Academic Journal
Mixed-Method Process Evaluation of a Mobile Technology-Based Tailored Workplace Health Promotion Program.
| Τίτλος: | Mixed-Method Process Evaluation of a Mobile Technology-Based Tailored Workplace Health Promotion Program. |
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| Συγγραφείς: | Lu SH; Author Affiliations: School of Nursing, China Medical University and Department of Nursing, China Medical University Hospital, Taichung, Taiwan (Drs Lu, Ma, Lee, Liao, and Lin); School of Food Safety, Taipei Medical University, Taipei, Taiwan (Dr Yang); and School of Nursing, University of California San Francisco, CA (Dr Hong)., Ma WF, Lee KC, Liao WC, Yang HT, Lin YP, Hong O |
| Πηγή: | ANS. Advances in nursing science [ANS Adv Nurs Sci] 2026 Oct-Dec 01; Vol. 49 (4S), pp. S39-S51. Date of Electronic Publication: 2026 Jul 06. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 7809992 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1550-5014 (Electronic) Linking ISSN: 01619268 NLM ISO Abbreviation: ANS Adv Nurs Sci Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2003- : Hagerstown, MD : Lippincott Williams & Wilkins Original Publication: Germantown, Md., Aspen Systems Corp. |
| Ιατρικοί όροι (MeSH): | Health Promotion*/methods , Health Promotion*/organization & administration , Workplace*/psychology , Occupational Health* , Occupational Health Services*, Humans ; Female ; Digital Health ; Adult ; Male ; Middle Aged ; Program Evaluation |
| Περίληψη: | This study examined participant perceptions and engagement with SIMPLE HEALTH, a 12-week mobile technology-based workplace health promotion program designed for sedentary employees. Using a mixed-methods process evaluation, we examined usability, acceptability, interaction with its components, perceived benefits, and implementation fidelity. Participants reported positive experiences with the platform's design, tailored features, and supportive elements, along with suggestions for enhancement. All scheduled program elements were delivered as intended. Findings offer insights for optimizing multicomponent digital health programs in workplaces and highlight opportunities for occupational health professionals to adapt and scale such programs to promote healthier and more supportive workplace environments. (Copyright © 2026 Wolters Kluwer Health, LLC. All rights reserved.) |
| Competing Interests: | The authors report no conflicts of interest. |
| References: | Duijvestijn M, de Wit GA, van Gils PF, Wendel-Vos GCW. Impact of physical activity on healthcare costs: a systematic review. BMC Health Serv Res. 2023;23(1):572. doi: 10.1186/s12913-023-09556-8. (PMID: 10.1186/s12913-023-09556-8) Ekelund U, Tarp J, Steene-Johannessen J, et al. Dose-response associations between accelerometry measured physical activity and sedentary time and all cause mortality: systematic review and harmonised meta-analysis. BMJ. 2019;366:l4570. doi: 10.1136/bmj.l4570. (PMID: 10.1136/bmj.l4570) Prince SA, Elliott CG, Scott K, Visintini S, Reed JL. Device-measured physical activity, sedentary behaviour and cardiometabolic health and fitness across occupational groups: a systematic review and meta-analysis. Int J Behav Nutr Phys Act. 2019;16(1):30. doi: 10.1186/s12966-019-0790-9. (PMID: 10.1186/s12966-019-0790-9) World Health Organization. Global Action Plan on Physical Activity 2018–2030: more active people for a healthier world. World Health Organization; 2018. World Health Organization. WHO guidelines on physical activity and sedentary behaviour. World Health Organization; 2020. Park S, Lee S, Woo S, et al. Sedentary behaviors and physical activity of the working population measured by accelerometry: a systematic review and meta-analysis. BMC Public Health. 2024;24(1):2123. doi: 10.1186/s12889-024-19449-y. (PMID: 10.1186/s12889-024-19449-y) Jung J, Cho I. Promoting physical activity and weight loss with mhealth interventions among workers: systematic review and meta-analysis of randomized controlled trials. JMIR Mhealth Uhealth. 2022;10(1):e30682. doi: 10.2196/30682. (PMID: 10.2196/30682) Wang C, Lu EY, Sun W, Chang JR, Tsang HWH. Effectiveness of interventions on sedentary behaviors in office workers: a systematic review and meta-analysis. Public Health. 2024;230:45-51. doi: 10.1016/j.puhe.2024.02.013. (PMID: 10.1016/j.puhe.2024.02.013) Cole-Lewis H, Ezeanochie N, Turgiss J. Understanding health behavior technology engagement: pathway to measuring digital behavior change interventions. JMIR Form Res. 2019;3(4):e14052. doi: 10.2196/14052. (PMID: 10.2196/14052) Regan C, Rosen PV, Andermo S, Hagströmer M, Johansson UB, Rossen J. The acceptability, usability, engagement and optimisation of a mHealth service promoting healthy lifestyle behaviours: a mixed method feasibility study. Digit Health. 2024;10:20552076241247935. doi: 10.1177/20552076241247935. (PMID: 10.1177/20552076241247935) Nicholas JC, Ntoumanis N, Smith BJ, Quested E, Stamatakis E, Thøgersen-Ntoumani C. Development and feasibility of a mobile phone application designed to support physically inactive employees to increase walking. BMC Med Inform Decis Mak. 2021;21(1):23. doi: 10.1186/s12911-021-01391-3. (PMID: 10.1186/s12911-021-01391-3) Chatterjee A, Prinz A, Gerdes M, Martinez S. Digital interventions on healthy lifestyle management: systematic review. J Med Internet Res. 2021;23(11):e26931. doi: 10.2196/26931. (PMID: 10.2196/26931) Han MK, Cho B, Kwon H, et al. A Mobile-based comprehensive weight reduction program for the workplace (Health-on): development and pilot study. JMIR Mhealth Uhealth. 2019;7(11):e11158. doi: 10.2196/11158. (PMID: 10.2196/11158) Sevic A, Hashemi NS, Thørrisen MM, et al. Effectiveness of eHealth interventions targeting employee health behaviors: systematic review. J Med Internet Res. 2023;25:e38307. doi: 10.2196/38307. (PMID: 10.2196/38307) Fiedler J, Eckert T, Wunsch K, Woll A. Key facets to build up eHealth and mHealth interventions to enhance physical activity, sedentary behavior and nutrition in healthy subjects - an umbrella review. BMC Public Health. 2020;20(1):1605. doi: 10.1186/s12889-020-09700-7. (PMID: 10.1186/s12889-020-09700-7) Bailey ZD, Krieger N, Agénor M, Graves J, Linos N, Bassett MT. Structural racism and health inequities in the USA: evidence and interventions. Lancet. 2017;389(10077):1453-1463. doi: 10.1016/S0140-6736(17)30569-X. (PMID: 10.1016/S0140-6736(17)30569-X) Sherman ADF, Febres-Cordero S, Johnson KB, et al. Intersectionality in nursing research: a scoping review. Int J Nurs Stud Adv. 2023;5:100155. doi: 10.1016/j.ijnsa.2023.100155. (PMID: 10.1016/j.ijnsa.2023.100155) Wipfli B, Wild S, Richardson DM, Hammer L. Work as a social determinant of health: a necessary foundation for occupational health and safety. J Occup Environ Med. 2021;63(11):e830-e833. doi: 10.1097/JOM.0000000000002370. (PMID: 10.1097/JOM.0000000000002370) National Academies of Sciences, Engineering, and Medicine. The Future of Nursing 2020–2030: charting a path to Achieve Health Equity. National Academies Press; 2021. Veinot TC, Mitchell H, Ancker JS. Good intentions are not enough: how informatics interventions can worsen inequality. J Am Med Inform Assoc. 2018;25(8):1080-1088. doi: 10.1093/jamia/ocy052. (PMID: 10.1093/jamia/ocy052) Richardson S, Lawrence K, Schoenthaler AM, Mann D. A framework for digital health equity. NPJ Digit Med. 2022;5(1):119. doi: 10.1038/s41746-022-00663-0. (PMID: 10.1038/s41746-022-00663-0) Roossien CC, de Jong M, Bonvanie AM, Maeckelberghe ELM. Ethics in design and implementation of technologies for workplace health promotion: a call for discussion. Front Digit Health. 2021;3:644539. doi: 10.3389/fdgth.2021.644539. (PMID: 10.3389/fdgth.2021.644539) Carroll C, Patterson M, Wood S, Booth A, Rick J, Balain S. A conceptual framework for implementation fidelity. Implement Sci. 2007;2:40. doi: 10.1186/1748-5908-2-40. (PMID: 10.1186/1748-5908-2-40) Partridge SR, Allman-Farinelli M, McGeechan K, et al. Process evaluation of TXT2BFiT: a multi-component mHealth randomised controlled trial to prevent weight gain in young adults. Int J Behav Nutr Phys Act. 2016;13:7. doi:10.1186/s12966-016-0329-2. Glasgow RE, Vogt TM, Boles SM. Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health. 1999;89(9):1322-1327. doi: 10.2105/ajph.89.9.1322. (PMID: 10.2105/ajph.89.9.1322) Norman DA, Draper SW, eds. User centered system design: new perspectives on human-computer interaction. Lawrence Erlbaum Associates; 1986. Singh B, Ferguson T, Deev A, Deev A, Maher CA. Evaluation of the “15 minute challenge”: a workplace health and wellbeing program. Healthcare. 2024;12(13):1255. doi: 10.3390/healthcare12131255. (PMID: 10.3390/healthcare12131255) Lin YP, Lee KC, Ma WF, et al. A mobile technology-based tailored health promotion program for sedentary employees: development and usability study. BMC Public Health. 2025;25(1):1452. doi: 10.1186/s12889-025-22401-3. (PMID: 10.1186/s12889-025-22401-3) Creswell JW, Plano Clark VL. Designing and conducting mixed methods research. 3rd ed. Sage Publications; 2018. Zhou L, Bao J, Setiawan IMA, Saptono A, Parmanto B. The mHealth App Usability Questionnaire (MAUQ): development and validation study. JMIR Mhealth Uhealth. 2019;7(4):e11500. doi: 10.2196/11500. (PMID: 10.2196/11500) Breitenstein SM, Gross D, Garvey CA, Hill C, Fogg L, Resnick B. Implementation fidelity in community-based interventions. Res Nurs Health. 2010;33(2):164-173. doi: 10.1002/nur.20373. (PMID: 10.1002/nur.20373) Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105-112. doi: 10.1016/j.nedt.2003.10.001. (PMID: 10.1016/j.nedt.2003.10.001) Mattila E, Orsama AL, Ahtinen A, Hopsu L, Leino T, Korhonen I. Personal health technologies in employee health promotion: usage activity, usefulness, and health-related outcomes in a 1-year randomized controlled trial. JMIR Mhealth Uhealth. 2013;1(2):e16. doi: 10.2196/mhealth.2557. (PMID: 10.2196/mhealth.2557) Edwardson CL, Abell L, Clarke-Cornwell A, et al. Implementation and engagement of the SMART Work & Life sitting reduction intervention: an exploratory analysis on intervention effectiveness. Int J Behav Nutr Phys Act. 2023;20(1):148. doi: 10.1186/s12966-023-01548-5. (PMID: 10.1186/s12966-023-01548-5) Shibuta T, Waki K, Miyake K, et al. Preliminary efficacy, feasibility, and perceived usefulness of a smartphone-based self-management system with personalized goal setting and feedback to increase step count among workers with high blood pressure: before-and-after study. JMIR Cardio. 2023;7:e43940. doi: 10.2196/43940. (PMID: 10.2196/43940) van Drongelen A, Boot CR, Hlobil H, Smid T, van der Beek AJ. Process evaluation of a tailored mobile health intervention aiming to reduce fatigue in airline pilots. BMC Public Health. 2016;16(1):894. doi: 10.1186/s12889-016-3572-1. (PMID: 10.1186/s12889-016-3572-1) Täuber S, Mulder LB, Flint SW. The impact of workplace health promotion programs emphasizing individual responsibility on weight stigma and discrimination. Front Psychol. 2018;9:2206. doi: 10.3389/fpsyg.2018.02206. (PMID: 10.3389/fpsyg.2018.02206) |
| Entry Date(s): | Date Created: 20260706 Date Completed: 20260817 Latest Revision: 20260817 |
| Update Code: | 20260818 |
| DOI: | 10.1097/ANS.0000000000000655 |
| PMID: | 42407036 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1550-5014 |
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| DOI: | 10.1097/ANS.0000000000000655 |