Process Evaluation of a Workers' Health Surveillance Program for Meat Processing Workers

Berry J van Holland, Sandra Brouwer, Michiel R de Boer, Michiel F Reneman, Remko Soer

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

Objective To evaluate the implementation process of a workers' health surveillance (WHS) program in a Dutch meat processing company. Methods Workers from five plants were eligible to participate in the WHS program. The program consisted of four evaluative components and an intervention component. Qualitative and quantitative methods were used to evaluate seven process aspects. Data were gathered by interviews with stakeholders, participant questionnaires, and from registries of the company and occupational health service. Results Two recruitment strategies were used: open invitation or automatic participation. Of the 986 eligible workers, 305 participated in the program. Average reach was 53 %. Two out of five program components could not be assessed on dose delivered, dose received and fidelity. If components were assessable, 85-100 % of the components was delivered, 66-100 % of the components was received by participants, and fidelity was 100 %. Participants were satisfied with the WHS program (mean score 7.6). Contextual factors that facilitated implementation were among others societal developments and management support. Factors that formed barriers were program novelty and delayed follow-up. Conclusion The WHS program was well received by participants. Not all participants were offered the same number of program components, and not all components were performed according to protocol. Deviation from protocol is an indication of program failure and may affect program effectiveness.

Original languageEnglish
Pages (from-to)307-318
Number of pages12
JournalJournal of Occupational Rehabilitation
Volume27
Issue number3
DOIs
Publication statusPublished - 1 Sep 2017

Keywords

  • Journal Article

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