Process evaluation in occupational stress management programs: a systematic review.
OBJECTIVE
To conduct a systematic review of workplace stress management intervention studies that have incorporated process evaluation. Data Source. Electronic databases such as PsycINFO and MEDline were searched. STUDY INCLUSION CRITERIA: The inclusion criteria included interventions published in the English language that were focused on either individual- or organizational-level stress management interventions at the workplace, with an outcome evaluation.


METHODS
Each article was coded on key process-relevant variables, including context, recruitment, reach, dose delivered, dose received, fidelity, implementation, and participant's attitudes toward the intervention. Studies that reported on at least one of these process variables were also coded on the following study characteristics: participants, setting, evaluation design, intervention content, intervention format, and study outcomes.


RESULTS
Statistical Package for the Social Science was used to analyze the data with descriptive statistics.


RESULTS
Of the 84 studies identified that met the study inclusion criteria, 52 (61.9%) reported findings on at least one of the key relevant process-relevant variables. Variables most frequently included were recruitment (30%), intervention dose received (22%), participants' attitudes toward intervention (19%), and program reach (13%). Fewer than half of the studies presented any findings linking process evaluation and outcome evaluation.


CONCLUSIONS
The incomplete reporting of information relevant to process evaluation makes it difficult to identify reliable determinants of effective intervention implementation or outcomes.
Murta
Sheila Giardini
SG
Universidade Católica de Goiás, Psychology (Psicologia), Avenida Universitária, Numero 1069, Setor Universitário, Goiânia, Goiás 7405010, Brazil. murta@cultura.com.br
Sanderson
Kristy
K
Oldenburg
Brian
B
D006293:Health Promotion / Q000379:methods*; D006801:Humans; D009784:Occupational Diseases / Q000628:therapy*; D009786:Occupational Health Services / Q000458:organization & administration*; D010342:Patient Acceptance of Health Care; D017064:Process Assessment, Health Care; D013315:Stress, Psychological / Q000628:therapy*; D017132:Workplace