A Context Analysis with Stakeholders' Views for Future Implementation of Interventions to Prevent Health Problems Among Employees with a Lower Socioeconomic Position.

Purpose Health problems among employees with a lower socioeconomic position (SEP) often result from an interplay of problems on multiple life domains. Contextual factors greatly affect implementation of interventions that aim to solve these type of problems. The aim of this study was to gain insight...

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Publicado en:Journal of Occupational Rehabilitation Vol. 32; no. 3; pp. 438 - 452
Autores principales: Schaap, R., Schaafsma, F. G., Huysmans, M. A., Bosma, A. R., Boot, C. R. L., Anema, J. R.
Formato: research tables/charts Journal Article
Publicado: Springer Nature Sep2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2022
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10926-021-10010-x
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        atl: A Context Analysis with Stakeholders' Views for Future Implementation of Interventions to Prevent Health Problems Among Employees with a Lower Socioeconomic Position.
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          Schaap, R.
          Schaafsma, F. G.
          Huysmans, M. A.
          Bosma, A. R.
          Boot, C. R. L.
          Anema, J. R.
        affil: Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands
      sug:
        subj:
          Employees Psychosocial Factors
          Social Class
          Preventive Health Care
          Occupational Health
          Program Implementation
          Organizational Culture
          Human
          Semi-Structured Interview
          Occupational Health Services
          Thematic Analysis
          Implementation Science
          Qualitative Studies
          Exploratory Research
          Politics
          Social Factors
          Netherlands
          Work Environment
          Supervisors and Supervision
          Professional Role
          Occupational Diseases Prevention and Control
          Rehabilitation, Vocational
      ab: Purpose Health problems among employees with a lower socioeconomic position (SEP) often result from an interplay of problems on multiple life domains. Contextual factors greatly affect implementation of interventions that aim to solve these type of problems. The aim of this study was to gain insight into the organizational and socio-political context for implementation of preventive interventions that consider multiple life domains among employees with a lower SEP. Methods In total 16 semi-structured interviews were conducted with stakeholders at organizational level, occupational health service (OHS) level, and at socio-political macro level. Thematic analysis was performed to identify themes that describe the perceptions of stakeholders about the impact of contextual factors on implementation. Results The following themes were identified: (1) the importance of addressing problems on multiple life domains among employees with a lower SEP, (2) unclarity of responsibilities for solving problems on multiple life domains, (3) necessity of better collaboration between occupational and curative healthcare, (4) insufficient investments in prevention by employers, (5) difficulties in early identification of employees at risk for health problems, and (6) risk of conflicting role for supervisors in addressing problems on multiple life domains. Conclusions Implementation of preventive interventions considering multiple life domains among lower SEP employees is challenging, due to various contextual factors. To improve the feasibility, many different stakeholders both in- and outside occupational health practice need to be involved, collaborate, and need to be convinced of the added value to prevent problems on multiple life domains among employees with a lower SEP.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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