Artikel
Feasibilty study of the participatory IMPROVEjob intervention for general practices as an example for microenterprises
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Autoren
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Karen Linden
- Institut für Hausarztmedizin, Universitätsklinikum Bonn, Bonn, Deutschland
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Stefanie Kasten
- Institut für Hausarztmedizin, Universitätsklinikum Bonn, Bonn, Deutschland
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Lukas Degen
- Institut für Hausarztmedizin, Universitätsklinikum Bonn, Bonn, Deutschland
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Anna-Lisa Eilerts
- Institut für Medizinische Informatik, Biometrie und Epidemiologie, Universitätsklinikum Essen, Essen, Deutschland
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Kerstin Klidis
- Institut für Hausarztmedizin, Universitätsklinikum Bonn, Bonn, Deutschland
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Tanja Seifried-Dübon
- Abteilung Psychosomatische Medizin und Psychotherapie, Universitätsklinikum Tübingen, Tübingen, Deutschland
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Brigitte Werners
- Lehrstuhl für Betriebswirtschaftslehre, Ruhr-Universität Bochum, Bochum, Deutschland
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Esther Rind
- Institut für Arbeitsmedizin, Sozialmedizin und Versorgungsforschung, Universitätsklinikum Tübingen, Tübingen, Deutschland
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Claudia Pieper
- Institut für Medizinische Informatik, Biometrie und Epidemiologie, Universitätsklinikum Essen, Essen, Deutschland
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Florian Junne
- Abteilung Psychosomatische Medizin und Psychotherapie, Universitätsklinikum Tübingen, Tübingen, Deutschland
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Karl-Heinz Jöckel
- Institut für Medizinische Informatik, Biometrie und Epidemiologie, Universitätsklinikum Essen, Essen, Deutschland
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Monika Rieger
- Institut für Arbeitsmedizin, Sozialmedizin und Versorgungsforschung, Universitätsklinikum Tübingen, Tübingen, Deutschland
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Brigitta Weltermann
- Institut für Hausarztmedizin, Universitätsklinikum Bonn, Bonn, Deutschland
| Veröffentlicht: | 25. September 2020 |
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Gliederung
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Background: The prevalence of perceived high chronic psychological strain is twice-fold as high among German general practice physicians and non-physician medical staff compared to the general population (Viehmann et al. 2017). The IMPROVEjob project develops a participatory, interdisciplinary and multimodal intervention to improve job satisfaction of teams working in general practices. The IMPROVEjob intervention comprises the following elements:
- 1.
- three workshops focussing on leadership, communication, occupational health and safety, and practice organization;
- 2.
- a toolbox with additional material;
- 3.
- support by so-called IMPROVEjob facilitators. Prior to an effectiveness study, the feasibility of the intervention was evaluated in the target group.
Here, we present the results of the feasibility study of the workshops.
Methods: The study included 6 physicians and 19 practice assistants from 5 German general practices. After each workshop participants filled the ‘Questionnaire for Professional Training Evaluation’ (Q4TE). It addresses a) short-term (satisfaction, utility and knowledge) and b) long-term effects (application to practice, individual and global organizational results). Additionally, notes from verbal feedback by participants were analysed.
Results: The duration (3x 4 hours), the overall format and content of the workshops were acceptable to participants. Ratings of the Q4TE were higher among GPs than practice assistants: a) short-term: satisfaction: 9.38 (SD 0.51) vs. 7.13 (SD 2.21) of 10 points; utility 8.94 (SD 0.78) vs. 7.34 (SD 1.89), knowledge 8.47 (SD 0.75) vs. 5.02 (SD 2.31); b) long-term: application to practice 8.88 (SD 0.76) vs. 5.35 (SD 2.06), individual organizational results 8.14 (SD 1.3) vs. 4.29 (SD 2.65), global organizational results: 7.83 (SD 1.57) vs. 4.49 (SD 2.65).
Discussion: The IMPROVEjob workshops were highly accepted by the target population. Refinement to better address the needs of practice assistants was shown. High scores for expected long-term effects are especially noteworthy.
Practical Implications: The feasibility study of the workshops will help to tailor the intervention to the needs of the target group prior to the cluster randomised effectiveness study which will include 56 general practices.
