness is mixed. Implementation science offers a valuable lens to investigate the factors influencing successful implementation. However, evidence synthesis is lacking, especially for small-to-medium-sized enterprises (SMEs) and for specific work sectors. The objectives of this review are to establish the scope of research with explicit analysis of implementation aspects of workplace mental health interventions and to identify barriers and facilitators to implementation in general and within SMEs and selected sectors.
METHODS
METHODS
A systematic scoping review and meta-synthesis of mixed methods process evaluation research from 11 databases, with the evaluation of methodological quality (MMAT) and confidence in findings (CERQual), was conducted. We selected information-rich studies and synthesised them using domains within the Nielsen and Randall implementation framework: context, intervention activities, implementation; and mental models.
RESULTS
RESULTS
We included 43 studies published between 2009 and 2022, of which 22 were rated as information-rich to be analysed for barriers and facilitators. Most studies were conducted in healthcare. Facilitators reflecting 'high confidence' included: relevant and tailored content, continuous and pro-active leadership buy-in and support, internal or external change agents/champions, assistance from managers and peers, resources, and senior-level experience and awareness of mental health issues. Healthcare sector-specific facilitators included: easy accessibility with time provided, fostering relationships, clear communication, and perceptions of the intervention. Stigma and confidentiality issues were reported as barriers overall. Due to the small number of studies within SMEs reported findings did not reach 'high confidence'. A lack of studies in construction and Information and Communication Technology meant separate analyses were not possible.
CONCLUSIONS
CONCLUSIONS
There is dependable evidence of key factors for the implementation of workplace mental health interventions which should be used to improve implementation. However, there is a lack of studies in SMEs and in a larger variety of sectors.
SYSTEMATIC REVIEW REGISTRATION
BACKGROUND
Research Registry ( reviewregistry897 ).
Identifiants
pubmed: 38849924
doi: 10.1186/s13643-024-02569-2
pii: 10.1186/s13643-024-02569-2
doi:
Types de publication
Journal Article
Systematic Review
Meta-Analysis
Langues
eng
Sous-ensembles de citation
IM
Pagination
152Subventions
Organisme : Horizon 2020 Framework Programme
ID : 848137
Investigateurs
Andia Meksi
(A)
Andras Szekely
(A)
Ariel Como
(A)
Arilda Dushaj
(A)
Arlinda Cerga
(A)
Azucena Justicia
(A)
Benedikt Amann
(B)
Chantal Van Audenhove
(C)
Chris Lockwood
(C)
Cliodhna O'Connor
(C)
Doireann Ni Dhalaigh
(DN)
Dooyoung Kim
(D)
Eileen Williamson
(E)
Eva Zsak
(E)
Eve Griffin
(E)
Evelien Coppens
(E)
Genc Burazeri
(G)
Gentiana Qirjako
(G)
Grace Davey
(G)
Hanna Reich de Paredes
(HR)
Jaap Van Weeghel
(J)
Juan Carlos Medina Alcaraz
(JCM)
Juliane Hug
(J)
Kahar Abula
(K)
Kairi Kõlves
(K)
Karen Mulcahy
(K)
Katherine Thomson
(K)
Kristian Wahlbeck
(K)
Laura Cox
(L)
Mallorie Leduc
(M)
Marta Fontana McNally
(MF)
Pia Hauck
(P)
Reiner Rugulies
(R)
Ruth Benson
(R)
Saara Rapeli
(S)
Sarita Sanches
(S)
Sevim Mustafa
(S)
Stefan Hackel
(S)
Tanya King
(T)
Vanda Scott
(V)
Víctor Pérez Solà
(VP)
Victoria Ross
(V)
Wendy Orchard
(W)
Informations de copyright
© 2024. The Author(s).
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