Presentation M P11

M P11 (Poster Presentation):
A multifaceted strategy to implement the participatory approach for supervisors to prevent sick leave: a process evaluation

Presented by: Ruben Alexander Kraaijeveld


Kraaijeveld RA1, Schaafsma FG1, Boot CRL1,2, Bultmann U3, Anema JR1,2,4

  1. Department of Public and Occupational Health, EMGO+ Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands
  2. Body@Work, Research Center Physical Activity, Work and Health, TNO-VU University Medical Center, Amsterdam, the Netherlands
  3. Department of Health Sciences, Community & Occupational Medicine, University Medical Center Groningen, Groningen, The Netherlands
  4. Research Centre for Insurance Medicine, collaboration between AMC-UMCG-UWV-VUmc, Amsterdam, The Netherlands



The participatory approach (PA) is an effective workplace intervention, conducted by occupational health professionals (OHPs) to shorten sick leave episodes of employees. For the prevention of sick leave, we hypothesize that the PA can also be applied by supervisors instead of OHPs. We have developed a multifaceted strategy to implement the PA for supervisors within organisations. The strategy incorporates three components: (1) a working group with representatives of all stakeholders for the prevention of sick leave, (2) supervisor training, and (3) supervisor coaching by OHPs. A process evaluation may help to examine which components of the strategy have been implemented as planned. The aim of the study was to systematically evaluate the implementation process of the multifaceted strategy.


The process evaluation was performed alongside a cluster randomized controlled trial at the intervention departments (in a steel factory, a university medical centre and a university) that received the multifaceted implementation strategy of the PA. The study population consisted of stakeholder representatives, and supervisors that received the training. Process variables were measured at organizational (working group) and supervisor level (training and coaching). Application of the PA by supervisors was measured with questionnaires at baseline and six months follow-up.


In total, 19 out 24 stakeholder representatives (79%) attended the working group, and 49 out of 61 supervisors of the intervention group (80%) attended the training. The working group and the supervisor training were delivered according to protocol within all three organisations; however, only 5 out of 49 supervisors (10%) were coached during six month follow-up. At baseline, 4 out of 49 supervisors (8%) indicated that they had applied the PA once before. At six months follow-up, 11 out of 49 supervisors (22%) indicated that they had applied the PA at least once. Results of all process variables will be available at the conference.


The process evaluation of the multifaceted strategy reveals that almost no supervisor coaching was delivered. For the future implementation of the PA the supervisor coaching component should therefore be reconsidered.

Schedule Details

Monday September 29
12:45 - 13:45 Poster Viewing
Session: RTW interventions