Assisting Employers of Small and Medium-Sized Enterprises (SMEs) to Support Employees on Long-Term Sick-Leave: Development of a Web-Based SME Tool Using Intervention Mapping.

Purpose: Employers of small and medium-sized enterprises (SMEs) face challenges in supporting employees on long-term sick-leave, due to limited resources and expertise available. This study aimed to develop an intervention assisting employers of SMEs in supporting long-term sick-listed employees dur...

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Published in:Journal of Occupational Rehabilitation Vol. 36; no. 2; pp. 437 - 456
Main Authors: Beerda, Donna C. E., Schaafsma, Frederieke G., Tamminga, Sietske J., de Wind, Astrid, de Rijk, Angelique E., Greidanus, Michiel A.
Format: research tables/charts Journal Article
Published: Springer Nature Jun2026
Online Access:View this record in EBSCOhost
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      dt: Jun2026
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        10.1007/s10926-025-10281-8
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        atl: Assisting Employers of Small and Medium-Sized Enterprises (SMEs) to Support Employees on Long-Term Sick-Leave: Development of a Web-Based SME Tool Using Intervention Mapping.
      aug:
        au:
          Beerda, Donna C. E.
          Schaafsma, Frederieke G.
          Tamminga, Sietske J.
          de Wind, Astrid
          de Rijk, Angelique E.
          Greidanus, Michiel A.
        affil: https://ror.org/03t4gr691 Department of Public and Occupational Health, Amsterdam UMC Location University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands
      sug:
        subj:
          Employees Psychosocial Factors
          Employer-Employee Relations
          Sick Leave
          Job Re-Entry
          Internet-Based Intervention
          Needs Assessment
          Program Development
          Human
          Communication Skills
          Occupational Health Services
          Support, Psychosocial
          Organizational Policies
          Netherlands
          Thematic Analysis
          Semi-Structured Interview
          Conceptual Framework
      ab: Purpose: Employers of small and medium-sized enterprises (SMEs) face challenges in supporting employees on long-term sick-leave, due to limited resources and expertise available. This study aimed to develop an intervention assisting employers of SMEs in supporting long-term sick-listed employees during sick-leave and return to work (RTW). Methods: Intervention mapping (IM) steps 1–4 were employed to develop the intervention. For the needs assessment, 20 employers, 8 employees, 8 occupational physicians, and 9 other stakeholders were interviewed (step 1). A logic model of change was developed (step 2), followed by the identification of theoretical methods for achieving the changes required (step 3). The intervention was composed (step 4), incorporating the results of a pilot test with 4 employers, 4 employees, 4 occupational physicians, and 3 other stakeholders. Results: Identified needs (step 1) span knowledge on legislation, communication skills, stakeholder engagement, practical support, actions regarding RTW, relapse prevention, and organizational policy. Using the self-determination theory as the theoretical basis for improving employer intention and ability to support sick-listed employees (steps 2 and 3), a web-based intervention was developed (step 4) (hereafter: SME tool). The SME tool includes succinct tips, communication videos, and practical checklists. Minor adjustments were made following the pilot test, such as adding supplementary information on privacy regulations and preventive strategies. Conclusion: By focusing on enhancing SME employers' intention and ability to support their long-term sick-listed employee(s), the developed SME tool has the potential to improve the satisfaction of employees with the sick-leave and RTW support of their employer during long-term sick-leave.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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