Effect of an intervention to enhance guideline adherence of occupational physicians on return-to-work self-efficacy in workers sick-listed with common mental disorders

van Beurden, Karlijn M.; van der Klink, Jac J. L.; Brouwers, Evelien P. M.; Joosen, Margot C. W.; Mathijssen, Jolanda J. P.; Terluin, Berend; van Weeghel, Jaap

doi:10.1186/s12889-015-2125-3

Cited by 40Workplace Health and Well-beingMedical Practices and RehabilitationOccupational Health and Safety in Workplaces

Effect of an intervention to enhance guideline adherence of occupational physicians on return-to-work self-efficacy in workers sick-listed with common mental disorders

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van Beurden, Karlijn M., van der Klink, Jac J. L., Brouwers, Evelien P. M., Joosen, Margot C. W., Mathijssen, Jolanda J. P., Terluin, Berend, van Weeghel, Jaap·2015·BMC Public Health

DOI 10.1186/s12889-015-2125-3PMC PMC4545325

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Abstract

BACKGROUND: Since a higher level of self-efficacy in common mental disorders is associated with earlier return-to-work (RTW), it is important to know if work related self-efficacy can be increased by occupational health care. The primary aim of this study was to evaluate whether an intervention to enhance guideline adherence of occupational physicians lead to an increase in RTW self-efficacy in workers three months later. The secondary aim was to evaluate whether the intervention modified the association between RTW self-efficacy and return-to-work three months later. METHODS: A total of 66 occupational physicians participated in the study. They were randomized into two groups; the intervention group received a training, the control group did not. The training aimed to enhance adherence to a mental health guideline that contained strategies that are supposed to enhance RTW self-efficacy. In 128 sick-listed workers guided by these occupational physicians, RTW self-efficacy, RTW, and personal, health-related and work-related variables were measured at baseline and three months later. Generalized linear mixed models analysis and linear mixed models analysis were used for the evaluations. RESULTS: In workers whose occupational physicians had received the training RTW self-efficacy increased significantly more than in workers whose occupational physicians had participated in the control group (t = -2.626, p ≤ .05). Higher baseline RTW self-efficacy scores were significantly more often associated with full RTW than with no RTW three months later (OR 2.20, 95 % CI 1.18-4.07), but the intervention did not affect this association. CONCLUSIONS: This study showed that a training to enhance guideline adherence of occupational physicians leads to increased RTW self-efficacy in workers sick-listed with common mental disorders during the first months of sickness absence in a real-life occupational health care setting. This insight is helpful for optimizing the recovery and RTW process, and for understanding the role of RTW self-efficacy in this process. TRIAL REGISTRATION: ISRCTN86605310.

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Participants on sick leave who received an intervention based on cognitive behavioural and problem solving therapy showed increased self-efficacy at 3-month follow-up.
“Beurden et al. [32] found that participants on sick leave that received an intervention based on cognitive behavioural- and problem solving therapy showed increased self-efficacy at the 3-month follow-up.”
From Strengthened General Self-Efficacy with Multidisciplinary Vocational Rehabilitation in Women on Long-Term Sick Leave: A Randomised Controlled Trial. (2018) · cites this paper as [32]
The participants in the present study had been on sick leave for an extremely long time (mean 7.8 years) and may not be fully comparable to other studies.
“In comparison to the above presented studies whose participants had been on sick leave for a maximum of 1 year [31, 32, 38, 39], the participants in the present study had been on sick leave for an extremely long time (a mean time of 7.8 years) and may therefore not be fully comparable to other studies.”
From Strengthened General Self-Efficacy with Multidisciplinary Vocational Rehabilitation in Women on Long-Term Sick Leave: A Randomised Controlled Trial. (2018) · cites this paper as [32]

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RESEARCH ARTICLE Open Access
van Beurden, K. M., Brouwers, E. P. M., Joosen, M. C. W., Mathijssen, A. J. P., Terluin, B., & Weeghel, J. V. (2016)
Self-citation
Predictive value of work-related self-efficacy change on RTW for employees with common mental disorders
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Effectiveness of an Intervention to Enhance Occupational Physicians’ Guideline Adherence on Sickness Absence Duration in Workers with Common Mental Disorders: A Cluster-Randomized Controlled Trial
van Beurden, K. M., Brouwers, E. P. M., Joosen, M. C. W., de Boer, M. R., van Weeghel, J., Terluin, B., & van der Klink, J. J. L. (2016) · Journal of Occupational Rehabilitation · doi:10.1007/s10926-016-9682-x · Cited by 27 · see citing works
Self-citation
Use of a mental health guideline by occupational physicians and associations with return to work in workers sick-listed due to common mental disorders: a retrospective cohort study
van Beurden, K. V., Joosen, M., Terluin, B., van Weeghel, J., van der Klink, J. V. D., & Brouwers, E. (2018) · Disability and Rehabilitation · doi:10.1080/09638288.2017.1347209 · Cited by 12 · see citing works
Self-citation
Return to work and occupational physicians’ management of common mental health problems – process evaluation of a randomized controlled trial
Rebergen, D. S., Bruinvels, D. J., Bos, C. M., van der Beek, A. J., & van Mechelen, W. (2010) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.3084 · Cited by 53 · see citing works

Authors: van Beurden, K. M., van der Klink, J. J. L., Brouwers, E. P. M., Joosen, M. C. W., Mathijssen, J. J. P., Terluin, B., & van Weeghel, J.
Affiliations: Tilburg University (NL)
Amsterdam Public Health (NL)
ORCID: Brouwers, Evelien P. M.
Joosen, Margot C. W.
Terluin, Berend
Venue: BMC Public Health
Publisher: Springer Science and Business Media LLC
Published: 2015-08-19
Volume: 15
Issue: 1
Pages: 796-796
ISSN: 1471-2458 (ISSN-L)
DOI: 10.1186/s12889-015-2125-3
PMC: PMC4545325
OpenAlex: W1836119245
Cited by: 40
References: 43
Citations by year: 2025: 1 · 2024: 1 · 2023: 5 · 2022: 3 · 2021: 6 · 2020: 5 · 2019: 4 · 2018: 5 · 2017: 6 · 2016: 3 · 2015: 1
FWCI: 9.12
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
www.springer.com/tdm (unspecified)
Locations: BMC Public Health (publishedVersion, cc-by)
Europe PMC (PubMed Central) (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
Pure Amsterdam UMC (submittedVersion, other-oa)
Research portal (Tilburg University) (submittedVersion, other-oa)
Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
Data Archiving and Networked Services (DANS) (submittedVersion)
Funders: ZonMw (208030001)
Topics: Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Safety in Workplaces
Keywords: return to work, return-to-work self-efficacy, occupational physicians, guideline adherence, mental health guidelines, sick-listed workers, common mental disorders, sick leave, occupational health services
MeSH terms: Adaptation, Psychological, Adult, Attitude of Health Personnel, Mental Disorders, Female, Humans, Male, Middle Aged, Netherlands, Occupational Health Services, Physician's Role, Time Factors, Workplace, Sick Leave, Guideline Adherence, Self Efficacy, Return to Work

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Effect of an intervention to enhance guideline adherence of occupational physicians on return-to-work self-efficacy in workers sick-listed with common mental disorders

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