Suppr超能文献

应用理论领域框架和行为改变轮理解医生在使用临时工作调整以重返工作岗位方面的行为和行为改变:一项定性研究。

Application of the Theoretical Domains Framework and the Behaviour Change Wheel to Understand Physicians' Behaviors and Behavior Change in Using Temporary Work Modifications for Return to Work: A Qualitative Study.

机构信息

Work Disability Prevention, Finnish Institute of Occupational Health, P.O. Box 40, 00251, Helsinki, Finland.

School of Public Health and Health Systems, University of Waterloo, Waterloo, Canada.

出版信息

J Occup Rehabil. 2018 Mar;28(1):135-146. doi: 10.1007/s10926-017-9706-1.

Abstract

Purpose Applying the theoretical domains framework (TDF) and the Behaviour Change Wheel (BCW) to understand physicians' behaviors and behavior change in using temporary work modifications (TWMs) for return to work (RTW). Methods Interviews and focus group discussions were conducted with 15 occupational physicians (OPs). Responses were coded using the TDF and the BCW. Results Key behaviors related to applying TWMs were initiating the process with the employee, making recommendations to the workplace, and following up the process. OP behaviors were influenced by several factors related to personal capability and motivation, and opportunities provided by the physical and social environment. Capability comprised relevant knowledge and skills related to applying TWMs, remembering to initiate TWMS and monitor the process, and being accustomed to reflective practice. Opportunity comprised physical resources (e.g., time, predefined procedures, and availability of modified work at companies), and social pressure from stakeholders. Motivation comprised conceptions of a proper OP role, confidence to carry out TWMs, personal RTW-related goals, beliefs about the outcomes of one's actions, feedback received from earlier cases, and feelings related to applying TWMs. OPs' perceived means to target these identified factors were linked to the following BCW intervention functions: education, training, persuasion, environmental restructuring, and enablement. The results suggest that at least these functions should be considered when designing future interventions. Conclusions Our study illustrates how theoretical frameworks TDF and BCW can be utilized in a RTW context to understand which determinants of physicians' behavior need to be targeted, and how, to promote desired behaviors.

摘要

目的 运用理论领域框架(TDF)和行为改变轮(BCW)理解医生在使用临时工作调整(TWM)促进重返工作(RTW)时的行为和行为改变。

方法 对 15 名职业医生(OP)进行了访谈和焦点小组讨论。使用 TDF 和 BCW 对回复进行编码。

结果 与应用 TWM 相关的关键行为包括与员工一起启动流程、向工作场所提出建议以及跟进流程。OP 行为受到与个人能力和动机以及物理和社会环境提供的机会相关的几个因素的影响。能力包括与应用 TWM 相关的相关知识和技能、记住启动 TWM 和监测流程以及习惯于反思实践。机会包括物理资源(例如,时间、预定义的程序以及公司提供的修改后的工作)和利益相关者的社会压力。动机包括对适当 OP 角色的观念、对执行 TWM 的信心、个人与 RTW 相关的目标、对自己行为结果的信念、从早期案例中获得的反馈以及与应用 TWM 相关的感觉。OPs 认为针对这些确定因素的方法与以下 BCW 干预功能相关:教育、培训、说服、环境重构和赋能。结果表明,在设计未来干预措施时,至少应考虑这些功能。

结论 我们的研究说明了如何在 RTW 背景下运用理论框架 TDF 和 BCW 来理解需要针对哪些医生行为的决定因素,以及如何促进期望的行为。

相似文献

7
Occupational Physicians' Reasoning about Recommending Early Return to Work with Work Modifications.
PLoS One. 2016 Jul 1;11(7):e0158588. doi: 10.1371/journal.pone.0158588. eCollection 2016.
9
Using the behavior change wheel to link published deprescribing strategies to identified local primary healthcare needs.
Res Social Adm Pharm. 2022 Aug;18(8):3350-3357. doi: 10.1016/j.sapharm.2021.12.001. Epub 2021 Dec 5.

引用本文的文献

2
Why Do Employers (Fail to) Hire People with Disabilities? A Systematic Review of Capabilities, Opportunities and Motivations.
J Occup Rehabil. 2023 Jun;33(2):329-340. doi: 10.1007/s10926-022-10076-1. Epub 2023 Jan 23.
6
A theory-based exploration of antibiotic use in primary healthcare in Gezira state, Sudan.
Implement Sci Commun. 2021 Dec 4;2(1):132. doi: 10.1186/s43058-021-00229-3.

本文引用的文献

3
Occupational Physicians' Reasoning about Recommending Early Return to Work with Work Modifications.
PLoS One. 2016 Jul 1;11(7):e0158588. doi: 10.1371/journal.pone.0158588. eCollection 2016.
5
Workplace interventions to prevent work disability in workers on sick leave.
Cochrane Database Syst Rev. 2015 Oct 5;2015(10):CD006955. doi: 10.1002/14651858.CD006955.pub3.
7
Completion of fit notes by GPs: a mixed methods study.
Perspect Public Health. 2015 Sep;135(5):233-42. doi: 10.1177/1757913915594197. Epub 2015 Jul 20.
8
Results of a feasibility study: barriers and facilitators in implementing the Sherbrooke model in France.
Scand J Work Environ Health. 2015 May 1;41(3):223-33. doi: 10.5271/sjweh.3489. Epub 2015 Mar 6.
9
Factors associated with the length of fit note-certified sickness episodes in the UK.
Occup Environ Med. 2015 Jul;72(7):467-75. doi: 10.1136/oemed-2014-102307. Epub 2015 Feb 24.
10

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验