Reduced Work Performance Research Articles

An Evaluation of the Autonomic Nervous Activity and Psychomotor Vigilance Level for Smells in the Work Booth

In this study, we investigated the effects of the smell environment in the work booth on autonomic nervous activity (ANS) and psychomotor vigilance levels (PVLs) using linalool (LNL) and trans-2-nonenal (T2N). The subjects were six healthy males (31 ± 6 years old) and six healthy females (24 ± 5 years old). They sat in the work booth filled with the smells of LNL and T2N for 10 min, and their electrocardiograms (ECGs), skin conductance levels, pulse wave variabilities, skin temperatures, and seat pressure distributions were measured. In addition, the orthostatic load test (OLT) and psychomotor vigilance test (PVT) were performed before and after entering the work booth, and a subjective evaluation of the smell was also performed after the experiment. This paper focused on ECG and PVT data and analyzed changes in heart rate variability indices and PVT scores. Males felt slightly comfortable with the LNL smell and showed promoted sympathetic nerve activity in the OLT after the smell presentation. Females felt slightly uncomfortable with the T2N smell and showed promoted sympathetic nerve activity and a decrease in PVT scores in the OLT after the smell presentation. Gender differences were observed in ANS and PVLs, and it is possible that the comfort of LNL increased sympathetic nervous activity in males, while the uncomfortableness of T2N may have reduced work performance in females.

Self-reported Costs of Endometriosis Patients in Germany

AbstractEndometriosis patients face a significant economic burden. In addition to the directly attributable costs of the diagnosis and therapy of endometriosis, such as drug treatment and multimodal pain therapy, various indirect follow-up costs can be expected, e.g., due to incapacity for work and reduced work performance. As already reported in previous publications, endometriosis is associated with considerable costs for the health care system and society as well as for the affected women and their families.In order to measure the extent of the costs associated with endometriosis patients, 250 patients with an average age of 32.80 years were recruited via social media and interviewed about their self-financed costs as part of an online survey. The assessed direct costs comprise inpatient treatments, outpatient or pain therapy, fertility treatments, hormone therapies, prescribed and privately paid medications and aids, other therapeutic procedures, and directly attributable travel costs for endometriosis treatments.This resulted in an average cost of € 2059.55 per year. Indirect costs were calculated based on loss of income, day-to-day support, care costs, costs due to follow-up illnesses and other costs. On average, the indirect costs were € 2174.25. The average costs resulting from the survey totalled € 4233.81 per year with a standard deviation of € 8240.31.An increase of out-of-pocket costs can be assumed. This may result from an improved range of services for alternative treatment methods and an increased awareness of the need for personal investment in health. However, further health economic studies are needed to validate the results.

Cross-cultural comparison of low back pain in the nursing workforce: A pilot study.

This study aimed to analyse cross-cultural differences in the prevalence of low back pain (LBP) and other back pain of general nurses in direct inpatient care in the Czech Republic (CZ) and Great Britain (GB). The survey was used using an extended standardized Nordic Musculoskeletal Questionnaire and self-created additional questions. The data were analysed with Stata 15 using a significance level of 0.05. The data analysis was based on 1043 questionnaires. We identified statistically significant differences in the LBP prevalence between the respondents (CZ 93% and GB 85%) over a period of 12 months. Nurses in both countries stated a higher prevalence of LBP compared to pain in the neck, shoulders or upper back. LBP increases in relation to age, length of work experience, body mass index (BMI) and university education (BSc). Age, length of work experience, BMI and education (nursing college and master's degree) were confirmed as significant risks contributing to the increased prevalence of other back pain as well. Respondents reported a reduction in work performance, leisure activities and the need to change profession in relation to LBP. The results of the study confirm that LBP is a frequent occupational health issue in the general nurses working in direct inpatient care in both countries.

Unhappy Pictures of Shift Drivers and Proposed Model of Chronoclinic

“Shift work is commonly associated with health problems resulting in circadian misalignment and sleep restriction. Specially shift drivers, are affected by insomnia and up to 90% report regular fatigue and sleepiness at the workplace. According to Ayurveda, Nidra vega dharana/ Ratri jagarana causes Rookshata and Vataprakopa which leads to Vishamata in Doshas and Dhatus. Epidemiological data shows that shift workers are at increased risk of both physical and psychological health problems and shift work disorders (SWSD). These conditions typically lead to reduced work performance, road accidents, absenteeism and reduced quality of life. Given these wide spread and debilitating consequences there is an urgent need for treatment that help to improve the sleep and functional performance of the shift working drivers. The most common non pharmacological recommendations are, well planned shift scheduling, bright light exposure, napping, psychological counselling and education promoting sleep hygiene, and cognitive behavioural techniques. Along with these, implementation of chronoclinics and chronotherapy is very much needed. This article is dealing with deleterious consequences of shift work and some positive ways to optimize shift schedule and some recommendations to improve their health and sleep.

Burnout in Medical Student: Literature Review

Burnout is a condition of emotional exhaustion, depersonalization, and reduced work performance caused by chronic stress. Burnout can occur in various people, including medical students. The purpose of this study was to review the literature on burnout in medical students. This study used a literature research method. Research data were collected using literature search techniques. Research data were obtained from various sources, namely journal articles, books, and research reports. The research data were analyzed using qualitative analysis techniques. The results showed that burnout in medical students is a serious problem. Burnout can occur in medical students at various levels of education, ranging from early semester students to final semester students. Factors that can cause burnout in medical students include high academic loads, demands to be perfect doctors, and stressful working conditions. The negative impacts of burnout on medical students include impaired physical and mental health, decreased academic performance and lower chances of getting a job.

Beyond Role Conflict and Ambiguity: A Global Measure of Role Stress among South African School Teachers

Background. Role stress is linked to reduced work performance, diminished organizational commitment, increased intention to leave a job, and negative physical and mental health effects. Given the significant implications of role stress, researchers have sought to understand and quantify the concept. The Role Conflict and Ambiguity (RCA) scales are widely utilized in job stress research as the predominant measurement tools. They were originally conceptualized as consisting of two independent dimensions: role conflict and role ambiguity. Objective. This study advances the validation research of the RCA scales by exploring its dimensionality through Mokken Scale Analysis (MSA) and Classical Test Theory (CTT). Method. South African school teachers responded to the RCA scales, Maslach Burnout Inventory, and Teaching Satisfaction Scale. Confirmatory Factor Analysis (CFA) and MSA were employed for data analysis. Results. The research determined that a second-order model provided the optimal fit, indicating that role ambiguity and role conflict are subordinate dimensions within the overarching construct of role stress. Conclusion. The findings from the CFA and supplementary bifactor indices reinforce the view that the instrument comprises 13 items, which assess a general dimension of role stress along with two sub-dimensions: role conflict and role ambiguity. Such specificity may lead to more effective strategies to mitigate role-related stress, thereby enhancing overall employee well-being, job satisfaction, and organizational productivity.

The effect of ureteral double J stent insertion on work performance in patients undergoing endoscopic stone treatment.

Despite the developments in the material of the double J (DJ) stents and the production of thinner ones of desired sizes, patients continue to experience troublesome DJ stent-related symptoms in their lives. This study aimed to determine how DJ stenting affects patients' work performance after endoscopic stone surgery. A total of 107 patients underwent placement of a ureteral stent after ureterorenoscopy (URS)/retrograde intrarenal surgery (RIRS), and only active and full-time working patients were included. All patients were asked to complete the validated Turkish version of the work performance score (WPS) questionnaire in the Ureteral Stent Symptom Questionnaire (USSQ) the day before stent removal and again one month after stent removal. Of the participants, 32.7% (n = 35) were female and 67.3% (n = 72) were male; the mean age was 41 (19-80) years. The workday loss had no statistically significant correlation with patient BMI, stone size, or stent indwelling time (p >0.005); however, a statistically significant negative correlation was detected with patient age (r = -0.335, p <0.001). The medians of WPSs with the stent and without the stent were 6 (3-15) and 3 (3-12), respectively (p <0.001). Although DJ catheterization is a crucial tool for urological practice, it may increase the social and economic burden of patients due to reduced work performance and lost workdays. Therefore, limiting the duration of the DJ stent's stay and providing treatments to minimize patient symptoms will positively impact their professional lives. It would be beneficial to avoid DJ stenting in routine practice unless medically necessary.

Burnout and depression: A cross sectional study among health care workers providing HIV care during the COVID-19 pandemic in Malawi.

Health care workers (HCWs) in eastern Africa experience high levels of burnout and depression, and this may be exacerbated during the COVID-19 pandemic due to anxiety and increased work pressure. We assessed the prevalence of burnout, depression and associated factors among Malawian HCWs who provided HIV care during the COVID-19 pandemic. From April-May 2021, between the second and third COVID-19 waves in Malawi, we randomly selected HCWs from 32 purposively selected PEPFAR/USAID-supported health facilities for a cross-sectional survey. We screened for depression using the World Health Organization Self Report Questionnaire (positive screen: score≥8) and for burnout using the Maslach Burnout Inventory tool, (positive screen: moderate-high Emotional Exhaustion and/or moderate-high Depersonalization, and/or low-moderate Personal Accomplishment scores). Logistic regression models were used to evaluate factors associated with depression and burnout. We enrolled 435 HCWs, median age 32 years (IQR 28-38), 54% male, 34% were clinical cadres and 66% lay cadres. Of those surveyed, 28% screened positive for depression, 29% for burnout and 13% for both. In analyses that controlled for age, district, and residence (rural/urban), we found that screening positive for depression was associated with expecting to be infected with COVID-19 in the next 12 months (aOR 2.7, 95%CI 1.3-5.5), and previously having a COVID-19 infection (aOR 2.58, 95CI 1.4-5.0). Screening positive for burnout was associated with being in the clinical cadre (aOR 1.86; 95% CI: 1.2-3.0) and having a positive depression screen (aOR 3.2; 95% CI: 1.9-5.4). Reports of symptoms consistent with burnout and depression were common among Malawian HCWs providing HIV care but prevalence was not higher than in surveys before the COVID-19 pandemic. Regular screening for burnout and depression should be encouraged, given the potential for adverse HCW health outcomes and reduced work performance. Feasible interventions for burnout and depression among HCWs in our setting need to be introduced urgently.

Management System Project for Textile Company using Risk Management Analysis

As technology continues to advance across industries, the strategic role of information in organizations becomes increasingly evident. Recognizing the potential of information technology to enhance operational efficiency and customer satisfaction, various industries have integrated technology into their management systems. However, these innovations also introduce risks to the organization's information landscape. Risk management, therefore, emerges as a crucial discipline to identify, assess, and mitigate information technology-related risks. Textile companies, for instance, employ web-based management systems to support their operations, but encounter challenges hindering effective business process execution. This leads to reduced work performance and hampers goal attainment. This study aims to analyze the risks associated with web-based management systems in the textile industry and to suggest strategies for minimizing these risks. The research combines literature review and analytical methodologies to achieve its objectives. The literature review encompasses topics such as management systems, their components, and risk management. The research proposes a risk management process comprising nine stages: system characterization, identifying threats, determining vulnerabilities, analyzing controls, estimating probability, evaluating impact, assessing risk, proposing controls, and documenting results. Nevertheless, there is very little and/or scarce research on the use of technology throughout the textile industry. Thus, in order to fulfill the research emptiness within the use of information technology to increase the performance of the textile industry, this research underscores the critical role of risk management in safeguarding information technology systems within the textile industry.

Impact of menopausal symptoms on work and careers: a cross-sectional study.

Women over 50 years are one of the fastest-growing employment groups. Menopausal symptoms can adversely impact quality of life, work performance and attendance; however, few studies look at the impact of individual menopausal symptoms on work and career development. To measure the prevalence of menopausal symptoms in employees in a healthcare setting, to assess the impact of individual symptoms on work, attendance and career development and to explore perceptions about workplace supports. In this cross-sectional study of Irish hospital workers, menopausal employees were asked about the frequency of 10 menopausal symptoms and the extent to which each symptom impacted them at work. Impacts on performance, attendance and career development were assessed, along with the benefits of workplace support. Responses from 407 women showed that the most common menopausal symptoms affecting employees greater than 50% of the time while at work were fatigue (54%), difficulty sleeping (47%), poor concentration (44%) and poor memory (40%). Work performance was impacted for 65% of respondents and 18% had taken sick leave. There was a significant association between symptom severity at work and reduced work performance, career development decisions and attendance. Manager awareness about menopause (29%) and flexible working times (29%) were selected as the most important workplace supports. Female employees are negatively impacted by menopausal symptoms while at work, particularly by psychological and neurocognitive symptoms which were associated with reduced work performance, attendance and career decisions. Manager awareness and flexible schedules were considered the most beneficial workplace supports.

Noise Abatement Approach Using Computer Simulation Model for Urban Indian Road of a Tier-2 City

Noise pollution is a major problem nowadays. In urban context, road traffic is the main source of noise pollution. People directly exposed to road traffic noise suffer from moderate to severe annoyance, headache, stress, feeling of exhaustion, and reduced work performance efficiency. As the sources and severity of noise pollution continue to grow, new approaches are needed to reduce the exposure. In this research, noise abatement has been investigated using a computer simulation model (SoundPLAN essential 4.0). Noise maps were developed using SoundPLAN essential 4.0 software. Noise maps are very beneficial to identify the impact of noise pollution. Data required for mapping are noise data (LAeq), road inventory data, geometric features of mapping area, category wise traffic counts, category wise vehicle speed, meteorological data such as wind velocity, humidity, temperature, air pressure. LAeq observed on all locations of the Central zone of Surat city was greater than the prescribed central pollution control board (CPCB) limits during day time and night time. This paper is focused on using acoustic software for the simulation and calculation methods of controlling the traffic noise. According to the characteristics of traffic noise and the techniques of noise reduction, road traffic noise maps were developed using SoundPLAN essential 4.0 software to predict the scope of road traffic noise. On this basis, four reasonable noise control schemes were used to control noise, and the feasibility and application effect of these control schemes can be verified by using the method of simulation modelling. The simulation results show that LAeq is reduced by up to 5 dB(A). The excess noise can be efficiently reduced by using the corresponding noise reduction methods.

Association Between Quality of Sleep and Self- Reported Health with Burnout in Employees: Does Increasing Burnout Lead to Reduced Work Performance Among Employees.

Objectives: To determine the effect of quality of sleep (SL) and self-reported health (SRH) on burnout (BO) and whether burnout, in turn, impacts work performance (WP) among employees of the Higher Educational Institutions (HEI's). Methods: Data was collected using the survey method using questionnaire items adapted from the literature. The final sample consisted of 138 employees. A two-step procedure was conducted using AMOS by first employing confirmatory factory analysis followed by structural equation modeling. Results: The results supported the hypotheses proposed in the study as SL positively and significantly impacted employee burnout. Similarly, SRH was found to have a significant positive association with BO while BO significantly and negatively affected WP. Conclusion: Employees' work performance reduces with increased burnout which is aggravated due to poor sleep quality and self-reported health; hence, the study provides insightful contribution for managers and workers to focus on improving work performance by reducing burnout.

Incidence of Chronic Pelvic Pain in Females Attending a Gynaecology Outpatient Department

Background and Aims: Chronic pelvic pain (CPP) is a persistent pelvic pain that leads to reduced work performance and impaired quality of life in females. Nearly 15% of females report time off from paid work and around 45% report reduced work productivity. There is a paucity of studies to address the issue, especially with a multidisciplinary and multifactorial view. Various gynaecological disorders are associated with CPP such as endometriosis, adenomyosis, adhesions, chronic pelvic inflammatory disease, and pelvic congestion syndrome. The objective is to determine the frequency of CPP in females attending gynaecologic outpatient departments. Materials and Methods: A total of 201 patients aged 14–48 years attending the gynaecologic outpatient department for gynaecological disorders with complaints of lower abdominal pain were included in this study. Patients enrolled in the study were assessed by a detailed history and pelvic examination, and a structured questionnaire was filled out. Data were analysed using the statistical package for social sciences version 23.0 (International Business Machines Corporation, Armonk, New York, USA). Results: The mean age of the patients was 32.39±6.98 years. The frequency of CPP in females was observed as 95.52% (95% confidence interval: 91.67–97.93%) The rate of CPP was significantly high in females with parity ≤5 and those who had a duration of pain lower than 36 months. In multivariate analysis, adjusted odds ratio by stepwise logistic regression model showed that parity (parity 0–1) and duration of pain (≤36 months) were significantly associated with CPP in females. Conclusion: The study indicates that the most common gynaecological causes of CPP in females attending the outpatient department were those with endometriosis followed by adenomyosis. The management of CPP needs patient-centred care with a multidisciplinary approach. This will lead to early and effective management.

Perceptions of burnout in medical dosimetry within a postpandemic work environment.

According to the World Health Organization, burnout is described as having a negative attitude regarding one's work and being exhausted. Previous studies have shown that occupational burnout exists amongst medical dosimetrists, however, the incidence of medical dosimetrist burnout before and after a pandemic warrant continued research. Medical dosimetrists could be experiencing increased burnout in the workplace postpandemic due to staffing shortages and increased remote planning, which may reduce work performance. The researchers utilized a survey to answer research questions regarding whether staffing shortages or remote planning influenced perceived occupational burnout among medical dosimetrists in a post COVID-19 pandemic environment. The survey was intended to assess levels of emotional exhaustion (EE), depersonalization (DP) and personal accomplishment (PA). It was distributed electronically to 2591 certified medical dosimetrists in the United States through the American Association of Medical Dosimetrists (AAMD) membership database. A total of 160 responses were recorded, resulting in a response rate of 6% (160/2591). The results of this study indicated that increased staffing shortages have a direct relationship with increased burnout incidence. Increased remote work appears to be inversely related to the incidence of burnout among medical dosimetrists.

Prevalence of occupational injury among vegetable cultivators of West Bengal, India

Manual agricultural task is an accident prone task in the harsh working environment, with occupation related health problem and injuries. They are exposed to extensive usage of primitive tools, bearing awkward working postures, handling of chemicals during long working hours. This study thus aims at studying the prevalence of occupational injury of vegetable cultivators in North 24 Parganas, West Bengal. A cross-sectional study on 181 male vegetable cultivators using traditional and/or modern agricultural techniques was conducted using predesigned survey questionnaire and direct observation of the mode of work. It was observed that 68% of mechanized workers and 86% of traditional workers suffered from cut accident (p&lt;0.05). Traditional workers are more prone to occupational injuries like cut, fracture, sprain injury, etc. rather than mechanized cultivators, hinting at reduced work performance. Ergonomic interventions viz., natural working posture, work-rest schedule and optimization of body movements are required to reduce the prevalent accident frequency.

Thermal comfort characteristics and heating demand of people with different activity status during extremely cold exposure

Extremely cold weather frequently occurs worldwide, increasing the risk of exposure to extremely cold environments, particularly for outdoor workers. Cold stress can significantly reduce work performance and impair workers’ health and safety. However, few studies have focused on the thermal comfort characteristics and heating demands of people involved in different activities during extremely cold exposure. Herein, 18 male subjects were recruited to perform different activities in a cryogenic chamber with an ambient temperature of −14.0 °C. They underwent 15 min of standing adaptation, 40 min of heating and 15 min of standing recovery. During the heating phase, they experienced four activity status with adjustable heated garments switched on: standing, continuous 4 km/h and 6 km/h walking, and intermittent 4 km/h walking. Variations in subjective perception, physiological responses and heating parameters over time were recorded throughout the experiments. The thermal sensation zone corresponding to thermal comfort shifted and expanded towards the warm side, which may be attributed to local cold exposure. Subjective feedback and self-adjustment were combined to quantify heating demands. Thermal comfort and energy savings were simultaneously considered when determining the heating demand. The comfortable temperature inside the clothes for standing was 23.5–32.9 °C, and active heating was not required for walking at 6 km/h. The actual heating demand decreased with increasing activity intensity and was much lower than the commercially heated garments provided. Heating strategies for different activity status were recommended to guide the design of personal comfort systems.

SHIFTPLAN: a randomized controlled trial investigating the effects of a multimodal shift-work intervention on drivers’ fatigue, sleep, health, and performance parameters.

BackgroundShift work is commonly associated with health problems resulting from circadian misalignment and sleep restriction. About one in three shift workers is affected by insomnia and up to 90% report regular fatigue and/or sleepiness at the workplace. Epidemiological data shows that shift workers are at increased risk of cardiovascular disease, diabetes, obesity, breast cancer, mental-health problems, and shift-work disorder, which conditions typically lead to reduced work performance, processing errors, accidents at work, absenteeism, and reduced quality of life. Given these widespread and debilitating consequences, there is an urgent need for treatments that help improve the sleep, health, and functional performance of the shift-working population. The most common non-pharmacological recommendations are improved scheduling, bright-light exposure, napping, psychoeducation promoting sleep hygiene, and cognitive-behavioral techniques. The objectives of the present study are to investigate the effects of a multimodal shift-work intervention on perceived fatigue, sleepiness, physical and mental health, sleep parameters, and absenteeism.MethodsA randomized controlled interventional study comparing the two groups each comprising at least 80 drivers of a public transport company, using self-report questionnaires and health checks completed at intake and after 3 and 6 months following the start of the intervention or waiting-list period. The intervention consists of (a) healthy scheduling taking into account shift-rotation direction and speed, chronotype, resting time, and napping; (b) an education program specifically developed for shift workers; and (c) a dedicated information campaign for shift planners. The primary outcome is symptomatic burden in terms of sleepiness, and the key secondary outcome is symptomatic burden in terms of fatigue. Supplementary secondary outcomes are sleep parameters, absenteeism, general and clinical health, changes in mood, and anxiety.DiscussionExpected outcomes are significant improvements on all primary and secondary outcome parameters in the intervention group. To our knowledge, ours is the first randomized controlled study to systematically investigate the effects of a multimodal program on multiple health, sleep, and performance parameters in shift workers. Our research also aims at providing evidence-based practice guidelines for healthy scheduling in general and thus contribute to diminishing the serious health and economic burdens associated with shift work overall.Trial registrationEDGE registration number: 000339. ClinicalTrials.gov NCT05452096

Epilepsia versus Saúde e Segurança Ocupacionais

Introduction/framework/objectives It is not uncommon for a worker to report having Epilepsy during the Occupational Health exam, a fact that, in certain work contexts, may imply a risk of an eventual serious accident, sometimes arising some doubts on how to classify aptitude, maintaining confidentiality and simultaneously informing the employer/management/human resources which tasks should be avoided. Methodology This is a Bibliographic Review, initiated through a search carried out in January 2022 in the databases “CINALH plus with full text, Medline with full text, Database of Abstracts of Reviews of Effects, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Cochrane Methodology Register, Nursing and Allied Health Collection: comprehensive, MedicLatina and RCAAP”. Contents In Epilepsy, the existence of abnormal electrical activity in the brain is verified; it is a dysfunction of the central nervous system, episodic and unpredictable, although controllable in the majority. The epileptic seizure may lead to loss of consciousness and/or intense and involuntary muscle contraction. Some side effects of the drugs used can contribute to the abandonment of therapy or, at least, the omission of some doses. The unemployment and underemployment rate is higher in these individuals; not only because of the stigma associated with the crisis and risk of accident, but also because of the side effects of drugs, such as drowsiness, vertigo, headache and/or cognitive changes, which can reduce work performance. In addition, unemployment can be further exacerbated by a decrease in self-esteem, lower qualifications (in terms of qualifications and professional experience), not having a driver license and because there is little information about the disease (from colleagues and employer). Assessing an epileptic’s ability to work is a complex task, especially when there are reasonably recent seizures. Aptitude will vary from case to case, considering the type of Epilepsy, frequency and intensity of seizures, control provided by medication and possible side effects, as well as work tasks themselves. Due to discrimination, some workers prefer to hide the pathology from the employer and the occupational physician. The determining factor for employability (access and maintenance of jobs) is crisis control. Discussion and Conclusions There are no consensually accepted Guidelines about Epileptic workers; in some countries and/or specific professional sectors there are short specific indications. It will be up to the Occupational Physician/Nurse and Safety Technician to act on a case-by-case basis, to guarantee the best working conditions. It seems to be consensual that at least two years without seizures may allow for the assumption that the recurrence rate will be reasonably low. In case of doubt, the Health and Safety elements may rely on the written opinion of the assistant neurologist, to have a technical and legal safeguard, in view of the aptitude classification and/or timing for reassessment. Keywords: epilepsy, occupational health and occupational medicine.

Strengthening supervisor support for employees with common mental health problems: developing a workplace intervention using intervention mapping.

BackgroundThis study presents the development of a workplace intervention to strengthen supervisor’s support for employees with common mental health problems (CMHP). CMHP have been increasing over the last years, resulting into negative work outcomes, such as absenteeism or reduced work performance. To date, organisational interventions have been promising in preventing these negative work outcomes, however it is yet unknown in what way the role of workplace stakeholders, in particular supervisors, can be strengthened. This study contributes to the literature of interventions on an organizational level which uses a preventative approach by promoting stay at work among employees with CMHP through supervisor support.Methodswe applied the intervention mapping (IM) approach, by actively involving workplace stakeholders (employees with CMHP, supervisors and occupational health professionals) through the development process and the use of Integrated model of behaviour prediction for employers. All six steps of IM are followed and thematic analysis was used to analyse interviews and focus groups.ResultsBased on a comprehensive needs assessment, the intervention resulted in an online guideline, with five step-wise themes on how to support employees with CMHP to stay at work (SAW). The guideline addressed the most important and changeable actions using the Integrated model of behaviour prediction. The guideline presents how to signal and address problems in the workplace and find solutions by stimulating autonomy of employees, explore job accommodations and ask for occupational support. In addition, basic conditions on how to create mentally healthy workplaces were presented. Coaching sessions by occupational health professionals, that include practical strategies using the best available evidence, were identified by the stakeholders.ConclusionsThis SAW-Supervisor Guideline-intervention responds to the need of supervisors to be supported in their role, responsibility and ways to support employees with mental health issues, through a behaviour-oriented, preventative approach. Intervention mapping provided a systematic process to identify, structure and prioritize factors of supervisor support, resulting in a novel workplace intervention. The active involvement of workplace stakeholders throughout the process resulted into a well-received intervention. The theoretical framework provided practical ways to induce supportive behaviour of supervisors, bridging theory with practice.

Online Functional Metacognitive Intervention for Work-Performance Improvement in Adults with Attention Deficit Hyperactivity Disorder

IntroductionAdult attention deficit hyperactivity disorder (ADHD) is associated with reduced work performance. Online interventions increase accessibility of services to clients by removing barriers such as physical distance, which may prevent care.ObjectivesThis study aimed to assess the efficacy of an innovative functional metacognitive intervention for work-performance improvement of adults with ADHD.MethodsThis study used a wait-list control group design, with a study and a comparison group (total 46 adults, mean age of 35.65 years). All participants had been diagnosed with ADHD, worked at least 3 months at the same place, and were willing to improve their work performance. Intervention sessions were provided mostly online and focused on the adults’ occupational goals in a workplace context. The intervention’s efficacy was evaluated with a focus on participants’ work performance (Canadian Occupational Performance Measure) executive functions (Behavior Rating Inventory of Executive Function-Adult), organisation in time (Time Organisation and Participation Scale), and quality of life (Adult ADHD Quality of Life Questionnaire).ResultsParticipants’ work performance, executive functions, organisation in time and quality of life significantly improved following the intervention. Their achievements were maintained through to the 3-month follow-up.ConclusionsThe online metacognitive functional intervention for work-performance improvement of adults with ADHD was found to be efficient and suitable for clinical use among this population. Future studies with larger samples and additional objective measures are needed to further validate these findings.DisclosureNo significant relationships.