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Online assessment of patients’ work disability representations to promote evidence based practice in rehabilitation setting
The Revised Illness Perception Questionnaire adapted for Work Disability (IPQR-WD) is an adaptation of Illness Perception Questionnaire-Revised: the most used and most comprehensive tool for measuring illness perceptions. Evaluating representations is crucial, since it is a main determinant of return to work in cases of persistent pain due to musculoskeletal disorders. This study aim at facilitating systematic assessment of work disability representations by assessing the usability of the Web platform and the usefulness of automatic interpretation of the results. Source: Coutu, M. F., Albert, V...
Internal consistency and construct validity of the Revised Illness Perception Questionnaire adapted for work disability following a musculoskeletal disorder
To assess internal consistency and construct validity of the French version of the Revised Illness Perception Questionnaire adapted for Work Disability (IPQR-WD). Method: A cross sectional study was conducted in rehabilitation centers and private clinics in the Montreal region of Canada, involving 43 men and women, French speaking, absent from work between 3 months and a year due to musculoskeletal disorders. The 9 dimension IPQR-WD and the following eight-related instruments for construct validity were administered: Tampa Scale for Kinesiophobia (TSK), Pain Catastrophizing Scale (PCS), Psychological...
Internal consistency and construct validity of the Revised Illness Perception Questionnaire adapted for work disability following a musculoskeletal disorder
To assess internal consistency and construct validity of the French version of the Revised Illness Perception Questionnaire adapted for Work Disability (IPQR-WD). Method: A cross sectional study was conducted in rehabilitation centers and private clinics in the Montreal region of Canada, involving 43 men and women, French speaking, absent from work between 3 months and a year due to musculoskeletal disorders. The 9 dimension IPQR-WD and the following eight-related instruments for construct validity were administered: Tampa Scale for Kinesiophobia (TSK), Pain Catastrophizing Scale (PCS), Psychological...
Intercultural communication in health care: challenges and solutions in work rehabilitation practices and training: a comprehensive review
Côté, Daniel (2012). Intercultural communication in health care: challenges and solutions in work rehabilitation practices and training: a comprehensive review. Disability & Rehabilitation (sous presse, disponible en ligne) 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...
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...
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...
Early employer response to workplace injury: What injured workers perceive as fair and why these perceptions matter
The authors examined whether early employer response to workplace injury affects injured workers' subsequent attitudes and mental health. At 1 month and 6 months postinjury, telephone surveys were conducted with 344 workers from Ontario, Canada, who had experienced a musculoskeletal lost-time workplace injury. One-month reports of initial supervisor reaction to the injury and the use of workplace-based return-to-work strategies (early contact with worker, ergonomic assessment, presence of designated coordinator, accommodation offer) were hypothesized to predict reports of fairness, affective...
Work ability – experiences and perceptions among physicians
Purpose .To describe experiences and perceptions of work ability and how it can be assessed among Swedish physicians. Method .We interviewed eight men and six women in the fields of general practice, occupational health, rehabilitation and orthopaedic surgery. Qualitative content analysis was applied to the data. Results .The approach striving to support the patient in mutual confidence was what primarily affected how work ability was understood and how it could be assessed. Two main categories, with sub categories were settled: familiar but vague, with subcategories conflicting expectations and...
Musculoskeletal pain and treatment choice: an exploration of illness perceptions and choices of conventional or complementary therapies
This study explored experiences of receiving treatment for musculoskeletal pain (MSKP), particularly choices of complementary and alternative medicine (CAM) and/or conventional treatment, using the illness perception dimension of Leventhal's Self-Regulatory Model as the underpinning model within the broader biopsychosocial framework of the International Classification of Functioning, Disability and Health. Method .A mixed-method study was conducted involving 17 people with MSKP. Data were collected in semi-structured interviews, using a phased approach that included the Brief Illness Perception...
Reasons of drop-out from rehabilitation in patients of Turkish and Moroccan origin with chronic low back pain in The Netherlands: A qualitative study
Objective: To explore which factors led to drop-out in patients of Turkish and Moroccan origin with chronic non-specific low back pain who participated in a rehabilitation programme. Subjects: Patients of Turkish or Moroccan origin with chronic non-specific low back pain (n = 23) from 2 rehabilitation centres and 4 rehabilitation departments of general hospitals in the Netherlands. Methods: In-depth semi-structured interviews were conducted with patients of Turkish and Moroccan origin (n = 23), rehabilitation physicians (n = 8) and rehabilitation therapists...
A qualitative study of perpetuating factors for long term sick leave and promoting factors for return to work: chronic work disabled patients in their own words
Chronic work disability generates high financial costs for society and causes personal suffering to patients and their families; however, crucial knowledge about the factors associated with long-term sick leave is still missing. This study provides insight, from the perspective of chronic work disabled patients, into the perpetuating factors for long-term sick leave and promoting factors for return to work. Patients and methodsFive focus group interviews were conducted with 27 patients with different disorders who had been on long-term sickness absence (18 months or more). Qualitative data analysis...
Gestion des changements technologiques et organisationnels et représentations sociales
Impact sur la SST La recherche qui fait l’objet de ce rapport est centrée principalement sur les caractéristiques générales de l’organisation technique et sociale du travail et du milieu organisationnel, ainsi que sur les facteurs contextuels qui affectent celle-ci et en marquent l’évolution. Elle porte aussi sur les transformations du milieu organisationnel et de ses principales caractéristiques qui influencent l’état de la santé et de la sécurité du travail. L’analyse de ces changements repose...
Employment maintenance and the factors that impact it after vocational rehabilitation and return to work
To determine post-return-to-work disability and functioning amongst occupationally injured workers and to test the extent to which demographic and other variables relate to employment maintenance. In addition, the project sought to document what workers believe determined their work continuation. Method .Semi-structured in-depth interviews were conducted to inquire about participant's ( N =150) post-vocational rehabilitation return-to-work experiences. Results were interpreted using the health and health-related domains from the International Classification of Functioning, Disability and Health...
Musculoskeletal pain and treatment choice: an exploration of illness perceptions and choices of conventional or complementary therapies
This study explored experiences of receiving treatment for musculoskeletal pain (MSKP), particularly choices of complementary and alternative medicine (CAM) and/or conventional treatment, using the illness perception dimension of Leventhal's Self-Regulatory Model as the underpinning model within the broader biopsychosocial framework of the International Classification of Functioning, Disability and Health. Method .A mixed-method study was conducted involving 17 people with MSKP. Data were collected in semi-structured interviews, using a phased approach that included the Brief Illness Perception...
Transforming the meaning of pain: An important step for the return to work
Previous studies have found illness representations to be associated with the degree to which patients adopt health behaviours. Surprisingly, pain representations, especially those in a work rehabilitation context, have rarely been explored. Objective: To conduct a thorough investigation of the pain representations held by workers who were on sick leave due to persistent musculoskeletal pain during the process of an intensive work rehabilitation program. Methods: Qualitative semi-structured interviews were conducted with 16 participants (male, female), three times during the program and one month...
Meeting stroke survivors’ perceived needs: a qualitative study of a community-based exercise and education scheme
Objective: A qualitative study using a phenomenological approach, to explore stroke survivors’ needs and their perceptions of whether a community stroke scheme met these needs. Methods: Semi-structured in-depth interviews of 12 stroke survivors, purposively selected from participants attending a new community stroke scheme. Interpretative phenomenological analysis of interviews by two researchers independently. Results: Participants attending the community stroke scheme sought to reconstruct their lives in the aftermath of their stroke. To enable this they needed internal resources of confidence...
Perceptions of illness and their impact on sickness absence
A patient's perception of their illness can influence their coping ability, compliance with treatment and functional recovery. Psychological interventions to address negative beliefs may facilitate an earlier return to work. Aims To compare perceptions of illness, fitness to return to work and time to return to work among employees with those of their occupational physicians (OPs). Methods A cross-sectional study of employees off sick for >2 weeks, with the return to work date ascertained at 3 months. Employees and their OPs completed similar questionnaires that included the Brief Illness...
Engagement in patterns of daily occupations and perceived health among women of working age
The aim of the present cross-sectional study was to examine how subjective experiences of engagement in patterns of daily occupations (gainful employment, domestic work, enjoyable and recreational occupations) were associated with perceived health among women of working age. The sample ( n =488) was drawn from a longitudinal cohort study of women of working age in Gothenburg, Sweden. Participants were women 38 ( n =202) and 50 ( n =286) years of age. They completed a questionnaire including questions about occupational experiences in relation to their patterns of daily occupations, perceived health...
Validation of a Risk Factor-Based Intervention Strategy Model Using Data from the Readiness for Return to Work Cohort Study
Background Low back pain (LBP) is a common and in some cases disabling condition. Until recently, workers presenting with non-specific LBP have generally been regarded as a homogeneous population. If this population is not homogeneous, different interventions might be appropriate for different subgroups. We hypothesized that (1) Clusters of individuals could be identified based on risk factors, (2) These clusters would predict duration and recurrences 6 months post-injury. Methods The study focuses on the 442 LBP claimants in the Readiness for Return-to-Work Cohort Study. Claimants ( n = 259) who...
Penser la douleur à la rencontre du culturel et du biologique : repères anthropologiques
La douleur constitue un phénomène complexe qui recoupe des aspects neurophysiologique, psychologique et socioculturel. Si la sensation de douleur est un phénomène universel qui concerne l'ensemble du monde animal, chez l'homme, l'expression des émotions et les attitudes et les comportements qui y sont relatifs varient selon les cultures et les milieux sociaux. Cet article présente quelques repères pour une contribution anthropologique à l'étude de la douleur en questionnant les conditions de son intégration dans...
Using reflective learning to improve the impact of continuing education in the context of work rehabilitation
Reflective learning has been described as a promising approach for ameliorating the impact of continuing education (CE) programs. However, there are still very few studies that have investigated how occupational therapists use reflection to improve the integration of CE program content in their decision-making processes. The study objectives were to describe how these professionals, working in the sector of work rehabilitation, used reflective learning to integrate research evidence into their clinical decision-making process and to identify the factors that influenced the reflective learning process...
"If I Don’t Have to Work Anymore,Who Am I?": Job Loss and Collaborative Self-Concept Repair
Previous research on unemployment among managers and professionals has documented the experience of job loss as stressful because of both economic strain and the damage it does to valued identities and self-conceptions. Little research, however, has examined the processes through which displaced workers collectively attempt to repair this damage. Data from participant observation in four support groups, plus intensive interviews with twenty-two group members, are used to develop an analysis of the self-concept repair strategies used by these relatively privileged workers. Five main strategies are...
Coping with chronic pain: Current advances and practical information for clinicians
Transferring knowledge and evidence from the pain psychology literature to all types of practitioners is one small but important step towards reducing the econom ic and personal cost of injuries. Through early iden ti?cation of at-risk clients, it may be possible to pre vent chronic pain from developing. Pain is a perception which is affected by physical, psychological and social factors, yet many health care professionals are only be ginning to consider the relative contributions of each of these elements. It is essential that clinicians under standing how a client's pain coping strategies...
Patients' views on responsibility for the management of musculoskeletal disorders - A qualitative study
Musculoskeletal disorders are very common and almost inevitable in an individual's lifetime. Enabling self-management and allowing the individual to take responsibility for care is stated as desired in the management of these disorders, but this may be asking more than people can generally manage. A willingness among people to take responsibility for musculoskeletal disorders and not place responsibility out of their hands or on employers but to be shared with medical professionals has been shown. The aim of the present study was to describe how people with musculoskeletal disorders think and...
Reducing MSD hazards in the workplace: A guide to successful participatory ergonomics programs
In participatory ergonomics (PE) programs, workers, supervisors and other workplace parties jointly identify and address work-related hazards. PE can help reduce low-back injuries and other musculoskeletal disorders (MSDs), resulting in fewer workers' compensation claims and lost days from work. This booklet, based on a systematic review by IWH researchers, outlines six key steps that have been shown to contribute to the success of a PE program. Source: http://www.iwh.on.ca/pe-guide
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