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Open AccessHighly AccessResearch article

Development of a workplace intervention for sick-listed employees with stress-related mental disorders: Intervention Mapping as a useful tool

Sandra H van Oostrom1,2,3 email, Johannes R Anema1,2,3,4 email, Berend Terluin1,5 email, Anita Venema6 email, Henrica CW de Vet1 email and Willem van Mechelen1,2,3,4 email

1EMGO Institute, VU University Medical Center, Amsterdam, The Netherlands

2Department of Public and Occupational Health, VU University Medical Center, Amsterdam, The Netherlands

3Body@Work, Research Center Physical Activity, Work and Health, TNO-VU, Amsterdam, The Netherlands

4Research Center for Insurance Medicine AMC-UWV-VU University Medical Center, Amsterdam, The Netherlands

5Department of General Practice, VU University Medical Center, Amsterdam, The Netherlands

6TNO Quality of Life, Hoofddorp, The Netherlands

author email corresponding author email

BMC Health Services Research 2007, 7:127doi:10.1186/1472-6963-7-127

Published: 15 August 2007

Abstract

Background

To date, mental health problems and mental workload have been increasingly related to long-term sick leave and disability. However, there is, as yet, no structured protocol available for the identification and application of an intervention for stress-related mental health problems at the workplace. This paper describes the structured development, implementation and planning for the evaluation of a return-to-work intervention for sick-listed employees with stress-related mental disorders (SMDs). The intervention is based on an existing successful return-to-work intervention for sick-listed employees with low back pain.

Methods

The principles of Intervention Mapping were applied to combine theory and evidence in the development, implementation and planning for the evaluation of a participatory workplace intervention, aimed at an early return-to-work for sick-listed employees with SMDs. All stakeholders were involved in focus group interviews: i.e. employees recently sick-listed with SMDs, supervisors and occupational health professionals.

Results

The development of the participatory workplace intervention according to the Intervention Mapping principles resulted in a structured return-to-work intervention, specifically tailored to the needs of sick-listed employees with SMDs. Return-to-work was proposed as a behavioural change, and the Attitude – Social influence – self-Efficacy model was identified as a theoretical framework. Stakeholder involvement in focus group interviews served to enhance the implementation. The cost-effectiveness of the intervention will be evaluated in a randomised controlled trial.

Conclusion

Intervention Mapping was found to be a promising method to develop interventions tailored to a specific target group in the field of occupational health.

Trial registration

ISRCTN92307123


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