Is strain due to household and family work associated with a subjective need for rehabilitation among employees? A cross-sectional study

Richter, Cynthia; Bethge, Matthias; Spanier, Katja; Mau, Wilfried; Mattukat, Kerstin

doi:10.1016/j.zefq.2021.02.007

Cited by 4 publications

(6 citation statements)

References 16 publications

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“…Commitments at home also add further stress to persons who already report pain-related limitations in their daily life. Therefore, it presents an application barrier that needs more attention ( 27 ).…”

Section: Discussionmentioning

confidence: 99%

Barriers to applying for medical rehabilitation: a time-to-event analysis of employees with severe back pain in Germany

Zimmer

Fauser²,

Golla³

et al. 2022

JRM

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Objective: Longitudinal studies on barriers to applying for rehabilitation in Germany are lacking in light of the suspected underutilization of rehabilitation services. The aim of this study was to examine application behaviour in persons with disabling back pain and to identify relevant predictors for making an application. Design: A prospective cohort study with randomized sampling of insurants in the German Pension Insurance, using a questionnaire at baseline and follow-up with linked administrative data for 1.5 years. Subjects/patients: Employed persons (age range 45–59 years) with a high degree of limitations due to back pain and a self-reported risk of permanent work disability (not applied for disability pension, no medical rehabilitation within the last 4 years). Methods: Multivariable Cox regression was used to examine the influence of pre-selected variables on making an application in the follow-up period. Results: Of 690 persons, only 12% applied for rehabilitation. Predictors for making an application were: support from physicians (hazard ratio (HR)=2.24; 95% confidence interval (95% CI) 1.32–3.80), family, and friends (HR=1.67; 95% CI 1.02–2.73), more pain-related disability days (HR=1.02; 95% CI 1.01–1.03), and worse work ability (HR=0.86; 95% CI 0.75–0.97). An intention to apply at baseline mediated the effect of family and physician support on the application. Conclusion: The low number of applications for rehabilitation despite disabling back pain indicates access barriers to, and underuse of, medical rehabilitation.

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Section: Discussionmentioning

confidence: 99%

Barriers to applying for medical rehabilitation: a time-to-event analysis of employees with severe back pain in Germany

Zimmer

Fauser²,

Golla³

et al. 2022

JRM

Self Cite

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“…This disregards unpaid labor such as household work and caring for children. Such unpaid work is mainly borne by women and is usually not considered as part of post-discharge RTW rehabilitation (92,93).…”

Section: Discussionmentioning

confidence: 99%

Measuring socioeconomic outcomes in trauma patients up to one year post-discharge: A systematic review and meta-analysis

David

Aroke

Roy

et al. 2022

Injury

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“…The diversity of those engaged was important, needing to reflect the age and gender demographic as well as diversity in relation to ethnicity and family households. The employment and household status were evident as a key factor in recuperation and rehabilitation with specific unpaid gender roles and recognition that consideration should be given to the strain factors associated with unpaid family work when designing and organising interventions to promote access to medical rehabilitation services [ 23 ].…”

Section: Methodsmentioning

confidence: 99%

Assessing the Acceptability of a Co-Produced Long COVID Intervention in an Underserved Community in the UK

Fowler-Davis

Young

Maden‐Wilkinson

et al. 2021

IJERPH

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Background: The COVID-19 pandemic has disproportionately affected people from more deprived communities. The experience of Long COVID is similarly distributed but very few investigations have concentrated on the needs of this population. The aim of this project was to co-produce an acceptable intervention for people with Long COVID living in communities recognised as more deprived. Methods: The intervention was based on a multi-disciplinary team using approaches from sport and exercise medicine and functional rehabilitation. The co-production process was undertaken with a stakeholder advisory group and patient public involvement representation. This study identified participants by postcode and the indices of multiple deprivation (IMD); recruitment and engagement were supported by an existing health and wellbeing service. A virtual ‘clinic’ was offered with a team of professional practitioners who met participants three times each; to directly consider their needs and offer structured advice. The acceptability of the intervention was based on the individual’s participation and their completion of the intervention. Results: Ten participants were recruited with eight completing the intervention. The partnership with an existing community health and wellbeing service was deemed to be an important way of reaching participants. Two men and six women ages ranging from 38 to 73 were involved and their needs were commonly associated with fatigue, anxiety and depression with overall de-conditioning. None reported serious hardship associated with the pandemic although most were in self-employment/part-time employment or were not working due to retirement or ill-health. Two older participants lived alone, and others were single parents and had considerable challenges associated with managing a household alongside their Long COVID difficulties. Conclusions: This paper presents the needs and perspectives of eight individuals involved in the process and discusses the needs and preferences of the group in relation to their support for self- managed recovery from Long COVID.

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Is strain due to household and family work associated with a subjective need for rehabilitation among employees? A cross-sectional study

Cited by 4 publications

References 16 publications

Barriers to applying for medical rehabilitation: a time-to-event analysis of employees with severe back pain in Germany

Barriers to applying for medical rehabilitation: a time-to-event analysis of employees with severe back pain in Germany

Measuring socioeconomic outcomes in trauma patients up to one year post-discharge: A systematic review and meta-analysis

Assessing the Acceptability of a Co-Produced Long COVID Intervention in an Underserved Community in the UK

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