Background
Methods
Development of the OH practice guideline
Phase 1: preparing for guideline development
Phases | Meetings | Content |
---|---|---|
Phase 1: Preparing for guideline development 1.1. Selecting the topic | Meeting 1 (2012-06-13) | Introduction round |
PowerPoint presentation by group chair on the goal of the project and program, and on evidence-based practice | ||
Pairwise and group-discussion on OHS tasks and evidence-based practice within OHS | ||
Discuss group aims, norms of behavior and practicalities | ||
Task for next meeting | Describe expectations and prerequisites of participation | |
Meeting 2 (2012-09-11) | Implementation expert gives PowerPoint presentation on implementation research, including concepts and theories | |
Present a summary of expectations and prerequisites of participants | ||
Pairwise and group-discussion on topic selection for the guideline | ||
Task for next meeting | Make an inventory of methods used within the own OHS, discuss what is needed within the OHS | |
Phase 1: Preparing for guideline development 1.2. Determining the scope | Meeting 3 (2012-12-12) | PowerPoint presentation of back pain and diagnostics by external orthopedic specialist |
PowerPoint presentation on evidence-based assessment and treatment of LBP, with a focus on psychosocial factors | ||
Group discussion on methods used within the OHS and on OHS protocol of working with LBP | ||
Formulate objectives and target-group of guideline | ||
Task for next meeting | Make an inventory of methods used within the own OHS with regards to diagnostics and treatment of LBP | |
Phase 2: systematically reviewing the evidence 2.1 Establishing clinical questions | Meeting 4 (2013-02-13) | PowerPoint presentation regarding the scientific evidence for assessment tools and interventions related to the work environment |
PowerPoint presentation of an example of the Dutch back pain guideline of the Netherlands Society of Occupational Medicine | ||
Small and big group discussions on content and format (flow-chart) of the guideline and on implementation, including barriers, facilitators, and strategies | ||
Task for next meeting | Describe current protocol of LBP assessment and treatment within own OHS regarding who does what – in order to identify target users. Startup internal working-group within own OHS | |
Phase 2: systematically reviewing the evidence 2.2. Appraising research | Meeting 5 (2013-03-27) | PowerPoint presentation on valid methods for ergonomic assessment by a professor in work-related musculoskeletal disorder research |
Each participant presents current practice with regards to LBP assessment and treatment | ||
Group discussion flow-chart for treatment of LBP | ||
Task for next meeting | Work on flow-chart – screening-questions | |
Meeting 6 (2013-06-19) | A Swedish example of an OHS work with the treatment of LBP | |
Ergonomics present ergonomic assessment tool proposal appropriate for OHS setting | ||
Group discussions on sent out material | ||
Phase 3: Drafting the guideline | Meeting 7 (2013-08-16) | PowerPoint presentation regarding implementation strategies by implementation expert |
PowerPoint presentation of NICE-guideline for the early management of non-specific LBP. | ||
Interdisciplinary group-work regarding ergonomist observation methods and interventions, and behavior change methods and interventions | ||
Task for next meeting | Individual groups work on drafting text | |
Meeting 8 (2013-09-20) | Individual groups continue with drafting text for the guideline | |
Group discussion on progress and challenges with drafting text | ||
Meeting 9 (2013-10-15) | PowerPoint presentation on KOF, a dialog-method to assess work capacity and work demand, by external expert | |
Individual groups continue with drafting text for the guideline | ||
Reviewing the guideline | Meeting 10 (2013-11-12) | Adapt text to internal and external review comments |
Meeting 11 (2013-12-16) |
Phase 2: systematically reviewing the evidence
Phase 3: drafting the guideline
Phase 4: reviewing the guideline
Evaluating the guideline development process
Process outcome | Description | Method of measurement |
---|---|---|
Recruitment | Procedures used to approach and attract CoP members | Administrative data, emails |
Reach | The proportion of the CoP members that participates in the meetings | Attendance form, emails |
Context | Aspects of the larger social, political, and economic environment that can influence the development process | Observation questionnaire |
Satisfaction | The perception of the CoP members that the development process is satisfactory and agreeable | Questionnaire |
Feasibility | The extent to which the development process can be successfully used or carried out in this particular setting | Questionnaire |
Fidelity | The extent to which the CoP meetings are delivered as planned by the project-team. | Observation, minutes of meetings |
Ethical considerations
Results
Evaluation of the guideline development process
Recruitment
Characteristics | SD | |
---|---|---|
Age (mean, years) | 49.6 | 8.4 |
Female (%) | 76.9 | |
Work-related characteristics | ||
Years working experience (mean) | 26.2 | 9.6 |
Years working within the OHS (mean) | 12.2 (7.8) | 7.8 |
Employment within OHS (% full-time) | 76.9% | |
Job title (n) | ||
Occupational physician | 3 | |
Ergonomist/physical therapists | 2 | |
Occupational nurse | 2 | |
Health and safety engineer | 2 | |
Health educator | 2 | |
Psychologist | 2 |
Reach
Expectations of participation
Context
Statements | Agreement n (%) |
---|---|
Context | |
My involvement within the guideline development group is supported by my colleagues | 4 (57%) |
My involvement within the guideline development group is supported by my boss | 4 (50%) |
Have you received good economical prerequisites for participating in the guideline development group | 7 (87.5%) |
Have you received good prerequisites regarding time to be able to actively participate in the guideline development between meetings | 3 (37.5%) |
Satisfaction | |
The task of the guideline development group is clear and understandable | 5 (62.5%) |
The presentations given during the meetings have been interesting | 8 (100%) |
The presentations are a necessary component of the guideline development process | 8 (100%) |
Overall I am satisfied with the meetings we have had | 5 (62.5%) |
A multi-professional set-up of the guideline development group is necessary for the development of the guideline | 7 (87.5%) |
By participating in the guideline development group my knowledge of evidence-based methods has increased | 8 (100%) |
The work done within the guideline development group has led to the development of the guideline | 8 (100%) |
I feel that I am an active member of the group | 8 (100%) |
I am satisfied with the topic (management of LBP) of the guideline | 4 (57%) |
Being part of the guideline development group has been valuable for developing practices within the OHS | 8 (100%) |
The work done within the guideline development group has lived up to my expectations | 4 (50%) |
Feasibility | |
The guideline development group has a good working method for the development of guidelines? | 6 (75%) |
The time-scheduling (i.e. frequency, duration) of the meetings has worked well | 1 (12.5%) |
It is possible for me to combine the task of the guideline development group with my work at the OHS? | 7 (87.5%) |