title: Implementation of web-based interventions by Dutch occupational health centers.
abstract: The aim of this qualitative study was to identify barriers and facilitators to the adoption and particularly the implementation of a web-based computer-tailored obesity prevention intervention by occupational health centers. Participants were directors of Dutch occupational health centers who had adopted and implemented the intervention for the corresponding efficacy study (n = 8) as well as non-adopters (n = 12). Individual semi-structured interviews were carried out to study barriers and facilitators related to the intervention, the user, the organization, and the socio-political environment. All interviews were carried out by telephone, audio-recorded and transcribed verbatim. The transcripts were analyzed using a directed-content approach and coded by two persons. There were important differences in perceptions between adopters and non-adopters, particularly on barriers and facilitators related to the intervention and the personal beliefs of the implementer. The relative advantages of the intervention were considered to be most important. Participants also indicated that their personal attitudinal and self-efficacy beliefs influenced their implementation efforts. Regarding the organization, the possibilities to increase profits and integrate the intervention within the organization were considered to be important facilitators for the implementation. Participants mentioned few implementation barriers and facilitators related to the socio-political environment. Strategies to improve the implementation of web-based computer-tailored interventions by occupational health centers should be tailored to implementers' unique perceptions and particularly address the perceived advantages and disadvantages of the intervention, attitudinal and self-efficacy beliefs, and the potential to increase organizations' profits and competitiveness.
authors.affiliation: School for Public Health and Primary Care (CAPHRI), Maastricht University, Maastricht, the Netherlands.|Department of Health Promotion, Maastricht University, PO Box 616, Maastricht 6200 MD, the Netherlands.
authors.forename: Michel Jean Louis
authors.initials: MJL
authors.lastname: Walthouwer
authors.affiliation: School for Public Health and Primary Care (CAPHRI), Maastricht University, Maastricht, the Netherlands.|Department of Health Promotion, Maastricht University, PO Box 616, Maastricht 6200 MD, the Netherlands.
authors.forename: Anke
authors.initials: A
authors.lastname: Oenema
authors.affiliation: School for Public Health and Primary Care (CAPHRI), Maastricht University, Maastricht, the Netherlands.|Department of Health Promotion, Maastricht University, PO Box 616, Maastricht 6200 MD, the Netherlands.
authors.forename: Katja
authors.initials: K
authors.lastname: Soetens
authors.affiliation: School for Public Health and Primary Care (CAPHRI), Maastricht University, Maastricht, the Netherlands.|Department of Psychology, Open University of the Netherlands, PO Box 2960, Heerlen 6419 AT, the Netherlands.
authors.forename: Lilian
authors.initials: L
authors.lastname: Lechner
authors.affiliation: School for Public Health and Primary Care (CAPHRI), Maastricht University, Maastricht, the Netherlands.|Department of Health Promotion, Maastricht University, PO Box 616, Maastricht 6200 MD, the Netherlands.
authors.forename: Hein
authors.initials: H
authors.lastname: de Vries
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D009765:Obesity / Q000517:prevention & control*; D009786:Occupational Health Services / Q000191:economics / Q000379:methods / Q000458:organization & administration*; D036301:Qualitative Research; D020377:Self Efficacy; D017216:Telemedicine / Q000706:statistics & numerical data*
keywords: determinants; implementation; occupational health centers; qualitative study; web-based intervention