The attitude of Flemish occupational health physicians toward evidence-based occupational health and clinical practice guidelines

Heselmans, Annemie; Donceel, Peter; Aertgeerts, Bert; Velde, Stijn Van de; Ramaekers, Dirk

doi:10.1007/s00420-009-0449-y

Cited by 16 publications

(28 citation statements)

References 16 publications

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“…Most of the questions were based on previous questionnaire studies (Gummesson and Nordmark 2009; Heselmans et al 2010; Schaafsma et al 2004), but were modified to fit the study population. However, the definition of EBP can to some extent be considered context-specific.…”

Section: Discussionmentioning

confidence: 99%

“…The questionnaire was developed by the research group on the basis of earlier surveys of EBP or evidence-based medicine in occupational health settings (Heselmans et al 2010; Schaafsma et al 2004). The earlier surveys included questions about professional characteristics: demand for information in practice; information-seeking behavior; and attitudes towards evidence-based medicine or practice.…”

Section: Data Collectionmentioning

confidence: 99%

“…Fourteen questions were taken from Schaafsma et al (2004) and had previously been translated into Swedish (Gummesson and Nordmark 2009). Two questions originated from Heselmans et al (2010) and were translated by the research group, while nine questions were developed by the research group (see Appendix for the questionnaire). The questionnaire began with a definition of EBP (Sackett et al 1996) and the participant’s characteristics.…”

Section: Data Collectionmentioning

confidence: 99%

“…The aim of the OHS is to prevent work-related illness and protect and promote workers’ health and work ability (Heselmans et al 2010; Kwak et al 2014). In Sweden, the OHS is not part of the state-funded health care system; it operates on the open market.…”

Section: Introductionmentioning

confidence: 99%

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Development of evidence-based practice in occupational health services in Sweden: a 3-year follow-up of attitudes, barriers and facilitators

Brämberg

Nyman

Kwak

et al. 2017

Int Arch Occup Environ Health

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PurposeThe Swedish government initiated an investigation of how to secure and develop the competence of the occupational health services. The primary aim of the present study was to investigate whether the development of evidence-based practice (EBP) in the Swedish occupational health services in relation to attitudes, knowledge and use improved during the first 3 years of the government’s initiative.MethodsThe study has a mixed methods design combining questionnaires and interviews with data collection at baseline and at 3-year follow-up.ResultsThe response rate was 66% at baseline and 63% at follow-up. The results show that practitioners’ knowledge of EBP was moderate at baseline and improved at follow-up (p = 0.002; 95% CI 0.01; 0.21). Practitioners experienced lower levels of organizational and managerial support for EBP at follow-up (p < 0.001; 95% CI 0.18; 0.38). The results revealed that managers viewed responsibility for implementing EBP as a matter for individual practitioners rather than as an organizational issue.ConclusionsOccupational health service managers and practitioners are generally positive to EBP. However, the findings emphasize the need to educate managers in how to support EBP at the organizational level by creating an infrastructure for EBP in the OHS.

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Section: Discussionmentioning

confidence: 99%

Section: Data Collectionmentioning

confidence: 99%

Section: Data Collectionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Development of evidence-based practice in occupational health services in Sweden: a 3-year follow-up of attitudes, barriers and facilitators

Brämberg

Nyman

Kwak

et al. 2017

Int Arch Occup Environ Health

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“…Previous studies have shown that, in general, IPs have a positive attitude towards EBM guidelines (Heselmans, Donceel, Aertgeerts, Van de Velde & Ramaekers, 2009;Heselmans, Donceel, Aertgeerts, Van de Velde & Ramaekers, 2010;Kok et al, 2008). Despite this, their use of guidelines in practice is rather poor.…”

Section: Comparison With Other Studiesmentioning

confidence: 93%

An Implementation Strategy to Improve the Guideline Adherence of Insurance Physicians: a Process Evaluation alongside an Experiment in a Controlled Setting

Zwerver

Bonnefaas-Groenewoud

Schellart

et al. 2013

Journal of Education and Training Studies

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BackgroundWe developed an implementation strategy for the insurance medicine guidelines for depression, which we implemented via a post-graduate course for insurance physicians (IPs). In this study we evaluate the physicians' experiences of the implementation strategy by measuring the following aspects: recruitment and reach, dose delivered and dose received, satisfaction and expectations, and perceived barriers. MethodsInsurance physicians conducting client disability assessments for the Dutch Institute for Employee Benefits Schemes were invited to attend a post-graduate course in implementation of the guidelines for depression in which a controlled experiment was embedded. Data were collected from the participating insurance physicians using questionnaires applied directly after the intervention and at three-month follow-up. ResultsOf the 797 insurance physicians invited, 42 participated. Reach was 4.7%. The response to the questionnaires was 100%. The participants appraised the implementation strategy with a total score of 7.7 out of 10, and 81% expected to see improvement in their assessments of clients with depression. Physicians were still satisfied with the implementation strategy after three months. Changes in work routines and the time needed to apply the guidelines were perceived as barriers to use of the implementation strategy. ConclusionsThe reach of the newly developed implementation strategy for the guidelines for depression was poor: only 42 IPs out of 900 invited actually attended the post-graduate course. However, the results show that the implementation strategy worked well in a controlled setting for all participants. They were satisfied with the course and with the tools provided, both immediately after the training program and after three months. Trial registrationNetherlands Trial Register NTR1863

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Changes in Insurance Physicians’ Attitudes, Self-Efficacy, Intention, and Knowledge and Skills Regarding the Guidelines for Depression, Following an Implementation Strategy

et al. 2012

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Introduction To improve guideline adherence by insurance physicians (IPs), an implementation strategy was developed and investigated in a randomized controlled trial. This implementation strategy involved a multifaceted training programme for a group of IPs in applying the guidelines for depression. In this study we report the impact of the implementation strategy on the physicians’ attitude, intention, self-efficacy, and knowledge and skills as behavioural determinants of guideline adherence. Any links between these self-reported behavioural determinants and levels of guideline adherence were also determined. Methods Just before and 3 months after the implementation of the multifaceted training, a questionnaire designed to measure behavioural determinants on the basis of the ASE (attitude, social norm, self-efficacy) model was completed by the intervention (n = 21) and the control group (n = 19). Items of the questionnaire were grouped to form scales of ASE determinants. Internal consistency of the scales was calculated using Cronbach’s alphas. Differences between groups concerning changes in ASE determinants, and the association of these changes with improvements in guideline adherence, were analyzed using analysis of covariance. Results The internal consistency of the scales of ASE determinants proved to be sufficiently reliable, with Cronbach’s alphas of at least 0.70. At follow-up after 3 months, the IPs given the implementation strategy showed significant improvement over the IPs in the control group for all ASE determinants investigated. Changes in knowledge and skills were only weakly associated with improvements in guideline adherence. Conclusions The implementation strategy developed for insurance physicians can increase their attitude, intention, self-efficacy, and knowledge and skills when applying the guidelines for depression. These changes in behavioural determinants might indicate positive changes in IPs’ behaviour towards the use of the guidelines for depression. However, only changes in knowledge and skills related to the use of the guidelines were associated with improvements in IPs’ actual performance when applying the guidelines.Electronic supplementary materialThe online version of this article (doi:10.1007/s10926-012-9378-9) contains supplementary material, which is available to authorized users.

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The attitude of Flemish occupational health physicians toward evidence-based occupational health and clinical practice guidelines

Cited by 16 publications

References 16 publications

Development of evidence-based practice in occupational health services in Sweden: a 3-year follow-up of attitudes, barriers and facilitators

Development of evidence-based practice in occupational health services in Sweden: a 3-year follow-up of attitudes, barriers and facilitators

An Implementation Strategy to Improve the Guideline Adherence of Insurance Physicians: a Process Evaluation alongside an Experiment in a Controlled Setting

Changes in Insurance Physicians’ Attitudes, Self-Efficacy, Intention, and Knowledge and Skills Regarding the Guidelines for Depression, Following an Implementation Strategy

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