Table 3

Overview of program usage barriers and possible improvements of the program

Occupational physicians (OPs)


Occupational physicians (OPs)


- Low number of employees who met inclusion criteria

- Limited time during consult

- Preference for more familiar therapies and personal contact with employee

- Knowledge of OP is sufficient, no extra support needed

- No affinity with internet/webbased tools

- Practical obstacles (e.g. log-in problems, no acces to computer at work)

- Availability of other treatment which involves personal contact

- Conflict between exercises provided by secondary care and the website

- Advices and exercises do not fit personal situation

- Large amount of information

- Computer use not prefered during neck/back pain

- Technical problems





- Make it more easy to register an employee

-Use the same sorting system of employees as in the company

- Adding contact function on the website

- Change content into practical overview of information

- Shorter questionnaires

- More illustrations

- Link to website on company website

- Contact function via the website

- Customize the information more to employee's needs

Additional improvements

Additional improvements

- More prominent role for supervisor/physiotherapist

- Focus on the prevention of sick leave and how to 'work' with pain.

- Involvement of the OP or other therapist

- Additional personal meeting focused on the counselling process

- Focus on prevention of sick leave

- More attention to psychological distress


- Recruitment of employees in earlier stage

de Jong et al. BMC Medical Informatics and Decision Making 2009 9:46   doi:10.1186/1472-6947-9-46

Open Data