“Acquired brain injury and return to work”: the feasibility of a training program for insurance physicians

Donker-Cools, Birgit; Wind, Haije; Frings‐Dresen, Monique H. W.

doi:10.1080/09638288.2018.1527400

Cited by 3 publications

(1 citation statement)

References 37 publications

(58 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, this automatically leads to third problem for implementation: a lack of time, which can form an obstruction to OPs and IPs internalizing the cognitions and perceptions. This was also perceived to be a barrier in previous studies about implementing new skills for OPs and IPs in practice [26,27].…”

Section: Key Findingsmentioning

confidence: 99%

Training on involving cognitions and perceptions in the occupational health management and work disability assessment of workers: development and evaluation

et al. 2022

Self Cite

View full text Add to dashboard Cite

Background In order to improve work participation of workers with a chronic disease, it is important for occupational health professionals (OHPs) to focus on those factors that can influence work participation. Cognitions and perceptions, such as recovery expectations and self-efficacy, are examples of these factors that can influence work participation. However, no training program is available for OHPs on how to involve cognitions and perceptions during their practice. Therefore, the aim of this study was to develop a training program for OHPs on how to involve cognitions and perceptions in the occupational health management and work disability assessment of workers with a chronic disease. In addition, to evaluate the OHPs’ satisfaction with the training and the feasibility of the training and learned skills. Methods The training program was developed using information from previously conducted studies regarding cognitions and perceptions in relation to work participation. Satisfaction with the training by OHPs was evaluated by means of a questionnaire. A smaller group of OHPs were interviewed three to six months after the training to evaluate the feasibility of the training and learned skills. Results The 4.5-h training program consisted of four parts concerning: 1) cognitions and perceptions associated with work participation, 2) how to obtain information on them, 3) the course of the conversation on these factors, and 4) intervening on these factors. Eight training sessions were conducted with 57 OHPs, of whom 54 evaluated the training. Participants were very satisfied (score 8.5 on a scale from 1 to 10). The eleven interviewed participants were more aware of cognitions and perceptions during consultations and perceived the training to be feasible. However, not all participants had applied the acquired skills in their practice, partially because of a lack of time. Conclusions OHPs are very satisfied with the training program and perceive it to be feasible. The training increases awareness of important cognitions and perceptions and may possibly help to increase work participation of workers with a chronic disease.

show abstract

Section: Key Findingsmentioning

confidence: 99%

Training on involving cognitions and perceptions in the occupational health management and work disability assessment of workers: development and evaluation

et al. 2022

Self Cite

View full text Add to dashboard Cite

show abstract

“Acquired brain injury and return to work”: the feasibility of a training program for insurance physicians

Donker-Cools

Wind

Frings‐Dresen

2019

Disability and Rehabilitation

Self Cite

View full text Add to dashboard Cite

Purpose: To study the feasibility (limited efficacy, acceptability, and implementation) of a training program for insurance physicians. Methods: Limited efficacy was evaluated over time (T0-T2) by conducting knowledge question tests using realistic case scenarios, analyzed by non-parametric Friedman and Wilcoxon signed-rank tests. Acceptability was evaluated by asking participants to agree or disagree with statements; for example, the knowledge was "relevant," "useful," or "appropriate." Answers were analyzed using descriptive statistics. Open-ended questions were used to ask participants what, in their opinion, were the facilitators of and barriers to implementing the knowledge taught. Their answers were coded and categorized. Results: Fifty-one IPs participated in the study. Concerning limited efficacy: the median values of the knowledge scores increased significantly over time and between time points from 16 (T0) to 21 (T1) and 32 (T2), p < 0.00. Concerning acceptability: 46 of 47 respondents perceived the training program to be "relevant," "useful," and "appropriate"; 44 respondents intended to use it in practice. Concerning implementation: participants reported "training" and "utility" as examples of facilitators and "lack of time," for example, as a barrier. Conclusion and implications: The feasibility (limited efficacy, acceptability, implementation) of the training program is demonstrated; the training program can be applied in practice. ä IMPLICATIONS FOR REHABILITATION The "acquired brain injury and return to work" training programme can be applied in postgraduate teaching and continuing medical education for insurance physicians. Interactive teaching methods including realistic case scenarios with a link to practice are recommended to provide insurance physicians the opportunity to learn to apply and discuss new knowledge and effectively improve insurance physicians' knowledge. Implementation of a training programme for insurance physicians can be facilitated if a brief summary of the imparted knowledge is available. Barriers, such as "other occupational healthcare and paramedical professionals being unfamiliar with the imparted knowledge" need to be addressed when implementing the "acquired brain injury and return to work" training programme.

show abstract

Designing an evidence-based working method for medical work disability prognosis evaluation–an intervention mapping approach

Snoeck-Krygsman,

Donker-Cools,

Jansen

et al. 2023

Front. Public Health

Self Cite

View full text Add to dashboard Cite

PurposePerforming evidence-based work disability prognosis evaluation (WDPE) of clients on sick leave is a difficult task for physicians. The aim was to develop a working method to support physicians in performing evidence-based WDPE and to improve WDPE quality.Materials and methodsIntervention Mapping (IM) supplemented with elements of the Behavior Change Wheel (BCW) guided project planning for developing the working method. This approach allowed combination with other frameworks and, e.g., behavior change theories. WDPE quality challenges were analyzed on various ecological levels, e.g., the individual (i.e., the physician), interpersonal (i.e., the client) and organizational level, culminating into a multilevel logic model of the problem. Determinants that contributed to this problem, e.g., lack of physicians’ knowledge on performing evidence-based WDPE, were identified. Performance objectives were formulated that could contribute to a desired change in WDPE quality. From the performance objectives and determinants (e.g., knowledge), change objectives were derived. In order to achieve these change objectives, suitable intervention functions (e.g., education) and policy categories (e.g., service provision) were identified, allowing the formulation of intervention components. Behavior change techniques (e.g., feedback on outcomes of a behavior) were selected to serve the intervention functions to deliver the desired change. This led to the conceptualization of an intervention plan.ResultsThe intervention “Prognosable” is presented. It consists of a stepwise working method (SWM) for evidence-based WDPE. The SWM offers an overview of important aspects (e.g., medical condition, clients’ confidence in return-to-work) to consider in individual clients’ WDPE. The SWM helps physicians to identify crucial functional limitations, find and appraise evidence-based information, weigh all relevant prognostic aspects and it supports physicians to conclude with an evidence-based WDPE, tailored to the individual client. The intervention “Prognosable” was designed, which also includes an educational program and a supportive software tool to enable implementation of the SWM.ConclusionIM combined with BCW elements guided the development of a SWM for evidence-based WDPE. The SWM will be delivered through an educational program for physicians supported by a digital tool. The SWM, educational program and digital tool are ready to be implemented and evaluated in practice as the intervention “Prognosable.”

show abstract

“Acquired brain injury and return to work”: the feasibility of a training program for insurance physicians

Cited by 3 publications

References 37 publications

Training on involving cognitions and perceptions in the occupational health management and work disability assessment of workers: development and evaluation

Training on involving cognitions and perceptions in the occupational health management and work disability assessment of workers: development and evaluation

“Acquired brain injury and return to work”: the feasibility of a training program for insurance physicians

Designing an evidence-based working method for medical work disability prognosis evaluation–an intervention mapping approach

Contact Info

Product

Resources

About