Intervention mapping for the development of a strategy to implement the insurance medicine guidelines for depression

BMC Public Health

Research Article

Antonius JM Schellart¹  Johannes R Anema¹  Allard J van der Beek¹  Feico Zwerver²  Kathelijne C Rammeloo³ 

[1] Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands;Research Center for Insurance Medicine, collaboration between AMC-UWV-VUmc, Amsterdam, The Netherlands;Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands;Research Center for Insurance Medicine, collaboration between AMC-UWV-VUmc, Amsterdam, The Netherlands;Dutch National Institute for Employee Benefits Schemes, Amsterdam, The Netherlands;Dutch National Institute for Employee Benefits Schemes, Amsterdam, The Netherlands;

关键词: Implementation Strategy;    Work Ability;    Intervention Mapping Method;    Change Objective;    Staff Physician;   

DOI  :  10.1186/1471-2458-11-9

 received in 2010-01-21, accepted in 2011-01-05,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundThis article describes the development of a strategy to implement the insurance medicine guidelines for depression. Use of the guidelines is intended to result in more transparent and uniform assessment of claimants with depressive symptoms.MethodsThe implementation strategy was developed using the Intervention Mapping (IM) method for alignment with insurance-medical practice. The ASE behavioural explanation model (Attitude, Social Influence and Self-Efficacy) was used as theoretical basis for the development work. A literature study of implementation strategies and interviews with insurance physicians were performed to develop instruments for use with the guideline. These instruments were designed to match the needs and the working circumstances of insurance physicians. Performance indicators to measure the quality of the assessment and the adherence to the guidelines were defined with input from insurance physicians.ResultsThis study resulted in the development of a training course to teach insurance physicians how to apply the guidelines for depression, using the aforementioned instruments. The efficacy of this training course will be evaluated in a Randomized Controlled Trial.ConclusionsThe use of IM made it possible to develop guideline support instruments tailored to insurance medical practice.

【 授权许可】

CC BY   
© Zwerver et al; licensee BioMed Central Ltd. 2011