preliminary outcomes of a democratic intervention program ... · copsoqin chile •validated in...
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Preliminary outcomes of a democratic intervention
program for psychosocial risk at the workplaceat the workplace
Ghent, September 19th-20th 2013
Juan Pérez-FrancoDepartment of Psychiatry and Mental Health
University of Chile
Copsoq in Chile
• Validated in 2008-2009 (Alvarado et al. 2012)
• Designing an intervention method on the work place, based on a participative -democratic approachdemocratic approach
• Spreading the idea of psychosocial risk instead of stress
• A turning point: Enactment of a decree making mandatory the use of COPSOQ for
epidemiological surveillance (2013)
Department of Psychiatry and Mental Health – University of Chile
Once we have measured, can we change risk in the
workplace? Do we have a useful method
of intervention? of intervention?
• We don’t know it for sure, but there are hints that we have one.
Department of Psychiatry and Mental Health – University of Chile
Core ideas of an intervention method
• Participatory
• Democratic
• Consensual• Consensual
• Compromised
• Confidential
• The Working Committee is key: all
decisions go through this.
Department of Psychiatry and Mental Health – University of Chile
Steps of an intervention method
• Motivation
• Consensus
• Creation of the Working Committee
• Sensitization of all staff
• Identification of units of analysis• Identification of units of analysis
• Application of the questionnaire
• Analysis of results
• Presentation of a public report
• Hierarchy ranking of problems and job units
• Coping with the identified problems
• Follow up the changes in time
• Reassessment (maybe two years)
Department of Psychiatry and Mental Health – University of Chile
1. Personnel rotation (staff for users attention).
2. Setting two different procedures (short and normal)
(Staff has now clear timing response).
3. Management of speed up requests.
4. Common criteria for approval or denial of personal
permissions.
Measures suggested by workers
permissions.
5. Software use training.
6. e-learning courses.
7. Re-launching of an institutional magazine.
8. Supervisors training.
9. Accurate job description.
10. Making ‘replicas’ for all workers of resolutions passed at
monthly meetings of supervisors with authority.
Department of Psychiatry and Mental Health – University of Chile
*60
70
80
90
100
Contrast of means (t-test) between 2009-2013 measurements (n=198/218)
*
***
*
0
10
20
30
40
50
CU CO EM EE ES IN CT PD ST IE RL CR CL RS RC ET IC IT DP DC
2009
2013
* p < 0,05 ** p < 0,01Department of Psychiatry and Mental Health – University of Chile
100
120
140
160
Fre
qu
en
cy
Frequency of number of days
Frequency of days of sick leaves 2009-2013 (workers n= 198/218)
0
20
40
60
80
0 1 2 3 4 5 6 7 8 9 10 11 12 13 15 16 18 20 21 24 25 27 28 30 37 39 40 50 60 65 79 84 100270
Fre
qu
en
cy
yr09
yr13
Department of Psychiatry and Mental Health – University of Chile
days
Sick leave days. Difference 2009-2013 Means contrast analysis
t test Mann-Whitney
Mean
2009
Mean
2013t p-value W p-value
Sick leave days 6.89 4.74 1.209 0.2276 23986 0.01222
0,3
0,4
0,5
0,6
Correlation between psychosocial dimensions (COPSOQ) and mental
symptoms (SF-36; Setterlin)
CU CO EM EE ES IN CT PD ST IE RL CR CL RS RC ET IC IT DP DC
estrés 0,43 0 0,49 0,3 0 0,34 0,23 0,18 0,24 0,23 0,33 0,4 0,28 0,27 0,22 0,43 0,43 0,49 0,54 0,13
depresión 0,44 0 0,5 0,37 -0,02 0,34 0,22 0,18 0,29 0,32 0,38 0,39 0,33 0,31 0,28 0,44 0,36 0,43 0,52 0,15
-0,1
0
0,1
0,2
0,3
Summary
• We have a validated an reliable tool
• A mandatory law for using it
• A participatory-democratic • A participatory-democratic
intervention method we have to
validate
• There are hints that it works
Department of Psychiatry and Mental Health – University of Chile
Thank you!!
Department of Psychiatry and Mental Health – University of Chile