Safer hotels: implementation and effectiveness evaluation of interventions to prevent and manage sexual harassment

ISRCTN ISRCTN54872354
DOI https://doi.org/10.1186/ISRCTN54872354
ClinicalTrials.gov (NCT) Nil known
Clinical Trials Information System (CTIS) Nil known
Protocol serial number AFA 20240139
Sponsor Karolinska Institutet
Funder AFA Försäkring
Submission date
22/10/2025
Registration date
08/12/2025
Last edited
08/12/2025
Recruitment status
Recruiting
Overall study status
Ongoing
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Sexual harassment is a serious problem in the hotel and restaurant industry, where employees often face unwanted behaviour from colleagues, managers, and guests. This can have a negative impact on mental health. Although there are many ideas about how to prevent and respond to harassment, few have been properly tested. This study aims to find out whether a workplace policy and training programme can help hotel staff feel safer and more supported when it comes to reporting harassment.

Who can participate?
Around 600 employees from hotels in a large hotel chain in Stockholm are taking part in the study. Participation is arranged through the hotels involved.

What does the study involve?
Participants will be asked to complete questionnaires about their experiences and feelings of safety at work. The study will look at how well the new policy and training are working and how they are being used in practice.

What are the possible benefits and risks of participating?
While the study does not directly aim to reduce harassment in the short term, it may lead to better support for those affected and improvements in how harassment is handled at work. There are no known risks to taking part, and all responses will be kept confidential.

Where is the study run from?
The study is being carried out in hotels in Stockholm, Sweden, in collaboration with researchers and hotel staff.

When is the study starting and how long is it expected to run for?
September 2024 to June 2027

Who is funding the study?
AFA Insurance (Sweden)

Who is the main contact?
Dr Emma Cedstrand, emma.cedstrand@ki.se

Contact information

Dr Emma Cedstrand
Public, Scientific, Principal investigator

Solnavägen 4
Stockholm
11365
Sweden

ORCiD logoORCID ID 0000-0003-0567-7574
Phone +46 702713404
Email emma.cedstrand@ki.se

Study information

Primary study designInterventional
Study designSingle-center controlled implementation study with before and after design
Secondary study designNon randomised study
Participant information sheet 48246 PIS.pdf
Scientific titleSafer Hotels: Interventions to improve the reporting of sexual harassment and psychological safety by preventing and managing sexual harassment in hotels -a controlled trial and implementation and study
Study objectivesAim:
To evaluate the effectiveness and implementation of a workplace sexual harassment policy and training program in improving reporting behaviours and psychological safety in hotels in Sweden

Hypothesis:
If the interventions (policy, training and formal reporting system) are implemented we expect an increase in the reporting of sexual harassment and an increase in self-reported psychological safety.

Implementation objectives:
1. Are the interventions delivered as planned (fidelity)?
2. Does the stakeholders accept the interventions?
3. Will the interventions improve the attitudes to reporting, subjective norms around reporting and perceived behavioural control?
Ethics approval(s)

Approved 30/05/2023, Swedish Ethical Review Authority (Etikprövningsmyndigheten) (Box 2110, Uppsala, 75002, Sweden; +46 (0)10-47750800; registrator@etikprovning.se), ref: 2023-02032-01

Health condition(s) or problem(s) studiedPrevention of poor mental health
InterventionWe have three intervention activities:
1. A new policy about sexual harassment
2. Education and Training regarding the policy, conflict management and naming sexual harassment, i.e., discussions about which behaviors are accepted or not
3. A formal reporting system.

The intervention activities build on a theoretical model called Ethical Infrastructure. The activities have been associated with a positive conflict management climate and perceived satisfaction with the organisation´s harassment management.

The Education and Training are directed both to managers and employees. The managers will be trained in how to apply the policy in their organisation and conflict management. They will be educated in legislation knowledge and reporting procedures. For employees the training will include routines for reporting sexual harassment and naming sexual harassment.

Controls get no measures.

The interventions will be given late 2025 to first half of 2026. A baseline questionnaire have been sent in September 20025 to both intervention groups and controls. A follow up questionnaire is planned for September 2026.
Intervention typeBehavioural
Primary outcome measure(s)

1. Psychological safety will be assessed through the sub-scale "Interpersonal Risk‐Taking", which is part of the validated Psychological Safety Inventory at baseline and follow-up
2. Reporting incidents of sexual harassment is assessed using one item "If you have been subjected to unwanted sexual behaviour, or other harassment, have you informed your manager or someone else e.g.the manager's manager, HR, safety representative, union representative?" at baseline and follow-up

Key secondary outcome measure(s)

1. Attitudes will be assessed with 7 items at baseline and follow-up
2. Subjective norms, (or organizational tolerance for sexual harassment), will be assessed with 5 items at baseline and follow-up
3. Perceived behavioural control will be assessed with 7 items at baseline and follow-up
4. Prevalence of sexual harassment will be assessed with 11 items about concrete behaviors that can be perceived as unwanted sexual attention. Prevalence will be assessed at baseline and follow-up

Completion date30/06/2027

Eligibility

Participant type(s)Employee
Age groupMixed
Lower age limit18 Years
Upper age limit100 Years
SexAll
Target sample size at registration800
Key inclusion criteriaAll employees at enrolled hotels
Key exclusion criteria1. Under the age of 18 years
2. Employees on parental and long term sick-leave during the baseline survey.
3. Employees employed less than six months before the follow up-survey.
Date of first enrolment05/09/2025
Date of final enrolment30/09/2026

Locations

Countries of recruitment

  • Sweden

Study participating centres

Karolinska institutet
Occupational medicine
Solnavägen 4
Stockholm
11365
Sweden
Center of occupational and environmental medicine, Region Stockholm
Solnavägen 4
Stockholm
11365
Sweden

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet 23/10/2025 No Yes
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes

Additional files

48246 PIS.pdf
participant information sheet

Editorial Notes

22/10/2025: Trial's existence confirmed by Swedish Ethical Review Authority.