98 Chapter 4 Moreover, several OHPs reported they needed to ask permission in advance from the involved employer to deliver this type of intervention, meaning sufficient consultation time or being able to involve a stakeholder at the workplace. In contrast, the other half of the OHPs reported they had sufficient time, as they don’t need to ask or already have permission from contracted employers or from their own occupational health service to deliver interventions, such as Grip on Health. Some OHPs also reported they gained trust from contracted employers to organize their own time for a consultation, or that the intervention was comparable to their normal way of working, also meaning they had sufficient time. OHPs also reported that involved employers who recognize the potential value of prevention and sustainable employability for their employees, provide OHPs more consultation time, and they are more willing to involve a stakeholder at the workplace in the intervention. Fidelity The checklists showed that for the majority of the workers problems and solutions were identified for both in- and outside the workplace (see table 4). Several OHPs stated in the interviews that the discussion of problems on multiple life domains was self-evident and part of their normal way of working. Most solutions that were suggested in the intervention were implemented, and implementation was mostly performed by workers themselves. Table 4. Identification of problems and implementation of solutions Problems and solutions N Type of problems In the workplace Outside the workplace Both in- and outside the workplace 26 23 22 Discussed problems in the workplace Problems related to job content Problems related to working environment Problems related to working conditions Physical health problems in the workplace Mental health problems in the workplace Lifestyle related problems in the workplace Socially related problems in the workplace 14 16 5 10 13 4 11 Discussed problems outside the workplace Physical health problems outside the workplace Mental health problems outside the workplace Lifestyle related problems outside the workplace Socially related problems outside the workplace 7 16 9 15 Type of solutions For problems in the workplace For problems outside the workplace For both problems in- and outside the workplace 24 20 19
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