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Participant recruitment for studies on disability and work: challenges and solutions
PURPOSE: A number of key issues related to employment of persons with disabilities demand ongoing and effective lines of inquiry. There is evidence, however, that work researchers struggle with recruitment of participants, and that this may limit the types and appropriateness of methods selected. This two phase study sought to identify the nature of recruitment challenges in workplace-based disability research, and to identify strategies for addressing identified barriers. METHODS: The first phase of this study was a scoping review of the literature to identify the study designs and approaches...
Gender Influences on Return to Work Following Mild Traumatic Brain Injury
OBJECTIVE: To examine the influence of gender on the return to work experience of workers who had sustained a work-related mild traumatic brain injury (wrMTBI) DESIGN: Qualitative study using in-depth telephone interviews SETTING: Community living adults in Ontario, Canada PARTICIPANTS: Purposive sampling was used to recruit participants. Eligibility criteria were mild/moderate TBI diagnosis based on multidisciplinary assessment and workplace injury. Six males and six females with mild TBI participated INTERVENTIONS AND MAIN OUTCOME MEASURE(S): N/A RESULTS: Our findings suggest that gender impacts...
Validity and Reliability of the Fear-Avoidance Beliefs Questionnaire (FABQ) in Workers with Upper Extremity Injuries
Introduction Fear Avoidance Beliefs (FAB) have been associated with increased pain, dysfunction and difficulty returning to work in Upper Extremity (UE) injures. The FABQ is used to assess FAB, but its measurement properties have not been established in UE. The purpose of this study is to evaluate the reliability and validity of the FABQ to screen UE compensated injured workers for FAB. Methods Consenting workers attending a specialty clinic completed a modified FABQ, QuickDASH (Disability), SPADI Pain Score and von Korff Chronic Pain Grade (Pain), SF-36v2 (General Health), and Work Instability...
Medical Interpretation for Immigrant Workers
Forst, Linda et coll. (2012). Medical Interpretation for Immigrant Workers. New Solutions: A Journal of Environment and Occupational Health Policy , 22(1): 37-50. Foreign-born workers have high rates of occupational mortality and morbidity, despite downward trends for the U.S. workforce overall. They have limited access to health care services. Medical interpreters (MIs) facilitate care of acutely injured, low-English-proficiency (LEP) patients, including those sustaining occupational injuries. Our goal was to assess the potential for MIs to serve as advocates of LEP patients injured at work and...
Breast cancer survivors' views of factors that influence the return-to-work process
A qualitative study OBJECTIVES: Accumulating evidence suggests that most employed breast cancer survivors are able to return to work but often experience difficulties in the process. The objective of this study was to identify: (i) factors experienced as barriers to and facilitators of the return-to-work (RTW) process, (ii) which factors were important during initial and post RTW, and (iii) possible solutions to RTW problems. METHODS: Twelve breast cancer survivors participated in semi-structured interviews. Interviews were thematically analyzed using MAXQDA, software for qualitative data analysis...
Identifying factors relevant in the assessment of return-to-work efforts in employees on long-term sickness absence due to chronic low back pain: a focus group study
Muijzer, Anne et coll. (2012, sous presse). Identifying factors relevant in the assessment of return-to-work efforts in employees on long-term sickness absence due to chronic low back pain: a focus group study. BMC Public Health , 12. (version provisoire en libre accès) Background: Efforts undertaken during the return to work (RTW) process need to be sufficient to prevent unnecessary applications for disability benefits. The purpose of this study was to identify factors relevant to RTW Effort Sufficiency (RTW-ES) in cases of sick-listed employees with chronic low back pain (CLBP). Methods...
Health and illness representations of workers with a musculoskeletal disorder-related work disability during work rehabilitation: a qualitative study
Coutu, MF; Baril, R; Durand, MJ; Côté, D; Cadieux, G. (2011). Health and illness representations of workers with a musculoskeletal disorder-related work disability during work rehabilitation: a qualitative study. Journal of Occupational Rehabilitation , 21(4):591-600. 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...
The social interaction of return to work explored from co-workers experiences
The social interaction of return to work explored from co-workers experiences Read More: http://informahealthcare.com/doi/abs/10.3109/09638288.2011.553708 Tjulin, Åsa et coll. (2011). The social interaction of return to work explored from co-workers experiences. Disability & Rehabilitation , 33 (21-22) : 1979-1989. Purpose .   The objective was to explore the role and contribution of co-workers in the return-to-work process. The social interaction of co-workers in the return-to-work process are analysed within the framework of the Swedish national and local employer organisational...
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
Noordik, E. et coll. (2011). 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. Disability & Rehabilitation , 33 (17-18): 1625-1635 . 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...
Swedish rehabilitation professionals' perspectives on work ability assessments in a changing sickness insurance system
Stååhl, Christian et al. (2011). Swedish rehabilitation professionals' perspectives on work ability assessments in a changing sickness insurance system. Disability & Rehabilitation , 33 (15-16): 1373-1382. Purpose . Changes in the Swedish sickness insurance system shifts focus from return-to-work to labour market reintegration. This article analyses Swedish rehabilitation professionals' perspectives on how the changed regulations affect practice, with a special focus on work ability assessments. Methods . Two groups of representatives (( n == 15)) from organizations...
Occupational therapy practitioners’ perspectives regarding international cross-cultural work
Humbert, T. K. et al. (2011). Occupational therapy practitioners' perspectives regarding international cross-cultural work. Australian Occupational Therapy Journal , 58 (4): 300-309. Aim:  The purpose of this study was to investigate the perspectives of occupational therapy practitioners who have engaged in cross-cultural work experiences. The research question was how do occupational therapy practitioners make meaning of their lived cross-cultural experiences. Methods:  This study utilised a qualitative, phenomenological design. Eleven open-ended, semi-structured interviews were...
Use of low-back pain guidelines by occupational therapists: A qualitative study of barriers and facilitators
Poitras, Stéphane, Durand, Marie-José, Côté, Anne-Marie et Tousignant, Michel (2011). Use of low-back pain guidelines by occupational therapists: A qualitative study of barriers and facilitators. Work , 9(4): 465-475. Volume 39, Number 4 / 2011 Pages 465-475 Objective: Identify barriers and facilitators related to the use of low-back pain guidelines as perceived by occupational therapists (OTs). Methods and participants: A qualitative approach was used. Nine OTs with varied characteristics were randomly selected. Participants were asked to use the guidelines with at least...
Barriers to and possibilities of returning to work after a multidisciplinary rehabilitation programme. A qualitative interview study
Sjöström, Rita et al. (2011). Barriers to and possibilities of returning to work after a multidisciplinary rehabilitation programme. A qualitative interview study. Work 39(3): 243-250. Objective: The aim of this qualitative study was to explore experiences of sick-listed persons of not returning to work during a six-year period after participation in an extensive multidisciplinary rehabilitation programme. Participants: The study comprised ten participants with musculoskeletal disorders, mainly neck and back pain. Methods: Semi-structured interviews were conducted and analysed by manifest...
Vocational Rehabilitation From the Client’s Perspective
Glâssel, Andrea et al. (2011). Vocational Rehabilitation From the Client’s Perspective Using the International Classification of Functioning, Disability and Health (ICF) as a Reference. Journal of Occupational Rehabilitation , 21(2): 167-178. (Accès limité) Introduction A mixed-methods (qualitative-quantitative), multicenter study was conducted using a focus group design to explore the lived experiences of persons in vocational rehabilitation (VR) with regard to functioning and contextual factors using six open-ended questions related to the ICF components. The results...
Reflecting on our effectiveness: occupational therapy interventions with Indigenous clients
Stedman, Amanda , and Thomas, Yvonne (2011) Reflecting on our effectiveness: occupational therapy interventions with Indigenous clients. Australian Occupational Therapy Journal , 58 (1). pp. 43-49. Background:  The health and social inequity experienced by the Indigenous population of Australia has resulted in the establishment of a national priority to close the gap in health outcomes. The occupational therapy profession is being urged to ensure the cultural appropriateness of practice interventions for Indigenous people. Although the importance of practice modification has been recognised...
Relationship between the margin of manoeuvre and the return to work after a long-term absence due to a musculoskeletal disorder: an exploratory study
Durand, Marie-José et al. (2011). Relationship between the margin of manoeuvre and the return to work after a long-term absence due to a musculoskeletal disorder: an exploratory study. Disability & Rehabilitation , 33(13-14): 1245-1252. (Accès limité) Purpose . The application of the margin of manoeuvre (MM) concept in work rehabilitation is new. It allows for variations in both health status and work demands, and the interaction between the two, to be taken into account. The objective of this exploratory study was to document the relationship between the presence...
The Return-To-Work Coordinator Role: Qualitative Insights for Nursing
James, Carol et al. (2011). The Return-To-Work Coordinator Role: Qualitative Insights for Nursing. Journal of Occupational Rehabilitation , 21(2): 220-227. (Accès limité) Introduction Few studies have examined the role of RTW Coordination from the perspective of RTW Coordinator's. Furthermore there is little health specific literature on returning injured nurses to work despite the critical workforce shortages of these professionals. The study aimed to examine barriers and facilitators identified by the RTW Coordinator to returning injured nurses to work and influences on specific...
Evaluation of a Workplace Disability Prevention Intervention in Canada: Examining Differing Perceptions of Stakeholders
Maiwald, K. et al. (2011). Evaluation of a Workplace Disability Prevention Intervention in Canada: Examining Differing Perceptions of Stakeholders. Journal of Occupational Rehabilitation 21(2) : 179-189. (Article en libre accès) Introduction Workplace disability prevention is important, but stakeholders can differ in their appreciation of such interventions. We present a responsive evaluation of a workplace disability prevention intervention in a Canadian healthcare organization. Three groups of stakeholders were included: designers of the intervention, deliverers, and workers. The aim was...
The meaning of the experiences of persons with chronic pain in their encounters with the health service
Chronic pain causes great suffering for those affected and treating it is one of the most common assignments in the health service. The aim of the study was to investigate the meaning of the experiences of persons with chronic pain in their encounters with health service staff. The study had a descriptive design with a phenomenological approach based on the perspective of caring science. Interviews were carried out with eight patients. The study showed that patients experienced a positive approach and that the staff had understood the serious nature of the situation. A positive approach can communicate...
Exploring the meaning of early contact in return-to-work from workplace actors' perspective
The objective of this article was to explore the meaning of early contact in return-to-work, and how social relational actions and conditions can facilitate or impede early contact among actors in the workplace. Method . An exploratory qualitative method was used, consisting of individual open-ended interviews with 33 workplace actors at seven worksites across three public employers in Sweden. The workplace actors represented in these interviews included re-entering workers, supervisors, co-workers and human resources managers. Organisational policies on return-to-work were collected from the three...
What Concerns Workers with Low Back Pain? Findings of a Qualitative Study of Patients Referred for Rehabilitation
Health and workplace strategies to address work loss and sickness absence due to low back pain are urgently required. A better understanding of the experiences of those struggling to stay at work with back pain may help clinicians and employers with their treatment and management approaches. Methods A qualitative approach using thematic analysis was used. Individual semi-structured interviews were conducted with a convenience sample of 25 low back pain patients who had been referred for multidisciplinary back pain rehabilitation. All were in employment and concerned about their ability to work...
Workers' perspectives on low back pain recurrence: "It comes and goes and comes and goes, but it's always there"
Although various measures of low back pain (LBP) recurrence have been proposed, none have been tested to determine if they are consistent with what those with LBP perceive a "recurrence" to be. To further the understanding of LBP recurrence and how to measure it, we examined how individuals with a history of LBP describe their back pain experiences. A qualitative approach was chosen and six mixed-gender focus groups were conducted. Discussions were facilitated by two researchers and structured around predetermined questions. All four authors were involved in the data analysis and thematic...
Looking upstream to understand low back pain and return to work: Psychosocial factors as the product of system issues
Abstract Low back pain ( LBP ) is the most common and expensive musculoskeletal (MSK) disorder in industrialized countries. There is evidence that personal and occupational psychosocial variables play a more important role than spinal pathology or the physical demands of the job. However, it is unclear which psychosocial variables are most important. The objective of this study is to understand which psychosocial variables are deemed most important to various workplace stakeholders involved in the process of returning a worker with LBP to work. Nine focus groups were convened with injured workers...
Managing pain in the workplace: a focus group study of challenges, strategies and what matters most to workers with low back pain
Purpose .Most working adults with low back pain (LBP) continue to work despite pain, but few studies have assessed self-management strategies in this at-work population. The purpose of this study was to identify workplace challenges and self-management strategies reported by workers remaining at work despite recurrent or persistent LBP, to be used as a framework for the development of a workplace group intervention to prevent back disability. Method .Workers with LBP ( n =38) participated in five focus groups, and audio recordings of sessions were analysed to assemble lists of common challenges...
Empowering occupational therapists to become evidence-based work rehabilitation practitioners
Objective: Occupational therapists (OTs) engage in continuing education to integrate best available knowledge and skills into their practice. However, many barriers influence the degree to which they are currently able to integrate research evidence into their clinical decision making process. The specific objectives were to explore the clinical decision-making processes they used, and to describe the empowerment process they developed to become evidence-based practitioners. Participants: Eight OTs, who had attended a four-day workshop on evidence-based work rehabilitation, were recruited to participate...
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