66 Chapter 3 Logic model of the problem To improve the health of workers with a low SEP from a broader perspective the PA should focus on identifying both work and non-work-related health problems, and also consider the interplay between these problems. Therefore, the program goal of the PA is to solve problems on multiple life domains that affect work functioning. This could result in healthy functioning at the workplace, sustainable employability, and the prevention of work disability among workers with a low SEP. To achieve this, the logic model of the problem (Fig. 2) describes behavioral and environmental determinants that need to be considered in the PA. Behavioral determinants for workers with a low SEP are motivation, selfefficacy, awareness, risk perception and control for solving health problems on multiple life domains. Environmental determinants are competencies (knowledge and skills) for OHPs to support workers with a low SEP in solving health problems with relevant stakeholders, trust, and familiarity of OHPs among workers with a low SEP and more attention for healthy functioning outside the workplace in occupational health care. Health problems: Health problems on multiple life domains – e.g. physical, or mental health problems, lifestyle related health problems, social problems or workrelated problems Quality of life: • Work functioning problems • Sick leave • Work disability Behaviors: • Difficulty to self-manage and adapt problems on multiple life domains that affect work functioning • Using a passive or avoidant coping style towards problems that affect work functioning Personal determinants workers with a low SEP (behavior): • Low motivation • Low self-efficacy • Lack of awareness • Low risk perception • Low control Personal determinants OHPs (environment): • Lack of competencies in supporting workers with a low SEP with solving problems on multiple life domains with relevant stakeholders • Lack of trust and familiarity among workers with a low SEP for providing support with solving problems on multiple life domains • Limited focus in occupational health care on healthy functioning outside the workplace and the interplay of problems in and outside the workplace Environmental factors OHPs • Interpersonal: Lack of involvement of relevant stakeholders with solving problems on multiple life domains • Organizational: Lack of training on how to solve problems on multiple life domains in occupational health care and a lack of trust and familiarity on the preventive role of OHPs with solving problems on multiple life domains • Community: Occupational health care mainly focused on healthy functioning at the workplace Figure 2: Logic model of the problem Step 2: Logic model of change Performance objectives The behavioral outcome related to goal of the PA is that workers with a low SEP are able to actively solve problems on multiple life domains that affect healthy functioning at work. The performance objectives associated with the behavioral outcome of workers with a low SEP are listed in Table 1. OHPs are the environmental agents at the workplace who can support workers with a low SEP. The environmental outcome related to the goal of the PA is that OHPs support
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