Effects of a training in the Disability Assessment Structured Interview on the interviews of Dutch insurance physicians

Spanjer, Jerry; Mei, Sijrike F. van der; Cornelius, Bert; Brouwer, Sandra; Klink, Jac van der

doi:10.3109/09638288.2015.1106600

Cited by 4 publications

(3 citation statements)

References 22 publications

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“…This is all the more significant as functional interviewing has the potential to improve agreement in more vague data situations. However, it is noteworthy that other studies observed that functional interviewing detected more activity limitations (28,29).…”

Section: Strengths and Limitationsmentioning

confidence: 81%

Functional Interviewing Was Associated With Improved Agreement Among Expert Psychiatrists in Estimating Claimant Work Capacity: A Secondary Data Analysis of Real-Life Work Disability Evaluations

et al. 2020

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Objective: Functional evaluations establish functional and work (in-)capacities in the context of disability assessments and are increasingly recommended as a modern technique for work disability assessments. The RELY (Reliable disability EvaLuation in psychiatrY)-studies introduced semi-structured functional interviews in real-life assessments of claimants with mental disorders for evaluating their self-perceived health-related limitations and for investigating the reproducibility of work capacity (WC) estimates. Functional interviews elicit claimants' self-perceptions about their work-related limitations and capacities in the labour market. This secondary data analysis explored the coverage of work-related key topics in these interviews and investigated whether interviews with high coverage (versus low coverage) of work-related topics resulted in better reproducibility of WC estimates among experts. Methods: Thirty video-taped RELY-assessments underwent a content analysis along a predefined framework for functional interviewing, including the claimant's self-perceived work limitations and work-related health complaints as centrepieces of functional interviewing. Following transcription, interviews were segmented into coding units. Coding units were allocated to the five steps with 19 key topics of the framework. Enquiry into key topics was ascertained by summing the functional coding units per key topic. Median split grouped the interviews into high and low coverage of functional topics and compared them for inter-rater reliability (intraclass correlation coefficient, ICC) and inter-rater agreement (standard error of measurement, SEM). Results: Interviews were broken down in 40,010 coding units, 31% of which addressed functional topics. Enquiries in self-perceived work limitations and work-related health

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Section: Strengths and Limitationsmentioning

confidence: 81%

Functional Interviewing Was Associated With Improved Agreement Among Expert Psychiatrists in Estimating Claimant Work Capacity: A Secondary Data Analysis of Real-Life Work Disability Evaluations

et al. 2020

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“…A recent systematic review by Barth et al [35] supported this hypothesis demonstrating a high variation in judgements on work disability among medical examiners; using standardised assessment methods, like rating instruments for functional limitations or structured interview methods (such as the disability assessment structured interview (DASI) [36]), demonstrated a reduction in “inter-rater variability” and improved the reproducibility among examiners.…”

Section: Discussionmentioning

confidence: 99%

Sarcoidosis and Work Participation: The Need to Develop a Disease-Specific Core Set for Assessment of Work Ability

Hendriks

Saketkoo

Elfferich

et al. 2019

Lung

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Objective Sarcoidosis, an inflammatory multi-organ disease with a wide variety of clinical manifestations, affecting people of working age. Patients suffer from a broad spectrum of physical symptoms of varying severity that impact function including cognitive impairment and disabling fatigue. The Dutch Sarcoidosis Society identified a knowledge gap in various facets related to work ability. The aim of this study was to assess sarcoidosis patients’ perceived problems related to work performance, employer, and disability evaluations. Methods A cross-sectional web-based anonymous survey was conducted among Dutch sarcoidosis patients recruited through sarcoidosis patient societies and outpatient sarcoidosis clinics. This investigation queried work performance, employer support, and disability evaluations. Results The study sample included 755 patients of whom 43% ( n = 328) had undergone disability evaluation and were significantly more likely to experience extrapulmonary symptoms, severe fatigue, reduced exercise capacity along with memory problems and concentration problems with higher mean FAS and SFNSL-scores. Of these 328, 37% ( n = 121) perceived they had not been listened to or taken seriously at assessments, and 38% ( n = 124) disagreed with the outcome of disability assessments by benefits authorities; 75% ( n = 93) appealed or requested re-assessment. Discussion A better understanding of sarcoidosis-related impact on work ability and quantification of disease burden is needed. Education for medical examiners and employers on sarcoidosis may improve quality of assessments and work accommodations. Development of guidelines for benefit authorities, which consider the broad impact of sarcoidosis beyond that of reduced pulmonary function, including extra-pulmonary assessment like fatigue, cognitive difficulties, as well as other organ involvement are needed.

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“…Uit verricht onderzoek blijkt dat de visie van de cliënt over de eigen belemmeringen niet altijd even goed wordt uitgevraagd. [1][2][3] Het is wel zinvol om een concreet beeld te hebben welke belemmeringen de cliënt zelf ervaart om een aantal redenen, onder andere:…”

Section: Inleidingunclassified

De visie van de cliënt beter in beeld

Spanjer

Pierik

Wiersema

2020

TBV - Tijdschr Bedrijfs- en Verzekeringsgeneeskd

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Effects of a training in the Disability Assessment Structured Interview on the interviews of Dutch insurance physicians

Cited by 4 publications

References 22 publications

Functional Interviewing Was Associated With Improved Agreement Among Expert Psychiatrists in Estimating Claimant Work Capacity: A Secondary Data Analysis of Real-Life Work Disability Evaluations

Functional Interviewing Was Associated With Improved Agreement Among Expert Psychiatrists in Estimating Claimant Work Capacity: A Secondary Data Analysis of Real-Life Work Disability Evaluations

Sarcoidosis and Work Participation: The Need to Develop a Disease-Specific Core Set for Assessment of Work Ability

De visie van de cliënt beter in beeld

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