title: Effects of a training in the Disability Assessment Structured Interview on the interviews of Dutch insurance physicians.
abstract: The Disability Assessment Structured Interview (DASI) is a semi-structured interview for assessing functional limitations of claimants in a work disability evaluation. The aim of this study is to evaluate the effect of a 3-day DASI training course on the quality of assessment interviews of insurance physicians (IPs).
  
  
  
  In a pretest-posttest study, 55 IPs employed at the Dutch National Institute for Employee Benefits Schemes completed a 3-day DASI training. Before (T0), directly after the training (T1) and after 3 months follow-up (T2), these IPs filled out questionnaires that measured knowledge, skills, attitude and self-efficacy. Furthermore, in 10 disability assessment cases interview duration, IP's satisfaction, amount of acquired information and confidence of judgement were measured. Finally, the amount of information reported was measured in three randomly selected disability assessment reports of each IP.
  
  
  
  IP's knowledge, skills and self-efficacy improved significantly after the training. The attitude of the IPs changed towards a more open attitude and structuring of the interview. Satisfaction about the interview, amount of acquired information and confidence of their judgement all increased.
  
  
  
  The DASI training improved the quality of assessment interviews of IPs. A semi-structured interview, like the DASI, can help physicians to pay more attention to activity limitations and participation in addition to medical information. Implications for Rehabilitation Experienced IPs are able to change their disability assessment interview routine after training. In determining work ability, IPs should pay more attention to claimant's activity limitations and participation in addition to medical information. A semi-structured interview as the DASI can help IPs to pay more attention to claimant's functioning. A 3-day DASI training for IPs can increase their confidence in their judgement and provides significantly more information in their assessment reports.
authors.affiliation: a Dutch National Institute for Employee Benefits Schemes , Groningen , the Netherlands ;|b Research Center for Insurance Medicine , Amsterdam , The Netherlands ;|c Department of Health Sciences, Community and Occupational Medicine , University Medical Center Groningen , Groningen , The Netherlands ;
authors.forename: Jerry
authors.initials: J
authors.lastname: Spanjer
authors.affiliation: d Department of Health Sciences , Applied Health Research, University Medical Center Groningen, University of Groningen , Groningen , The Netherlands.
authors.forename: Sijrike
authors.initials: S
authors.lastname: van de Mei
authors.affiliation: a Dutch National Institute for Employee Benefits Schemes , Groningen , the Netherlands ;|b Research Center for Insurance Medicine , Amsterdam , The Netherlands ;|c Department of Health Sciences, Community and Occupational Medicine , University Medical Center Groningen , Groningen , The Netherlands ;
authors.forename: Bert
authors.initials: B
authors.lastname: Cornelius
authors.affiliation: b Research Center for Insurance Medicine , Amsterdam , The Netherlands ;|c Department of Health Sciences, Community and Occupational Medicine , University Medical Center Groningen , Groningen , The Netherlands ;
authors.forename: Sandra
authors.initials: S
authors.lastname: Brouwer
authors.affiliation: b Research Center for Insurance Medicine , Amsterdam , The Netherlands ;|c Department of Health Sciences, Community and Occupational Medicine , University Medical Center Groningen , Groningen , The Netherlands ;
authors.forename: Jac
authors.initials: J
authors.lastname: van der Klink
mesh_terms: D001291:Attitude of Health Personnel; D004185:Disability Evaluation; D006233:Persons with Disabilities / Q000534:rehabilitation*; D004522:Educational Status; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic / Q000592:standards; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D010820:Physicians / Q000523:psychology / Q000592:standards; D058996:Quality Improvement; D020377:Self Efficacy; D013192:Staff Development / Q000379:methods*
keywords: Claimants; disability assessment; functional limitations; interview; medical history-taking; the Netherlands; work capacity evaluation