Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2022 Dec;32(4):705-717.
doi: 10.1007/s10926-022-10032-z. Epub 2022 May 20.

Work-related support in clinical care for patients with a chronic disease: development of an intervention

Maarten Butink  1   2 , Desiree Dona  3 , Annelies Boonen  4 , Marlies Peters  3 , Vera Baadjou  5 , Theo Senden  3 , Angelique de Rijk  6
Affiliations
Review

Work-related support in clinical care for patients with a chronic disease: development of an intervention

Maarten Butink et al. J Occup Rehabil. 2022 Dec.

Erratum in

Abstract

Background: Patients with a chronic disease are more vulnerable in the labor market, and work-related support in clinical care would enhance the timely support greatly needed in each phase of their working life. This paper describes the development of a generic stay-at-work intervention to provide work-related support in clinical care to patients with a chronic disease.

Methods: Steps 1-4 of Intervention Mapping (IM) were combined with action research principles. A needs assessment (Step 1) involved the project group formation, a literature review, qualitative studies with healthcare professionals (HCPs; n = 9) and patients (n = 10), consultation with financial staff and testing, and resulted in objectives (Step 2). Guided by methods and applications (Step 3), the intervention was developed, tested and finalized (Step 4).

Results: The needs assessment revealed the importance of behavioral change in HCPs, including changing attitude, self-efficacy, and social influence. For that purpose, a pathway and training sessions were developed. Testing these unveiled the need for practical tools and intervision. The final intervention comprises a care pathway as part of working routines, including screening, risk stratification, and tailored support. Practical tools, training sessions, and intervision for HCPs were developed.

Conclusions: Combining IM with action research principles resulted in a generic stay-at-work intervention in clinical care via behavioral change in HCPs. A generic care pathway, practical tools, training sessions, and intervision were developed. More specific alignment to specific patient groups is possible. To implement the intervention in another hospital, the local context, (financial) resources, and the national legislation should be considered.

PubMed Disclaimer

Conflict of interest statement

Authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Care pathway of work-related support in clinical care
See this image and copyright information in PMC

References

    1. Starfield B. Challenges to primary care from co- and multi-morbidity. Prim Health Care Res Dev. 2011;12(1):1–2. doi: 10.1017/S1463423610000484. - DOI - PubMed
    1. Van den Akker M, Buntinx F, Metsemakers J, Roos S, Knottnerus A. Multimorbidity in general practice: prevalence, incidence, and determinants of co-occurring chronic and recurrent diseases. J Clin Epidemiol. 1998;51(5):367–75. doi: 10.1016/S0895-4356(97)00306-5. - DOI - PubMed
    1. Mackenbach J, Garssen J. Renewed progress in life expectancy: the case of the Netherlands. In: Crimmins EM, Preston SH, Cohen B, editors. International differences in mortality at older ages: dimensions and sources. Washington, DC: The National Academies Press; 2010. pp. 369–84. - PubMed
    1. Tiedtke C, Donceel P, Knops L, Desiron H, Dierckx de Casterle B, de Rijk A. Supporting return-to-work in the face of legislation: stakeholders’ experiences with return-to-work after breast cancer in Belgium. J Occup Rehabil. 2012;22(2):241–51. doi: 10.1007/s10926-011-9342-0. - DOI - PubMed
    1. OECD . Sickness, disability and work: breaking the barriers: a synthesis of findings across OECD countries. Paris: OECD Publishing; 2010.

Publication types

LinkOut - more resources