Lifestyle and Work-Related Factors Associated with Work Ability and Work Participation for People with Obesity: A Prospective Observational Study After Vocational Rehabilitation

Linge, Anita Dyb; Jensen, Chris; Laake, Petter; Bjørkly, Stål

doi:10.2147/dmso.s311462

Cited by 3 publications

(5 citation statements)

References 30 publications

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“…Higher self-perceived health, more comorbidities and higher pain intensity at the beginning of rehabilitation were all associated with work ability one year later, underscoring their significance for self-perceived work ability. These findings align with existing research, reporting associations between self-perceived health and work ability [7,50], and pain and work ability [51], and that having rheumatic and musculoskeletal diseases concurrent with comorbidities is associated with poorer health, higher ratings of pain, psychological distress and work disruptions [22]. People who experience impaired health consider themselves not capable of work, and exhibit a low motivation to participate in the labor market [52].…”

Section: Discussionsupporting

confidence: 83%

Work Ability in the Year after Rehabilitation—Results from the RehabNytte Cohort

Skinnes,

Moe,

Johansen

et al. 2023

JCM

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Background: There is limited knowledge regarding the impact of rehabilitation on work ability. The aim of this study was to explore factors associated with work ability 12 months following a multidisciplinary rehabilitation program in a cohort with different diagnoses. Methods: Of 9108 potentially eligible participants for the RehabNytte research project, 3731 were eligible for the present study, and 2649 participants (mean age 48.6 years, 71% female) consented to contribute with work-related data, and were included. Self-perceived work ability was assessed by the Work Ability Score (WAS) (0–10, 10 = best), during the follow-up period using paired t-tests and logistic regression to examine associations between demographic and disease-related factors and work ability at 12-month follow-up. Results: The mean baseline WAS for the total cohort was 3.53 (SD 2.97), and increased significantly to 4.59 (SD 3.31) at 12-month follow-up. High work ability (WAS ≥ 8) at 12 months was associated with high self-perceived health at the baseline (OR 3.83, 95% CI 2.45, 5.96), while low work ability was associated with a higher number of comorbidities (OR 0.26, 95% CI 0.11, 0.61), medium pain intensity (OR 0.56, 95% CI 0.38, 0.83) and being married or cohabiting (OR 0.61, 95% CI 0.43, 0.88). There were no significant differences in work ability between participants receiving occupational and standard rehabilitation. Conclusions: Work ability increased significantly over the follow-up period. High work ability at 12-month follow-up was associated with high self-perceived health at baseline, while being married or cohabiting, having higher number of comorbidities, and experiencing medium baseline pain intensity was associated with lower work ability. Rehabilitation interventions targeting these factors may potentially enhance work ability, leading to a positive impact on work participation among people in need of rehabilitation.

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Section: Discussionsupporting

confidence: 83%

Work Ability in the Year after Rehabilitation—Results from the RehabNytte Cohort

Skinnes,

Moe,

Johansen

et al. 2023

JCM

Self Cite

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“…However, changes in work participation can also depend on factors not directly affected by health or lifestyle changes, such as relations with managers and co-workers and other workplace factors. Workplace modifications can contribute to increased work ability as well as prevent sick leave (Franche & Krause, 2002 ; Kristman et al, 2020 ; Linge et al, 2021a , 2021b ; Schultz et al, 2007 ; Young et al, 2005 ), and job satisfaction has been shown to be an important factor for well-being at work (Ekberg & Ståhl, 2020 ; Figueredo et al, 2020 ; Hees et al, 2012 ; Linge et al, 2021b ; De Vries et al, 2011 ).…”

Section: Discussionmentioning

confidence: 99%

“…Until now, work focus has not been a part of lifestyle interventions for persons with obesity in Norway, although there is an increasing awareness of the problem of reduced work ability for this group (Linge et al, 2021a , 2021b ). In order to meet the challenges that persons living with obesity face regarding their working life, a newly developed work intervention was introduced as an additional element to a lifestyle intervention programme for persons with morbid obesity.…”

Section: Introductionmentioning

confidence: 99%

What works? A qualitative study of participants experiences of a traditional lifestyle intervention with a work focus

Andersen¹,

Linge

Jensen³

2022

International Journal of Qualitative Studies on Health and Well

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Purpose Obesity is related to lower labour force participation, increased sickness absence and reduced productivity. The rehabilitation services in Norway have not had much experience introducing a work dimension into lifestyle interventions for persons with obesity. Therefore, this study aimed to evaluate one such type of intervention. Methods This is a qualitative study seeking to gather data on the participants’ experiences. Twenty participants were recruited from two lifestyle interventions. Intervention A, with work focus, included lectures and individual guidance from a work consultant in addition to the lifestyle intervention. Intervention B was a traditional lifestyle intervention. Data were collected by semi-structured interviews held at each stay. Results Seven main themes emerged and one of them pointed towards a confusion of the aim of the intervention, which was viewed as focusing on lifestyle rather than a process focused on work. Otherwise, the results showed that persons with obesity struggle with many of the same inhibiting factors as other groups with reduced work ability. Conclusions The application process might explain the focus on lifestyle change. Communication, guidance and support reduce barriers for lifestyle change, but work is important for general health and social well-being and a work focus may therefore be beneficial in all lifestyle interventions.

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“… 13 , 14 Further, publications indicate also that weight reduction may improve work ability and work participation. 15–17 To manage health and functional capacity problems and adjust contextual factors, people in Norway can receive help through governmental-funded vocational rehabilitation (VR). 18 , 19 VR aims not to cure illness but to promote work participation despite sickness and health complaints.…”

Section: Introductionmentioning

confidence: 99%

“… 21 Previous research has indicated that people attending VR programmes may enhance work ability and reduce sick leave. 15 , 22 , 23 …”

Section: Introductionmentioning

confidence: 99%

Bandura’s Self-Efficacy Model Used to Explore Participants’ Experiences of Health, Lifestyle, and Work After Attending a Vocational Rehabilitation Program with Lifestyle Intervention – A Focus Group Study

Linge¹,

Bjørkly²,

Jensen³

et al. 2021

JMDH

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Purpose We aimed to use the self-efficacy model to examine the participants’ experience, attitudes, and viewpoints regarding the association between work, health and lifestyle factors that influence work participation after completing a new one-year multidisciplinary vocational rehabilitation (VR) programme with a lifestyle intervention for people on or at risk of sick leave due to obesity or obesity-related problems. Materials and Methods This case study was based on focus group (FG) interviews with 11 previous participants. The interviews were conducted 2 to 4 years after they completed the program, between August and September 2019. The analysis followed Braun and Clarke’s six-phase reflexive thematic analysis (RTA) approach. Results The main theme “Work participation enhances quality of life” was prominent and related to mastery experience. Four sub-themes directly and indirectly affect work participation. The first sub-theme is “My attitude to life”, influenced by mastery experiences. Next, “Body size matters”, related to physiological and affective states. “Good physical capacity profit in everyday life” is associated to physiological and affective states, and the last “Support from the surroundings” influenced by vicarious experience and Verbal Persuasion. Conclusion This study’s main finding highlights how participants value work participation as a meaningful activity that positively influences their work self-efficacy. Future VR programs should pay attention to interventions focusing on the workplace, cognitive approaches to develop skills for coping strategies, lifestyle change purposing BMI reduction, physical activity, and support from the surroundings. Clinical Trials Technical information about the study on Clinical Trials NCT03286374.

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Lifestyle and Work-Related Factors Associated with Work Ability and Work Participation for People with Obesity: A Prospective Observational Study After Vocational Rehabilitation

Cited by 3 publications

References 30 publications

Work Ability in the Year after Rehabilitation—Results from the RehabNytte Cohort

Work Ability in the Year after Rehabilitation—Results from the RehabNytte Cohort

What works? A qualitative study of participants experiences of a traditional lifestyle intervention with a work focus

Bandura’s Self-Efficacy Model Used to Explore Participants’ Experiences of Health, Lifestyle, and Work After Attending a Vocational Rehabilitation Program with Lifestyle Intervention – A Focus Group Study

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