title: What incentives influence employers to engage in workplace health interventions?
abstract: To achieve a sustainable working life it is important to know more about what could encourage employers to increase the use of preventive and health promotive interventions. The objective of the study is to explore and describe the employer perspective regarding what incentives influence their use of preventive and health promotive workplace interventions.
  
  
  
  Semi-structured focus group interviews were carried out with 20 representatives from 19 employers across Sweden. The economic sectors represented were municipalities, government agencies, defence, educational, research, and development institutions, health care, manufacturing, agriculture and commercial services. The interviews were transcribed verbatim and the data were analysed using latent content analysis.
  
  
  
  Various incentives were identified in the analysis, namely: "law and provisions", "consequences for the workplace", "knowledge of worker health and workplace health interventions", "characteristics of the intervention", "communication and collaboration with the provider". The incentives seemed to influence the decision-making in parallel with each other and were not only related to positive incentives for engaging in workplace health interventions, but also to disincentives.
  
  
  
  This study suggests that the decision to engage in workplace health interventions was influenced by several incentives. There are those incentives that lead to a desire to engage in a workplace health intervention, others pertain to aspects more related to the intervention use, such as the characteristics of the employer, the provider and the intervention. It is important to take all incentives into consideration when trying to understand the decision-making process for workplace health interventions and to bridge the gap between what is produced through research and what is used in practice.
authors.affiliation: Intervention and Implementation Research Unit, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden. camilla.martinsson@outlook.com.
authors.forename: Camilla
authors.identifier: 0000-0002-0292-6806
authors.initials: C
authors.lastname: Martinsson
authors.affiliation: Intervention and Implementation Research Unit, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
authors.forename: Malin
authors.initials: M
authors.lastname: Lohela-Karlsson
authors.affiliation: Intervention and Implementation Research Unit, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
authors.forename: Lydia
authors.initials: L
authors.lastname: Kwak
authors.affiliation: Intervention and Implementation Research Unit, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
authors.forename: Gunnar
authors.initials: G
authors.lastname: Bergström
authors.affiliation: Intervention and Implementation Research Unit, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
authors.forename: Therese
authors.initials: T
authors.lastname: Hellman
mesh_terms: D000328:Adult; D003256:Community Participation; D005260:Female; D017144:Focus Groups; D006293:Health Promotion / Q000191:economics*; D006801:Humans; D008297:Male; D009042:Motivation; D016272:Occupational Health / Q000193:education*; D013548:Sweden; D017132:Workplace
keywords: Disease prevention; Employers; Factors; Health promotion; Incentives; Interventions; Motivation; Occupational health and safety; Workplace