Barriers and facilitators to implementing workplace interventions to promote mental health: qualitative evidence synthesis

作者：Charlotte Paterson, Caleb Leduc, Margaret Maxwell, Birgit Aust, Heather Strachan, Ainslie O’Connor, Fotini Tsantila, Johanna Cresswell‐Smith, György Purebl, Lars de Winter, Naim Fanaj, Asmae Doukani, Bridget Hogg, Paul Corcoran, Luigia D’Alessandro, Sharna Mathieu, Ulrich Hegerl, Ella Arensman, Birgit A. Greiner, Andia Meksi, András Székely, Ariel Çomo, Arilda Dushaj, Arlinda Cerga, Azucena Justicia, Benedikt L. Amann, Chantal Van Audenhove, Chris Lockwood, Clíodhna O’Connor, Doireann Ní Dhálaigh, Dooyoung Kim, Eileen Williamson, Éva Zsák, Eve Griffin, Evelien Coppens, Genc Burazeri, Gentiana Qirjako, Grace Davey, Hanna Reich, Jaap van Weeghel, Juan Carlos Medina Alcaraz, Juliane Hug, Kahar Abula, Kairi Kõlves, Karen Mulcahy, Katherine Thomson, Kristian Wahlbeck, Laura Cox, Mallorie Leduc, Marta Fontana McNally, Pia Hauck, Reiner Rugulies, Ruth Benson, Saara Rapeli, Sarita Sanches, Sevim Mustafa, Stefan Hackel, Tanya King, Vanda Scott, Víctor Pérez, Victoria Ross, Wendy Orchard · 发表于：Systematic Reviews · 年份：2024 · DOI：10.1186/s13643-024-02569-2 · 被引用次数：51 · 研究领域：Workplace Health and Well-being、Health Policy Implementation Science、Mental Health Treatment and Access

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: 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: 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 e...