Using intervention mapping (IM) to develop a self-management programme for employees with a chronic disease in the Netherlands.

Using intervention mapping (IM) to develop a self-management programme for employees with a chronic disease in the Netherlands.
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DOI:
10.1186/1471-2458-10-353
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发表时间:
2010-06-21
期刊:
影响因子:
4.5
通讯作者:
van Dijk FJ
van Dijk FJ
中科院分区:
医学2区
文献类型:
--
作者:
Detaille SI;van der Gulden JW;Engels JA;Heerkens YF;van Dijk FJ

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患有慢性病的员工经常因为慢性病而在工作中遇到问题。本文件介绍了一个自我管理计划的发展基础上的慢性疾病自我管理计划(CDSMP)的斯坦福大学,以帮助员工与慢性躯体疾病科普这些问题在工作中。本文的目的是介绍这一方案的系统发展和内容。使用干预映射方法(Bartholomew 2006)为患有慢性躯体疾病的员工定制原始CDSMP。本文介绍了为这一目标群体调整CDSMP的过程。需求评估已经进行了文献综述和定性重点小组与员工患有慢性疾病和参与卫生专业人员。在需求评估的基础上,为目标人群确定了工作中自我管理行为的相关决定因素,并制定了培训目标。此外,还选择了影响自我管理和行为决定因素的技术,并制定了方案计划。干预措施旨在解决一般个人因素,如生活方式、与疾病有关的因素(如应对疾病)和与工作有关的个人因素(如工作中的自我效能)。该课程包括六节课,每节两个半小时,旨在提高患有慢性躯体疾病的员工的自我管理和能力。干预映射已被发现是一个有用的工具,以系统的方式定制的原始CDSMP的员工与慢性躯体疾病。IM在职业卫生保健干预措施的制定和调整中具有重要的应用价值。
Employees with a chronic disease often encounter problems at work because of their chronic disease. The current paper describes the development of a self-management programme based on the Chronic Disease Self-Management programme (CDSMP) of Stanford University to help employees with a chronic somatic disease cope with these problems at work. The objective of this article is to present the systematic development and content of this programme. The method of intervention mapping (Bartholomew 2006) was used to tailor the original CDSMP for employees with a chronic somatic disease. This paper describes the process of adjusting the CDSMP for this target group. A needs assessment has been carried out by a literature review and qualitative focus groups with employees with a chronic disease and involved health professionals. On the basis of the needs assessment, the relevant determinants of self-management behaviour at work have been identified for the target population and the objectives of the training have been formulated. Furthermore, techniques have been chosen to influence self-management and the determinants of behaviour and a programme plan has been developed. The intervention was designed to address general personal factors such as lifestyle, disease-related factors (for example coping with the disease) and work-related personal factors (such as self-efficacy at work). The course consists of six sessions of each two and a half hour and intents to increase the self management and empowerment of employees with a chronic somatic disease. Intervention mapping has been found to be a useful tool for tailoring in a systematic way the original CDSMP for employees with a chronic somatic disease. It might be valuable to use IM for the development or adjusting of interventions in occupational health care.
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