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Promoting Recovery in Flexible Work
University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational Health, Psychology and Sports Sciences, Occupational Health Science. University of Gävle, Centre for Musculoskeletal Research.ORCID iD: 0000-0002-0726-1831
2025 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Background: Flexible work offers both opportunities and challenges for recovery by enabling work outside regular working hours. To enable the healthy integration of work in everyday life, it is crucial to understand how flexible work affects recovery and how organizations can support it. This thesis investigates the associations between work time control and the need for recovery and uses a co-creation approach to develop, implement, and evaluate the effects of a workplace intervention on psychological, behavioural, and physiological indicators of recovery among office workers with flexible work arrangements (FWAs).

Methods: The project was conducted in co-creation with the Swedish Transport Administration (STA). Study I was based on data from a cross sectional survey sent to all employees and managers with FWAs at STA. Study II included focus-group interviews with employees to identify interventions to promote a good work environment and health in FWAs. Based on Studies I and II, we implemented an intervention combining an individual-level course on digital tools and work strategies with a workgroup-level workshop to develop common rules and routines in FWAs. Studies III and IV evaluated the effects of the intervention using repeated measurements of psychological, behavioural, and physiological recovery indicators.

Results: Work time control was associated with less need for recovery, but also with greater need for recovery through more work using information and communication technology (ICT) during nonwork time and long working hours (Study I). Employees suggested improvements at organizational, workgroup, and individual levels, including: organizing work to reduce job demands and support recovery, developing workgroup rules regarding availability, and clarifying their availability (Study II). The intervention effectively promoted detachment and reduced the need for recovery among employees with high initial recovery needs (Study III), and promoted longer sleep duration. No intervention effects were found on the composition of physical activity behaviours or heart rate variability during sleep (Study IV).

Conclusions: Work time control may reduce recovery needs, but it may also increase recovery needs through increased work-related ICT use during nonwork time and long working hours. Employees suggested interventions targeting work strategies at multiple organizational levels. The co-created workplace intervention, combining individual- and workgroup-level strategies, was effective in promoting detachment and reducing recovery needs among those at risk of poor recovery, and in promoting longer sleep duration. However, the intervention did not improve physical activity behaviours or physiological recovery.

Abstract [sv]

Bakgrund: Flexibelt arbete kan skapa möjligheter och utmaningar för återhämtning genom möjligheten att arbeta utanför ordinarie arbetstid. Denna avhandling undersöker sambanden mellan arbetstidskontroll och återhämtningsbehov samt använder en samskapande process för att utveckla, implementera och utvärdera effekter av en arbetsplatsintervention på indikatorer för psykologisk, beteendemässig och fysiologisk återhämtning bland kontorsanställda med flexibelt arbete.

Metod: Projektet har samskapats med Trafikverket. Studie I baserades på data från en tvärsnittsenkät som skickades till alla kontorsanställda med flexibelt arbete inom organisationen. Studie II omfattade fokusgruppintervjuer med medarbetare för att identifiera effektiva och genomförbara åtgärder för att främja en god arbetsmiljö och hälsa i flexibelt arbete. Baserat på Studie I och II implementerades en intervention som kombinerade en kurs på individnivå om digitala verktyg och arbetsstrategier med en workshop på gruppnivå för att utveckla gemensamma spelregler och rutiner i flexibelt arbete. Studie III och IV utvärderade interventionens effekter genom upprepade mätningar av psykologiska, beteendemässiga och fysiologiska indikatorer för återhämtning.

Resultat: Arbetstidskontroll visade samband med ett lägre återhämtningsbehov, men också med ett högre återhämtningsbehov genom ökad arbetsrelaterad teknikanvändning och längre arbetstid (Studie I). Medarbetarna föreslog förbättringar på organisations-, arbetsgrupps- och individnivå för att främja god arbetsmiljö och hälsa i flexibelt arbete, till exempel genom att organisera arbetet för att minska arbetskrav och stödja återhämtning, utveckla gemensamma spelregler och rutiner kring tillgänglighet samt tydliggöra sin egen tillgänglighet (Studie II). Interventionen främjade psykologisk återhämtning genom att underlätta psykologisk frånkoppling från arbetet hos medarbetare med höga initiala återhämtningsbehov (Studie III) samt beteendemässig återhämtning genom ökad sömntid, men hade inga effekter på fysisk aktivitet eller fysiologiska återhämtningsindikatorer (Studie IV).

Slutsatser: Arbetstidskontroll kan minska behovet av återhämtning, men också bidra till ökat återhämtningsbehov genom mer arbetsrelaterad teknikanvändning och längre arbetstid. Medarbetarna föreslog förbättringar med fokus på arbetsstrategier på flera organisatoriska nivåer. Den samskapade interventionen kombinerade en individuell kurs i digitala verktyg och arbetsstrategier med en gruppworkshop för att ta fram gemensamma spelregler och rutiner i flexibelt arbete. Interventionen var effektiv för att hjälpa personer med hög risk för bristande återhämtning att koppla bort och återhämta sig från arbetet samt stödja längre sömn, men inte för att främja fysisk aktivitet eller fysiologisk återhämtning.

Place, publisher, year, edition, pages
Gävle: Gävle University Press , 2025. , p. 59
Series
Doctoral thesis ; 65
Keywords [en]
work control, job autonomy, health promotion, intervention
Keywords [sv]
Kontroll i arbetet, autonomi, hälsofrämjande, intervention
National Category
Occupational Health and Environmental Health
Research subject
Health-Promoting Work, Flexibelt arbete
Identifiers
URN: urn:nbn:se:hig:diva-47954ISBN: 978-91-89593-72-5 (print)ISBN: 978-91-89593-73-2 (electronic)OAI: oai:DiVA.org:hig-47954DiVA, id: diva2:1983064
Public defence
2025-10-17, Krusenstjernasalen 23:213, Högskolan i Gävle, 801 76 Gävle, Gävle, 10:00 (Swedish)
Opponent
Supervisors
Available from: 2025-09-26 Created: 2025-07-09 Last updated: 2025-10-02
List of papers
1. A Work Time Control Tradeoff in Flexible Work: Competitive Pathways to Need for Recovery
Open this publication in new window or tab >>A Work Time Control Tradeoff in Flexible Work: Competitive Pathways to Need for Recovery
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2023 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 20, no 1, article id 691Article in journal (Refereed) Published
Abstract [en]

Work time control may offer opportunities, but also implies risks for employee recovery, influenced by increased work-related ICT use and overtime work. However, this risk–opportunity tradeoff remains understudied. This study aimed to test two different models of associations between work time control, work-related ICT use, overtime work, and the need for recovery. These models were constructed based on data on office workers with flexible work arrangements. Cross-sectional data were obtained with questionnaires (n = 2582) from employees in a Swedish multi-site organization. Regression models treated the three determinants of the need for recovery either as independent, or as linked in a causal sequence. The test of independent determinants confirmed that more work time control was associated with less need for recovery, whereas more ICT use and overtime work were associated with a higher need for recovery. In a test of serial mediation, more work time control contributed to a greater need for recovery through more ICT use and then more overtime work. Work time control also had a competitive, indirect effect through a negative association with overtime work. Our results suggest that work time control is beneficial for employee recovery, but may for some be associated with more work-related ICT use after regular working hours, thus increasing recovery needs. Policies that support work time control can promote recovery, but employers must attend to the risk of excessive use of ICT outside of regular working hours.

Place, publisher, year, edition, pages
MDPI, 2023
Keywords
occupational health, job autonomy, digitalization, working conditions, working times
National Category
Work Sciences
Research subject
Health-Promoting Work, Flexibelt arbete
Identifiers
urn:nbn:se:hig:diva-40639 (URN)10.3390/ijerph20010691 (DOI)000909151200001 ()36613009 (PubMedID)2-s2.0-85145979290 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2009–1761Swedish Transport Administration, 2015/92392
Available from: 2022-12-30 Created: 2022-12-30 Last updated: 2025-10-02Bibliographically approved
2. A participatory approach to identify key areas for sustainable work environment and health in employees with flexible work arrangements
Open this publication in new window or tab >>A participatory approach to identify key areas for sustainable work environment and health in employees with flexible work arrangements
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2021 (English)In: Sustainability, E-ISSN 2071-1050, Vol. 13, no 24, article id 13593Article in journal (Refereed) Published
Abstract [en]

Flexible work arrangements are common worldwide, but knowledge on how to achieve a sustainable work environment is sparse. The aim of this study was to use a participatory approach to identify concrete suggestions and key areas for improvement that were considered relevant, effective, and feasible for promoting good work environment and health at organizational, work group and individual level (O-G-I), among office employees with flexible work arrangements. Eight focus group interviews (including 45 employees) were conducted in a large Swedish government agency in 2017. By using a Tree diagram approach, employees made a total of 279 suggestions for improvements, which were sorted into O-G-I levels and mapped into 18 key areas. We found that 13 key areas addressed organizational level (e.g., improving leadership, policy, job demands, and work efficiency), two key areas addressed group level (create common rules of availability and activity-based working), and three key areas addressed individual level (e.g., individuals’ responsibility to clearly communicate their availability). The participatory process was effective in obtaining concrete suggestions and key areas in need of improvement, which may provide an action plan that can guide organizations in developing interventions to promote good work environment and health in flexible work. 

Place, publisher, year, edition, pages
MDPI, 2021
Keywords
Health promotion; Job autonomy; Participative; Sustainable work; Work environment
National Category
Work Sciences
Research subject
Health-Promoting Work, Flexibelt arbete
Identifiers
urn:nbn:se:hig:diva-37535 (URN)10.3390/su132413593 (DOI)000738547500001 ()2-s2.0-85120936209 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2009-1761Swedish Transport Administration, 2016/425/1
Available from: 2021-12-20 Created: 2021-12-20 Last updated: 2025-10-02Bibliographically approved
3. A Co-Created Workplace Intervention to Promote Recovery in Office Workers with Flexible Work
Open this publication in new window or tab >>A Co-Created Workplace Intervention to Promote Recovery in Office Workers with Flexible Work
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2025 (English)In: Scandinavian Journal of Work and Organizational Psychology, ISSN 2002-2867, Vol. 10, no 1, article id 3Article in journal (Refereed) Published
Abstract [en]

Objective: Psychological detachment facilitates recovery from work, but detachment is sometimes difficult in flexible work arrangements (FWAs). This study examined the effects of a co-created two-step workplace intervention that introduced new work strategies to facilitate psychological detachment and promote recovery in office workers with FWAs. The intervention comprised an individual-level course on digital tools and work strategies, followed by a workgroup-level workshop to develop common rules and routines in FWAs.

Methods: Office workers with FWAs in a Swedish governmental agency (intervention group, n = 97; control group, n = 70) completed a web-based questionnaire on three occasions between 2018 and 2020: at baseline 3 months before the intervention; after the individual-level course 6 months after baseline, and after the workgroup-level workshop 12 months after baseline. Effects of the intervention on need for recovery (NFR) as mediated by psychological detachment, and moderation of these effects by baseline NFR, were estimated with adjustment for covariates.

Results: At the 6- and 12-month follow-ups, we found no unmoderated statistically significant changes in NFR mediated by psychological detachment. However, the intervention appeared more beneficial for employees with high baseline NFR compared to those with low NFR, with moderated mediation by detachment at the 12-month follow-up.

Conclusions: Introducing new work strategies and common rules and routines for flexible work may be an effective intervention to facilitate detachment and reduce the need for recovery among office workers with particularly high needs.

Place, publisher, year, edition, pages
Stockholm University Press, 2025
Keywords
flexible working hours, restoration, digitalization, availability expectations, combined intervention, psychosocial work environment
National Category
Occupational Health and Environmental Health
Research subject
Health-Promoting Work, Flexibelt arbete
Identifiers
urn:nbn:se:hig:diva-46651 (URN)10.16993/sjwop.339 (DOI)2-s2.0-105008988767 (Scopus ID)
Projects
Flexibelt Arbete - Hälsofrämjande Interventioner för en Hållbar Digitalisering
Funder
Swedish Transport Administration, 2015/92392Forte, Swedish Research Council for Health, Working Life and Welfare, 2009–1761
Available from: 2025-03-19 Created: 2025-03-19 Last updated: 2025-10-02Bibliographically approved
4. Behavioral and Physiological Effects of a Co-created Workplace Intervention to Promote Recovery in Office Workers with Flexible Work
Open this publication in new window or tab >>Behavioral and Physiological Effects of a Co-created Workplace Intervention to Promote Recovery in Office Workers with Flexible Work
(English)Manuscript (preprint) (Other academic)
Abstract [en]

Background: As flexible work arrangements (FWAs) become more common, especially among office workers, challenges of maintaining a healthy work-recovery balance increase, but studies addressing interventions and their effects on physical behaviors and physiological recovery are sparse. This study examined the effects of a co-created workplace intervention to promote recovery on the 24-hour composition of physical behaviors and recovery during sleep among office workers with FWAs. Methods: We conducted a controlled intervention in a large government organization that offered FWAs. Employees from one unit (n=27) participated in an intervention comprising 1) an individual-level course in digital tools and work strategies and 2) a workshop to develop common rules and routines within the workgroup. Employees from a comparable unit (n=21) were used as a control group and received no intervention activities. Measures at baseline and 12-month follow-up included accelerometry of 24-hour physical behaviors and heart rate variability during sleep as recovery indicators. We also examined sleep and wake times, as noted in a diary. We calculated 24-hour compositions of physical activity and inactivity during wake time and sleep using Compositional data analysis (CoDA), and intervention effects were analyzed using repeated measures MANOVA and ANOVA. Results: Compared with the control condition, the intervention led to more time spent in sleep relative to time awake, and the effect size was large (F=10.87, p<0.01, η²p=0.28). The intervention had limited effects on physical activity relative to inactivity, and on heart rate variability during sleep (interaction between time and group: p>0.05). Conclusions: An intervention comprising a course in individual work strategies and a workgroup-level workshop to define common rules and routines in flexible work led to longer sleep time, indicating a behavioral change that may promote recovery and health.

Keywords
physical activity, health-promotion, recovery, workplace intervention, flexible work arrangements
National Category
Occupational Health and Environmental Health
Research subject
Health-Promoting Work; Health-Promoting Work, Flexibelt arbete
Identifiers
urn:nbn:se:hig:diva-47469 (URN)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2009–1761Swedish Transport Administration, 2017/528
Available from: 2025-06-23 Created: 2025-06-23 Last updated: 2025-10-02Bibliographically approved

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