A qualitative evaluation of occupational therapy-led work rehabilitation for people with inflammatory arthritis: Patients’ views

Prior, Yeliz; Amanna, Aparna; Bodell, Sarah Jane; Hammond, Alison

doi:10.1177/0308022616672666

Cited by 9 publications

(11 citation statements)

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“…We also conducted interviews with participants and the occupational therapists to investigate their views of VR and the work advice provided [ 30 , 31 ]. Intervention group participants valued the VR, particularly the training in work-based pain and fatigue self-management, joint protection, pacing, ergonomic and job adaptations/ accommodations advice.…”

Section: Discussionmentioning

confidence: 99%

“…Intervention group participants valued the VR, particularly the training in work-based pain and fatigue self-management, joint protection, pacing, ergonomic and job adaptations/ accommodations advice. They reported: relief from discussing work problems with the occupational therapists; making behavioural adaptations at work; and improved coping skills [ 30 ]. In contrast, the control group discussed the continuing negative impact of arthritis on their work and feeling anxious about continuing working in future.…”

Section: Discussionmentioning

confidence: 99%

“…In contrast, the control group discussed the continuing negative impact of arthritis on their work and feeling anxious about continuing working in future. Most participants in both groups had either not read the self-help work information or considered it had little impact [ 30 ]. The occupational therapists considered: the VR was beneficial for patients; and they could now provide a more comprehensive and individualised VR service [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

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Job retention vocational rehabilitation for employed people with inflammatory arthritis (WORK-IA): a feasibility randomized controlled trial

Hammond

O’Brien

Woodbridge

et al. 2017

BMC Musculoskelet Disord

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BackgroundInflammatory arthritis leads to work disability, absenteeism and presenteeism (i.e. at-work productivity loss) at high cost to individuals, employers and society. A trial of job retention vocational rehabilitation (VR) in the United States identified this helped people keep working. The effectiveness of this VR in countries with different socioeconomic policies and conditions, and its impact on absenteeism, presenteeism and health, are unknown. This feasibility study tested the acceptability of this VR, modified for the United Kingdom, compared to written advice about managing work problems. To help plan a randomized controlled trial, we tested screening, recruitment, intervention delivery, response rates, applicability of the control intervention and identified the relevant primary outcome.MethodsA feasibility randomized controlled trial with rheumatoid, psoriatic or inflammatory arthritis patients randomized to receive either job retention VR or written information only (the WORK-IA trial). Following three days VR training, rheumatology occupational therapists provided individualised VR on a one to one basis. VR included work assessment, activity diaries and action planning, and (as applicable) arthritis self-management in the workplace, ergonomics, fatigue and stress management, orthoses, employment rights and support services, assistive technology, work modifications, psychological and disclosure support, workplace visits and employer liaison.ResultsFifty five (10%) people were recruited from 539 screened. Follow-up response rates were acceptable at 80%. VR was delivered with fidelity. VR was more acceptable than written advice only (7.8 versus 6.7). VR took on average 4 h at a cost of £135 per person. Outcome assessment indicated VR was better than written advice in reducing presenteeism (Work Limitations Questionnaire (WLQ) change score mean: VR = −12.4 (SD 13.2); control = −2.5 (SD 15.9), absenteeism, perceived risk of job loss and improving pain and health status, indicating proof of concept. The preferred primary outcome measure was the WLQ, a presenteeism measure.ConclusionsThis brief job retention VR is a credible and acceptable intervention for people with inflammatory arthritis with concerns about continuing to work due to arthritis.Trial registration ISRCTN 76777720. Registered 21.9.12.Electronic supplementary materialThe online version of this article (doi:10.1186/s12891-017-1671-5) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Job retention vocational rehabilitation for employed people with inflammatory arthritis (WORK-IA): a feasibility randomized controlled trial

Hammond

O’Brien

Woodbridge

et al. 2017

BMC Musculoskelet Disord

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“…We then conducted an RCT (n = 55), comparing a control intervention (written self-help work advice and usual care) to JRVR plus written self-help work advice and usual care. The results of this study indicated that therapists could successfully deliver JRVR, participants considered the intervention beneficial [26], and that the JRVR intervention led to greater reductions in presenteeism (measured using the WLQ-25 at 9 month follow-up) compared to the control intervention [25]. This supported the need for a definitive trial.…”

Section: Feasibility Studymentioning

confidence: 54%

The effect on work presenteeism of job retention vocational rehabilitation compared to a written self-help work advice pack for employed people with inflammatory arthritis: protocol for a multi-centre randomised controlled trial (the WORKWELL trial)

Hammond

Sutton

Cotterill

et al. 2020

BMC Musculoskelet Disord

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Background Work problems are common in people with inflammatory arthritis. Up to 50% stop work within 10 years due to their condition and up to 67% report presenteeism (i.e. reduced work productivity), even amongst those with low disease activity. Job retention vocational rehabilitation (JRVR) may help prevent or postpone job loss and reduce presenteeism through work assessment, work-related rehabilitation and enabling job accommodations. This aims to create a better match between the person’s abilities and their job demands. The objectives of the Workwell trial are to test the overall effectiveness and cost-effectiveness of JRVR (WORKWELL) provided by additionally trained National Health Service (NHS) occupational therapists compared to a control group who receive self-help information both in addition to usual care. Methods Based on the learning from a feasibility trial (the WORK-IA trial: ISRCTN76777720), the WORKWELL trial is a multi-centre, pragmatic, individually-randomised parallel group superiority trial, including economic evaluation, contextual factors analysis and process evaluation. Two hundred forty employed adults with rheumatoid arthritis, undifferentiated inflammatory arthritis or psoriatic arthritis (in secondary care), aged 18 years or older with work instability will be randomised to one of two groups: a self-help written work advice pack plus usual care (control intervention); or WORKWELL JRVR plus a self-help written work advice pack and usual care. WORKWELL will be delivered by occupational therapists provided with additional JRVR training from the research team. The primary outcome is presenteeism as measured using the Work Limitations Questionnaire-25. A comprehensive range of secondary outcomes of work, health, contextual factors and health resource use are included. Outcomes are measured at 6- and 12- months (with 12-months as the primary end-point). A multi-perspective within-trial cost-effectiveness analyses will also be conducted. Discussion This trial will contribute to the evidence base for provision of JRVR to people with inflammatory arthritis. If JRVR is found to be effective in enabling people to keep working, the findings will support decision-making about provision of JRVR by rheumatology teams, therapy services and healthcare commissioners, and providing evidence of the effectiveness of JRVR and the economic impact of its implementation. Trial registration Clinical Trials.Gov: NCT03942783. Registered 08/05/2019 (https://clinicaltrials.gov/ct2/show/NCT03942783); ISRCTN Registry: ISRCTN61762297. Registered:13/05/2019 (http://www.isrctn.com/ISRCTN61762297). Retrospectively registered.

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“…These difficulties differed significantly between those with co-morbid autistic spectrum disorder and those without. Prior et al (2017) explored the views of 32 people with inflammatory arthritis about an occupational therapy led job retention work rehabilitation programme they received. They considered that they were able to cope better at work and valued both the emotional support and the practical self-management education in the programme.…”

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confidence: 99%

British Journal of Occupational Therapy: 80 years of reflecting and influencing occupational therapy

Craik

2018

Cad. Bras. Ter. Ocup.

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The first issue of the British Journal of Occupational Therapy was published in 1938. This year is the celebration of its 80th anniversary which provides an opportunity to consider how it has reflected and influenced the profession. The world of occupational therapy was very different in 1938 and the journal of the time reflected that. The origins of the profession in the United Kingdom (UK) began in 1922 with the employment of an 'occupational instructor' at Gartnavel Royal Mental Hospital in Glasgow. Three years later the first person to receive a formal education as an occupational therapist in the USA returned to Scotland to work. The initial school of occupational therapy was founded in 1930. By 1938, occupational therapy was a very small profession and the journal acted as a link between members providing information about the developing professional organisation, accounts of meetings, book reviews and social information about members. Initially, the journal was published two or three times a year with each issue having a few pages. Later, as more material became available it moved to four issues a year and in1957 it adopted its current format of a monthly publication. At that time it also included educational articles usually written by doctors and a correspondence column to encourage exchange of ideas and information. Research articles began to feature in the journal during the 1960s and 1970s. These were often small scale, local projects and at the same time there were reports explaining the need for more research in the profession and encouraging occupational therapists to become involved in research. By the 1980s research articles increased and the 1990s saw the introduction of degree qualifications for all occupational therapists in the UK. As these degree programmes included education about research methods, new generations of occupational therapists had a basic understanding of research, thus enabling individual therapists to develop their research qualifications and the profession to build research capacity. The journal has continued to flourish with many significant achievements in the last few years-gaining an Impact Factor, developing an International Editorial Board, appointing an Editor-in-Chief and moving to an online journal published by Sage. Today, it is an international journal publishing mainly research and review articles from many counties. In 2017 we published authors from 17 countries. We are aware of the challenges facing readers whose first language is not English and earlier this year we published an editorial by a Japanese author, who is a member of our Editorial Board, in both English and Japanese (NAKAMURA-THOMAS, 2018). Like all our editorials, it is free to read and we hope to expand dual language editorials to other languages. The journal has maintained and strengthened its focus on publishing research articles and reviews that advance knowledge and provide the evidence for practice. We are committed to publishing pilot and feasibility studies and Drummond (2017) in her edit...

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A qualitative evaluation of occupational therapy-led work rehabilitation for people with inflammatory arthritis: Patients’ views

Cited by 9 publications

References 35 publications

Job retention vocational rehabilitation for employed people with inflammatory arthritis (WORK-IA): a feasibility randomized controlled trial

Job retention vocational rehabilitation for employed people with inflammatory arthritis (WORK-IA): a feasibility randomized controlled trial

The effect on work presenteeism of job retention vocational rehabilitation compared to a written self-help work advice pack for employed people with inflammatory arthritis: protocol for a multi-centre randomised controlled trial (the WORKWELL trial)

British Journal of Occupational Therapy: 80 years of reflecting and influencing occupational therapy

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