271 Appendix problems on multiple life domains, and to explore facilitators and barriers for implementation of these types of preventive interventions in occupational health practice. 3. To explore the needs of workers with a work disability with respect to the guidance of supervisors in relation to their sustainable employability, and to evaluate an intervention for supervisors to improve the sustainable employability of workers with a work disability. Part I: The effects of exit from work among workers in a high and low socioeconomic position Chapter 2 systematically reviewed the available evidence regarding the effects of exit from work on health in high and low socioeconomic groups. We found 22 studies, of which 13 studies reported more positive effects of exit from work on health among workers with a higher SEP compared to workers with a lower SEP. These effects were mainly reported after early/statutory retirement. This review showed that the effects of exit from work on health are different across socioeconomic groups and that the negative effects of exit from work on health are mainly present in lower socioeconomic groups. This group of workers may possess fewer resources to deal with the changes in one’s life following exit from work, which could more rapidly result in health declines. These findings emphasize that there is a higher need to prevent exit from work among workers with a lower SEP, as they might experience more negative consequences of job loss. Part II: The role of occupational health professionals in supporting lower socioeconomic position workers with problems on multiple life domains In chapter 3 an Intervention Mapping (IM) protocol was used to develop an intervention for OHPs to support lower SEP workers with solving problems on multiple life domains. First, a needs assessment was conducted combining literature with data from interviews and focus groups with lower SEP workers, employers and OHPs. Based on the needs assessment a program goal and performance and change objectives were defined, which resulted in methods and practical strategies. Based on the results of these steps, the actual intervention was developed, and an implementation and evaluation plan were developed. With this stepwise protocol the existing Participatory Approach, which mainly identifies and solves work-related problems, was adapted to include a broader perspective on health to solve problems on multiple life domains. This resulted in the Grip on Health intervention, with a training for OHPs to implement this intervention in practice. In this intervention OHPs guide and support lower SEP workers in identifying and solving problems on multiple life domains. A
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