100 Chapter 4 outside the workplace are sometimes involved and not as often as supervisors. These stakeholders are often spouses who may provide extra information on the situation of workers at home or could positively influence implementation of solutions, as was described by an OHP: OHP2: I also notice that it has been discussed at home with their partner, and that in certain situations the partner tells me that the two of them will work on it together, but then I think something will actually happen. However, OHPs stated that involvement of spouses could also hinder the implementation of solutions. For instance, they could control the process and outcome of the conversation, or the conversation is used to discuss relationship problems. Furthermore, OHPs stated that a professional from outside the workplace such as general practitioners or social workers is never involved in their consultations, and doing so is reported as complex. Involvement of other professionals solely implies requests for information about the workers’ health or referrals. Some OHPs stated that collaboration could be helpful to avoid conflicting advice for the worker. Quality of delivery In the interviews, some OHPs stated that the role of the process leader is not difficult, as it is part of their normal way of working and lower SEP workers are able to identify problems and/or solutions, but occasionally need support. In contrast, there were also OHPs that perceived the role of process leader as difficult, because they reported that lower SEP workers are less able to identify problems and/or solutions on their own and need much support. OHPs reported that lower SEP workers have many different problems, leading to a stressful situation, which makes it difficult to disentangle their problems. This is in line with what was described by the participants, as the majority stated that they were satisfied with the OHP because they listened well to their problems and thought along to identify problems and/or solutions. OHPs also mentioned that self-control is more difficult for lower SEP workers. They are used to professionals telling them what to do, and are less used to take on an active role, to reflect on their problems and on what they themselves can do to solve their problems: OHP4: People of this target group are not used to talk about their problems, to take self-control, and to discuss solutions with the supervisor, because these are topics that you don’t show off with, make you vulnerable, make you ashamed, or which is difficult to talk about. As a result, OHPs stated that it is difficult to convince lower SEP workers to take on an active role, and to make them aware of their own role in solving problems.
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