Rosanne Schaap

151 Context analysis of interventions among lower socioeconomic position employees knowledge and awareness must be created on the potential benefits of prevention with a focus on the return of investment for employers. Financial incentives or other forms of support may also be helpful, wherein the role of trade organizations, independent of employers, in facilitating preventive services should also be explored. However, curative healthcare also needs to invest more in prevention, as they, similar to occupational healthcare, invest too little in prevention. Thus, a societal change with more attention for and investments in prevention is required to address problems on multiple life domains at an early stage. Conclusions This study provides valuable information on contextual factors that are important for implementation of preventive interventions that consider multiple life domains among employees with a lower SEP. The results also show the challenges of implementing these types of interventions in occupational health practice. Employees with a lower SEP and organizations employing them are difficult to reach for preventive health interventions. It is a challenge to convince stakeholders of the added value to preventively address and solve problems on multiple life domains. Moreover, the responsibilities for solving problems on multiple life domains are unclear. Many different stakeholders in organizations (e.g. supervisors), occupational healthcare (e.g. OPs), but also in curative healthcare (e.g. GPs) need to be involved and collaborate to effectively address problems on multiple life domains. Due to the complex systems in place, measures that lay beyond interventions should be taken into account to ensure the feasibility of these type of interventions in practice. It may even require adjustments to existing policies and procedures in occupational health practice. 5

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