An education programme to increase general practitioners’ awareness of their patients’ employment: design of a cluster randomised controlled trial

Kock, C A De; Steenbeek, Romy; Buijs, P.C.; Knottnerus, J. André; Lagro-Janssen, Antoine L. M.

doi:10.1186/1471-2296-15-28

Cited by 7 publications

(11 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The questionnaires comprised items about the work-relatedness of their health problem, SA, perceived work ability, experienced health, presence of chronic illness and number of visits to GP. The questionnaires have been described in more detail in the study protocol ( 26 ).…”

Section: Methodsmentioning

confidence: 99%

Work-relatedness of the presented health problem and sickness absence

Kock¹,

Akkermans

Knottnerus

et al. 2019

Family Practice

Self Cite

View full text Add to dashboard Cite

Background Perception by workers of their health problems as work-related is possibly associated with sickness absence (SA). The aim of this study was to to study the relationship between perceived work-relatedness of health problems and SA among workers who visit their GP, taking the influence of other potential determinants into account and to study the influence of these determinants on SA. Design and setting prospective cohort study in 32 Dutch GP practices. Methods A secondary analysis of RCT data among workers, aged 18–63 years, who visited their GP. We measured self-reported SA days in 12 months and high SA (>20 days in 12 months) and compared workers who perceived work-relatedness (WR+) with workers who did not (WR−). With multivariable linear and logistic regression models, we analyzed the influence of age, gender, experienced health, chronic illness, prior SA, number of GP consultations and perceived work ability. Results We analyzed data of 209 workers, 31% perceived work-relatedness. Geometric mean of SA days was 1.6 (95% CI: 0.9–3.0) for WR+− workers and 1.2 (95% CI: 0.8–1.8) for WR− workers (P = 0.42). Incidence of high SA was 21.5 and 13.3%, respectively (odds ratio 1.79; 95% CI: 0.84–3.84). SA was positively associated with chronic illness, prior SA, low perceived work ability and age over 50. Conclusions Perceived work-relatedness was not associated with SA. SA was associated with chronic illness, prior SA, low perceived work ability and age over 50.

show abstract

Section: Methodsmentioning

confidence: 99%

Work-relatedness of the presented health problem and sickness absence

Kock¹,

Akkermans

Knottnerus

et al. 2019

Family Practice

Self Cite

View full text Add to dashboard Cite

show abstract

“…This paper reports on the cost-effectiveness of our intervention with respect to work-related self-efficacy and quality of life. Detailed information regarding the methodology of this trial has been published elsewhere [31, 32].…”

Section: Methodsmentioning

confidence: 99%

“…Therefore, we developed an educational GP training program aimed at making GPs more attentive to their patients’ work context and improve their management of WRP [31]. We performed this study to determine whether the GP training programme is cost-effective with respect to patient’s work-related self-efficacy and quality of life.…”

Section: Introductionmentioning

confidence: 99%

Affecting patients with work-related problems by educational training of their GPs: a cost-effectiveness study

et al. 2019

Self Cite

View full text Add to dashboard Cite

Background Assessing the cost effectiveness of training aimed at increasing general practitioners’ (GP) work awareness and patients’ work-related self-efficacy and quality of life. Methods A cluster randomized controlled trial in twenty-six GP practices in the southeast of the Netherlands with 32 participating GPs. GPs working in an intervention group practice received training and GPs working in a control group practice delivered usual care. The training intervention consisted of lectures and workshops aimed at increasing GPs’ work awareness and more proactive counseling for patients with work-related problems (WRP). Subjects were working age patients with paid work for at least 12 h per week, who visited one of the participating GPs during the study period. As outcome measures we used the Return to Work Self Efficacy scale to assess patients’ work-related self-efficacy and the Euroquol to assess quality of life. We also measured health care costs and productivity costs. With a 4-item questionnaire we asked patients to assess their GPs’ work awareness. Data were collected at baseline, after 6 and 12 months. Results Data of 280 patients could be analyzed. The patient related outcomes did not improve after GP training. The change in GP work awareness and the overall mean cost difference (of €770) in favor of the intervention group were not significant. Conclusions The training intervention presented in this paper was not cost-effective. Training which is further personalized and targeted at high risk groups with respect to WRP, is more likely to be cost effective. Electronic supplementary material The online version of this article (10.1186/s12875-019-0924-9) contains supplementary material, which is available to authorized users.

show abstract

“…Participation of patients involved the completion of two questionnaires. The study was registered in ‘The Netherlands Trial Registry’ (number NTR3475) and its protocol published in 2014 [ 21 ].…”

Section: Methodsmentioning

confidence: 99%

“…GPs’ experience; the following patient-reported characteristics (supplementary Table): work-relatedness of health problem; educational level; sector of employment; type of contract; working hours/week; monthly (individual) income; experienced health; presence of chronic illness; sick leave; visits to GP; visits to OP. The outcomes were described in more detail in the study protocol [ 21 ]. Not mentioned in the study protocol were two statements we asked patients to respond to (1) ‘I think it is important that my GP should know my occupation’ and (2) ‘I want advice from my GP about taking sick leave.’…”

Section: Methodsmentioning

confidence: 99%

Training GPs to improve their management of work-related problems: results of a cluster randomized controlled trial

Kock

Bor²,

Knottnerus

et al. 2018

European Journal of General Practice

Self Cite

View full text Add to dashboard Cite

Background: Paying attention to their patients’ work and recognizing work-related problems is challenging for many general practitioners (GPs).Objectives: To assess the effect of training designed to improve the care for patients with work-related problems in general practice.Methods: A cluster randomized controlled trial among 32 Dutch GPs. GPs in the intervention group received five-hour training. GPs in the control group were not trained. Included patients (age 18–63, working ≥12 h per week) completed baseline questionnaires and follow-up questionnaires planned after one year. Primary outcome at patient level was patients’ expectations about their ability to work, measured using the return-to-work self-efficacy scale (RTW-SE). Primary outcomes on GP level were their use of ICPC-code Z05 (‘work-related problem’) per 1000 working-age patients and percentage of the electronic medical files of working-age patients in which information about occupation had been recorded.Results: A total of 640 patients completed the baseline questionnaire and 281 the follow-up questionnaire. We found no statistically significant differences in patients’ RTW-SE scores: intervention 4.6 (95%CI: 4.2–5.0); control 4.5 (95%CI: 4.1–4.9). Twenty-nine GPs provided data about the GP-level outcomes, which showed no statistically significant differences: use of ICPC code Z05 11.6 (95%CI: 4.7–18.6) versus 6.0 (95%CI: –1.2 to 13.2) per 1000 working-age patients; recording of occupation 28.8% (95%CI: 25.8–31.7) versus 28.6% (95%CI: 25.6–31.6).Conclusion: Training GPs did not improve patients’ work-related self-efficacy or GPs’ registration of work-related problems and occupation.

show abstract

An education programme to increase general practitioners’ awareness of their patients’ employment: design of a cluster randomised controlled trial

Cited by 7 publications

References 27 publications

Work-relatedness of the presented health problem and sickness absence

Work-relatedness of the presented health problem and sickness absence

Affecting patients with work-related problems by educational training of their GPs: a cost-effectiveness study

Training GPs to improve their management of work-related problems: results of a cluster randomized controlled trial

Contact Info

Product

Resources

About