Physicians’ Perspectives on Person-Related Factors Associated With Work Participation and Methods Used to Obtain Information About These Factors

Wit, Mariska de; Wind, Haije; Snippen, Nicole; Sluiter, Judith K.; Hulshof, Carel; Frings‐Dresen, Monique H. W.

doi:10.1097/jom.0000000000001596

Cited by 6 publications

(8 citation statements)

References 19 publications

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“…The main goals of the training program for OHPs are acquiring knowledge of cognitions and perceptions associated with work participation, identifying these cognitions and perceptions, and changing these cognitions and perceptions when necessary. The information provided during the training was based on four previously conducted studies [6,10,11,16]. Results of a systematic review formed the basis for the content about the cognitions and perceptions important for work participation [6].…”

Section: Step 1 Development Of the Trainingmentioning

confidence: 99%

“…Results of a systematic review formed the basis for the content about the cognitions and perceptions important for work participation [6]. Information concerning methods physicians can apply to obtain information in order to identify cognitions and perceptions was retrieved from results of a survey study among physicians [10]. Information about factors that may influence the course of a conversation concerning cognitions and perceptions was retrieved from a focus group study among workers with chronic health problems [11].…”

Section: Step 1 Development Of the Trainingmentioning

confidence: 99%

“…However, obtaining reliable information on these cognitions and perceptions from workers themselves is a challenge. In our earlier studies, the majority of the OHPs and workers agreed that information on these factors should be obtained during consultations with workers [10,11]. Whether information about cognitions and perceptions can be obtained during consultations depends on the course of these conversations and the disclosure by workers.…”

Section: Introductionmentioning

confidence: 95%

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

et al. 2022

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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.

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Section: Step 1 Development Of the Trainingmentioning

confidence: 99%

Section: Step 1 Development Of the Trainingmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 95%

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

et al. 2022

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“…IPs evaluate the functional abilities and disabilities of workers that can influence whether they receive a work disability benefit and provide recommendations for interventions to promote RTW. Although the roles of OPs and IPs differ, they perceive the same cognitions and perceptions as important for work participation and use the same methods to obtain information about these factors (De Wit et al 2019b). Therefore, OPs and IPs received the same training.…”

Section: Participantsmentioning

confidence: 99%

Effects of a training program for occupational health professionals on the cognitions and perceptions of workers: a randomized controlled trial

Wit

Horreh

Hulshof

et al. 2022

Int Arch Occup Environ Health

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Purpose To evaluate the effects of a training program for occupational health professionals (OHPs) on their ability to identify the cognitions and perceptions of workers with a chronic disease that may hinder work participation, and on their ability to recommend evidence-based interventions aimed at the identified cognitions and perceptions. Methods A randomized controlled trial was conducted in which OHPs were randomly assigned to a training program on the cognitions and perceptions of workers with a chronic disease (n = 29) or to a control group that did not receive training (n = 30). Participants received home assignments in which they had to identify the cognitions and perceptions of workers in video vignettes and had to indicate which interventions they would recommend to foster work participation. A generalized linear model repeated measures ANOVA was conducted to study the effects of the training program. Results The results of the analyses showed an increase in the ability to identify the cognitions and perceptions of workers of OHPs who received the training compared to the control group (p < 0.001). The results also showed an increased ability to recommend evidence-based interventions aimed at these cognitions and perceptions (p < 0.001) as a result of participation in the training. Conclusion The training program helps OHPs to identify cognitions and perceptions and to recommend evidence-based interventions. This can support them in their activities to increase the work participation of workers with a chronic disease.

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“…The CCP tools were tested in experimental study designs to be published in separate publications. Additionally, the CCP tools were developed based on existing knowledge from literature reviews and primary data from OPs and IPs [ 11 , 12 , 14 – 16 ]. Therefore, making the tools evidence-based in co-creation with the end-users meets the objectives to implement occupational health interventions.…”

Section: Introductionmentioning

confidence: 99%

Determinants for the implementation of person-centered tools for workers with chronic health conditions: a mixed-method study using the Tailored Implementation for Chronic Diseases checklist

et al. 2021

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Background The aim was to identify the most important determinants of practice for the implementation of person-centered tools which enhance work participation for patients with chronic health conditions. Methods A mixed-method study was conducted consisting of semi-structured interviews, a focus group and a survey. Various stakeholders were involved including (representatives of) workers with chronic health conditions, insurance physicians, occupational physicians, other healthcare professionals, researchers, employers, and policymakers. The semi-structured interviews were performed to identify implementation determinants, followed by a focus group to validate resulting determinants. To conclude, a survey was conducted to select the most important implementation determinants through prioritization by ranking the order of importance. The Tailored Implementation of Chronic Diseases checklist (TICD) was used as concept-driven coding frame for the qualitative analysis of the interviews and focus group. The self-developed survey was based on the domains of the TICD. The survey was analyzed by frequency count of first ranking of determinants per and between domains of the TICD. Results Various stakeholders participated (N = 27) in the interviews and focus group. The qualitative data retrieved yielded a list of determinants with additional in-depth themes according to the TICD. For the selection of the most important determinants, a survey with 101 respondents was conducted, consisting of occupational physicians, insurance physicians and workers with a chronic health condition. From the seven domains of the TICD, respondents emphasized the importance of taking into account the needs and factors associated with workers with a chronic health condition as this determinant ranked highest. Taking into account the individual needs and wishes of workers was mentioned to enable successful implementation, whereas stress of the workers was indicated to impede implementation. Other important determinants included ‘being able to work with the tools’ in terms of time and usability or ‘cognitions, beliefs and attitudes of occupational and insurance physicians’ to be able to use the tools. Conclusion This study identified the most important determinants from the perspective of various stakeholders involved in the implementation of client-centered tools in occupational health for workers with chronic health conditions. Furthermore, by prioritizing the most important determinants, targeted implementation strategies can be developed.

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Physicians’ Perspectives on Person-Related Factors Associated With Work Participation and Methods Used to Obtain Information About These Factors

Cited by 6 publications

References 19 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

Effects of a training program for occupational health professionals on the cognitions and perceptions of workers: a randomized controlled trial

Determinants for the implementation of person-centered tools for workers with chronic health conditions: a mixed-method study using the Tailored Implementation for Chronic Diseases checklist

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