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Implementation Science and Employer Disability Practices: Embedding Implementation Factors in Research Designs
Arthritis Care UK Primary Care Center, Keele University, North Staffordshire, UK.
Pain Management Research Institute, Sydney Medical School – Northern, Royal North Shore Hospital, St. Leonards, NSW, 2065, Australia.
Liberty Mutual Research Institute for Safety, Hopkinton MA, USA; University of Massachusetts Medical School, Worcester MA, USA.
George Mason University, Fairfax VA, USA.
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2016 (English)In: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688, Vol. 26, no 4, p. 448-464, article id 27796914Article in journal (Refereed) Published
Abstract [en]

Purpose: For work disability research to have an impact on employer policies and practices it is important for such research to acknowledge and incorporate relevant aspects of the workplace. The goal of this article is to summarize recent theoretical and methodological advances in the field of Implementation Science, relate these to research of employer disability management practices, and recommend future research priorities.

Methods: The authors participated in a year-long collaboration culminating in an invited 3-day conference, “Improving Research of Employer Practices to Prevent Disability”, held October 14–16, 2015, in Hopkinton, MA, USA. The collaboration included a topical review of the literature, group conference calls to identify key areas and challenges, drafting of initial documents, review of industry publications, and a conference presentation that included feedback from peer researchers and a question/answer session with a special panel of knowledge experts with direct employer experience.

Results: A 4-phase implementation model including both outer and inner contexts was adopted as the most appropriate conceptual framework, and aligned well with the set of process evaluation factors described in both the work disability prevention literature and the grey literature. Innovative interventions involving disability risk screening and psychologically-based interventions have been slow to gain traction among employers and insurers. Research recommendations to address this are : (1) to assess organizational culture and readiness for change in addition to individual factors; (2) to conduct process evaluations alongside controlled trials; (3) to analyze decision-making factors among stakeholders; and (4) to solicit input from employers and insurers during early phases of study design.

Conclusions: Future research interventions involving workplace support and involvement to prevent disability may be more feasible for implementation if organizational decision-making factors are imbedded in research designs and interventions are developed to take account of these influences. 

Place, publisher, year, edition, pages
Springer-Verlag New York, 2016. Vol. 26, no 4, p. 448-464, article id 27796914
Keywords [en]
Disability prevention, Implementation factors, Research priorities, Workplace interventions, disabled person, human, methodology, occupational accident, organization and management, program development, workplace, Disabled Persons, Humans, Occupational Injuries, Research Design
National Category
Public Health, Global Health, Social Medicine and Epidemiology Work Sciences
Identifiers
URN: urn:nbn:se:oru:diva-90848DOI: 10.1007/s10926-016-9677-7ISI: 000392946000006PubMedID: 27796914Scopus ID: 2-s2.0-84992702540OAI: oai:DiVA.org:oru-90848DiVA, id: diva2:1541485
Available from: 2021-04-01 Created: 2021-04-01 Last updated: 2021-04-07Bibliographically approved

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Linton, Steven J.

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