IntroductionThis qualitative study, nested in a pilot feasibility randomised controlled
trial, explored the views of working people with inflammatory arthritis on
the impact of a work rehabilitation programme received.MethodThirty-two participants, drawn from the 55 participants in the associated
randomised controlled trial, were recruited from secondary care in the
United Kingdom. Semi-structured telephone and face-to-face interviews were
conducted at six (n = 32) and nine months follow-up
(n = 31). Interviews were audio-recorded, transcribed,
and analysed using a constant comparative approach, under the theoretical
framework of critical realism.FindingsThree overarching themes emerged: (1) intervention group participants valued
the work rehabilitation programme received, and highlighted the benefits of
occupational therapy; (2) control group participants reported no benefits in
relation to the written work advice pack, and lacked future aspirations to
stay employed; (3) the majority of participants reported not reading the
written work advice pack provided, which was the only work advice received
by the control group.ConclusionWorking people with inflammatory arthritis highly valued the practical
support received from the therapists, and emphasised the value of the
therapeutic relationship in the rehabilitation process. A tailor-made work
rehabilitation programme, which incorporates cognitive-behavioural
strategies into patient education, may help to reduce work instability in
people with inflammatory arthritis, and increase their perceived
self-efficacy.