Can health interventions float? A process evaluation of workplace health intervention onboard a vessel in the North Sea
Abstract
Objective: To promote the physical and mental health of employees in a maritime setting and provide knowledge and tools to assist seafarers in managing daily challenges.
Materials and methods: The intervention drew on a goal-based approach, including workshops, coaching, health checks, interviews, and questionnaires.
Results: A process evaluation was used to explore intervention challenges and barriers. Results show that an intervention at sea is complex and needs flexibility. Findings varied, and the main challenges were low participation in one group and lack of continuity due to Covid-19. Data showed a significant positive shift in how the crew rated perceived stress and a statistically significant increase in intake of salad, fish, and vegetarian food.
Conclusions: Workplace interventions in poor health status settings are complex, necessary, and possible, and management’s participation is crucial. Increased awareness was achieved.
Learning outcomes: The results showed some positive changes, such as lower stress levels and more intake of salad, fish, and vegetarian food. Flexibility is important for workplace interventions. Workplace interventions contribute to health and wellbeing with appropriate management support.
Keywords: maritime healthseafarersoffshorehealth intervention
References
- Sarnni HLM, Niemi L, Pentti J. Health promotion in the Finish shipping industry. Int Marit Health. 2001; 52: 44–58.
- Swanson N, Burroughs C, Long M, et al. Controlled trial for smoking cessation in a navy shipboard population using nicotine patch, sustained-release buproprion, or both. Mil Med. 2003; 168(10): 830–834.
- Fort E, Massardier-Pilonchéry A, Bergeret A, et al. Alcohol and nicotine dependence in French seafarers. Int Marit Health. 2009; 60(1-2): 18–28.
- Filikowski J, Rzepiak M, Renke W, et al. Selected risk factors of ischemic heart disease in Polish seafarers. Preliminary report. Int Marit Health. 2003; 54(1-4): 40–46.
- Oldenburg M, Jensen HJ, Latza U, et al. Coronary risks among seafarers aboard German-flagged ships. Int Arch Occup Environ Health. 2008; 81(6): 735–741.
- Oldenburg M, Jensen HJ, Latza U, et al. Seafaring stressors aboard merchant and passenger ships. Int J Pub Health. 2009; 54(2): 96–105.
- Oldenburg M, Baur X, Schlaich C, et al. Occupational risks and challenges of seafaring. J Occup Health. 2010; 52(5): 249–256.
- Oldenburg M, Oldenburg M. Risk of cardiovascular diseases in seafarers. Int Marit Health. 2014; 65(2): 53–57.
- Dohrmann S. The psychosocial work environment in Danish ferry shipping. Ph.D. thesis. University of Southern Denmark 2018.
- Dohrmann SB, Herttua K, Leppin A. Is physical and psychological work stress associated with fatigue in Danish ferry ship employees? Int Marit Health. 2020; 71(1): 46–55.
- Herttua K, Vork J, Paljarvi T. Does seafarers' limited access to health care increase risk for community-acquired pneumonia requiring hospital care? A longitudinal register-based analysis. Am J Ind Med. 2021; 64(7): 639–645.
- Herttua K, Ahrenfeldt LJ, Paljarvi T. Risk of major chronic diseases in transport, rescue and security industries: a longitudinal register-based study. Occup Environ Med. 2022; 79(3): 162–168.
- Holman D, Axtell C. Can job redesign interventions influence a broad range of employee outcomes by changing multiple job characteristics? A quasi-experimental study. J Occup Health Psychol. 2016; 21(3): 284–295.
- Nielsen K, Fredslund H, Christensen K, et al. Success or failure? Interpreting and understanding the impact of interventions in four similar worksites. Work & Stress. 2006; 20(3): 272–287.
- Dahl-Jørgensen C, Saksvik PO. The impact of two organizational interventions on the health of service sector workers. Int J Health Serv. 2005; 35(3): 529–549.
- van der Klink JJ, Blonk RW, Schene AH, et al. The benefits of interventions for work-related stress. Am J Public Health. 2001; 91(2): 270–276.
- Hjarnoe L, Leppin A. Health promotion in the Danish maritime setting: challenges and possibilities for changing lifestyle behavior and health among seafarers. BMC Public Health. 2013; 13: 1165.
- Jepsen JR, Rasmussen HB. The metabolic syndrome among Danish seafarers: a follow-up study. Int Marit Health. 2016; 67(3): 129–136.
- Oldenburg M, Harth V, Jensen HJ. Overview and prospect: food and nutrition of seafarers on merchant ships. Int Marit Health. 2013; 64(4): 191–194.
- Austin J, Vancouver J. Goal constructs in psychology: Structure, process, and content. Psychological Bulletin. 1996; 120(3): 338–375.
- Carver CS, Scheier MF. On the self-regulation of behavior. Cambridge University Press 1998: 1–439.
- Latham G, Locke E. New Developments in and Directions for Goal-Setting Research. European Psychologist. 2007; 12(4): 290–300.
- Locke EA, Latham GPA. A theory of goal setting & task performance. Prentice-Hall, Englewood Cliffs 1990: 1–413.
- Locke EA, Latham GP. Building a practically useful theory of goal setting and task motivation. A 35-year odyssey. Am Psychol. 2002; 57(9): 705–717.
- Locke E, Latham G. New directions in goal-setting theory. Cur Dir in Psychol Science. 2006; 15(5): 265–268.
- Strecher VJ, Seijts GH, Kok GJ, et al. Goal setting as a strategy for health behavior change. Health Educ Q. 1995; 22(2): 190–200.
- Theeboom T, Beersma B, Vianen Av. Does coaching work? A meta-analysis on the effects of coaching on individual level outcomes in an organizational context. J of Pos Psychol. 2013; 9(1): 1–18.
- Levin IP, Schneider SL, Gaeth GJ. All frames are not created equal: a typology and critical analysis of framing effects. Organ Behav Hum Decis Process. 1998; 76(2): 149–188.
- Nutbeam D, Bauman A. Evaluation in Nutshell A practical guide to the evaluation of health promotion programs. McGraw-Hill Australia, Sydney & Auckland: McGraw-Hill Australia 2006: 1–126.
- Steckler A, Linnan L. Process evaluation for public health interventions and research. San Francisco: Jossey-Bass A Wiley Imprint 2002: 1–432.
- Ellard D, Parsons S. Process evaluation: understanding how and why interventions work. Evaluating Health Promotion. Oxford University Press. 2010: 87–102.
- Det Nationale Forskningscenter for Arbejdsmiljø (NFA) "The Copenhagen Psychosocial Questionnaire II” (COPSOQII). https://nfa.dk/da/Vaerktoejer/Sporgeskemaer/Copenhagen-Psychosocial-Questionnaire-COPSOQ-II/Engelsk-udgave.
- Braun V, Clarke V. Thematic analysis a practical guide. Sage Publication, London 2022: 1–376.
- Hjarnoe L, Leppin A. A risky occupation? (Un)healthy lifestyle behaviors among Danish seafarers. Health Promot Int. 2014; 29(4): 720–729.
- Dyreborg J, Nielsen K, Kines P, Dziekanska A, Bo Fr, Bengtsen E. Review af ulykkesforebyggelsen- Review af den eksisterende videnskabelige litteratur om effekten af forskellige typer tiltag til forebyggelse af arbejdsulykker. Det Nationale Forskningscenter for Arbejdsmiljø og Arbejdsmedicinsk Klinik, Regionshospitalet Herning 2013: 1–146.
