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Maddineshat M, Cheraghi F, Ghaleiha A, Khalafbeigi M, Sadeghian E. Exploring the return-to-work process in working people with serious mental illness. Arch Psychiatr Nurs 2022; 38:21-28. [PMID: 35461643 DOI: 10.1016/j.apnu.2021.12.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/24/2021] [Revised: 12/18/2021] [Accepted: 12/24/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND Few studies examined the return-to-work (RTW) process in working people after recovery from serious mental illness (SMI). PURPOSE The RTW process was explored in working people with SMI. METHOD A qualitative study was conducted using the grounded theory. Twenty seven interviews were analyzed using Corbin and Strauss's approach (2015). RESULTS The core category "syncing with an ordinary workstream" emerged with three categories: "proceeding RTW strategies," "staying at work strategies," and "relative adaptation with work." CONCLUSION "Syncing with an ordinary workstream" can help researchers develop a new practice model to facilitate the RTW process in working people with SMI.
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Affiliation(s)
- Maryam Maddineshat
- School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran. https://twitter.com/MMaddineshat
| | - Fatemeh Cheraghi
- School of Nursing and Midwifery, Chronic Disease (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Ali Ghaleiha
- Research Center for Behavioral Disorders and Substance Abuse, Hamadan University of Medical Sciences, Hamadan, Iran. https://twitter.com/drghalehia
| | - Mitra Khalafbeigi
- Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran. https://twitter.com/BeigiMitra
| | - Efat Sadeghian
- School of Nursing and Midwifery, Chronic Diseases (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.
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Petit A, Le Borgne M, Albert V, Durand MJ. The Quebec Questionnaire of Representations related to Work Disability (QRWoD): Cross-cultural adaptation, validity and reliability in French chronic low back pain workers. J Back Musculoskelet Rehabil 2021; 34:1041-1048. [PMID: 34092589 DOI: 10.3233/bmr-200093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Addressing chronic low back pain (cLBP) from the point of view of representation allows better understanding the behaviors associated with it and thus improve its medical and socio-occupational management. The Quebec Questionnaire of Representations related to Work Disability (QRWoD) proposes an evaluation of 9 dimensions of the cLBP-related representation. OBJECTIVE To translate and adapt the QRoWD to French language and assess its validity and reliability in French cLBP workers on prolonged sick leave. METHODS A prospective study was conducted from March 2017 to April 2018 in the Department of occupational health of the University Hospital of Angers, France. The QRWoD is a self-administered questionnaire (87 items) which assesses Identity, Acute/Chronic duration, Consequences, Personal Control, Treatment Control, Cyclical Timeline, Coherence, Emotional Representation and Causes dimensions. The Internal consistency (Cronbach's α) and the convergent validity (Pearson correlations) in comparison to validated instruments for each dimension were assed. RESULTS Fifty French workers (29 men, 43 ± 9.1 years, 293.6 ± 173.0 days of work absence) were included. The internal consistency (all α> 0.7) and the convergent validity (all r2> 0.25, p< 0.01) of each dimension were very satisfactory except for the Cyclical Timeline dimension. CONCLUSIONS The French version of the QRoWD seems to be valid and relevant among the target population.
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Affiliation(s)
- Audrey Petit
- University of Angers, Inserm, EHESP, Irset - UMR-S 1085, Angers, France.,Department of Occupational Medicine, University Hospital of Angers, Angers, France
| | - Margaux Le Borgne
- LPPL, UPRES EA 4638, Laboratoire de Psychologie des Pays-de-la-Loire, Chemin de la Censive-du-Tertre, BP 81227, 44312 Nantes Cedex 3, France
| | - Valérie Albert
- Public Health Department, Laurentian Integrated Health and Social Services Centre, Saint-Jérôme, QC J7Z 5T3, Canada
| | - Marie-José Durand
- School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Suite 200, Longueuil, QC, J4K 0A8, Canada
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Maddineshat M, Cheraghi F, Ghaleiha A, Khalafbeigi M, Sadeghian E. Identifying Return to Work Perception in People With Serious Mental Illness: A Qualitative Study. J Psychosoc Nurs Ment Health Serv 2021; 60:11-20. [PMID: 34677119 DOI: 10.3928/02793695-20211014-02] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
The current qualitative study sought to identify return to work (RTW) perception among people with serious mental illness (SMI) referred to a psychiatric hospital affiliated with Hamadan University of Medical Sciences. In total, 24 individuals were recruited, including working people with SMI, families, employers, and mental health team members who participated in in-depth, semi-structured interviews. Forty interviews were conducted. Interviews were analyzed based on the conventional content analysis approach. Accordingly, two themes were found, including The Need to Continue Working and Flexible and Supportive Strategies. The first theme included two categories: personal obligations and socioeconomic necessities. The second theme included three categories: coping with mental illness, requesting support from others, and coping with work conditions. Findings revealed that the need to continue working has a significant effect on RTW perception among people with SMI. [Journal of Psychosocial Nursing and Mental Health Services, xx(xx), xx-xx.].
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Pahlplatz TMJ, Schafroth MU, Krijger C, Hylkema TH, van Dijk CN, Frings-Dresen MHW, Kuijer PPFM. Beneficial and limiting factors in return to work after primary total knee replacement: Patients' perspective. Work 2021; 69:895-902. [PMID: 34180460 PMCID: PMC8385499 DOI: 10.3233/wor-213522] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND: Return to work (RTW) is an important outcome in Total Knee Arthroplasty (TKA). At present, 70–80%of TKA patients return to work within three to six months. OBJECTIVE: What are patients’ perspectives regarding beneficial and limiting factors in RTW after TKA? METHODS: Focus groups were formed in accordance with the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist. Three major topics were explored: 1. What was beneficial for RTW after TKA; 2. What was limiting for RTW after TKA; and 3. What additional care would benefit RTW after TKA? RESULTS: Data saturation was reached after four focus groups, comprising 17 participants—nine men and eight women (median age 58, range 52–65). The focus group study identified four main themes that contributed to a successful RTW namely rehabilitation (medical) like post-operative physical therapy, patient characteristics (personal), like motivation to RTW, occupational characteristics (work-related) like build-up in work tasks and medical support (medical) like availability of a walker or crutches. CONCLUSION: According to participants, factors within the following four themes can contribute to a successful return to work: occupational, patient, rehabilitation and medical care. Incorporating these factors into the integrated care pathway for the “young” TKA patients may increase the chances of a successful RTW.
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Affiliation(s)
- T M J Pahlplatz
- Amsterdam UMC, University of Amsterdam, Department of Orthopaedic Surgery, Amsterdam, the Netherlands.,University of Amsterdam, Amsterdam Movement Sciences, Amsterdam, the Netherlands
| | - M U Schafroth
- Amsterdam UMC, University of Amsterdam, Department of Orthopaedic Surgery, Amsterdam, the Netherlands.,University of Amsterdam, Amsterdam Movement Sciences, Amsterdam, the Netherlands
| | - C Krijger
- Amsterdam UMC, University of Amsterdam, Department of Orthopaedic Surgery, Amsterdam, the Netherlands.,University of Amsterdam, Amsterdam Movement Sciences, Amsterdam, the Netherlands
| | - T H Hylkema
- University Medical Center Groningen, Department of Orthopaedic Surgery and Department of Community and Occupational Medicine, Groningen, the Netherlands
| | - C N van Dijk
- Amsterdam UMC, University of Amsterdam, Department of Orthopaedic Surgery, Amsterdam, the Netherlands.,University of Amsterdam, Amsterdam Movement Sciences, Amsterdam, the Netherlands
| | - M H W Frings-Dresen
- Amsterdam UMC, University of Amsterdam, Department Public and Occupational Health, Amsterdam Public Health research institute Amsterdam, Amsterdam Movement Sciences, the Netherlands
| | - P P F M Kuijer
- Amsterdam UMC, University of Amsterdam, Department Public and Occupational Health, Amsterdam Public Health research institute Amsterdam, Amsterdam Movement Sciences, the Netherlands
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Abstract
Social representation theory provides a framework for studying how scientific knowledge affects common sense and communication through inquiries into everyday discourse. This qualitative study examined social representations of chronic pain from 4 sources: North American newspapers; "Chronic Illness Cat" memes from the social media web site, Pinterest; video blogs on YouTube; and from a 2014 film, Cake, and interviews and comments concerning it. Using thematic analysis, we first identified social representations found in our 4 sources and others found in 1 or 2 of them. Second, we analyzed the sources for their rhetorical intentions. Vlogs directly and memes indirectly were first-person accounts, self-authorizing statements of the truth of chronic pain, whereas newspaper articles and the film were third-person accounts of pain, the differences between these perspectives affecting what was said. We conclude that the medium shapes the message.
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Maillette P, Coutu MF, Gaudreault N. Workers’ perspectives on return to work after total knee arthroplasty. Ann Phys Rehabil Med 2017; 60:299-305. [DOI: 10.1016/j.rehab.2017.01.004] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2016] [Revised: 01/18/2017] [Accepted: 01/19/2017] [Indexed: 11/28/2022]
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Bunzli S, Singh N, Mazza D, Collie A, Kosny A, Ruseckaite R, Brijnath B. Fear of (re)injury and return to work following compensable injury: qualitative insights from key stakeholders in Victoria, Australia. BMC Public Health 2017; 17:313. [PMID: 28399837 PMCID: PMC5387374 DOI: 10.1186/s12889-017-4226-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2016] [Accepted: 04/05/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Return to work (RTW) is important for recovery post-injury. Fear of (re)injury is a strong predictor of delayed RTW, and therefore much attention has been given to addressing injured workers' fear beliefs. However, RTW is a socially-negotiated process and it may be important to consider the wider social context of the injured worker, including the beliefs of the key people involved in their RTW journey. METHODS This paper involves data collected as part of a wider study in which semi-structured interviews explored RTW from the perspectives of 93 key stakeholders: injured workers, GPs, employers and insurance case managers in Victoria, Australia. Inductive analysis of interview transcripts identified fear of (re)injury as a salient theme across all stakeholder groups. This presented an opportunity to analyse how the wider social context of the injured worker may influence fear and avoidance behaviour. Two co-authors performed inductive analysis of the theme 'fear of (re)injury'. Codes identified in the data were grouped into five categories. Between and within category analysis revealed three themes describing the contextual factors that may influence fear avoidance and RTW behaviour. RESULTS Theme one described how injured workers engaged in a process of weighing up the risk of (re)injury in the workplace against the perceived benefits of RTW. Theme two described how workplace factors could influence an injured workers' perception of the risk of (re)injury in the workplace, including confidence that the source of the injury had been addressed, the availability and suitability of alternative duties. Theme three described other stakeholders' reluctance to accept injured workers back at work because of the fear that they might reinjure themselves. CONCLUSIONS Our findings illustrate the need for a contextualised perspective of fear avoidance and RTW behaviour that includes the beliefs of other important people surrounding the injured worker (e.g. employers, family members, GPs). Existing models of health behaviour such as The Health Beliefs Model may provide useful frameworks for interventions targeting the affective, cognitive, social, organisational and policy factors that can influence fear avoidance or facilitate RTW following injury.
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Affiliation(s)
- Samantha Bunzli
- The University of Melbourne, Department of Surgery, St Vincent's Hospital, Melbourne, Australia.
| | - Nabita Singh
- Department of General Practice, School of Primary Care, Faculty of Medicine Nursing and Health Sciences, Monash University, Melbourne, Australia
| | - Danielle Mazza
- Department of General Practice, School of Primary Care, Faculty of Medicine Nursing and Health Sciences, Monash University, Melbourne, Australia
| | - Alex Collie
- Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Faculty of Medicine Nursing and Health Sciences, Monash University, Melbourne, Australia
| | | | - Rasa Ruseckaite
- Transfusion Research Unit, Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Faculty of Medicine Nursing and Health Sciences, Monash University, Melbourne, Australia
| | - Bianca Brijnath
- School of Occupational Therapy and Social Work, Curtin University, Perth, Australia
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Roquelaure Y. Promoting a Shared Representation of Workers' Activities to Improve Integrated Prevention of Work-Related Musculoskeletal Disorders. Saf Health Work 2016; 7:171-4. [PMID: 27340607 PMCID: PMC4909852 DOI: 10.1016/j.shaw.2016.02.001] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2015] [Revised: 01/30/2016] [Accepted: 02/06/2016] [Indexed: 11/27/2022] Open
Abstract
Effective and sustainable prevention of work-related musculoskeletal disorders (WR-MSDs) remains a challenge for preventers and policy makers. Coordination of stakeholders involved in the prevention of WR-MSDs is a key factor that requires greater reflection on common knowledge and shared representation of workers' activities among stakeholders. Information on workers' strategies and operational leeway should be the core of common representations, because it places workers at the center of the "work situation system" considered by the intervention models. Participatory ergonomics permitting debates among stakeholders about workers' activity and strategies to cope with the work constraints in practice could help them to share representations of the "work situation system" and cooperate. Sharing representation therefore represents a useful tool for prevention, and preventers should provide sufficient space and time for dialogue and discussion of workers' activities among stakeholders during the conception, implementation, and management of integrated prevention programs.
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Affiliation(s)
- Yves Roquelaure
- University of Angers, Laboratory of Ergonomics and Epidemiology in Occupational Health (LEEST), Angers, France
- Research Institute for Environmental and Occupational Health (IRSET), Rennes, France
- University Hospital, Angers, France
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Sylvain C, Lamothe L, Berthiaume Y, Rabasa-Lhoret R. How patients' representations of cystic fibrosis-related diabetes inform their health behaviours. Psychol Health 2016; 31:1129-44. [PMID: 27112101 DOI: 10.1080/08870446.2016.1183008] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
BACKGROUND Although diabetes is a frequent complication of cystic fibrosis (CF), patients' behaviours tend not to comply with best practice recommendations. Using Leventhal's Common-Sense Model, we address this issue by exploring patients' representations of CF-related diabetes (CFRD) to better understand the discrepancy between patients' expected and observed health behaviours. METHODS Semi-structured individual interviews were conducted with patients (n = 39) in six CF clinics in Quebec, Canada. These interviews were part of a larger research project on screening and management practices for CFRD. RESULTS Illness representations differed between two groups of interviewed patients: (1) one group had either CF without dysglycemia or CF with impaired glucose tolerance; and (2) the other group had CFRD. Both representations were internally consistent and encompassed Leventhal's five dimensions of illness representation: illness identity, cause, timeline, consequences and control. CONCLUSIONS Patients require specific information on CFRD. The screening phase could be a crucial time to help patients adjust their representations to fit the reality of CFRD.
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Affiliation(s)
- Chantal Sylvain
- a School of Rehabilitation , Université de Sherbrooke, Centre for Action in Work Disability Prevention and Rehabilitation (CAPRIT) , Longueuil , Canada
| | - Lise Lamothe
- b School of Public Health , Université de Montréal, Université de Montréal Public Health Research Institute (IRSPUM) , Montréal , Canada
| | - Yves Berthiaume
- c Department of medicine , Université de Montréal, Institut de Recherches Cliniques de Montréal (IRCM) , Montréal , Canada
| | - Rémi Rabasa-Lhoret
- d Department of Nutrition , Université de Montréal, Institut de Recherches Cliniques de Montréal (IRCM) , Montréal , Canada
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Andersen MF, Nielsen K, Brinkmann S. How do workers with common mental disorders experience a multidisciplinary return-to-work intervention? A qualitative study. JOURNAL OF OCCUPATIONAL REHABILITATION 2014; 24:709-24. [PMID: 24532340 PMCID: PMC4229648 DOI: 10.1007/s10926-014-9498-5] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/02/2023]
Abstract
PURPOSE Long-term sick leave due to common mental disorders (CMD) is an increasing problem in many countries. Recent reviews indicate that return to work (RTW) interventions have limited effect on reducing sickness absence among this group of sick-listed. The aims of this study were to investigate how sick-listed persons with CMD experienced participating in an RTW intervention and how workability assessments and RTW activities influenced their RTW-process, and to examine the working mechanisms of the intervention. The gained knowledge can help improve future RTW intervention design and implementation. METHODS In-depth interviews were conducted with 17 participants on sick leave due to CMD who participated in an RTW intervention. Interviews were conducted at three time points with each participant. Principles of interpretative phenomenological analyses guided the analysis. RESULTS The workability assessment consultations and RTW activities such as psychoeducative group sessions and individual sessions with psychologist could result in both motivation and frustration depending on the extent to which the RTW professionals practiced what we have termed an individual approach to the sick-listed person. CONCLUSIONS The individual approach seems necessary for the realization of the positive potential in the RTW intervention. However, the fact that RTW professionals are both the facilitators and the controllers of the sick-listed persons' RTW process is an inherent paradox in the intervention, which can impede the necessary establishment of a high-quality relationship between the sick-listed persons and RTW professionals.
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Affiliation(s)
- Malene Friis Andersen
- National Research Centre for the Working Environment, Lersø Parkallé 105, 2100, Copenhagen ∅, Denmark,
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Predicting non return to work after orthopaedic trauma: the Wallis Occupational Rehabilitation RisK (WORRK) model. PLoS One 2014; 9:e94268. [PMID: 24718689 PMCID: PMC3981787 DOI: 10.1371/journal.pone.0094268] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2013] [Accepted: 03/14/2014] [Indexed: 01/01/2023] Open
Abstract
Background Workers with persistent disabilities after orthopaedic trauma may need occupational rehabilitation. Despite various risk profiles for non-return-to-work (non-RTW), there is no available predictive model. Moreover, injured workers may have various origins (immigrant workers), which may either affect their return to work or their eligibility for research purposes. The aim of this study was to develop and validate a predictive model that estimates the likelihood of non-RTW after occupational rehabilitation using predictors which do not rely on the worker’s background. Methods Prospective cohort study (3177 participants, native (51%) and immigrant workers (49%)) with two samples: a) Development sample with patients from 2004 to 2007 with Full and Reduced Models, b) External validation of the Reduced Model with patients from 2008 to March 2010. We collected patients’ data and biopsychosocial complexity with an observer rated interview (INTERMED). Non-RTW was assessed two years after discharge from the rehabilitation. Discrimination was assessed by the area under the receiver operating curve (AUC) and calibration was evaluated with a calibration plot. The model was reduced with random forests. Results At 2 years, the non-RTW status was known for 2462 patients (77.5% of the total sample). The prevalence of non-RTW was 50%. The full model (36 items) and the reduced model (19 items) had acceptable discrimination performance (AUC 0.75, 95% CI 0.72 to 0.78 and 0.74, 95% CI 0.71 to 0.76, respectively) and good calibration. For the validation model, the discrimination performance was acceptable (AUC 0.73; 95% CI 0.70 to 0.77) and calibration was also adequate. Conclusions Non-RTW may be predicted with a simple model constructed with variables independent of the patient’s education and language fluency. This model is useful for all kinds of trauma in order to adjust for case mix and it is applicable to vulnerable populations like immigrant workers.
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Coutu MF, Baril R, Durand MJ, Côté D, Cadieux G. Clinician-patient agreement about the work disability problem of patients having persistent pain: why it matters. JOURNAL OF OCCUPATIONAL REHABILITATION 2013; 23:82-92. [PMID: 22996342 DOI: 10.1007/s10926-012-9387-8] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/18/2023]
Abstract
BACKGROUND Studies from different fields documenting the differences between clinicians' and workers' representations have not elucidated where the differences exist or how they can be resolved. PURPOSE To define and describe scenarios depicting the differences between clinical judgment, workers' representations about their disability and clinicians' interpretations of these representations. METHODS A multiple case-study design was used. Semi-structured prospective interviews were conducted at four points in time, with five clinicians managing 12 cases of workers having persistent pain and participating in an evidence-based work rehabilitation program. RESULTS Four scenarios depicting differences in representations were found, but not all the differences necessarily had a negative impact on the program outcomes. For the clinicians, clear identification of the problem was important to allow for the use of concrete, pragmatic strategies. For the workers, congruence between the proposed strategy and their representations was crucial. CONCLUSION During rehabilitation, the objectives must be acceptable to both parties or the proposed strategy must, at least, make sense to the patient.
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Affiliation(s)
- Marie-France Coutu
- Centre for Action in Work Disability Prevention and Rehabilitation, School of Rehabilitation, Université de Sherbrooke, 150 Place Charles LeMoyne, Longueuil, QC, J4K 0A8, Canada.
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O’Hagan FT, Coutu MF, Baril R. A case of mistaken identity? The role of injury representations in chronic musculoskeletal pain. Disabil Rehabil 2013; 35:1552-63. [DOI: 10.3109/09638288.2012.748835] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Albert V, Coutu MF, Durand MJ. Internal consistency and construct validity of the Revised Illness Perception Questionnaire adapted for work disability following a musculoskeletal disorder. Disabil Rehabil 2012; 35:557-65. [DOI: 10.3109/09638288.2012.702849] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Côté D. Intercultural communication in health care: challenges and solutions in work rehabilitation practices and training: a comprehensive review. Disabil Rehabil 2012; 35:153-63. [PMID: 22616895 DOI: 10.3109/09638288.2012.687034] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
PURPOSE The purpose of this comprehensive literature review it to explore cross-cultural issues in occupational rehabilitation and work disability prevention. METHOD A literature review on cross-cultural issues was performed in medicine, health sciences, and social sciences databases (PubMed, Ingenta, Canadian Centre for Occupational Health and Safety, Ergonomics Abstract, Google Scholar, OSH Update and the Quebec Workers' Compensation Board data base). A total of 27 documents published until 2010 in English or French were selected and analyzed. RESULTS Cross-cultural issues in occupational rehabilitation show that representations of pain, communication and therapist-patient relationship and intercultural competence could be presented as the major topics covered in the selected literature. As for the general topic of immigrant workers and OSH, barriers were identified revealing personal, relational, contextual and structural levels that put immigrant and minority workers in situation of vulnerability (ex. linguistic and cultural barriers, lack of knowledge of the system, precarious work or exposition to higher risk hazards, etc.). Cultural issues in occupational rehabilitation put less attention to work-related contextual factors but emphasized on attitude and pain behaviours, perceptions of illness and appropriate treatment, therapist-patient relationship and cultural competences among OT professionals. CONCLUSIONS The growth of immigration in countries such as Canada poses a real challenge to the delivery of health care and rehabilitation services. Despite growing concerns in providing culturally appropriate heath cares, intervention models, tools and training tools are still lacking in occupational rehabilitation and disability management. Nevertheless, cultural competence seems to be a promising concept to be implemented in work rehabilitation and disability management.
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Affiliation(s)
- Daniel Côté
- Occupational Health and Safety Research Institute Robert-Sauvé (IRSST) Quebec, Canada.
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Coutu MF, Baril R, Durand MJ, Côté D, Cadieux G. Health and illness representations of workers with a musculoskeletal disorder-related work disability during work rehabilitation: a qualitative study. JOURNAL OF OCCUPATIONAL REHABILITATION 2011; 21:591-600. [PMID: 21544669 DOI: 10.1007/s10926-011-9311-7] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
INTRODUCTION Distinctions between disease and illness have been criticized for being too theoretical. In practice, however, it may help explain gaps in understanding and miscommunication between health care professionals and patients/injured workers, since each has their own perception of reality. To reduce the gap between health care professionals and patients in understanding the definition of disease, this paper documents general representations of health, illness and work-related musculoskeletal disorders and their influence on the work rehabilitation program. METHODS A qualitative methodology was used. Semi-structured interviews were conducted with 16 participants (male, female) recruited when they were starting an intensive interdisciplinary work rehabilitation program for chronic pain due to a musculoskeletal disorder. Interviews were performed at three points during the program and 1 month after discharge. RESULTS First, participants described health and illness in terms of: (1) illness prototype; (2) the absence or presence of symptoms; (3) physical health and capacities; (4) engaging in a healthy lifestyle; (5) maintaining independence; (6) preserving mental well-being; and (7) healing from accidents or injuries. A second observation was that rehabilitation success depended on workers transitioning from a less mechanistic to a more functional view of health. CONCLUSION This study highlights the importance of identifying and acknowledging workers' health, illness and WRMSD representations to facilitate their return to work.
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Affiliation(s)
- Marie-France Coutu
- Centre for Action in Work Disability Prevention and Rehabilitation, School of Rehabilitation, Université de Sherbrooke, 1111 St-Charles Street West, Longueuil, Quebec, Canada.
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Noordik E, Nieuwenhuijsen K, Varekamp I, van der Klink JJ, van Dijk FJ. Exploring the return-to-work process for workers partially returned to work and partially on long-term sick leave due to common mental disorders: a qualitative study. Disabil Rehabil 2010; 33:1625-35. [PMID: 21171843 DOI: 10.3109/09638288.2010.541547] [Citation(s) in RCA: 60] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
PURPOSE We conducted a qualitative study into the return-to-work process of workers partially on sick leave due to common mental disorders. Our objectives were to describe the barriers to a full return to work, solutions, communicating to the working environment and the aim of a full return to work, all as perceived by the workers. METHOD Workers who had partially returned to work and were partially on long-term sick leave due to a stress-related, anxiety or depressive disorder were eligible for this study. Fourteen workers were interviewed and the interviews were transcribed verbatim and coded. RESULTS The perceived main barriers were: inability to set limits, recognise exhaustion and to control cognitions and behaviour such as perfectionism. A general pattern in the process was that all workers perceived barriers to a full return to work; most workers were able to mention solutions; all workers aimed for a full return to work, and after some time all workers were met with sufficient understanding and social support from their supervisor and health care professional. However, hardly any worker intended to implement or utilise the solutions at the workplace, except the structural adaptations of the work demands. CONCLUSIONS The pattern we found suggests a critical intention-behaviour gap between solutions and intentions for a full return to work and its implementation at work. This implies that we should develop new interventions that focus on helping workers and their environment to bridge this gap.
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Affiliation(s)
- Erik Noordik
- Coronel Institute of Occupational Health, University of Amsterdam, 1100 DE Amsterdam, The Netherlands.
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Abstract
Low back pain is a leading cause of work disability and constitutes a significant socioeconomic burden worldwide. In an attempt to stem the serious consequences of long-term disability, a new approach for back pain in primary care is being disseminated. It mainly focusses on identifying the relationship between pain/disability and work, recognising important workplace and psychosocial issues, providing patients reassuring messages about activity, facilitating the return to work process and engaging other resources as needed. This article examines current expert opinion and available evidence on work issues for effective back pain management. In general, return to work, if safe, is beneficial for recovery and well-being. Some cases might require physicians to actively communicate with employers, claims managers and others in order to achieve safe and sustained return to work, while in most instances, simple efforts to identify and discuss work issues directly with the patient can lead to better work outcomes.
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Affiliation(s)
- Kátia M Costa-Black
- Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
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19
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Boot CRL, van Exel NJA, van der Gulden JWJ. "My lung disease won't go away, it's there to stay": profiles of adaptation to functional limitations in workers with asthma and COPD. JOURNAL OF OCCUPATIONAL REHABILITATION 2009; 19:284-292. [PMID: 19507010 PMCID: PMC2712061 DOI: 10.1007/s10926-009-9185-0] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/11/2009] [Accepted: 05/25/2009] [Indexed: 05/27/2023]
Abstract
PURPOSE Earlier research has shown that adaptation (i.e., the way in which employees cope with limitations resulting from their disease) is associated with sick leave. Our aim was to investigate signs of adequate or inadequate adaptation in employees with asthma and COPD. METHODS A Q-methodological study was carried out among 34 workers with asthma or COPD. RESULTS Four adaptation profiles were distinguished: the eager, the adjusted, the cautious, and the worried workers. The adaptation profiles provide insight into the different ways in which workers with asthma and COPD cope with their illness at work. CONCLUSIONS The adaptation profiles serve as a starting point for the design of appropriate (occupational) care. The eager workers experience little difficulties at work; the cautious workers may need assistance in learning how to accept their disease; the worried workers need reassurance, and may need reactivation; the adjusted workers deserve extra attention, and, when necessary, advice on how to live with their asthma or COPD.
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Affiliation(s)
- C. R. L. Boot
- Department of Primary Care and Public Health Nijmegen, Radboud University Medical Centre Nijmegen, Nijmegen, The Netherlands
- Department of Public and Occupational Health, VU University Medical Center, EMGO Institute for Health and Care Research, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands
| | - N. J. A. van Exel
- Department of Health Policy and Management, Erasmus Medical Centre, Rotterdam, The Netherlands
| | - J. W. J. van der Gulden
- Department of Primary Care and Public Health Nijmegen, Radboud University Medical Centre Nijmegen, Nijmegen, The Netherlands
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Melloh M, Aebli N, Elfering A, Röder C, Zweig T, Barz T, Herbison P, Hendrick P, Bajracharya S, Stout K, Theis JC. Development of a screening tool predicting the transition from acute to chronic low back pain for patients in a GP setting: protocol of a multinational prospective cohort study. BMC Musculoskelet Disord 2008; 9:167. [PMID: 19099569 PMCID: PMC2630319 DOI: 10.1186/1471-2474-9-167] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/24/2008] [Accepted: 12/19/2008] [Indexed: 01/07/2023] Open
Abstract
BACKGROUND Low back pain (LBP) is by far the most prevalent and costly musculoskeletal problem in our society today. Following the recommendations of the Multinational Musculoskeletal Inception Cohort Study (MMICS) Statement, our study aims to define outcome assessment tools for patients with acute LBP and the time point at which chronic LBP becomes manifest and to identify patient characteristics which increase the risk of chronicity. METHODS Patients with acute LBP will be recruited from clinics of general practitioners (GPs) in New Zealand (NZ) and Switzerland (CH). They will be assessed by postal survey at baseline and at 3, 6, 12 weeks and 6 months follow-up. Primary outcome will be disability as measured by the Oswestry Disability Index (ODI); key secondary endpoints will be general health as measured by the acute SF-12 and pain as measured on the Visual Analogue Scale (VAS). A subgroup analysis of different assessment instruments and baseline characteristics will be performed using multiple linear regression models. This study aims to examine: 1. Which biomedical, psychological, social, and occupational outcome assessment tools are identifiers for the transition from acute to chronic LBP and at which time point this transition becomes manifest. 2. Which psychosocial and occupational baseline characteristics like work status and period of work absenteeism influence the course from acute to chronic LBP. 3. Differences in outcome assessment tools and baseline characteristics of patients in NZ compared with CH. DISCUSSION This study will develop a screening tool for patients with acute LBP to be used in GP clinics to access the risk of developing chronic LBP. In addition, biomedical, psychological, social, and occupational patient characteristics which influence the course from acute to chronic LBP will be identified. Furthermore, an appropriate time point for follow-ups will be given to detect this transition. The generalizability of our findings will be enhanced by the international perspective of this study. TRIAL REGISTRATION [Clinical Trial Registration Number, ACTRN12608000520336].
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Affiliation(s)
- Markus Melloh
- Department of Work and Organizational Psychology, Institute for Psychology, University of Berne, Muesmattstrasse 45, 3000 Berne 9, Switzerland.
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Coutu MF, Durand MJ, Baril R, Labrecque ME, Ngomo S, Côté D, Rouleau A. A review of assessment tools of illness representations: are these adapted for a work disability prevention context? JOURNAL OF OCCUPATIONAL REHABILITATION 2008; 18:347-61. [PMID: 18719981 DOI: 10.1007/s10926-008-9148-x] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/15/2008] [Accepted: 07/30/2008] [Indexed: 05/18/2023]
Abstract
INTRODUCTION Musculoskeletal disorders are among the main causes of short- and long-term disability. AIM Identify the methods for assessing multidimensional components of illness representations. METHODS An electronic literature search (French, English) from 1980 to the present was conducted in medical, paramedical and social science databases using predetermined key words. After screening titles and abstracts based on a specific set of criteria, sixty-four articles were reviewed. RESULTS Qualitative approaches for assessing illness representation were found mainly in the fields of anthropology and sociology and were based on the explanatory models of illness. The interviews reviewed were: the Short Explanatory Model Interview, the Explanatory Model of Illness Catalogue and the McGill Illness Narrative Interview. Quantitative approaches were found in the health psychology field and used the following self-administered questionnaires: the Survey of Pain Attitudes, the Pain Beliefs and Perceptions Inventory, the Pain Beliefs Questionnaire, the Fear-Avoidance Beliefs Questionnaire, the Implicit Model of Illness Questionnaire, the Illness Perception Questionnaire, including its derivatives, and the Illness Cognition Questionnaire. CONCLUSION This review shows the actual use and existence of multiple interviews and questionnaires in assessing multidimensional illness representations. All have been used and/or tested in a medical context but none have been tested in a work disability context. Further research will be needed to determine their suitability for use in a work disability context.
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Affiliation(s)
- Marie-France Coutu
- Rehabilitation Department, Centre for Action in Work Disability Prevention and Rehabilitation, Université de Sherbrooke, Longueuil, QC, Canada.
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