70 Chapter 3 Table 3. Theoretical methods and practical strategies for selected determinants of the behavioral outcome Determinant Theory Parameters Practical strategies Relatedness Social support Support from OHP The OHP provides tools to the worker to identify and prioritize problems and solutions in and/or outside the workplace Support from relevant stakeholders Relevant stakeholders participate in the process of identifying and prioritizing problems in and/or outside the workplace and finding solutions Equality Guidance by an independent person OHP acknowledges all perspectives, remains impartial and generate consensus between the worker and the stakeholder A supportive environment to share problems and solutions Being open and respectful to other perspectives on problems and solutions and OHP assures an equal involvement in the discussion Safety A safe environment to share problems OHP is confidential with the discussed problems and problems will only be discussed with other stakeholders if the worker agrees Table 4. Theoretical methods and practical strategies for selected determinants of the environmental outcome Determinant Theory Parameters Practical strategies Competence Guided practice Instruction and skills training OHP receives a training on how to apply the PA with a broadened perspective and practice this in role plays Attitude Verbal persuasion Providing arguments Provide information on the Positive Health approach and why it is important to solve problems on multiple life domains with relevant stakeholders Step 4: program production The existing protocol and material of the PA were adapted to match the broadened perspective of the PA (see Table 5). This resulted in an intervention that was named “Grip on Health”. The original PA materials were considered too complex (i.e. focus is put on the cognitive skills) for workers with a low SEP and too time consuming, also for the OHP (59). As a result, there was a need to develop materials with more
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