101 Grip on Health intervention among lower socioeconomic position workers An important condition for self-control stated by OHPs is that the worker sees his or her own role in solving problems. In contrast to lower SEP workers finding it difficult to take on an active role, OHPs may not always give workers the opportunity to take on an active role. OHPs stated that they are used to take on the role of the expert. If workers themselves come up with solutions, OHPs sometimes have to refrain themselves to give their opinion on the feasibility of solutions. Some OHPs stated that they first gave workers the opportunity to experience whether a solution works. If not, OHPs can always advise workers on other solutions. In addition, workers do not always have an overview of possible solutions. In these cases, OHPs stated they provided several possible solutions workers could choose from. Participants reported they were satisfied about their consultations with OHPs. Participants felt they were in a safe and confidential environment, wherein they could talk openly about their problems in- and outside the workplace. OHPs communicated in a good and pleasant way, participants felt understood and supported by OHPs, as was described by one participant: P2: He actually listened very carefully to what was going on and he thought along very well with solutions. So yeah, that was very nice. In case supervisors were involved in the intervention, OHPs stated they obtained a safe and confidential environment, equality between the worker and supervisor, and reached consensus on problems and solutions. Participants perceived the involvement of supervisors as positive, because they were able to inform the supervisor about their problems and problems were solved faster. However, OHPs mentioned this is dependent on the relation between workers and supervisors. In case of a good relation, workers are more willing to share their problems. If this is not the case and there is a lack of trust between a worker and supervisor, to obtain a safe and confidential environment is difficult. OHPs also stated that the hierarchical relation between the worker and supervisor is not always easy to change, and they need to be open to a different role. Mechanisms of impact In the following section we will describe mechanisms of impact (i.e. how is the intervention perceived and how does it produce change?) by responsiveness and differentiation, taking contextual factors into account that may affect or have affected mechanisms of impact of Grip on Health. Responsiveness Both OHPs and participants mentioned in the interviews that the intervention is structured, clear, and according to OHPs relevant for lower SEP workers. Several 4
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