Feasibility and Preliminary Evaluation of Implementation Strategies to Increase Individual Participation in an Internet-Based Stress Management Program for Micro- and Small-Sized Enterprises: A Pre-Post Pilot Study

  • Natsu Sasaki
  • , Taichi Shimazu
  • , Sayaka Ogawa
  • , Utako Sawada
  • , Byron J. Powell
  • , Junko Saito
  • , Miyuki Odawara
  • , Hajime Takeno
  • , Akizumi Tsutsumi
  • , Kotaro Imamura

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives This study evaluated the feasibility of strategies to improve participation rates in an Internet-based stress management program for micro- and small-sized enterprises. Methods A pre-post intervention study was conducted with companies (<50 employees). Stakeholder education preceded program implementation. The primary outcome was individual participation rate, with >50% of companies required to achieve ≥60% penetration. Results Fifteen companies (169 employees) participated; 10 (66.7%) achieved ≥60% penetration. Stakeholders rated acceptability, appropriateness, fidelity, and time investment positively. Conclusions The study found the strategies feasible, meeting criteria to proceed with future research.

Original languageEnglish
Pages (from-to)766-775
Number of pages10
JournalJournal of occupational and environmental medicine
Volume67
Issue number9
DOIs
StatePublished - Sep 1 2025

Keywords

  • Internet-based intervention
  • health equity
  • implementation science
  • implementation strategies
  • occupational health
  • stress prevention

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