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.

Sasaki, Natsu; Shimazu, Taichi; Ogawa, Sayaka; Sawada, Utako; Powell, Byron J; Saito, Junko; Odawara, Miyuki; Takeno, Hajime et al. · J Occup Environ Med · 2025

other · Level IV

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Abstract

This study evaluated the feasibility of strategies to improve participation rates in an Internet-based stress management program for micro- and small-sized enterprises. 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. Fifteen companies (169 employees) participated; 10 (66.7%) achieved ≥60% penetration. Stakeholders rated acceptability, appropriateness, fidelity, and time investment positively. The study found the strategies feasible, meeting criteria to proceed with future research.

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