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Open Access 01-03-2018

Application of the Theoretical Domains Framework and the Behaviour Change Wheel to Understand Physicians’ Behaviors and Behavior Change in Using Temporary Work Modifications for Return to Work: A Qualitative Study

Authors: Ritva Horppu, K. P. Martimo, E. MacEachen, T. Lallukka, E. Viikari-Juntura

Published in: Journal of Occupational Rehabilitation | Issue 1/2018

Abstract

Purpose Applying the theoretical domains framework (TDF) and the Behaviour Change Wheel (BCW) to understand physicians’ behaviors and behavior change in using temporary work modifications (TWMs) for return to work (RTW). Methods Interviews and focus group discussions were conducted with 15 occupational physicians (OPs). Responses were coded using the TDF and the BCW. Results Key behaviors related to applying TWMs were initiating the process with the employee, making recommendations to the workplace, and following up the process. OP behaviors were influenced by several factors related to personal capability and motivation, and opportunities provided by the physical and social environment. Capability comprised relevant knowledge and skills related to applying TWMs, remembering to initiate TWMS and monitor the process, and being accustomed to reflective practice. Opportunity comprised physical resources (e.g., time, predefined procedures, and availability of modified work at companies), and social pressure from stakeholders. Motivation comprised conceptions of a proper OP role, confidence to carry out TWMs, personal RTW-related goals, beliefs about the outcomes of one’s actions, feedback received from earlier cases, and feelings related to applying TWMs. OPs’ perceived means to target these identified factors were linked to the following BCW intervention functions: education, training, persuasion, environmental restructuring, and enablement. The results suggest that at least these functions should be considered when designing future interventions. Conclusions Our study illustrates how theoretical frameworks TDF and BCW can be utilized in a RTW context to understand which determinants of physicians’ behavior need to be targeted, and how, to promote desired behaviors.

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Title: Application of the Theoretical Domains Framework and the Behaviour Change Wheel to Understand Physicians’ Behaviors and Behavior Change in Using Temporary Work Modifications for Return to Work: A Qualitative Study
Authors: Ritva Horppu
K. P. Martimo
E. MacEachen
T. Lallukka
E. Viikari-Juntura
Publication date: 01-03-2018
Publisher: Springer US
Published in: Journal of Occupational Rehabilitation / Issue 1/2018
Print ISSN: 1053-0487
Electronic ISSN: 1573-3688
DOI: https://doi.org/10.1007/s10926-017-9706-1

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Application of the Theoretical Domains Framework and the Behaviour Change Wheel to Understand Physicians’ Behaviors and Behavior Change in Using Temporary Work Modifications for Return to Work: A Qualitative Study

Abstract

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