Motivational Interviewing Improves Sustainable Return to Work in Injured Workers After Rehabilitation: A Cluster Randomized Controlled Trial

Gross, Douglas P.; Park, Joanne; Rayani, Fahreen; Norris, Colleen M.; Esmail, Shaniff

doi:10.1016/j.apmr.2017.06.003

Cited by 34 publications

(30 citation statements)

References 30 publications

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“…The sick-listed worker's readiness for RTW change was assessed, and a written action plan was developed if the sick-listed worker was ready for RTW change. Whether or not a written RTW plan was made, the caseworker provided the sick-listed worker with a written summary of the two MI sessions [24]. At the end of the first MI session, they were informed that a written summary remained available for the sick-listed and assigned caseworkers, which is a standard procedure in the sickness absence follow-up at NAV.…”

Section: Motivational Interviewing (Mi) Sessionsmentioning

confidence: 99%

“…Only a few studies have evaluated the effect of MI on RTW for sick-listed workers, and evidence of the method's efficacy as a RTW intervention is lacking [15,23]. However, a recent study found that the use of MI led to more sustainable RTW compared to traditional rehabilitation for patients with musculoskeletal complaints [24]. Moreover, a Swedish study found that unemployed longterm sick-listed individuals experienced their encounters with RTW professionals using MI as positive [14].…”

Section: Introductionmentioning

confidence: 99%

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Sick-listed workers’ experiences with motivational interviewing in the return to work process: a qualitative interview study

et al. 2020

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Background: When returning to work after being on long-term sick leave, individuals may experience varying levels of motivation and self-efficacy. Motivational interviewing (MI) is a counseling style that aims to increase motivation towards change, and it may be useful in the return to work (RTW) process. The aim of this study was to explore sick-listed workers' experiences with MI in the RTW process. Methods: This qualitative study was part of a randomized controlled trial evaluating the effects of MI on the RTW process, and it was administered by caseworkers at the Norwegian Labor and Welfare Administration. Sixteen sicklisted individuals, aged 33-60, participated in semi-structured interviews. All had a sick leave status of 50-100% for at least 8 weeks when interviewed and all had completed 2 MI sessions. The data was analyzed with systematic text condensation. Results: Participants' experiences of the MI sessions were categorized into three themes: (1) relationship with the MI caseworker, (2) normalizing sick leave, and (3) adjusting RTW strategies. The MI sessions were experienced as a positive encounter due to the supportive relationship that was built between the MI caseworker and the sick-listed worker. Being sick listed led to feelings of guilt and stigmatization, but acceptance and support from the MI caseworkers helped normalize the situation for the sick-listed workers. Furthermore, MI sessions allowed for personalized feedback and discussions on adjustments to their RTW strategies. Conclusion: Sick-listed workers experienced MI as positive due to the good relationship that developed with the MI caseworker, how this normalized sick leave, and the help they received with adjusting their RTW strategies. Professionals working with individuals attempting to RTW may benefit from using MI as a method for helping sick-listed workers to RTW. Trial registration: ClinicalTrials.gov: NCT03212118 (registered July 11, 2017).

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Section: Motivational Interviewing (Mi) Sessionsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Sick-listed workers’ experiences with motivational interviewing in the return to work process: a qualitative interview study

et al. 2020

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show abstract

“…Transition between stages and overall readiness for work are influenced by physical, psychological and social factors that can create uncertainty about ability to function or RTW [22,23]. There is an increasing emphasis in occupational rehabilitation on how psychosocial factors contribute to prolonged work disability; however, further research is needed on practical approaches and interventions that address psychosocial and behavioral barriers to RTW [16,17,22,23]. In addition, OTs report several challenges when implementing evidence-based principles into practice [7].…”

Section: Motivational Interviewing and Occupational Rehabilitationmentioning

confidence: 99%

“…The applicability of MI across a variety of issues, its brief and specific interactions, and practical use in combination with other active treatment methods has intrigued many health care practitioners and lead to explorations of the utility of MI in other areas of health care practice [29]. Two recent studies examined the effectiveness of MI in a population of workers with disabling musculoskeletal disorders [16,17]. MI led to higher percentages of RTW at the end of rehabilitation and more sustainable RTW over a 1-year follow-up.…”

Section: Characteristics Of MImentioning

confidence: 99%

“…The clinical procedure of MI involves a conversation about change with the primary purpose of strengthening the client's motivation for change based on the client's values and interests [12][13][14]. MI has been used to address maladaptive behavior and promote healthy adaptive behaviors [15] and has recently been applied to occupational rehabilitation to improve RTW outcomes [16,17].…”

Section: Introductionmentioning

confidence: 99%

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Model of Human Occupation as a framework for implementation of Motivational Interviewing in occupational rehabilitation

Park

Gross

Rayani

et al. 2019

WOR

Self Cite

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BACKGROUND: A conceptual framework is needed to understand injured workers' decision-making and inform evidencebased interventions to address behavior change regarding return-to-work (RTW). The Model of Human Occupation (MOHO) can help with understanding how an injured worker's characteristics can generate behavior change while Motivational Interviewing (MI) can help facilitate behavior change. OBJECTIVE: This theoretical paper provides an overview of how MOHO and MI can be applied and integrated in occupational rehabilitation. The objectives of this paper are to: (1) evaluate MOHO as a framework for supporting occupational therapists (OTs) in occupational rehabilitation; (2) describe MI as a suitable approach for OTs in occupational rehabilitation; and (3) compare and integrate MOHO and MI. METHOD: Several important works and reviews were used to integrate MOHO and MI with occupational rehabilitation. IMPLICATIONS FOR PRACTICE: The identification of a model and approach to support OT practice in occupational rehabilitation can assist OTs to determine the most appropriate interventions and contribute to standards of best practice. CONCLUSIONS: Integrating MOHO and MI provides a comprehensive framework for understanding impairment and RTW change processes with the potential to reduce work disability and improve RTW outcomes.

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Motivational interviewing for employment: An exploration of practitioner skill and client change talk

Britt

Soleymani

Wallace-Bell

et al. 2022

Journal of Employment Couns

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Motivational interviewing (MI) is an evidenced‐based approach for building and strengthening motivation for change. The effect of MI training on practitioner conversations with unemployed clients within a government work and income service was evaluated using a mixed‐method approach, comprising a multiple‐baseline across practitioner (n = 5) design and a pre/post quasi‐experimental design. After workshop MI training, practitioners demonstrated greater MI skills in conversations with clients, and MI skills were maintained during the period of post‐workshop feedback and coaching. There was also more change talk spoken by clients in conversations that occurred post‐MI workshop training compared to pre‐training, suggesting increased motivation for change.

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Motivational Interviewing Improves Sustainable Return to Work in Injured Workers After Rehabilitation: A Cluster Randomized Controlled Trial

Cited by 34 publications

References 30 publications

Sick-listed workers’ experiences with motivational interviewing in the return to work process: a qualitative interview study

Sick-listed workers’ experiences with motivational interviewing in the return to work process: a qualitative interview study

Model of Human Occupation as a framework for implementation of Motivational Interviewing in occupational rehabilitation

Motivational interviewing for employment: An exploration of practitioner skill and client change talk

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