“Acquired brain injury and return to work”: the feasibility of a training program for insurance physicians

Figures & data

Table 1. The 1-day, 4-h training program plan “ABI and RTW” for IPs.

Topics related to IPs’ professional tasks	Teaching methods	Time
Introduction		5 min
ABI	Interactive lecture	10 min
Evaluation of the RTW process of patients with ABI	Interactive lecture Quizzes Exercises Simple case scenarios in small groups Plenary feedback More complex case scenarios in small groups, facilitated by instructor Plenary feedback Plenary discussion Reflection on own practice	1.5 h
Assessment of work capacity of patients with ABI	Interactive lecture Quizzes Exercise Case scenarios in small groups Plenary feedback Plenary discussion Reflection on own practice	1 h
Assessment of medical and functional prognosis of patients with ABI	Interactive lecture Quizzes Exercise Simple case scenarios in small groups Plenary feedback More complex case scenario derived from daily  practice in small groups, facilitated by instructor Plenary feedback Plenary discussion Reflection on own practice	1 h

Table 2. Acceptability of the “ABI and RTW” training program for IPs (N = 51).

	Statements (number of respondents)	Strongly disagree (N)	Disagree (N)	Agree (N)	Strongly agree (N)
1	The guideline is easy to read (N = 44)	0	1	37	6
2	The guideline is clear (N = 44)	0	1	37	6
3	The guideline is relevant for daily practice (N = 47)	0	1	34	12
4	The guideline is useful for daily practice (N = 47)	0	1	34	12
5	The guideline is appropriate for use with patients with ABI in daily practice (N = 47)	0	1	36	10
6	The guideline is appropriate for assessing the functional capacity of patients with ABI (N = 45)	0	5	31	9
7	The guideline is appropriate for assessing the prognosis of patients with ABI (N = 45)	0	1	36	8
8	I intend to continue using the guideline (N = 44)	0	0	28	16

Table

1. Facilitators of implementation

Familiarity with guideline

“That attention is paid to this” (participant 12)

Training

“Practise/discuss with colleagues” (participant 51)

Summaries

“Clear and well-organized; the summary card is particularly useful as a guide for practice” (participant 44)

Utility

“Easy to apply” (participant 5)

“Being given enough time by the Dutch National Institute for Employee Benefit Schemes to do high-quality assessment” (participant 24)

“Attractive design” (participant 1)

2. Barriers to implementation

Training

“Lots of tests” (participant 22)

Utility

“If one of the 3–4 physicians (rehabilitation physician, general practitioner, occupational physician, insurance physician) doesn’t use the guideline” (participant 42)

“A guideline can be difficult to apply at the case level” (participant 50)

“Time constraints in daily practice, also in view of timeliness” (participant 25)

“Lots of information to go through every time” (participant 36)

3. Needed/necessary when implementation is hindered

Familiarity with guideline

“Should pay attention to this” (participant 35)

Training

“Compulsory refresher courses” (participant 23)

“Regularly discuss in case histories” (participant 32)

“Brush up on an occasional basis” (participant 30)

Utility

“Effective consultation with the other disciplines” (participant 39)

Design

“Brief and succinct execution” (participant 29)

Time

“Allow the time to apply this well” (participant 2)