91 Grip on Health intervention among lower socioeconomic position workers they may also take actions to improve the problem that is researched (16). In this study Participatory (action) research is not used as methodology for conducting research, but a mixed method process evaluation. In the first step of Grip on Health, the process leader and worker discuss problems on multiple life domains, prioritize problems and select the most relevant problems. Second, the process leader and worker decide which stakeholder is relevant to involve in the process, either someone in- or outside the workplace. In case of problems at the workplace, the supervisor is a relevant stakeholder. In case of problems outside the workplace, a partner, family member, or another health professional may be a relevant stakeholder. Third, the process leader, worker, and stakeholder (if involved) discuss the problems from their own perspective and strive to reach consensus on the most relevant problems. Fourth, the process leader, worker, and relevant stakeholder brainstorm about possible solutions, reach consensus on solutions and compose an action plan to implement solutions. Fifth, the process leader and worker evaluate the action plan and if needed an additional evaluation moment will be planned. For more information on the content of the intervention and the training for OHPs on the methodology of the intervention, see the article on the adaptation of the PA (17). Recruitment The intervention was delivered by OHPs in occupational health practice. OHPs were recruited through different occupational health services in the Netherlands and associations for OHPs. Through these organizations they were invited to participate in the Grip on Health training and this study to evaluate the intervention. OHPs could only participate if they had full confidentiality, because OHPs discuss problems on multiple life domains. In the Dutch context, this meant that, OHPs needed to be either registered physicians or nurses, or professionals, such as an occupational labor expert, who work under the legal supervision of an occupational physician. OHPs who wanted to participate in the training and this study received a half day training on how to follow the steps of the intervention. After the training OHPs signed informed consent to participate in this study. If they also wanted to participate in an interview, they signed informed consent before the start of the interview. During the training, OHPs received a practical assignment wherein they were asked to apply the intervention in occupational health practice. A couple of months after the training a follow up meeting was planned in which OHPs shared their experiences about the practical assignment, reflected on the different steps of the intervention and on their role as process leader. OHPs delivered the intervention to lower SEP workers that were employed in organizations in which OHPs were working as a health professional. OHPs were 4
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