Effect of an intervention to enhance guideline adherence of occupational physicians on return-to-work self-efficacy in workers sick-listed with common mental disorders
Since a higher level of self-efficacy in common mental disorders is associated with earlier return-to-work (RTW), it is important to know if work related self-efficacy can be increased by occupational health care. The primary aim of this study was to evaluate whether an intervention to enhance guide...
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description | Since a higher level of self-efficacy in common mental disorders is associated with earlier return-to-work (RTW), it is important to know if work related self-efficacy can be increased by occupational health care. The primary aim of this study was to evaluate whether an intervention to enhance guideline adherence of occupational physicians lead to an increase in RTW self-efficacy in workers three months later. The secondary aim was to evaluate whether the intervention modified the association between RTW self-efficacy and return-to-work three months later.
A total of 66 occupational physicians participated in the study. They were randomized into two groups; the intervention group received a training, the control group did not. The training aimed to enhance adherence to a mental health guideline that contained strategies that are supposed to enhance RTW self-efficacy. In 128 sick-listed workers guided by these occupational physicians, RTW self-efficacy, RTW, and personal, health-related and work-related variables were measured at baseline and three months later. Generalized linear mixed models analysis and linear mixed models analysis were used for the evaluations.
In workers whose occupational physicians had received the training RTW self-efficacy increased significantly more than in workers whose occupational physicians had participated in the control group (t = -2.626, p ≤ .05). Higher baseline RTW self-efficacy scores were significantly more often associated with full RTW than with no RTW three months later (OR 2.20, 95 % CI 1.18-4.07), but the intervention did not affect this association.
This study showed that a training to enhance guideline adherence of occupational physicians leads to increased RTW self-efficacy in workers sick-listed with common mental disorders during the first months of sickness absence in a real-life occupational health care setting. This insight is helpful for optimizing the recovery and RTW process, and for understanding the role of RTW self-efficacy in this process.
ISRCTN86605310. |
doi_str_mv | 10.1186/s12889-015-2125-3 |
format | Article |
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A total of 66 occupational physicians participated in the study. They were randomized into two groups; the intervention group received a training, the control group did not. The training aimed to enhance adherence to a mental health guideline that contained strategies that are supposed to enhance RTW self-efficacy. In 128 sick-listed workers guided by these occupational physicians, RTW self-efficacy, RTW, and personal, health-related and work-related variables were measured at baseline and three months later. Generalized linear mixed models analysis and linear mixed models analysis were used for the evaluations.
In workers whose occupational physicians had received the training RTW self-efficacy increased significantly more than in workers whose occupational physicians had participated in the control group (t = -2.626, p ≤ .05). Higher baseline RTW self-efficacy scores were significantly more often associated with full RTW than with no RTW three months later (OR 2.20, 95 % CI 1.18-4.07), but the intervention did not affect this association.
This study showed that a training to enhance guideline adherence of occupational physicians leads to increased RTW self-efficacy in workers sick-listed with common mental disorders during the first months of sickness absence in a real-life occupational health care setting. This insight is helpful for optimizing the recovery and RTW process, and for understanding the role of RTW self-efficacy in this process.
ISRCTN86605310.</description><identifier>ISSN: 1471-2458</identifier><identifier>EISSN: 1471-2458</identifier><identifier>DOI: 10.1186/s12889-015-2125-3</identifier><identifier>PMID: 26286039</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adaptation, Psychological ; Adult ; Attitude of Health Personnel ; Female ; Guideline Adherence ; Health care ; Humans ; Intervention ; Male ; Mental disorders ; Mental Disorders - psychology ; Mental Disorders - rehabilitation ; Middle Aged ; Netherlands ; Occupational health ; Occupational Health Services - standards ; Physician's Role ; Public health ; Return to Work - psychology ; Self Efficacy ; Sick Leave - statistics & numerical data ; Time Factors ; Training ; Workplace - psychology</subject><ispartof>BMC public health, 2015-08, Vol.15 (1), p.796-796, Article 796</ispartof><rights>COPYRIGHT 2015 BioMed Central Ltd.</rights><rights>Copyright BioMed Central 2015</rights><rights>van Beurden et al. 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c494t-469981c57be9eee6c5fbe2189866371bb01b9ee9ae1de748967bd3ccd518ce9b3</citedby><cites>FETCH-LOGICAL-c494t-469981c57be9eee6c5fbe2189866371bb01b9ee9ae1de748967bd3ccd518ce9b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4545325/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4545325/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26286039$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van Beurden, Karlijn M</creatorcontrib><creatorcontrib>van der Klink, Jac J L</creatorcontrib><creatorcontrib>Brouwers, Evelien P M</creatorcontrib><creatorcontrib>Joosen, Margot C W</creatorcontrib><creatorcontrib>Mathijssen, Jolanda J P</creatorcontrib><creatorcontrib>Terluin, Berend</creatorcontrib><creatorcontrib>van Weeghel, Jaap</creatorcontrib><title>Effect of an intervention to enhance guideline adherence of occupational physicians on return-to-work self-efficacy in workers sick-listed with common mental disorders</title><title>BMC public health</title><addtitle>BMC Public Health</addtitle><description>Since a higher level of self-efficacy in common mental disorders is associated with earlier return-to-work (RTW), it is important to know if work related self-efficacy can be increased by occupational health care. The primary aim of this study was to evaluate whether an intervention to enhance guideline adherence of occupational physicians lead to an increase in RTW self-efficacy in workers three months later. The secondary aim was to evaluate whether the intervention modified the association between RTW self-efficacy and return-to-work three months later.
A total of 66 occupational physicians participated in the study. They were randomized into two groups; the intervention group received a training, the control group did not. The training aimed to enhance adherence to a mental health guideline that contained strategies that are supposed to enhance RTW self-efficacy. In 128 sick-listed workers guided by these occupational physicians, RTW self-efficacy, RTW, and personal, health-related and work-related variables were measured at baseline and three months later. Generalized linear mixed models analysis and linear mixed models analysis were used for the evaluations.
In workers whose occupational physicians had received the training RTW self-efficacy increased significantly more than in workers whose occupational physicians had participated in the control group (t = -2.626, p ≤ .05). Higher baseline RTW self-efficacy scores were significantly more often associated with full RTW than with no RTW three months later (OR 2.20, 95 % CI 1.18-4.07), but the intervention did not affect this association.
This study showed that a training to enhance guideline adherence of occupational physicians leads to increased RTW self-efficacy in workers sick-listed with common mental disorders during the first months of sickness absence in a real-life occupational health care setting. This insight is helpful for optimizing the recovery and RTW process, and for understanding the role of RTW self-efficacy in this process.
ISRCTN86605310.</description><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Attitude of Health Personnel</subject><subject>Female</subject><subject>Guideline Adherence</subject><subject>Health care</subject><subject>Humans</subject><subject>Intervention</subject><subject>Male</subject><subject>Mental disorders</subject><subject>Mental Disorders - psychology</subject><subject>Mental Disorders - rehabilitation</subject><subject>Middle Aged</subject><subject>Netherlands</subject><subject>Occupational health</subject><subject>Occupational Health Services - standards</subject><subject>Physician's Role</subject><subject>Public health</subject><subject>Return to Work - psychology</subject><subject>Self Efficacy</subject><subject>Sick Leave - statistics & numerical data</subject><subject>Time Factors</subject><subject>Training</subject><subject>Workplace - psychology</subject><issn>1471-2458</issn><issn>1471-2458</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNptkk1vFSEUhidGY2v1B7gxJG7cUGH4GNiYNE39SJq40TVhmMO9tDNwhZk29xf1b8rk1toawwJyeJ_3HMjbNG8pOaVUyY-FtkppTKjALW0FZs-aY8o7ilsu1PNH56PmVSlXhNBOifZlc9TKVknC9HFzd-E9uBklj2xEIc6QbyDOIUU0JwRxa6MDtFnCAGOIgOywhQxrrRLJuWVnV7Ed0W67L8EFGwuqcIZ5yRHPCd-mfI0KjB6D98FZt69t0FqFXFBFrvEYygwDug3zFrk0TZWf6hDVdAgl5aEKXzcvvB0LvLnfT5qfny9-nH_Fl9-_fDs_u8SOaz5jLrVW1ImuBw0A0gnfQ0uVVlKyjvY9oX290BboAB1XWnb9wJwbBFUOdM9Omk8H393STzC4Oka2o9nlMNm8N8kG8_Qmhq3ZpBvDBResFdXgw71BTr8WKLOZQnEwjjZCWoqhHREdayWTVfr-H-lVqp9Wn1dVijDCJen-qjZ2BBOiT7WvW03NmeCUU8b06nX6H1VdA0zBpQg-1PoTgB4Al1MpGfzDGykxa7rMIV2mpsus6TKsMu8ef84D8SdO7DdPKM6u</recordid><startdate>20150819</startdate><enddate>20150819</enddate><creator>van Beurden, Karlijn M</creator><creator>van der Klink, Jac J L</creator><creator>Brouwers, Evelien P M</creator><creator>Joosen, Margot C W</creator><creator>Mathijssen, Jolanda J P</creator><creator>Terluin, Berend</creator><creator>van Weeghel, Jaap</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>L6V</scope><scope>M0S</scope><scope>M1P</scope><scope>M7S</scope><scope>PATMY</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20150819</creationdate><title>Effect of an intervention to enhance guideline adherence of occupational physicians on return-to-work self-efficacy in workers sick-listed with common mental disorders</title><author>van Beurden, Karlijn M ; van der Klink, Jac J L ; Brouwers, Evelien P M ; Joosen, Margot C W ; Mathijssen, Jolanda J P ; Terluin, Berend ; van Weeghel, Jaap</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c494t-469981c57be9eee6c5fbe2189866371bb01b9ee9ae1de748967bd3ccd518ce9b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adaptation, Psychological</topic><topic>Adult</topic><topic>Attitude of Health Personnel</topic><topic>Female</topic><topic>Guideline Adherence</topic><topic>Health care</topic><topic>Humans</topic><topic>Intervention</topic><topic>Male</topic><topic>Mental disorders</topic><topic>Mental Disorders - psychology</topic><topic>Mental Disorders - rehabilitation</topic><topic>Middle Aged</topic><topic>Netherlands</topic><topic>Occupational health</topic><topic>Occupational Health Services - standards</topic><topic>Physician's Role</topic><topic>Public health</topic><topic>Return to Work - psychology</topic><topic>Self Efficacy</topic><topic>Sick Leave - statistics & numerical data</topic><topic>Time Factors</topic><topic>Training</topic><topic>Workplace - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van Beurden, Karlijn M</creatorcontrib><creatorcontrib>van der Klink, Jac J L</creatorcontrib><creatorcontrib>Brouwers, Evelien P M</creatorcontrib><creatorcontrib>Joosen, Margot C W</creatorcontrib><creatorcontrib>Mathijssen, Jolanda J P</creatorcontrib><creatorcontrib>Terluin, Berend</creatorcontrib><creatorcontrib>van Weeghel, Jaap</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Engineering Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Engineering Database</collection><collection>Environmental Science Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMC public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van Beurden, Karlijn M</au><au>van der Klink, Jac J L</au><au>Brouwers, Evelien P M</au><au>Joosen, Margot C W</au><au>Mathijssen, Jolanda J P</au><au>Terluin, Berend</au><au>van Weeghel, Jaap</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of an intervention to enhance guideline adherence of occupational physicians on return-to-work self-efficacy in workers sick-listed with common mental disorders</atitle><jtitle>BMC public health</jtitle><addtitle>BMC Public Health</addtitle><date>2015-08-19</date><risdate>2015</risdate><volume>15</volume><issue>1</issue><spage>796</spage><epage>796</epage><pages>796-796</pages><artnum>796</artnum><issn>1471-2458</issn><eissn>1471-2458</eissn><abstract>Since a higher level of self-efficacy in common mental disorders is associated with earlier return-to-work (RTW), it is important to know if work related self-efficacy can be increased by occupational health care. The primary aim of this study was to evaluate whether an intervention to enhance guideline adherence of occupational physicians lead to an increase in RTW self-efficacy in workers three months later. The secondary aim was to evaluate whether the intervention modified the association between RTW self-efficacy and return-to-work three months later.
A total of 66 occupational physicians participated in the study. They were randomized into two groups; the intervention group received a training, the control group did not. The training aimed to enhance adherence to a mental health guideline that contained strategies that are supposed to enhance RTW self-efficacy. In 128 sick-listed workers guided by these occupational physicians, RTW self-efficacy, RTW, and personal, health-related and work-related variables were measured at baseline and three months later. Generalized linear mixed models analysis and linear mixed models analysis were used for the evaluations.
In workers whose occupational physicians had received the training RTW self-efficacy increased significantly more than in workers whose occupational physicians had participated in the control group (t = -2.626, p ≤ .05). Higher baseline RTW self-efficacy scores were significantly more often associated with full RTW than with no RTW three months later (OR 2.20, 95 % CI 1.18-4.07), but the intervention did not affect this association.
This study showed that a training to enhance guideline adherence of occupational physicians leads to increased RTW self-efficacy in workers sick-listed with common mental disorders during the first months of sickness absence in a real-life occupational health care setting. This insight is helpful for optimizing the recovery and RTW process, and for understanding the role of RTW self-efficacy in this process.
ISRCTN86605310.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>26286039</pmid><doi>10.1186/s12889-015-2125-3</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adaptation, Psychological Adult Attitude of Health Personnel Female Guideline Adherence Health care Humans Intervention Male Mental disorders Mental Disorders - psychology Mental Disorders - rehabilitation Middle Aged Netherlands Occupational health Occupational Health Services - standards Physician's Role Public health Return to Work - psychology Self Efficacy Sick Leave - statistics & numerical data Time Factors Training Workplace - psychology |
title | Effect of an intervention to enhance guideline adherence of occupational physicians on return-to-work self-efficacy in workers sick-listed with common mental disorders |
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