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Table 3 Overview of program usage barriers and possible improvements of the program

From: The feasibility of a web-based counselling program for occupational physicians and employees on sick leave due to back or neck pain

Occupational physicians (OPs) Employees
Occupational physicians (OPs) Employees
- Low number of employees who met inclusion criteria
- Limited time during consult
- Preference for more familiar therapies and personal contact with employee
- Knowledge of OP is sufficient, no extra support needed
- No affinity with internet/webbased tools
- Practical obstacles (e.g. log-in problems, no acces to computer at work)
- Availability of other treatment which involves personal contact
- Conflict between exercises provided by secondary care and the website
- Advices and exercises do not fit personal situation
- Large amount of information
- Computer use not prefered during neck/back pain
- Technical problems
Improvements Improvements
Content Content
- Make it more easy to register an employee
-Use the same sorting system of employees as in the company
- Adding contact function on the website
- Change content into practical overview of information
- Shorter questionnaires
- More illustrations
- Link to website on company website
- Contact function via the website
- Customize the information more to employee's needs
Additional improvements Additional improvements
- More prominent role for supervisor/physiotherapist
- Focus on the prevention of sick leave and how to 'work' with pain.
- Involvement of the OP or other therapist
- Additional personal meeting focused on the counselling process
- Focus on prevention of sick leave
- More attention to psychological distress
Recruitment  
- Recruitment of employees in earlier stage