Adherence to mental health guidelines by Dutch occupational physicians

Rebergen, David, Hoenen, John, Heinemans, Annemarie, Bruinvels, David, Bakker, Arnold and van Mechelen, Willem (2006) Adherence to mental health guidelines by Dutch occupational physicians. Occupational Medicine, 56 7: 461-468. doi:10.1093/occmed/kql042

Author Rebergen, David
Hoenen, John
Heinemans, Annemarie
Bruinvels, David
Bakker, Arnold
van Mechelen, Willem
Title Adherence to mental health guidelines by Dutch occupational physicians
Journal name Occupational Medicine   Check publisher's open access policy
ISSN 0962-7480
Publication date 2006-10-01
Sub-type Article (original research)
DOI 10.1093/occmed/kql042
Open Access Status DOI
Volume 56
Issue 7
Start page 461
End page 468
Total pages 8
Place of publication Oxford, UK
Publisher Society of Occupational Medicine by Oxford University Press
Language eng
Subject 1117 Public Health and Health Services
Abstract Background In 2000, the Dutch Association of Occupational Physicians published a national guideline for the management of employees with mental health problems. Objectives To examine predictors of adherence to this guideline by Dutch occupational physicians (OPs). Methods Using the Theory of Planned Behaviour, a questionnaire was developed about self-reported guideline adherence of OPs and possible predictors of this behaviour. A total of 165 OPs were approached to complete the questionnaire and registration forms of first consultations of workers with mental health problems. Performance indicators based on the guideline were developed to calculate performance rates of guideline adherence by OPs. Results Eighty of 165 (48%) OPs approached completed the questionnaire. Fifty-six OPs returned one or more registration forms, totalling 344 consultations. On a five-point Likert scale, ranging from never (1) to always (5), the mean score on self-reported guideline adherence was 2.35, compared to a mean score of 4.06 on the intention to comply with the guideline. The mean performance rate of OPs ranging from 0 to 2 was 1.27 on diagnosis and 0.60 on guidance. No relation was found between self-reported guideline adherence and performance rates. Self-reported guideline adherence correlated significantly with perceived behaviour control (r = 0.48, P < 0.05), subjective norms (r = 0.33, P < 0.05) and positive job stress (r = 0.35, P < 0.05). Conclusions Guideline adherence by Dutch OPs lags behind its acceptance. Further implementation efforts need to focus on diminishing barriers and enhancing social norms of OPs to work according to the guideline.
Keyword Mental health
occupational mental health
occupational physicians
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Human Movement and Nutrition Sciences Publications
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Created: Thu, 02 Apr 2009, 01:14:18 EST by Laura McTaggart on behalf of School of Human Movement and Nutrition Sciences