Professionals' Perspectives on Facilitating and Hindering Factors of Implementing Health Promotion Programs in Organizational Settings

Health Promotion Clinical Trial

— SCS  

Official title:

Professionals' Perspectives on Facilitating and Hindering Factors of Implementing Health Promotion Programs in Organizational Settings: a Qualitative Comparative Study in Austria

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT02299895
• Other study ID #: LBG:1554
• Status: Active, not recruiting
• Phase: N/A
• First received: November 13, 2014
• Last updated: November 20, 2014
• Start date: February 2012
• Est. completion date: March 2015

Study information

• Verified date: November 2014
• Source: Ludwig Boltzmann Gesellschaft
• Contact: n/a
• Is FDA regulated: No
• Health authority: Austria: Ethikkommission
• Study type: Observational

Clinical Trial Summary

Background:

In the field of health promotion, the 'setting approach' has gained increased attention over the last decades. Following this approach, organizations and governments are urged to invest in health and health promotion. However, the dissatisfaction with the broad definition of the term 'setting' has grown. As many health promotion programs are carried out in organizational settings, substantial work has been done on how to acknowledge organizational factors in designing and implementing health promotion programs. Organizational settings differ from others because they can also address their clients as beneficiaries of health promotion programs, also known as 'client-oriented health promotion'. Among the most prominent organizational settings for health promotion are schools and hospitals, and more recently, long-term care (LTC-) facilities. However, dissemination and implementation of client-oriented health promotion in organizational settings seem to be very challenging. Most approaches dealing with barriers to health promotion implementation in schools, hospitals, and LTC-facilities rarely reflect the specific organizational characteristics. This negligence constitutes both, a research gap in the setting approach and in the design of health promotion practice. Hence, the aim of this study is to explore professionals' (teachers', health professionals', care aids') views and attitudes that influence the implementation of client-oriented health promotion programs between schools, hospitals, and LTC-facilities in Austria.

Methods:

With that aim in mind, the investigators chose a comparative qualitative design. Semi-structured interviews will be conducted with 90 professionals (30 in schools, 30 in hospitals, and 30 in LTC-facilities). In addition, non-participant observations as well as an extensive document analysis in each setting will be undertaken. The data will be analyzed by thematic analysis. Comparisons within as well as between the organizational settings will be conducted using selected categories.

Discussion:

To date, this study is the first of its kind that compares results of individual semi-structured interviews between different organizational settings. This study investigates professionals' views and attitudes on facilitating and hindering factors of implementing client-oriented health promotion programs and thus will provide a solid basis for future research activities and evaluation studies in the field of health promotion implementation.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 90
• Est. completion date: March 2015
• Est. primary completion date: March 2015
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Professionals from different levels of the organizational hierarchies

• Professionals from different professional groups

• Professionals with preferably differing views on the usefulness of the health promotion program

Exclusion Criteria:

Study Design

Time Perspective: Retrospective

Related Conditions & MeSH terms

• Health Promotion
• Organizations

Locations

Country	Name	City	State
n/a

Sponsors (2)

Lead Sponsor	Collaborator
Ludwig Boltzmann Gesellschaft	Ludwig Boltzmann Institut Health Promotion Research

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Professionals' perspectives towards the implementation process of health promotion programs compositely measured by qualitative semi-structured interviews and non-participant observation	Semi-structured interviews: During different stages of the implementation process, a number of professionals responsible for implementation in each organizational setting are invited for an in-depth interview to gain insight into the implementation of the health promotion program. An interview guide is used to ask participants about the program's content, recruitment, fidelity, and satisfaction with the dissemination strategy, and overall satisfaction with the health promotion program. Facilitators and barriers for implementation, as well as intentions and opportunities for future implementation of health promotion programs are discussed.; Non-participant observation: In addition, it is observed how professionals across schools, hospitals, and LTC-facilities implement the health promotion program. Non-participant observation is conducted two times in each organizational setting.	9 months	No
Secondary	Investigation of formal prerequisites of the implementation process measured by extensive document analysis	Documentary data, such as organizational charts or program descriptions of the health promotion programs, are gathered. Therewith, the investigators analyze formal structures and processes within the organizations as well as the formal requirements and goals of the health promotion program.	9 months	No