Exploring the implementation of an ICF-based instrument and guideline for interprofessional collaboration in the return-to-work process

BackgroundInterprofessional collaboration among occupational health professionals (OHPs) is essential for guiding sick-listed employees and facilitating return to work (RTW). However, the lack of a shared language among different OHPs can hinder effective collaboration. To address this, an instrument and multidisciplinary guideline based on the International Classification of Functioning, Disability, and Health (ICF) were developed.ObjectiveThis study aimed to assess the feasibility of the ICF-based instrument and multidisciplinary guideline, as well as to explore OHPs' experiences to support implementation in daily practice.MethodsA triangulated mixed-methods design was used, combining OHPs assessing work capacity with the instrument in practice for sick-listed employees, followed by interviews, case reviews, and focus groups with both medical and non-medical OHPs. The Measurement Instrument for Determinants of Implementation (MIDI) guided data collection and analysis.ResultsOHPs experienced the ICF-based instrument as comprehensible, usable for providing sick leave guidance, and particularly valuable for enabling qualitative assessments of work capacity and RTW possibilities. The so-called d-codes included in the instrument, derived from the ICF-framework, facilitated communication between medical and non-medical professionals. OHPs also found the instrument supported shared decision-making by incorporating both employees' and employers' perspectives. Application was especially suited for complex cases of long-term sick leave.ConclusionsThis study highlights the potential of implementing the ICF-based instrument and multidisciplinary guideline in occupational health practice to improve interprofessional collaboration during sick leave and RTW. OHPs reported that the instrument supports capturing both the strengths and limitations of sick-listed employees, while also addressing workplace and personal factors.