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Effectiveness of multifaceted implementation strategies for the implementation of back and neck pain guidelines in health care
A systematic review For the optimal use of clinical guidelines in daily practice, mere distribution of guidelines and materials is not enough, and active implementation is needed. This review investigated the effectiveness of multifaceted implementation strategies compared to minimal, single, or no implementation strategy for the implementation of non-specific low back and/or neck pain guidelines in health care. Source: Suman, A., Dikkers, M. F., Schaafsma, F. G., van Tulder, M. W., & Anema, J. R. (2016). Implementation Science, 11 (1), 126. https://dx.doi.org/10.1186%2Fs13012-016-0482-7
Barriers and facilitators for implementation of a return-to-work intervention for sickness absence beneficiaries with mental health problems
Results from three Danish municipalities AIMS: Evidence for the effectiveness of return-to-work (RTW) interventions aimed at sickness absence beneficiaries with mental health problems (MHPs) is still relatively sparse and mostly inconclusive. This may in part reflect the varying settings and inconsistent implementations associated with the interventions. The aim of this paper is to identify barriers and facilitators for the implementation of a coordinated and tailored RTW-intervention implemented at three different sites. METHODS: We used qualitative and quantitative data to assess the implementation...
Results of a feasibility study: barriers and facilitators in implementing the Sherbrooke model in France
Objectives: Return-to-work interventions associated with the workplace environment are often more effective than conventional care. The Sherbrooke model is an integrated intervention that has proved successful in preventing work disability due to low-back pain. Implementation, however, runs up against many obstacles, and failure has been reported in many countries. The present study sought to identify barriers to and facilitators of the implementation of the Sherbrooke model within the French health system. Methods: A multiple case study with nested levels of analysis was performed in two regions...
The `Ability' Paradigm in Vocational Rehabilitation: Challenges in an Ontario Injured Worker Retraining Program
Introduction In recent years, a focus on workers' ability, rather than impairment, has guided disability management services. However, a challenge with the notion of `ability' is identification of the border between ability and inability. This article considers this gray zone of disability management in the case of a workers' compensation vocational retraining program for injured workers in Ontario. Methods In-depth interviews and focus groups were conducted with a purposive sample of 71 participants who were directly involved with the vocational retraining process. Workers in the program...
IWH research helps shape new work integration initiative
In November 2010, Ontario's Workplace Safety and Insurance Board introduced the new Work Reintegration Program. Many of its features address problems with the old vocational rehabilitation program that were described by Institute for Work & Health research. By 2009, Ontario's Workplace Safety and Insurance Board (WSIB) was certainly getting the message that its vocational rehabilitation program for injured workers, called Labour Market Re-entry (LMR), was not working as intended. Although bad press and a value-for-money audit drove the point home, evidence from a research project started...
Le développement de la réadaptation au travail dans la région Asie-Pacifique au 21e siècle
Journal of Occupational Rehabilitation , 21, supplement 1. La revue Journal of Occupational Rehabilitation publie un supplément au volume 21 qui se consacre au développement de la réadaptation au travail dans la région Asie-Pacifique. Une dizaine d'articles aborde les questions relatives au développement et à l'implantation de programmes de réadaptation au travail et les différents enjeux relatifs à la prévention et à la gestion de l'incapacité dans les contextes sociaux, politiques et culturels spécifiques...
Designing a workplace return-to-work program for occupational low back pain: an intervention mapping approach
Despite over 2 decades of research, the ability to prevent work-related low back pain (LBP) and disability remains elusive. Recent research suggests that interventions that are focused at the workplace and incorporate the principals of participatory ergonomics and return-to-work (RTW) coordination can improve RTW and reduce disability following a work-related back injury. Workplace interventions or programs to improve RTW are difficult to design and implement given the various individuals and environments involved, each with their own unique circumstances. Intervention mapping provides a framework...

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