title: Process Evaluation of a Participatory Supportive Return to Work Program for Workers Without a Permanent Employment Contract, Sick-Listed Due to a Common Mental Disorder.
abstract: Purpose This study aimed to perform a process evaluation of a participatory supportive return to work program for workers without a (permanent) employment contract, sick-listed due to a common mental disorder. The program consisted of a participatory approach, integrated care and direct placement in a competitive job. Our main questions were: were these components realized in practice and in accordance with the protocol? The evaluation took place alongside a randomized controlled trial. Methods The study population consisted of workers who filed a sickness benefit claim at the Dutch Social Security Agency, professionals of this agency and of vocational rehabilitation agencies. We focused on sick-listed workers and professionals who had actually participated in the intervention. Data was collected mainly by questionnaires. Results Only 36 out of 94 intervention group participants started with the program. In half of these cases application of integrated care was reported. Most other steps in the program were completed. However, fidelity to the protocol was low to reasonable. Much delay was observed in the execution of the program and only two sick-listed workers were placed in a competitive job. Still, satisfaction with the participatory approach was good. Conclusions Despite the positive evaluation of the participatory approach, the full program was executed less successfully compared to similar programs evaluated in earlier studies. This will probably affect the outcomes of our trial. Findings from this study will help to interpret these outcomes. Nevertheless, more knowledge is needed about experiences of stakeholders who participated in the program. Trial Registration NTR3563.
authors.affiliation: Department of Public and Occupational Health, EMGO + Institute for Health and Care Research, VU University Medical Center, P.O. Box 7057, 1007 MB, Amsterdam, The Netherlands. l.lammerts@vumc.nl.|Research Centre for Insurance Medicine, AMC-UMCG-UWV-VUmc, Amsterdam, The Netherlands. l.lammerts@vumc.nl.
authors.forename: Lieke
authors.initials: L
authors.lastname: Lammerts
authors.affiliation: Department of Public and Occupational Health, EMGO + Institute for Health and Care Research, VU University Medical Center, P.O. Box 7057, 1007 MB, Amsterdam, The Netherlands.|Research Centre for Insurance Medicine, AMC-UMCG-UWV-VUmc, Amsterdam, The Netherlands.
authors.forename: Frederieke G
authors.initials: FG
authors.lastname: Schaafsma
authors.affiliation: Department of Public and Occupational Health, EMGO + Institute for Health and Care Research, VU University Medical Center, P.O. Box 7057, 1007 MB, Amsterdam, The Netherlands.
authors.forename: Willem
authors.initials: W
authors.lastname: van Mechelen
authors.affiliation: Department of Public and Occupational Health, EMGO + Institute for Health and Care Research, VU University Medical Center, P.O. Box 7057, 1007 MB, Amsterdam, The Netherlands.|Research Centre for Insurance Medicine, AMC-UMCG-UWV-VUmc, Amsterdam, The Netherlands.
authors.forename: Johannes R
authors.initials: JR
authors.lastname: Anema
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D004651:Employment / Q000191:economics; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000534:rehabilitation*; D008875:Middle Aged; D009426:Netherlands; D009786:Occupational Health Services / Q000191:economics / Q000379:methods; D015397:Program Evaluation; D062707:Return to Work / Q000191:economics / Q000706:statistics & numerical data*; D018582:Sick Leave / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires
keywords: Occupational health care; Process evaluation; Randomized controlled trial; Return to work; Worker without employment contract
references.citation: BMJ. 2004 Jun 26;328(7455):1561-3
references.pmid: 15217878
references.citation: BMC Musculoskelet Disord. 2009 Nov 30;10:147
references.pmid: 19943976
references.citation: BMJ. 2009 Sep 10;339:b3496
references.pmid: 19744976
references.citation: J Occup Rehabil. 2011 Sep;21(3):313-24
references.pmid: 21336673
references.citation: J Occup Rehabil. 2009 Jun;19(2):212-22
references.pmid: 19308708
references.citation: Med J Aust. 2004 Mar 15;180(6 Suppl):S57-60
references.pmid: 15012583
references.citation: Occup Environ Med. 2005 Feb;62(2):119-23
references.pmid: 15657194
references.citation: J Occup Rehabil. 2006 Mar;16(1):41-52
references.pmid: 16691458
references.citation: BMC Public Health. 2014 Jun 12;14:594
references.pmid: 24919561
references.citation: J Occup Environ Med. 2001 Jul;43(7):616-22
references.pmid: 11464392
references.citation: Occup Environ Med. 2010 Sep;67(9):596-602
references.pmid: 20363809
references.citation: J Occup Rehabil. 2012 Mar;22(1):127-40
references.pmid: 21656252
references.citation: Am J Ind Med. 2003 Sep;44(3):273-81
references.pmid: 12929147
references.citation: BMJ. 2006 Feb 18;332(7538):413-6
references.pmid: 16484270