{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T18:54:19Z","timestamp":1785178459516,"version":"3.55.0"},"reference-count":38,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2023,4,14]],"date-time":"2023-04-14T00:00:00Z","timestamp":1681430400000},"content-version":"vor","delay-in-days":13,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001826","name":"Netherlands Organisation for Health Research and Development","doi-asserted-by":"publisher","award":["ZonMw; grant number 53-1001-411"],"award-info":[{"award-number":["ZonMw; grant number 53-1001-411"]}],"id":[{"id":"10.13039\/501100001826","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,4,1]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Despite the potential health benefits of workplace health promotion for employees in sheltered workplaces, participation is often limited. The aim of this study was (i) to understand this limited participation, and (ii) to find opportunities for adapting workplace health promotion, such that it better meets the needs of the target population. A responsive process evaluation of an extensive multi-component workplace health promotion program targeting lifestyle behaviors, financial behaviors, literacy and citizenship, was performed in a large, sheltered workplace in the Netherlands (&amp;gt;3500 employees). To understand the limited participation, interviews with employees (n = 8), supervisors (n = 7) and managers (n = 2), and 10 participant observations were performed. To find opportunities for improving workplace health promotion in the sheltered workplace, 7 dialogs with employees were performed (n = 30). The interview data on the barriers for participation were evaluated through the lens of care ethics, as this allowed to understand the role of various stakeholders in the limited participation, as well as the indirect role of the institutional context. Findings showed that participation in workplace health promotion could increase if it is organized in a way that it encourages employees to work on health together, allow to tailor activities to different needs and capabilities of employees, and connects activities to employees\u2019 daily lives. A strength of this study is that the responsive process evaluation focused both on barriers for participation, as well as on opportunities to increase participation.<\/jats:p>","DOI":"10.1093\/heapro\/daad031","type":"journal-article","created":{"date-parts":[[2023,4,14]],"date-time":"2023-04-14T06:49:09Z","timestamp":1681454949000},"source":"Crossref","is-referenced-by-count":4,"title":["Process evaluation of workplace health promotion in a sheltered workplace: a care ethics perspective"],"prefix":"10.1093","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9064-7788","authenticated-orcid":false,"given":"Hanneke","family":"van Heijster","sequence":"first","affiliation":[{"name":"Department of Social Sciences, Chair Group Consumption & Healthy Lifestyles, Wageningen University & Research , Hollandseweg 1, 6706 KN, Wageningen , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jantien","family":"van Berkel","sequence":"additional","affiliation":[{"name":"Department of Social Sciences, Chair Group Consumption & Healthy Lifestyles, Wageningen University & Research , Hollandseweg 1, 6706 KN, Wageningen , The Netherlands"},{"name":"Department of Interdisciplinary Social Science: Public Health, Utrecht University , Utrecht , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minne","family":"Bakker","sequence":"additional","affiliation":[{"name":"Department of Medical Humanities, Amsterdam UMC, VU University , Amsterdam , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u00e9cile","family":"Boot","sequence":"additional","affiliation":[{"name":"Department of Public and Occupational Health, Amsterdam Public Health research institute, Amsterdam UMC, VU University, Amsterdam , The Netherlands"},{"name":"Amsterdam Public Health Research Institute, Societal Participation and Health , Amsterdam , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emely","family":"de Vet","sequence":"additional","affiliation":[{"name":"Department of Social Sciences, Chair Group Consumption & Healthy Lifestyles, Wageningen University & Research , Hollandseweg 1, 6706 KN, Wageningen , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,4,14]]},"reference":[{"key":"2023041406301130500_","volume-title":"Participatory","author":"Abma","year":"2019","edition":"1"},{"key":"2023041406301130500_","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1016\/j.evalprogplan.2005.04.003","article-title":"Responsive evaluation: its meaning and special contribution to health promotion","volume":"28","author":"Abma","year":"2005","journal-title":"Evaluation and Program Planning"},{"key":"2023041406301130500_","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1177\/1098214016667211","article-title":"Responsive evaluation in the interference zone between system and lifeworld","volume":"38","author":"Abma","year":"2017","journal-title":"American Journal of Evaluation"},{"key":"2023041406301130500_","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1177\/1356389019893402","article-title":"Enriching evaluation practice through care ethics","volume":"26","author":"Abma","year":"2020","journal-title":"Evaluation"},{"key":"2023041406301130500_","doi-asserted-by":"crossref","first-page":"296","DOI":"10.4278\/0890-1171-15.5.296","article-title":"Financial impact of health promotion programs: a comprehensive review of the literature.","volume":"15","author":"Aldana","year":"2001","journal-title":"American Journal of Health Promotion"},{"key":"2023041406301130500_","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1002\/ajim.22174","article-title":"Promoting integrated approaches to reducing health inequities among low-income workers: applying a social ecological framework","volume":"57","author":"Baron","year":"2014","journal-title":"American Journal of Industrial Medicine"},{"key":"2023041406301130500_","first-page":"1","article-title":"\u2018There Is Nothing Wrong with Me\u2019: the materialisation of disability in sheltered employment","author":"Bend","year":"2021","journal-title":"Work, Employment and"},{"key":"2023041406301130500_","volume-title":"Symbolic Interactionism","author":"Blumer","year":"1969"},{"key":"2023041406301130500_","volume-title":"Met Andere Ogen. 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