Abstract

Purpose This study describes the development of an evidence-based intervention to create a supportive work environment for employees with chronic conditions. Occupational physicians (OPs) play an important role in guiding organizations in this process of organizational change. Supportive work environments can aid in preventing work-related problems and facilitate sustainable employment. Current workplace interventions for employees with chronic conditions are mainly focused on return to work or a reduction in sick leave at the individual worker’s level. This study contributes to the literature an organizational-level intervention which utilizes a preventive approach. Methods Intervention mapping (IM) is a six-step, structured protocol that was used to develop this intervention. In step 1, a needs assessment was conducted to define the problem and explore the perspectives of all stakeholders involved. The program outcomes and the performance objectives of employees with chronic conditions and occupational physicians were specified in step 2. In step 3, appropriate methods and practical applications were chosen. Step 4 describes the actual development of the intervention, consisting of (1) a training for occupational physicians to teach them how to guide organizations in creating a supportive work environment; (2) a practical assignment; and (3) a follow-up meeting. The intervention will be implemented in a pilot study in which occupational physicians will put their acquired knowledge and skills into practice within one of their organizations, which is delineated in step 5. Conclusions IM proved to be a valuable and practical tool for the development of this intervention, aiming to facilitate sustainable employment for employees with chronic conditions.

Highlights

  • The number of people in the working population with one or more chronic conditions is increasing [1, 2]

  • This study describes the systematic development of a program for Occupational physicians (OPs) using the Intervention mapping (IM) protocol

  • Workplace interventions have been developed focusing on issues such as improving employees’ lifestyles or preventing work-related stress and injuries [40,41,42,43]

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Summary

Introduction

The number of people in the working population with one or more chronic conditions is increasing [1, 2]. A wide variety of interventions have been developed to support people with chronic conditions in their work in order to prevent productivity loss, sick leave, or job loss. These interventions, addressing factors such as work accommodations, empowerment, and self-management, have shown only limited effects [7,8,9,10]

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