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Health risk appraisals in Swedish occupational health services
Karolinska Inst, Div Phys Therapy, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden.;Karolinska Univ Hosp, Funct Area Occupat Therapy & Physiotherapy, Allied Hlth Profess Funct, Stockholm, Sweden..
Karolinska Inst, Inst Environm Med, Stockholm, Sweden.;Stockholm Cty Council, Ctr Occupat & Environm Med, CAMM, Stockholm, Sweden..
Karolinska Inst, Inst Environm Med, Stockholm, Sweden.;Stockholm Cty Council, Ctr Occupat & Environm Med, CAMM, Stockholm, Sweden..
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2016 (English)In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 55, no 4, p. 849-859Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Health risk appraisals (HRAs) in occupational health services (OHS) in Sweden are very commonly used for health promotion issues, but not much research has explored the extent and nature of individual feedback that is provided. OBJECTIVES: This study aimed to describe and explore HRAs in OHS regarding the content of the feedback in relation to the individual status and overall employee satisfaction. METHODS: Feedback (evaluation and advice) and employee satisfaction with HRA were studied in employees that participated in health risk appraisals with a specific feedback session (HRA-F) (n = 272) and employees that participated in a single session (HRA-S) (n = 104). Associations between feedback and individual status concerning life style were assessed with Cohen's kappa (k). RESULTS: The employees received mainly information and advice for improvement on health and lifestyle issues (89-100%), while advice for improvement of working conditions was less common (15-59%). The feedback provided on life style was not based on individual status (k < 0.4), except for smoking and risky alcohol consumption (k > 0.55). A great majority of employees reported good overall satisfaction with their HRAs. CONCLUSIONS: The evaluation and feedback given to employees after HRAs should be based more on HRA-results and advice could be focused more on work-related factors.

Place, publisher, year, edition, pages
2016. Vol. 55, no 4, p. 849-859
Keywords [en]
Health examinations, occupational health, occupational medicine, public health
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:uu:diva-315943DOI: 10.3233/WOR-162443ISI: 000392189400014PubMedID: 28059808OAI: oai:DiVA.org:uu-315943DiVA, id: diva2:1076439
Funder
AFA InsuranceThe Karolinska Institutet's Research FoundationAvailable from: 2017-02-22 Created: 2017-02-22 Last updated: 2017-11-29Bibliographically approved

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