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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...
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...
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...
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...
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
Perceptions of possibilities of returning to work with chronic musculoskeletal disorders
Chronic musculoskeletal disorders (MSD) are the most common cause of work disability in the western world. Return to work (RTW) with chronic MSD is a complex process dependent on individual and social factors, including individual perceptions of the process. No studies have addressed RTW in the Slovenian context of high job protection legislation. This study was aimed at understanding how Slovenian employees with MSD made sense of their experiences with work and life before and after the occurrence of MSD, giving meaning to their perceptions of the possibility to return to work. Data were collected...
MSDsThe Impact of Health, Illness, Pain and Recovery-Strategy Representations on the Work Rehabilitation Process
Cette activité visait principalement à documenter les représentations de la maladie, de la santé et de la guérison qui influencent le processus de réadaptation de travailleurs affectés de troubles musculo-squelettiques (TMS) engagés dans une démarche de retour au travail. Les chercheurs ont recensé les cadres conceptuels existants et les outils de mesure à cet égard. Ils ont ensuite recueilli les témoignages de travailleurs absents du travail depuis plusieurs mois en raison d'un TMS. Le rapport situe...

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