Health-care providers' perspectives on factors influencing return-to-work after surgery for nontraumatic conditions of the upper extremity

Peters, Susan E.; Coppieters, Michel W.; Ross, Mark; Johnston, Venerina

doi:10.1016/j.jht.2018.09.011

Cited by 10 publications

(7 citation statements)

References 40 publications

(61 reference statements)

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“…Our study found that from the therapist's perspective, rehabilitation outcomes were improved if the client's employer or supervisors were supportive and willing to accommodate the hand therapists' recommendations. These findings support known key factors affecting a successful return‐to‐work including having a supportive employer willing to modify the job task and/or environment, with suitable alternative work duties available (Peters et al, 2020). Working Hands‐ED facilitated in‐person communication between the hand therapist, injured worker, and employer/supervisor.…”

Section: Discussionsupporting

confidence: 74%

Managing work‐related lateral elbow tendinopathy: Australian hand therapist's experiences with workplace‐based interventions

Tran

Keesing²,

Harris

et al. 2022

Aus Occup Therapy J

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Introduction Lateral elbow tendinopathy (LET) is one of the most prevalent work‐related musculoskeletal conditions. Current treatments for LET focus mainly on the physiological symptoms of pain, grip strength, and function. Recently, a novel workplace‐based hand therapy educational intervention, Working Hands‐ED, was developed based on the Person‐Environment‐Occupation‐ Performance model, International Classification of Functioning, Disability and Health framework and the Australian Clinical Framework for the Delivery of Health Services. Combining a hand therapist's specialised knowledge and skills in upper limb rehabilitation with an approach that considers injured workers' occupations and work environments may provide a more holistic approach to managing work‐related LET. To the best of our knowledge, no previous studies have investigated the experiences of hand therapists who perform workplace‐based educational interventions for the management of LET. Method An exploratory, descriptive qualitative design using semi‐structured interviews was used with hand therapists who delivered the novel hand therapy intervention Working Hands‐ED. Findings Ten occupational therapists working in hand therapy were interviewed. Three main themes and eight subthemes were identified from interview data: Person‐centred approach, opportunity for therapists to provide enhanced service, and improved stakeholder engagement in the return‐to‐work process. Logistical challenges such as the costs and time spent away from the clinical setting were identified. Conclusion All hand therapists reported delivering Working Hands‐ED when managing work‐related LET was a positive experience for them. They believed that the novel intervention could provide a more holistic approach to care that added value to their service delivery; however, there were some logistical factors to consider including the additional time and costs associated with the intervention.

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Section: Discussionsupporting

confidence: 74%

Managing work‐related lateral elbow tendinopathy: Australian hand therapist's experiences with workplace‐based interventions

Tran

Keesing²,

Harris

et al. 2022

Aus Occup Therapy J

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“…We were able to recruit an international sample and collect data related to many bio‐psycho‐social factors, finding that 34 self‐reported factors were associated with severity. This meets the recommendations of both a large survey of 787 health professionals who agreed that 20 bio‐psycho‐social factors could be important factors preventing optimised function (Peters et al., 2020), and strong recommendations from systematic reviews concerning the importance of psycho‐social factors in this population (Lin et al., 2020). Our final model included three psychological variables explaining severity (quality of life, fear avoidance and catastrophising).…”

Section: Discussionsupporting

confidence: 62%

Self‐reported bio‐psycho‐social factors partially distinguish rotator cuff tendinopathy from other shoulder problems and explain shoulder severity: A case‐control study

Şendil

Kaux³

et al. 2022

Musculoskeletal Care

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Objective: Examine how rotator cuff (RC) tendinopathy differed from other shoulder problems (OSP) by measuring a variety of self-reported bio-psycho-social factors, and establish which explain severity. Methods:A validated online survey battery was used to collect self-reported biopsychosocial variables in an international population. Diagnostic group and severity were the dependent variables. Multiple logistic and linear regression analyses were utilised to generate explanatory models for group differences and severity after group comparison and univariate regression analysis.Results: 82 people with RC tendinopathy (50 female, 42.8 � 13.9 years) and 54 with OSP (33 female, 40.2 � 14.1 years) were recruited. Both groups had comparable severity results (Shoulder Pain and Disability Index = 37.3 � 24.5 vs. 33.7 � 22.5).Seven factors individually differentiated RC tendinopathy from OSP. The multivariable model included 4 factors: activity effect on pain (OR(95%CI) = 2.24(1.02-4.90)), previous injury in the shoulder (OR(95% CI) = 0.30(0.13-0.69)), activity level (moderate OR(95% CI) = 3.97(1.29-12.18), high OR(95% CI) = 3.66(1.41-9.48)) and self-efficacy (OR(95%CI) = 1.12(1.02-1.22)) demonstrating acceptable accuracy.The second multivariable model for RC tendinopathy severity included one demographic, three psychological and two biomedical variables (β(range) = 0.19-0.38) and explained 68% of the variance. Conclusion:Self-reported bio-psycho-social variables may be beneficial for further detailed clinical assessment as they partially distinguish RC tendinopathy from OSP, even when the groups have comparable overall pain and functional problems.Moreover, these variables were shown to be substantially associated with RC tendinopathy severity variance, implying that the clinical evaluation might be improved, perhaps by pre-consultation online data collection. The models should be This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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“…In addition, the external aspect that was substantially affecting the efficiency of the return to work program in Indonesia is the capacity of providers to return to work program. Not only in terms of infrastructure, services, and benefits managed by providers but also in terms of stakeholder literacy concern to the return to work program, the effectiveness and results to be obtained in RTW also have a substantial impact [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Managing disabled workers due to occupational accidents in Indonesia: a case study on return to work program

et al. 2023

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Background Limited research and studies prove the usefulness of case management for persons with disabilities, which helps disabled employees recover their dignity through medical vocational, and psychological rehabilitation in underdeveloped countries’ Return To Work (RTW) programs. Methods This qualitative case study design involved semi structured interviews with case managers as the primary data source, supplemented by secondary data from BPJS Ketenagakerjaan. Data analysis utilized QDA Miner Lite and Python with ArcGIS integration for descriptive visualization. Results The RTW program of BPJS Ketenagakerjaan has already adopted ILO’s fundamental suggestion, which creates two central themes: internal aspects that are essential to the RTW framework and external variables that impact RTW practice. The key themes produce six main pieces to discuss further: personal skill, personal literacy, providers, guidelines, authorities, and stakeholder support. Conclusion Return to Work Program benefits companies, and the implementation of a career development service or a partnership with non-governmental organizations guarantees that disabled employees who cannot return to work with their former employers are still in the global economy.

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Health-care providers' perspectives on factors influencing return-to-work after surgery for nontraumatic conditions of the upper extremity

Cited by 10 publications

References 40 publications

Managing work‐related lateral elbow tendinopathy: Australian hand therapist's experiences with workplace‐based interventions

Managing work‐related lateral elbow tendinopathy: Australian hand therapist's experiences with workplace‐based interventions

Self‐reported bio‐psycho‐social factors partially distinguish rotator cuff tendinopathy from other shoulder problems and explain shoulder severity: A case‐control study

Managing disabled workers due to occupational accidents in Indonesia: a case study on return to work program

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