61 Participatory Approach to improve the health of low socioeconomic position workers Step 1: logic model of the problem In the first step, a planning group was established for the whole IM process. Next, a needs assessment was conducted which combined evidence from literature with data from six semi-structured interviews with workers with a low SEP working in a steel factory and from two focus groups with OHPs (i.e. 2 occupational health experts, 1 occupational physician, 1 employability coach and 1 occupational social worker) and employers (i.e. 1 health and safety manager and 6 human resource managers). Themes that were discussed in the interviews and focus groups were: 1) the need for discussing problems on multiple life domains, 2) the content of the different steps of the PA, 3) the involvement of relevant stakeholders in and outside the workplace, 4) what type of solutions and in what way solutions can be implemented, 5) the need for a preventive intervention, 6) in what way workers with a low SEP can be reached, and 7) important preconditions for the implementation of the intervention in occupational health practice. In supplementary file 1, interview guides can be found for the interviews and focus groups. Interviews and focus groups were audio-recorded and transcribed verbatim. Thereafter, the transcripts were summarized and combined with evidence from literature. The needs assessment provided insight into work functioning and health problems of workers with a low SEP and behaviors and underlying determinants that may cause these problems. Furthermore, the needs assessment provided insight into environmental factors and the underlying determinants for these factors that may also cause work functioning and health problems among workers with a low SEP. This resulted in a logic model of the problem. Based on this model a program goal was formulated to improve work functioning and health of workers with a low SEP from a broader perspective. Step 2: program outcomes and objectives – logic model of change In the second step, behavioral and environmental outcomes were developed to achieve the program goal. Behavioral and environmental outcomes were derived from the behaviors and environmental factors that were described in the logic model of the problem. For each of these outcomes, performance objectives were specified, which describe in detail what needs to be done to accomplish the behavioral or environmental outcomes. This resulted in a logic model of change. Thereafter, theoretical concepts were selected to change the performance objectives. Theoretical concepts were based on the behavioral and environmental determinants. Next, matrices of change objectives were constructed; for each behavioral and environmental performance objective strategies linked to theoretical concepts were formulated, to describe what needs to be done to accomplish the performance objectives. 3
RkJQdWJsaXNoZXIy MTk4NDMw