FRI0592-HPR Work Rehabilitation in Inflammatory Arthritis: A Pilot Randomised Controlled Trial:

A qualitative evaluation of occupational therapy-led work rehabilitation for people with inflammatory arthritis: Perspectives of therapists and their line managers

“…Allaire and Keysor (2009) reported that, on average, during testing it took American occupational and physiotherapists on average 44 (range 25–60) minutes to complete the WES-RC with patients. In contrast, in our pilot study, it took the occupational therapists almost twice as long, on average 79 (range 40–110 minutes), to complete (Hammond et al., 2014). However, this may have been due to their lack of experience in using standardized assessments in practice as, towards the end of the study, they reported becoming quicker going through the assessment, prioritizing and goal setting.…”

“…Additionally, the occupational therapists were positive about delivering the work rehabilitation and its benefits to participants. The patients received on average 3 hours direct work rehabilitation (including conducting the WES-RC) spread over 3 months (Hammond et al., 2014). However, some therapists expressed concerns about the feasibility of delivering this comprehensive intervention in practice, because of pressures to provide minimal interventions in the NHS.…”

A survey to establish current practice in addressing work participation with inflammatory arthritis in the Irish clinical setting

“…Addressing work participation is recognized has having the potential to reduce work disability (Franche et al, ; Waddell, Burton, & Kendall, ). Studies have examined the role of occupational therapy in vocational rehabilitation (Bade & Eckert, ; Lee & Kielhofner, ; WFOT, ; Hammond, Prior, O'Brien, Woodbridge, & Radford, ). The present study identified barriers to the provision of work interventions by occupational therapists, including time and resource restrictions and the lack of a referral process for work, which reportedly account for high levels of unmet need.…”

The Elizabeth Casson Memorial Lecture 2014: Changing ways; changing times

“…On average, participants received 3 hours of work rehabilitation over 3 sessions, with therapists spending a further 2 hours on indirect provision, such as identifying solutions, employer liaison, and referral to other agencies. This led to moderate to large effect sizes for changes in work instability, work productivity, pain, and fatigue compared to the control group, at a cost of £123 per client (Hammond et al 2014).…”