Intervention mapping for development of a participatory return-to-work intervention for temporary agency workers and unemployed workers sick-listed due to musculoskeletal disordersReportar como inadecuado




Intervention mapping for development of a participatory return-to-work intervention for temporary agency workers and unemployed workers sick-listed due to musculoskeletal disorders - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

BMC Public Health

, 9:216

First Online: 02 July 2009Received: 05 January 2009Accepted: 02 July 2009DOI: 10.1186-1471-2458-9-216

Cite this article as: Vermeulen, S.J., Anema, J.R., Schellart, A.J. et al. BMC Public Health 2009 9: 216. doi:10.1186-1471-2458-9-216

Abstract

BackgroundIn the past decade in activities aiming at return-to-work RTW, there has been a growing awareness to change the focus from sickness and work disability to recovery and work ability. To date, this process in occupational health care OHC has mainly been directed towards employees. However, within the working population there are two vulnerable groups: temporary agency workers and unemployed workers, since they have no workplace-employer to return to, when sick-listed. For this group there is a need for tailored RTW strategies and interventions. Therefore, this paper aims to describe the structured and stepwise process of development, implementation and evaluation of a theory- and practise-based participatory RTW program for temporary agency workers and unemployed workers, sick-listed due to musculoskeletal disorders MSD. This program is based on the already developed and cost-effective RTW program for employees, sick-listed due to low back pain.

MethodsThe Intervention Mapping IM protocol was used to develop a tailor-made RTW program for temporary agency workers and unemployed workers, sick-listed due to MSD. The Attitude-Social influence-self-Efficacy ASE model was used as a theoretical framework for determinants of behaviour regarding RTW of the sick-listed worker and development of the intervention. To ensure participation and facilitate successful adoption and implementation, important stakeholders were involved in all steps of program development and implementation. Results of semi-structured interviews and -fine-tuning- meetings were used to design the final participatory RTW program.

ResultsA structured stepwise RTW program was developed, aimed at making a consensus-based RTW implementation plan. The new program starts with identifying obstacles for RTW, followed by a brainstorm session in which the sick-listed worker and the labour expert of the Social Security Agency SSA formulate solutions-possibilities for suitable therapeutic work. This process is guided by an independent RTW coordinator to achieve consensus. Based on the resulting RTW implementation plan, to create an actual RTW perspective, a vocational rehabilitation agency is assigned to find a matching therapeutic workplace. The cost-effectiveness of this participatory RTW program will be evaluated in a randomised controlled trial.

ConclusionIM is a promising tool for the development of tailor-made OHC interventions for the vulnerable working population.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-9-216 contains supplementary material, which is available to authorized users.

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Autor: Sylvia J Vermeulen - Johannes R Anema - Antonius JM Schellart - Willem van Mechelen - Allard J van der Beek

Fuente: https://link.springer.com/







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