Do occupational health assessments match guidelines for low back pain?

Walsh, Luke; Menzies, Donald; Chamberlain, Kathryn; Agius, Raymond; Gittins, Matthew

doi:10.1093/occmed/kqn097

Cited by 6 publications

(3 citation statements)

References 6 publications

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“…Patients with LBP are often seen in primary health care, but due to the high prevalence of LBP among people of working age, it is a commonly encountered problem within the Occupational Health Services (OHS) [4]. The OHS main assignment is to support employers and employees with work related health issues [5].…”

Section: Introductionmentioning

confidence: 99%

Developing a practice guideline for the occupational health services by using a community of practice approach: a process evaluation of the development process

et al. 2017

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BackgroundOne way to facilitate the translation of research into the occupational health service practice is through clinical practice guidelines. To increase the implementability of guidelines it is important to include the end-users in the development, for example by a community of practice approach. This paper describes the development of an occupational health practice guideline aimed at the management of non-specific low back pain (LBP) by using a community of practice approach. The paper also includes a process evaluation of the development providing insight into the feasibility of the process.MethodsA multidisciplinary community of practice group (n = 16) consisting of occupational nurses, occupational physicians, ergonomists/physical therapists, health and safety engineers, health educators, psychologists and researchers from different types of occupational health services and geographical regions within Sweden met eleven times (June 2012–December 2013) to develop the practice guideline following recommendations of guideline development handbooks. Process-outcomes recruitment, reach, context, satisfaction, feasibility and fidelity were assessed by questionnaire, observations and administrative data.ResultsGroup members attended on average 7.5 out of 11 meetings. Half experienced support from their workplace for their involvement. Feasibility was rated as good, except for time-scheduling. Most group members were satisfied with the structure of the process (e.g. presentations, multidisciplinary group). Fidelity was rated as fairly high.ConclusionsThe described development process is a feasible process for guideline development. For future guideline development expectations of the work involved should be more clearly communicated, as well as the purpose and tasks of the CoP-group. Moreover, possibilities to improve support from managers and colleagues should be explored. This paper has important implications for future guideline development; it provides valuable information on how practitioners can be included in the development process, with the aim of increasing the implementability of the developed guidelines.

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Section: Introductionmentioning

confidence: 99%

Developing a practice guideline for the occupational health services by using a community of practice approach: a process evaluation of the development process

et al. 2017

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“…Auditing professional quality is a challenging issue and the social and professional need to measure quality has increased considerably in recent years. Occupational health processes have long been audited by means of indicators [10,39,40], and now indicators will be introduced into the field of insurance medicine to monitor IPs' assessments of the work ability of claimants. Transparency of professional decision-making can provide a basis for quality improvement and our study design is consistent with this trend of auditing quality improvement.…”

Section: Discussionmentioning

confidence: 99%

Intervention mapping for the development of a strategy to implement the insurance medicine guidelines for depression

et al. 2011

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BackgroundThis article describes the development of a strategy to implement the insurance medicine guidelines for depression. Use of the guidelines is intended to result in more transparent and uniform assessment of claimants with depressive symptoms.MethodsThe implementation strategy was developed using the Intervention Mapping (IM) method for alignment with insurance-medical practice. The ASE behavioural explanation model (Attitude, Social Influence and Self-Efficacy) was used as theoretical basis for the development work. A literature study of implementation strategies and interviews with insurance physicians were performed to develop instruments for use with the guideline. These instruments were designed to match the needs and the working circumstances of insurance physicians. Performance indicators to measure the quality of the assessment and the adherence to the guidelines were defined with input from insurance physicians.ResultsThis study resulted in the development of a training course to teach insurance physicians how to apply the guidelines for depression, using the aforementioned instruments. The efficacy of this training course will be evaluated in a Randomized Controlled Trial.ConclusionsThe use of IM made it possible to develop guideline support instruments tailored to insurance medical practice.

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“…Many of them focus on a clinical perspective of assessment [14][15][16][17][18][19][20][21] or on a practice guideline perspective [2,[22][23][24][25][26], providing information useful for policy revision [27][28][29][30][31][32] or research design purposes in accordance with the work disability prevention paradigm [25,[33][34][35]. While some of these studies focus specifically on RTW workplace interventions [36][37][38], the interventions are rarely described from a long-term perspective.…”

Section: Introductionmentioning

confidence: 99%

Topics and trends in research on non-clinical interventions aimed at preventing prolonged work disability in workers compensated for work-related musculoskeletal disorders (WRMSDs): a systematic, comprehensive literature review

Nastasia

Coutu

Tcaciuc

2014

Disability and Rehabilitation

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Successful intervention for preventing prolonged work disability in workers compensated for WRMSDs address workplace issues: physical and psychosocial demands at work, ability of the workers to fill these demands, work organization and support of the worker, and worker' beliefs and attitudes related to work. Successful intervention promotes collaboration, coordination between all actors and stakeholders involved in the process of rehabilitation. Strategies able to mobilize the employees, employers, insurers and health care providers are still needed to be implemented.

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Do occupational health assessments match guidelines for low back pain?

Cited by 6 publications

References 6 publications

Developing a practice guideline for the occupational health services by using a community of practice approach: a process evaluation of the development process

Developing a practice guideline for the occupational health services by using a community of practice approach: a process evaluation of the development process

Intervention mapping for the development of a strategy to implement the insurance medicine guidelines for depression

Topics and trends in research on non-clinical interventions aimed at preventing prolonged work disability in workers compensated for work-related musculoskeletal disorders (WRMSDs): a systematic, comprehensive literature review

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