"It is acceptable, and more than acceptable, it is appropriate" : retrospective acceptability of a trust and empowerment related pilot intervention from the perspective of the intervention recipients

Abstract

Trust and empowerment are popular management practices, with many big organizations having adopted initiatives involving the two concepts. Despite the popularity of these initiatives, most of them fail. To be able to design effective behavior change interventions we need to know what made the interventions successful or unsuccessful by evaluating them. Traditionally, effectiveness was evaluated but recently knowing why an intervention worked is perceived as essential. By understanding how participants of trust and empowerment initiatives perceive their acceptability, insights can be gained into why the intervention worked as it did. Intervention acceptability refers to how the intervention providers or receivers think or feel about an intervention.

This study aims to examine the retrospective intervention acceptability, of an organizational pilot intervention focusing on trust and empowerment, from the perspective of the intervention recipients. To examine how the intervention participants perceive the acceptability of the intervention, the acceptability domains of the Theoretical Framework of Acceptability (TFA) will be used. As the TFA was developed for assessing the acceptability of healthcare interventions, the fit of the framework for assessing the acceptability of an organizational intervention will be evaluated.

The study adopts a qualitative research methodology using theory-driven content analysis with a relativist perspective. The data was collected using online semi-structured focus group interviews. The sample included 12 team- or project leaders from different parts of the world.

The results show that the intervention has high retrospective acceptability from the perspective of the intervention recipients. The participants mainly used the existing TFA domains in their construction of acceptability, with the addition of including appropriateness as a central domain. It, therefore, seems that the TFA works well for understanding how the participants of a trust and empowerment intervention conducted in an organizational setting, perceive its acceptability.

It seems that the intervention is designed to suit the target group well, which increases the likelihood for a successful full-scale intervention when and if the organization decides to roll out the training on a larger scale. This study also provides insights into the applicability of using the TFA in a new context.