title: Process Evaluation of a Workplace Integrated Care Intervention for Workers with Rheumatoid Arthritis.
abstract: Purpose To perform a process evaluation of the implementation of a workplace integrated care intervention for workers with rheumatoid arthritis to maintain and improve work productivity. The intervention consisted of integrated care and a participatory workplace intervention with the aim to make adaptations at the workplace. Methods The implementation of the workplace integrated care intervention was evaluated with the framework of Linnan and Steckler. We used the concepts recruitment, reach, dose delivered, dose received, fidelity and satisfaction with the intervention. Data collection occurred through patient questionnaires and medical records. Results Participants were recruited by sending a letter including a reply card from their own rheumatologist. In total, we invited 1973 patients to participate. We received 1184 reply cards, and of these, 150 patients eventually participated in the study. Integrated care was delivered according to protocol for 46.7 %, while the participatory workplace intervention was delivered for 80.6 %. Dose received was nearly 70 %, which means that participants implemented 70 % of the workplace adaptations proposed during the participatory workplace intervention. The fidelity score for both integrated care and the participatory workplace intervention was sufficient, although communication between members of the multidisciplinary team was limited. Participants were generally satisfied with the intervention. Conclusions This process evaluation shows that our intervention was not entirely implemented as intended. The integrated care was not delivered to enough participants, but for the intervention components that were delivered, the fidelity was good. Communication between members of the multidisciplinary team was limited. However, the participatory workplace intervention was implemented successfully, and participants indicated that they were satisfied with the intervention.
authors.affiliation: Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Room BS7-C573, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands.|Body@Work, Research Center on Physical Activity, Work, and Health, TNO-VU University Medical Center, Amsterdam, The Netherlands.
authors.forename: M
authors.initials: M
authors.lastname: van Vilsteren
authors.affiliation: Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Room BS7-C573, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands. crl.boot@vumc.nl.|Body@Work, Research Center on Physical Activity, Work, and Health, TNO-VU University Medical Center, Amsterdam, The Netherlands. crl.boot@vumc.nl.
authors.forename: C R L
authors.initials: CR
authors.lastname: Boot
authors.affiliation: Department of Rheumatology, VU University Medical Center, Amsterdam, The Netherlands.
authors.forename: A E
authors.initials: AE
authors.lastname: Voskuyl
authors.affiliation: Body@Work, Research Center on Physical Activity, Work, and Health, TNO-VU University Medical Center, Amsterdam, The Netherlands.|TNO Work, Health and Care, Leiden, The Netherlands.
authors.forename: R
authors.initials: R
authors.lastname: Steenbeek
authors.affiliation: Jan van Breemen Research Institute|Reade, Amsterdam, The Netherlands.
authors.forename: D
authors.initials: D
authors.lastname: van Schaardenburg
authors.affiliation: Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Room BS7-C573, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands.|Body@Work, Research Center on Physical Activity, Work, and Health, TNO-VU University Medical Center, Amsterdam, The Netherlands.|Research Center for Insurance Medicine AMC-UMCG-UWV-VU University Medical Center, Amsterdam, The Netherlands.
authors.forename: J R
authors.initials: JR
authors.lastname: Anema
mesh_terms: D001172:Arthritis, Rheumatoid / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009786:Occupational Health Services / Q000379:methods / Q000458:organization & administration* / Q000592:standards; D017060:Patient Satisfaction; D015397:Program Evaluation; D017132:Workplace / Q000458:organization & administration / Q000592:standards
keywords: Intervention studies; Rheumatoid arthritis; Work
references.citation: BMJ. 2004 Jun 26;328(7455):1561-3
references.pmid: 15217878
references.citation: Appl Ergon. 2001 Feb;32(1):53-60
references.pmid: 11209832
references.citation: Qual Saf Health Care. 2003 Feb;12(1):40-6
references.pmid: 12571344
references.citation: Arthritis Rheum. 2004 Jun 15;51(3):488-97
references.pmid: 15188338
references.citation: Int J Nurs Stud. 2012 Jan;49(1):40-6
references.pmid: 21924424
references.citation: BMC Musculoskelet Disord. 2009 Nov 30;10:147
references.pmid: 19943976
references.citation: J Rheumatol. 2007 Jun;34(6):1248-60
references.pmid: 17407220
references.citation: Occup Environ Med. 2005 Mar;62(3):205-10
references.pmid: 15723887
references.citation: BMC Public Health. 2012 Jul 02;12:496
references.pmid: 22747949
references.citation: Eur J Health Econ. 2008 Jan;8 Suppl 2:S49-60
references.pmid: 18157732
references.citation: J Occup Rehabil. 2012 Dec;22(4):565-78
references.pmid: 22699884
references.citation: Rheumatology (Oxford). 2005 Feb;44(2):202-6
references.pmid: 15454630
references.citation: Occup Environ Med. 2005 Feb;62(2):119-23
references.pmid: 15657194
references.citation: Qual Saf Health Care. 2002 Jun;11(2):110-1
references.pmid: 12448794
references.citation: Arthritis Res Ther. 2010;12(2):R42
references.pmid: 20226018
references.citation: BMJ. 1999 Mar 13;318(7185):711-5
references.pmid: 10074018
references.citation: Int J Nurs Stud. 2013 May;50(5):587-92
references.pmid: 23159157
references.citation: Ned Tijdschr Geneeskd. 1999 Mar 13;143(11):572-5
references.pmid: 10321277
references.citation: Occup Med (Lond). 2010 Jun;60(4):261-9
references.pmid: 20511267
references.citation: Health Educ Q. 1985 Winter;12(4):315-31
references.pmid: 4077544
references.citation: Clin Rheumatol. 2011 Mar;30 Suppl 1:S3-8
references.pmid: 21359507
references.citation: Am J Ind Med. 2003 Sep;44(3):273-81
references.pmid: 12929147
references.citation: BMC Musculoskelet Disord. 2003 Nov 21;4:26
references.pmid: 14629775
references.citation: Disabil Rehabil. 2012;34(15):1245-53
references.pmid: 22191990
references.citation: Clin Rheumatol. 2011 Mar;30 Suppl 1:S25-32
references.pmid: 21360103
references.citation: Scand J Caring Sci. 2002 Dec;16(4):360-7
references.pmid: 12445105
references.citation: Am J Community Psychol. 2008 Jun;41(3-4):327-50
references.pmid: 18322790
references.citation: J Public Health Med. 2002 Sep;24(3):227-9
references.pmid: 12831095
references.citation: Clin Rheumatol. 2014;33(10):1403-13
references.pmid: 24838364
references.citation: BMC Public Health. 2007 Sep 20;7:254
references.pmid: 17883853
references.citation: BMJ. 2006 Feb 18;332(7538):413-6
references.pmid: 16484270
references.citation: Int J Geriatr Psychiatry. 2003 Mar;18(3):222-35
references.pmid: 12642892
references.citation: Am J Public Health. 2008 Jan;98(1):9-10
references.pmid: 18048772