Fit for purpose? Using the fit note with patients with chronic pain: a qualitative study

Wainwright, Elaine; Wainwright, David; Keogh, Edmund; Eccleston, Christopher

doi:10.3399/bjgp11x613133

Cited by 24 publications

(30 citation statements)

References 25 publications

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“…The revised studies noted the significance of stigma and its role in delaying the RTW process (PINCUS; WOODCOCK; VOGEL, 2010; SOKLARIDIS; AMMENDOLIA; CASSIDY, 2010;WAINWRIGHT et al, 2011). There is a stereotypical preconception among HCPs that individuals with chronic pain are difficult to manage (WAINWRIGHT et al, 2011).…”

Section: Social Interactions Contribute To Rehabilitation Outcomes Anmentioning

confidence: 99%

“…Three reviewed studies (PINCUS; WOODCOCK; VOGEL, 2010; SOKLARIDIS; AMMENDOLIA; CASSIDY, 2010;WAINWRIGHT et al, 2011) showed that HCPs perceived patient relationships at work were a major contributing factor to delays in RTW. Some HCPs identified relationships at work to be the root cause of delayed RTW, as opposed to health issues (SOKLARIDIS; AMMENDOLIA; CASSIDY, 2010).…”

Section: Social Interactions Contribute To Rehabilitation Outcomes Anmentioning

confidence: 99%

“…Practitioners agree that RTW is dependent on support from all stakeholders (WAINWRIGHT et al, 2011) and that the decision making process should be highly interactive to optimize each member's potential contribution (THUNBERG;HALLBERG, 2002).…”

Section: Inadequate Coordination and Excessive Bureaucracy In Systemsmentioning

confidence: 99%

“…Some HCPs identified relationships at work to be the root cause of delayed RTW, as opposed to health issues (SOKLARIDIS; AMMENDOLIA; CASSIDY, 2010). Other HCPs acknowledged relationships at work as common barriers to the RTW process due to stress and stigma associated with the worker's condition (PINCUS; WOODCOCK; VOGEL, 2010;WAINWRIGHT et al, 2011).…”

Section: Social Interactions Contribute To Rehabilitation Outcomes Anmentioning

confidence: 99%

“…Researchers from two reviewed studies (THUNBERG;HALLBERG, 2002;WAINWRIGHT et al, 2011) showed that HCPs identified the importance of a dynamic interdisciplinary team as a facilitator to successful RTW. Practitioners agree that RTW is dependent on support from all stakeholders (WAINWRIGHT et al, 2011) and that the decision making process should be highly interactive to optimize each member's potential contribution (THUNBERG;HALLBERG, 2002).…”

Section: Inadequate Coordination and Excessive Bureaucracy In Systemsmentioning

confidence: 99%

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Successful return to work of individuals with chronic pain according to health care providers: a meta-synthesis

Magalhães¹,

Chan²,

Chapman³

et al. 2017

Cad. Bras. Ter. Ocup.

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Abstract:Introduction: Chronic pain is a persistent disease that causes personal and social economic problems when individuals are unable to return to work. Objective: This meta-synthesis investigated the perspectives of health professionals on the best mechanisms (triggering change) and approaches to support people with chronic pain on return to work. Method: Peer-reviewed articles published until October 2017 were searched in databases such as PsycINFO, EMBASE, CINAHL and Pubmed. The search was based on three concepts: "chronic pain", "return to work" and "therapist". Six articles were analyzed. Meta-ethnography was used to synthesize data extracted from qualitative studies. Results: Five second-order interpretations were revealed: social interactions contribute to rehabilitation and can interrupt the return to work; inadequate coordination and excessive bureaucracy complicates the return to work; communication between worker and other stakeholders is critical for return to work; health professionals are not clear about their roles; the congruence between health professionals and the workers'perspectives and goals on return to work impacts the treatment and its outcomes. A posterior analysis produced two third-order syntheses: 1. the need for assertive communication to lay the groundwork for best practices; and 2. inadequate coordination in the current system complicates return to work in cases of chronic pain. Conclusion: Stakeholders and health professionals need to understand their roles and responsibilities to consistently set goals and action plans for return to work. Keywords: Chronic Pain, Return to Work, Health Personnel.Retorno bem-sucedido ao trabalho para indivíduos com dor crônica, segundo os profissionais de saúde: uma metassíntese Resumo: Introdução: Dor crônica é doença persistente que causa problemas econômicos, pessoais e sociais, quando indivíduos não conseguem voltar ao trabalho. Objetivo: Esta metassíntese investigou as perspectivas dos profissionais de saúde acerca dos melhores mecanismos (desencadeantes da mudança) e abordagens para apoiar trabalhadores com dor crônica, no retorno ao trabalho. Método: Artigos revisados por pares foram pesquisados em bases de dados, como PsycINFO, EMBASE, CINAHL e Pubmed, publicados até outubro de 2017. As buscas empregaram três conceitos: "dor crônica", "retorno ao trabalho" e "terapeuta". Foram analisados seis artigos. Metaetnografia foi utilizada para sintetizar os dados extraídos de estudos qualitativos. Resultados: Foram reveladas cinco interpretações de segunda ordem: 1. as interações sociais contribuem para a reabilitação e podem interromper o retorno ao trabalho; 2. a coordenação inadequada e a burocracia excessiva complicam o retorno Successful return to work of individuals with chronic pain according to health care providers: a meta-synthesis

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Section: Social Interactions Contribute To Rehabilitation Outcomes Anmentioning

confidence: 99%

Section: Social Interactions Contribute To Rehabilitation Outcomes Anmentioning

confidence: 99%

Section: Inadequate Coordination and Excessive Bureaucracy In Systemsmentioning

confidence: 99%

Section: Social Interactions Contribute To Rehabilitation Outcomes Anmentioning

confidence: 99%

Section: Inadequate Coordination and Excessive Bureaucracy In Systemsmentioning

confidence: 99%

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Successful return to work of individuals with chronic pain according to health care providers: a meta-synthesis

Magalhães¹,

Chan²,

Chapman³

et al. 2017

Cad. Bras. Ter. Ocup.

View full text Add to dashboard Cite

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Application of the Theoretical Domains Framework and the Behaviour Change Wheel to Understand Physicians’ Behaviors and Behavior Change in Using Temporary Work Modifications for Return to Work: A Qualitative Study

et al. 2017

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Purpose Applying the theoretical domains framework (TDF) and the Behaviour Change Wheel (BCW) to understand physicians’ behaviors and behavior change in using temporary work modifications (TWMs) for return to work (RTW). Methods Interviews and focus group discussions were conducted with 15 occupational physicians (OPs). Responses were coded using the TDF and the BCW. Results Key behaviors related to applying TWMs were initiating the process with the employee, making recommendations to the workplace, and following up the process. OP behaviors were influenced by several factors related to personal capability and motivation, and opportunities provided by the physical and social environment. Capability comprised relevant knowledge and skills related to applying TWMs, remembering to initiate TWMS and monitor the process, and being accustomed to reflective practice. Opportunity comprised physical resources (e.g., time, predefined procedures, and availability of modified work at companies), and social pressure from stakeholders. Motivation comprised conceptions of a proper OP role, confidence to carry out TWMs, personal RTW-related goals, beliefs about the outcomes of one’s actions, feedback received from earlier cases, and feelings related to applying TWMs. OPs’ perceived means to target these identified factors were linked to the following BCW intervention functions: education, training, persuasion, environmental restructuring, and enablement. The results suggest that at least these functions should be considered when designing future interventions. Conclusions Our study illustrates how theoretical frameworks TDF and BCW can be utilized in a RTW context to understand which determinants of physicians’ behavior need to be targeted, and how, to promote desired behaviors.Electronic supplementary materialThe online version of this article (doi:10.1007/s10926-017-9706-1) contains supplementary material, which is available to authorized users.

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Work Experiences During and After Treatment Among Self-Employed People with Cancer

et al. 2019

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Purpose: The proportion of self-employed people in the workforce is growing. However, most research on work participation among cancer survivors has focused on salaried workers. We aimed to explore how self-employed people experience work during and after cancer treatment. Methods: We conducted semi-structured interviews with seven self-employed people who had been treated for cancer and seven key informants, namely counselors in the Norwegian Labour and Welfare Administration (NAV) who had long experience in supporting self-employed people and cancer patients around work participation. Interviews were audio-recorded, transcribed and content analysed. Results: Uncertainty was an overarching theme: uncertainty about the cancer, its treatment and future consequences, made it difficult to plan and caused uncertainties about the business. Five themes related to owning a business during and after cancer treatment emerged: Cancer treatment and late-effects; Entrepreneurship and engagement; Business-related worries; Support; and Shame. Survivors often worked during treatment. While working could provide a sense of normalcy, it was also essential to keep the business running. Survivors struggled with several work-related issues (e.g. high work demands vs low work ability), but financial issues related to running their business caused particular worry. Getting cancer and, consequently, struggling with financial problems elicited a sense of shame that was closely connected to their strong identity as (successful) self-employed business (wo)men. Conclusion: Self-employed cancer survivors experience uncertainty about personal and business matters. While work sometimes helped them to cope with having cancer, financial worries and responsibility for keeping the business running weighed heavily on them.

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Fit for purpose? Using the fit note with patients with chronic pain: a qualitative study

Cited by 24 publications

References 25 publications

Successful return to work of individuals with chronic pain according to health care providers: a meta-synthesis

Successful return to work of individuals with chronic pain according to health care providers: a meta-synthesis

Application of the Theoretical Domains Framework and the Behaviour Change Wheel to Understand Physicians’ Behaviors and Behavior Change in Using Temporary Work Modifications for Return to Work: A Qualitative Study

Work Experiences During and After Treatment Among Self-Employed People with Cancer

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