Coffey, M, Dugdill, L and Tattersall, A 2009, 'Designing a stress management intervention in social services' , International Journal of Workplace Health Management, 2 (2) , pp. 98-114.

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Abstract

Purpose – The purpose of this paper is to present an evaluation of the design of a stress management intervention (rather than an evaluation of the implementation and outcomes of the programme). Design/methodology/approach – This paper uses data generated from a large study carried out in two social service departments in the UK. The study is carried out in three phases: first, a problem diagnosis phase, comprising the development of a questionnaire and survey (n ¼ 1,234); second, focus groups (n ¼ 16) to develop interventions in a participatory way from the baseline established; and finally, an evaluation of the processes involved in phases one and two. Findings – Key barriers include: major changes are currently taking place within the organisations; staff are distrustful of management and sceptical of the value of the research; lack of resources; and difficulties translating the findings into actions. Key factors necessary for success include: strong commitment from senior management; willingness by staff to participate; realistic expectations, responsibilities and time-frames agreed at the outset of the project. Key health promotion outcomes achieved include: improved health literacy; changes to organisational policies and practices and staff empowerment and participation. Research limitations/implications – Future research designing and implementing stress management interventions can draw on the evidence from this study in order to improve intervention effectiveness. Practical implications – Evaluating the design of the stress management intervention has identified: what worked well, what did not, and in what context; difficulties associated with managing change; and unanticipated successes. Originality/value – This paper provides an overview of the conditions which need to be created in order to achieve potentially successful outcomes and improve intervention effectiveness.

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