Perceived Factors Influencing Blue-Collar Workers’ Participation in Worksite Health Promotion Programs in Freight Transport: A Qualitative Investigation Using the TDF and COM-B

Marc A. W. Damen (), Sarah I. Detaille, Josephine A. Engels and Annet H. De Lange
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Marc A. W. Damen: Faculty of Psychology, Open Universiteit, P.O. Box 2960, 6401 DL Heerlen, The Netherlands
Sarah I. Detaille: School of Organization and Development, Han University of Applied Sciences, P.O. Box 6960, 6503 GL Nijmegen, The Netherlands
Josephine A. Engels: School of Organization and Development, Han University of Applied Sciences, P.O. Box 6960, 6503 GL Nijmegen, The Netherlands
Annet H. De Lange: Faculty of Psychology, Open Universiteit, P.O. Box 2960, 6401 DL Heerlen, The Netherlands

IJERPH, 2024, vol. 21, issue 1, 1-17

Abstract: Blue-collar workers in the freight transport industry report a high risk of developing chronic diseases, partly due to an unhealthy lifestyle. Worksite health promotion programs (WHPPs) may be able to promote a healthier lifestyle, but participation among blue-collar workers in these programs is generally lower than among other workers. The current study aimed to further examine factors that can explain participation of blue-collar workers in these programs. A pragmatic, qualitative study was conducted, and semi-structured interviews were held with 32 blue-collar workers in freight transport in the Netherlands (94% men, 81% driver, mean age 48 (SD = 11)). The interview guide was based on the Theoretical Domains Framework (TDF) and Capability-Opportunity-Motivation-Behavior (COM-B) model, and was used to assess perceived determinants that influence participation. A combination of framework analysis and thematic analysis was conducted, which yielded the following nine main themes: (i) not being aware of WHPPs on offer, (ii) no clear picture of what to expect, (iii) (not) giving priority to health, (iv) expecting feedback and practical support, (v) being open and ready to change, (vi) preferring to be self-dependent, (vii) being offered a practical, fun and joint WHPP, (viii) having an employer who cares, thinks along and facilitates participation, and (ix) working and living in an environment in which a healthy lifestyle is not the norm. With these insights we were able to formulate recommendations to enhance the participation of blue-collar workers in WHPPs.

Keywords: blue-collar workers; freight transport; worksite health promotion programs (WHPPs); participation; implementation; reach; Theoretical Domains Framework; qualitative research (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2024
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