Design principles for data- and change-oriented organisational analysis in workplace health promotion

This article focuses on organizational analysis in workplace health promotion (WHP) projects. It shows how this analysis can be designed such that it provides rational data relevant to the further context-specific and goal-oriented planning of WHP and equally supports individual and organizational change processes implied by WHP. Design principles for organizational analysis were developed on the basis of a narrative review of the guiding principles of WHP interventions and organizational change as well as the scientific principles of data collection. Further, the practical experience of WHP consultants who routinely conduct organizational analysis was considered. This resulted in a framework with data-oriented and change-oriented design principles, addressing the following elements of organizational analysis in WHP: planning the overall procedure, data content, data-collection methods and information processing. Overall, the data-oriented design principles aim to produce valid, reliable and representative data, whereas the change-oriented design principles aim to promote motivation, coherence and a capacity for self-analysis. We expect that the simultaneous consideration of data- and change-oriented design principles for organizational analysis will strongly support the WHP process. We finally illustrate the applicability of the design principles to health promotion within a WHP case stud

Process and outcome evaluation of an organizational-level stress management intervention in Switzerland

This field study evaluates the process and outcome of an organizational-level stress management intervention (SMI) in eight companies, taking into account the lessons learned from previous evaluation research. It utilizes the RE-AIM evaluation framework to capture the Reach and Adoption of the intervention in the companies, the appraisal of the Implementation process and the project's Effectiveness and Maintenance with a range of qualitative and quantitative methods. It applies an adapted research design in the context of a field study involving entire organizations, retrospectively assigning study participants to comparison groups. The results of a longitudinal analysis (n = 1400) showed that the SMI had a positive impact on the participants' job demands and resources, when controlled for baseline levels. Qualitative data analysis revealed that the companies had built capacities for ongoing health promotion and showed what issues must be borne in mind when implementing such projects. The study also showed that participation in such interventions alone does not suffice to achieve the desired impact, but that the individual participants' appraisal of the intervention and the collective involvement of the teams must be further researched to fully understand how change occur

Enhancing arsenic mitigation in Bangladesh: Findings from institutional, psychological, and technical investigations

As part of a trans-disciplinary research project, a series of surveys and interventions were conducted in different arsenic-affected regions of rural Bangladesh. Surveys of institutional stakeholders identified deep tubewells and piped water systems as the most preferred options, and the same preferences were found in household surveys of populations at risk. Psychological surveys revealed that these two technologies were well-supported by potential users, with self-efficacy and social norms being the principal factors driving behavior change. The principal drawbacks of deep tubewells are that installation costs are too high for most families to own private wells, and that for various socio-cultural-religious reasons, people are not willing to walk long distances to access communal tubewells. In addition, water sector planners have reservations about greater exploitation of the deep aquifer, out of concern for current or future geogenic contamination. Groundwater models and field studies have shown that in the great majority of the affected areas, the risk of arsenic contamination of deep groundwater is small; salinity, iron, and manganese are more likely to pose problems. These constituents can in some cases be avoided by exploiting an intermediate depth aquifer of good chemical quality, which is hydraulically and geochemically separate from the arsenic-contaminated shallow aquifer. Deep tubewells represent a technically sound option throughout much of the arsenic-affected regions, and future mitigation programs should build on and accelerate construction of deep tubewells. Utilization of deep tubewells, however, could be improved by increasing the tubewell density (which requires stronger financial support) to reduce travel times, by considering water quality in a holistic way, and by accompanying tubewell installation with motivational interventions based on psychological factors. By combining findings from technical and social sciences, the efficiency and success of arsenic mitigation in general - and installation of deep tubewells in particular - can be significantly enhanced

Transfer or Compensation? An experiment testing the effects of actual and imagined exercise on eating.

This study tested the effects of exercise on eating. The transfer hypothesis proposes that exercise leads to generalization of healthy behavior and therefore improved diet. The compensation hypothesis assumes that exercise leads to increased calorie intake to "compensate" for the energy expenditure. We tested these hypotheses both for actual and imagined exercise. Female University members (N=227) were randomized to three experimental groups: actual exercise vs. imagined exercise vs. control. After baseline, participants engaged in a 5-minute experimental task. Thereafter, they were left alone with unhealthy snacks. Participants who imagined themselves exercising (M=101, SD=128 kcal) consumed significantly fewer calories than controls (M=129, SD=142 kcal), consistent with a transfer effect. Participants who engaged in actual exercise but were distracted from thinking about exercise consumed similar quantities (M=127, SD=111 kcal) as controls. This study suggests that transfer effects are underpinned by psychological processes, such as goal activation, which should be investigated in the future

What do older adults think about when formulating implementation intentions for physical activity? Evidence from a qualitative study

Objectives: Physical activity is an important health behaviour especially for older adults. Forming implementation intentions is an effective strategy to implement physical activity in daily life for young and middle-aged adults. However, evidence for older adults is inconclusive. This study explored the thoughts of older adults about implementation intentions and potential barriers and facilitators while formulating them. Methods: Three samples of older adults from the United Kingdom (n = 8), Germany (n = 9) and Switzerland (n = 17) were prompted to think aloud while formulating implementation intentions to be more physically active. After the task, semi-structured interviews were conducted. Data were analysed thematically. Results: Participants expressed pre-established thoughts about implementation intentions (e.g. they feel too restrictive). During the formulation of implementation intentions, several barriers to creating them were reported (e.g. problems with finding cues due to absence of recurring daily routines), but participants also mentioned that forming implementation intentions acted as a facilitator for physical activity (e.g. cues as useful reminders to be active, task itself triggering self-reflection about physical activity). After the task, participants reflected on circumstances that decrease the likelihood of enacting implementation intentions (e.g. spontaneous alternative activities, weather, health-related barriers, Covid-19-related barriers), which triggered spontaneous coping planning. Conclusions: The results on barriers and facilitators of implementation intentions and physical activity from older adults' perspectives provide starting points for improving instructions for older adults on how to create implementation intentions for physical activity. Future studies are needed to investigate whether the findings extend to implementation intentions for other behaviours

Relationship between Tibial conformation, cage size and advancement achieved in TTA procedure

Previous studies have suggested that there is a theoretical discrepancy between the cage size and the resultant tibial tuberosity advancement, with the cage size consistently providing less tibial tuberosity advancement than predicted. The purpose of this study was to test and quantify this in clinical cases. The hypothesis was that the advancement of the tibial tuberosity as measured by the widening of the proximal tibia at the tibial tuberosity level after a standard TTA, will be less than the cage sized used, with no particular cage size providing a relative smaller or higher under-advancement, and that the conformation of the proximal tibia will have an influence on the amount of advancement achieved

Windowed 4D inversion for near real-time geoelectrical monitoring applications

Many different approaches have been developed to regularise the time-lapse geoelectrical inverse problem. While their advantages and limitations have been demonstrated using synthetic models, there have been few direct comparisons of their performance using field data. We test four time-lapse inversion methods (independent inversion, temporal smoothness-constrained 4D inversion, spatial smoothness constrained inversion of temporal data differences, and sequential inversion with spatial smoothness constraints on the model and its temporal changes). We focus on the applicability of these methods to automated processing of geoelectrical monitoring data in near real-time. In particular, we examine windowed 4D inversion, the use of short sequences of time-lapse data, without which the 4D method would not be suitable in the near real-time context. We develop measures of internal consistency for the different methods so that the effects of the use of short time windows or the choice of baseline data set can be compared. The resulting inverse models are assessed against qualitative and quantitative ground truth information. Our findings are that 4D inversion of the full data set performed best, and that windowed 4D inversion retained the majority of its benefits while also being applicable to applications requiring near real-time inversion

Landslide monitoring using seismic refraction tomography: the importance of incorporating topographic variations

Seismic refraction tomography provides images of the elastic properties of subsurface materials in landslide settings. Seismic velocities are sensitive to changes in moisture content, which is a triggering factor in the initiation of many landslides. However, the application of the method to long-term monitoring of landslides is rarely used, given the challenges in undertaking repeat surveys and in handling and minimizing the errors arising from processing time-lapse surveys. This work presents a simple method and workflow for producing a reliable time-series of inverted seismic velocity models. This method is tested using data acquired during a recent, novel, long-term seismic refraction monitoring campaign at an active landslide in the UK. Potential sources of error include those arising from inaccurate and inconsistent determination of first-arrival times, inaccurate receiver positioning, and selection of inappropriate inversion starting models. At our site, a comparative analysis of variations in seismic velocity to real-world variations in topography over time shows that topographic error alone can account for changes in seismic velocity of greater than ±10% in a significant proportion (23%) of the data acquired. The seismic velocity variations arising from real material property changes at the near-surface of the landslide, linked to other sources of environmental data, are demonstrated to be of a similar magnitude. Over the monitoring period we observe subtle variations in the bulk seismic velocity of the sliding layer that are demonstrably related to variations in moisture content. This highlights the need to incorporate accurate topographic information for each time-step in the monitoring time-series. The goal of the proposed workflow is to minimize the sources of potential errors, and to preserve the changes observed by real variations in the subsurface. Following the workflow produces spatially comparable, time-lapse velocity cross-sections formulated from disparate, discretely-acquired datasets. These practical steps aim to aid the use of the seismic refraction tomography method for the long-term monitoring of landslides prone to hydrological destabilization

Time domain reflectometry (TDR) potential for soil condition monitoring of geotechnical assets

The performance of geotechnical assets is influenced by various external factors including time and changing loading and environmental conditions. These changes could reduce the asset’s ability to maintain its function, potentially resulting in failure, which could be extremely disruptive and expensive to remediate; thus, the ability to monitor the long-term condition of the ground is clearly desirable as this could function as an early-warning system, permitting intervention prior to failure. This study demonstrates, for the first time, the potential of using time domain reflectometry (TDR) for long-term monitoring of the relative health of an asset (via water content and dry density) in a field trial where a clayey sandy silt was exposed to leaking water from a pipe. TDR sensors were able to provide detailed information on the variation in the soil conditions and detect abrupt changes that would relay a prompt for asset inspections or interventions. It is proposed that TDR could be used alone or together with other shallow geophysical techniques for long-term condition monitoring of critical geotechnical assets. Early-warning systems could be based on thresholds defined from the values or the relative change of the measured parameter