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Key Push and Pull Factors Affecting Return to Work Identified by Patients With Long-Term Pain and General Practitioners in Sweden

Lundberg, Tove LU and Melander, Stina LU (2019) In Qualitative Health Research
Abstract

Research shows that working is positive for people with long-term pain but that work-related support from health professionals is inadequate. One explanation for this inadequacy is that patients and providers differ in terms of perspectives on motivation to work. In this article, we compare factors that 31 patients and 15 general practitioners consider important to promote return to work for people with long-term pain. We analyzed the interviews with thematic analysis and a motivational push and pull framework to cover different motivational factors, societal and individual, that might push or pull patients from or toward work. Providers said that a difference between working and nonworking patients is their level of individual... (More)

Research shows that working is positive for people with long-term pain but that work-related support from health professionals is inadequate. One explanation for this inadequacy is that patients and providers differ in terms of perspectives on motivation to work. In this article, we compare factors that 31 patients and 15 general practitioners consider important to promote return to work for people with long-term pain. We analyzed the interviews with thematic analysis and a motivational push and pull framework to cover different motivational factors, societal and individual, that might push or pull patients from or toward work. Providers said that a difference between working and nonworking patients is their level of individual motivation, while the patients’ stories showed that the main difference was the physical (non)ability to push themselves to work. We suggest that work-related support can be improved by addressing such differences in clinical practice.

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author
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
chronic pain, interview, long-term pain, motivation, primary care, push and pull framework, qualitative thematic analysis, Sweden, work retention, work return
in
Qualitative Health Research
publisher
SAGE Publications Inc.
external identifiers
  • scopus:85063572259
ISSN
1049-7323
DOI
10.1177/1049732319837227
language
English
LU publication?
yes
id
dc007248-3247-4a4f-996e-fd1ebb1c924a
date added to LUP
2019-04-08 13:00:47
date last changed
2019-04-30 04:10:32
@article{dc007248-3247-4a4f-996e-fd1ebb1c924a,
  abstract     = {<p>Research shows that working is positive for people with long-term pain but that work-related support from health professionals is inadequate. One explanation for this inadequacy is that patients and providers differ in terms of perspectives on motivation to work. In this article, we compare factors that 31 patients and 15 general practitioners consider important to promote return to work for people with long-term pain. We analyzed the interviews with thematic analysis and a motivational push and pull framework to cover different motivational factors, societal and individual, that might push or pull patients from or toward work. Providers said that a difference between working and nonworking patients is their level of individual motivation, while the patients’ stories showed that the main difference was the physical (non)ability to push themselves to work. We suggest that work-related support can be improved by addressing such differences in clinical practice.</p>},
  author       = {Lundberg, Tove and Melander, Stina},
  issn         = {1049-7323},
  keyword      = {chronic pain,interview,long-term pain,motivation,primary care,push and pull framework,qualitative thematic analysis,Sweden,work retention,work return},
  language     = {eng},
  month        = {03},
  publisher    = {SAGE Publications Inc.},
  series       = {Qualitative Health Research},
  title        = {Key Push and Pull Factors Affecting Return to Work Identified by Patients With Long-Term Pain and General Practitioners in Sweden},
  url          = {http://dx.doi.org/10.1177/1049732319837227},
  year         = {2019},
}