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Developing a complex vocational rehabilitation intervention for patients with inflammatory arthritis : the WORK-ON study

Madsen, Christina Merete Tvede ; Primdahl, Jette ; Bremander, Ann LU ; Eggen, Linda and Christensen, Jeanette Reffstrup (2023) In BMC Health Services Research 23(1).
Abstract

Background: People with inflammatory arthritis often experience challenges at work and balancing paid work and energy in everyday life. Low work ability is common, and people with inflammatory arthritis face high risks of losing their jobs and permanent exclusion from the labour market. Context-specific tailored rehabilitation targeting persons with inflammatory arthritis is limited. The aim of this study is to describe the development of WORK-ON – a vocational rehabilitation for people with inflammatory arthritis. Methods: Following the Medical Research Council’s framework for complex interventions, WORK-ON was developed based on existing evidence, interviews with patients and rehabilitation clinicians, a workshop, and an iterative... (More)

Background: People with inflammatory arthritis often experience challenges at work and balancing paid work and energy in everyday life. Low work ability is common, and people with inflammatory arthritis face high risks of losing their jobs and permanent exclusion from the labour market. Context-specific tailored rehabilitation targeting persons with inflammatory arthritis is limited. The aim of this study is to describe the development of WORK-ON – a vocational rehabilitation for people with inflammatory arthritis. Methods: Following the Medical Research Council’s framework for complex interventions, WORK-ON was developed based on existing evidence, interviews with patients and rehabilitation clinicians, a workshop, and an iterative process. Results: The six-month vocational rehabilitation, WORK-ON, consists of 1) an initial assessment and goal setting by an occupational therapist experienced in rheumatology rehabilitation, 2) coordination by the same occupational therapist and individual support, including navigating across the primary and secondary health sectors, as well as social care, 3) group sessions for peer support, and 4) optionally individually tailored consultations with physiotherapists, nurses, or social workers. Conclusion: WORK-ON is ready to be tested in a feasibility study. Trial registration: The Regional Committees on Health Ethics for Southern Denmark stated that no formal ethical approval was necessary in this study (20,192,000–105).

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Axial spondylarthritis, Complex intervention, Development process, Psoriatic arthritis, Rheumatoid arthritis, Work ability
in
BMC Health Services Research
volume
23
issue
1
article number
739
publisher
BioMed Central (BMC)
external identifiers
  • pmid:37422649
  • scopus:85164255572
ISSN
1472-6963
DOI
10.1186/s12913-023-09780-2
language
English
LU publication?
yes
id
6ec6edee-ed9b-4ca8-b369-2ec7a7a52710
date added to LUP
2023-08-28 14:15:29
date last changed
2024-04-20 02:05:57
@article{6ec6edee-ed9b-4ca8-b369-2ec7a7a52710,
  abstract     = {{<p>Background: People with inflammatory arthritis often experience challenges at work and balancing paid work and energy in everyday life. Low work ability is common, and people with inflammatory arthritis face high risks of losing their jobs and permanent exclusion from the labour market. Context-specific tailored rehabilitation targeting persons with inflammatory arthritis is limited. The aim of this study is to describe the development of WORK-ON – a vocational rehabilitation for people with inflammatory arthritis. Methods: Following the Medical Research Council’s framework for complex interventions, WORK-ON was developed based on existing evidence, interviews with patients and rehabilitation clinicians, a workshop, and an iterative process. Results: The six-month vocational rehabilitation, WORK-ON, consists of 1) an initial assessment and goal setting by an occupational therapist experienced in rheumatology rehabilitation, 2) coordination by the same occupational therapist and individual support, including navigating across the primary and secondary health sectors, as well as social care, 3) group sessions for peer support, and 4) optionally individually tailored consultations with physiotherapists, nurses, or social workers. Conclusion: WORK-ON is ready to be tested in a feasibility study. Trial registration: The Regional Committees on Health Ethics for Southern Denmark stated that no formal ethical approval was necessary in this study (20,192,000–105).</p>}},
  author       = {{Madsen, Christina Merete Tvede and Primdahl, Jette and Bremander, Ann and Eggen, Linda and Christensen, Jeanette Reffstrup}},
  issn         = {{1472-6963}},
  keywords     = {{Axial spondylarthritis; Complex intervention; Development process; Psoriatic arthritis; Rheumatoid arthritis; Work ability}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{BMC Health Services Research}},
  title        = {{Developing a complex vocational rehabilitation intervention for patients with inflammatory arthritis : the WORK-ON study}},
  url          = {{http://dx.doi.org/10.1186/s12913-023-09780-2}},
  doi          = {{10.1186/s12913-023-09780-2}},
  volume       = {{23}},
  year         = {{2023}},
}