Occupational physicians' perceived barriers and suggested solutions to improve adherence to a guideline on mental health problems: Analysis of a peer group training

Background: Despite the impact of mental health problems on sickness absence, only few occupational health guidelines addressing these problems are available. Moreover, adherence has found to be suboptimal. To improve adherence to the Dutch guideline on mental health problems a training was developed for Dutch occupational physicians (OPs) focusing on identifying barriers and addressing them. The aim of this study was to provide an overview of the barriers that OPs perceived in adhering to the Dutch guideline on mental health problems as well as their solutions to overcome them. Methods: A qualitative study was conducted using data from the peer group training. Thirty-two (6 groups of 4 to 6) OPs received a multiple-session interactive training over the course of a year, focusing on identifying and addressing barriers, using a Plan-Do-Check-Act approach. Sessions were audio-taped and transcribed verbatim. Thematic content analysis was performed by two researchers with a selection of 50 % (21 out of 42) of the transcripts to identify the perceived barriers and the suggested solutions, using AtlasTi 7.0. Results: Knowledge-related barriers were perceived regarding the content of all parts of the guideline. Commonly perceived attitude-related barriers were a lack of self-efficacy to perform certain guideline recommendations and difficulties with changing habits and routines. External barriers that were commonly perceived were work-contextual barriers, such as a lack of time/work pressure, tight contracts between occupational health services (OHSs) and employers, and conflicting policy of and a lack of collaboration with other parties (e.g. employer, other healthcare providers). The most often tested solutions by OPs during the training were sharing information, experiences, tips and tricks and referring to existing tools, or developing new tools to facilitate guideline usage. Conclusions: Dutch OPs perceive a range of knowledge-related, attitude-related and external barriers in adhering to the guideline on mental health problems. The tested solutions during the training particularly seemed to focus on knowledge and attitude-related barriers. To optimally implement this or similar mental health guidelines, it may be important to complement guideline training and education of individual or groups of OPs, with interventions that address external barriers such as changing

Identifying return to work trajectories among employees on sick leave due to mental health problems using latent class transition analysis

Objectives To develop effective return to work (RTW) interventions for employees on sick leave due to mental health problems (MHPs), a better understanding of individual variation in the RTW process is needed. We investigated which RTW trajectories can be identified among employees with MHPs in terms of RTW duration and relapse occurrence during the RTW process. Additionally, we examined how different RTW trajectories can be described in terms of personal and work characteristics. Methods Longitudinal sickness absence registry data were collected retrospectively from the largest Dutch occupational health service. Quantitative RTW information as well as personal and work characteristics were extracted. In total, 9517 employees with a sickness absence due to MHPs were included in the analyses (62 938 data points; RTW durations from 29 to 730 days). Results A latent class transition analysis revealed five distinct RTW trajectories, namely (1) fast RTW with little chance of relapse, (2) slow RTW with little chance of relapse, (3) fast RTW with considerable chance of relapse, (4) slow RTW with considerable chance of relapse and (5) very fast RTW with very small chance of relapse. Differences between employees in the slower and faster trajectories were observed regarding gender, age, type of MHP, organisation sector and organisation size but not regarding part-time work. Conclusions RTW trajectories among employees with MHPs showed large individual variability and differed on personal and work characteristics. Knowledge on different RTW trajectories and their characteristics contributes to the development of personalised RTW treatments, tailored to specific individuals and organis

The capability set for work: Development and validation of a new questionnaire

__Objectives__ The aim of this study was to develop a questionnaire to measure work capabilities based on Amartya Sen’s capability approach and evaluate its validity. __Methods__ The development of the questionnaire was based on a combination of qualitative and quantitative methods: interviews, literature study, and an expert meeting. Additionally, in a survey, the validity was evaluated by means of hypotheses testing (using correlations and regression analyses). __Results__ The questionnaire consists of a set of seven capability aspects for work. For each aspect, it is determined whether it is part of a worker’s capability set, ie, when the aspect is considered valuable, is enabled in work, and is realized. The capability set was significantly correlated with work role functioning-flexibility demands (-0,187), work ability (-0.304), work performance (-0.282), worked hours (-0.073), sickness absence (yes/no) (0.098), and sickness absence days (0.105). The capability set and the overall capability item are significantly associated with all work outcomes (P<0.010). __Conclusions__ The new capability set for work questionnaire appears to be a valid instrument to measure work capabilities. The questionnaire is unique because the items include the valued aspects of work and incorporate whether a worker is able to achieve what (s)he values in his/her work. The questionnaire can be used to evaluate the capability set of workers in organizations to identify aspects that need to be addressed in interventions

Terminative and resultative verbal periphrasis in Spanish and Portuguese

Tato práce se zabývá tématem terminativních slovesných perifrází rezultativních ve španělštině a portugalštině, a to jak z hlediska teoretického, tak praktického. V teoretické části se nejprve zabýváme obecným popisem a klasifikací slovesných perifrází s důrazem na perifráze terminativní a rezultativní. V rámci teoretického popisu je zahrnuta i podkapitola ohledně situace v češtině, která se zabývá zejména kategorií aspektu a vidu. Teoretické závěry jsou následně konfrontovány v druhé části práce, která se věnuje korpusové analýze. Pro tyto účely byl využíván paralelní korpus InterCorp, respektive španělský a portugalský subkorpus, ale i jednojazyčný španělský korpus CREA a portugalský Corpus do Português. V této praktické části byly analyzovány jen vybrané konstrukce, a to tener + participium, llevar + participium, estar + participium a salir + participium ve španělštině a ter + participium, ficar + participium a sair + participium v portugalštině. Pro výzkum byly tedy zvoleny jak konstrukce aktivní, tak konstrukce pasivní.This diploma thesis is dedicated to the topic of Terminative and resultative verbal periphrasis in Spanish and Portuguese and is divided into two parts, theoretical and practical. In the first part, we give a general summary and classification of verbal periphrasis with an emphasis on the terminative and resultative ones. Included with the theoretical description there is also a subchapter about the situation in the Czech language which mainly discusses the question of verbal aspect. Subsequently, the theoretical results are compared in the second part of this work which is dedicated to a corpus analysis. We outline the frequency of chosen periphrasis in corpus in different types of documents but also the Czech translations. For this purpose, we were working with a parallel corpus InterCorp, more precisely Spanish and Portuguese subcorpus, but also with monolingual Spanish corpus CREA and monolingual Portuguese corpus Corpus do Português. In this part we have chosen the following periphrasis for the analysis: tener + participle, llevar + participle, estar + participle and salir + participle in Spanish and ter + participle, ficar + participle and sair + participle in Portuguese. In both languages we have chosen both active and passive resultative periphrasis.Institute of Romance StudiesÚstav románských studiíFilozofická fakultaFaculty of Art