Facilitating stress prevention in micro and small-sized enterprises: protocol for a mixed method study to evaluate the effectiveness and implementation process of targeted web-based interventions

Publikation: Beiträge in ZeitschriftenZeitschriftenaufsätzeForschungbegutachtet


  • Miriam Engels
  • Leif Boß
  • Judith Engels
  • Rebekka Kuhlmann
  • Johanna Kuske
  • Sarah Lepper
  • Lutz Lesener
  • Valeria Pavlista
  • Mathias Diebig
  • Thorsten Lunau
  • Sascha A. Ruhle
  • Florian B. Zapkau
  • Peter Angerer
  • Jörg Hoewner
  • Dirk Lehr
  • Christian Schwens
  • Stefan Süß
  • Ines C. Wulf
  • Nico Dragano

Background: Workplace-related stress is a major risk factor for mental and physical health problems and related sickness absence and productivity loss. Despite evidence regarding the effectiveness of different workplace-based interventions, the implementation of stress prevention interventions is rare, especially in micro and small-sized enterprises (MSE) with fewer than 50 employees. The joint research project “PragmatiKK”+ aims to identify and address the specific barriers to the implementation of stress prevention interventions in MSE. This study protocol describes a mixed method study design to evaluate the effectiveness of adapted stress prevention interventions and the implementation process via an integrated web-based platform (“System P”) specifically targeted at MSE. Methods: First, we develop a web-based intervention, which accounts for the specific working conditions in MSE and addresses stress prevention at a structural and behavioral level. Second, we use common methods of implementation research to perform an effect and process evaluation. We analyze the effectiveness of the web-based stress prevention interventions by comparing depressive symptoms at baseline and follow-up (after 6 months and 12 months). Indicators for a successful implementation process include acceptability, adoption, feasibility, reach, dose, and fidelity, which we will measure with quantitative web-based questionnaires and qualitative interviews. We will also analyze the accumulated usage data from the web-based platform. Discussion: Collecting data on the implementation process and the effectiveness of a web-based intervention will help to identify and overcome common barriers to stress prevention in MSE. This can improve the mental health of employees in MSE, which constitute more than 90% of all enterprises in Germany. + Full Project Name: „PragmatiKK - Pragmatische Lösungen für die Implementation von Maßnahmen zur Stressprävention in Kleinst- und Kleinbetrieben “(= Pragmatic solutions for the implementation of stress prevention interventions in micro and small-sized enterprises). Trial registration: German Register of Clinical Studies (DRKS): DRKS00026154, date of registration: 2021-09-16.

ZeitschriftBMC Public Health
Anzahl der Seiten13
PublikationsstatusErschienen - 12.2022

Bibliographische Notiz

Open Access funding enabled and organized by Projekt DEAL. This study is funded by the German Federal Ministry of Education and Research (BMBF) within the Framework Concept “Future of work” (fund number 02L16D020 to 02L16D023) and managed by the Project Management Agency Forschungszentrum Karlsruhe, Production and Manufacturing Technologies Division (PTKA). © 2022. The Author(s).