Views and Experiences of Persons with Chronic Diseases about Strategies that Aim to Integrate and Re-Integrate Them into Work: A Systematic Review of Qualitative Studies

Esteban, Eva; Coenen, Michaela; Ito, Elizabeth; Gruber, Sonja; Scaratti, Chiara; Roka, Olga; Vasilou, Evdokia; Muñoz-Murillo, Amalia; Ávila, Carolina C.; Kovačič, Dare S.; Ivandić, Ivana; Sabariego, Carla

doi:10.3390/ijerph15051022

Cited by 23 publications

(20 citation statements)

References 66 publications

(381 reference statements)

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“…This manuscript focuses, however, solely on quantitative studies evaluating the effectiveness of interventions carried out in European countries with persons with chronic diseases in general (specific conditions are not further specified in the studies or results for different conditions are reported together) or persons with disability (because, as described above, usually the majority of people who receive disability benefits have chronic diseases) and for persons with musculoskeletal disorders. Results for mental disorders and results of qualitative papers focusing on factors that affect effectiveness are reported in other publications of this special issue [ 16 , 17 ].…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of Integration and Re-Integration into Work Strategies for Persons with Chronic Conditions: A Systematic Review of European Strategies

Sabariego

Coenen

Ito

et al. 2018

IJERPH

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Due to low employment rates associated to chronic conditions in Europe, it is essential to foster effective integration and re-integration into work strategies. The objective of this systematic review is to summarize the evidence on the effectiveness of strategies for integration and re-integration to work for persons with chronic diseases or with musculoskeletal disorders, implemented in Europe in the past five years. A systematic search was conducted in MedLine, PsycINFO, CDR-HTA, CDR-DARE and Cochrane Systematic Reviews. Overall, 32 relevant publications were identified. Of these, 21 were considered eligible after a methodological assessment and included. Positive changes in employment status, return to work and sick leave outcomes were achieved with graded sickness-absence certificates, part-time sick leave, early ergonomic interventions for back pain, disability evaluation followed by information and advice, and with multidisciplinary, coordinated and tailored return to work interventions. Additionally, a positive association between the co-existence of active labour market policies to promote employment and passive support measures (e.g., pensions or benefits) and the probability of finding a job was observed. Research on the evaluation of the effectiveness of strategies targeting integration and re-integration into work for persons with chronic health conditions needs, however, to be improved and strengthened.

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Section: Methodsmentioning

confidence: 99%

Effectiveness of Integration and Re-Integration into Work Strategies for Persons with Chronic Conditions: A Systematic Review of European Strategies

Sabariego

Coenen

Ito

et al. 2018

IJERPH

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“…Chronic diseases have an impact on and change their daily lives for the people affected by them for a long time; they can also be life-threatening [3]. Information about the disease and rehabilitation are important to help patients cope with their new situation [4,5]. and hope can encourage them to focus on the future [6].…”

Section: Introductionmentioning

confidence: 99%

“Not Thinking that This Means the End When You Are Seriously Ill but Doing Something Positive about It”—A Qualitative Study of Living with a Life-Changing Disease

et al. 2019

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Background: Chronic diseases have an impact on and can change the lives of the persons affected by them. This study examines how a disease can influence patients’ daily lives, the strategies they adopt to cope, and their experiences of support. The study focuses on four chronic diseases: asthma-allergy, cancer, diabetes mellitus, and inflammatory rheumatic arthritis. Methods: The study has a qualitative design and includes 41 transcribed in-depth interviews and a content analysis. Results: The participants’ new life situation was changed for a very long time or forever, and this was not a voluntary choice. The new life situation comprised the following themes: life-changing—the disease could be a turning point in a negative or positive way, strategies—designed to create ways of coping with daily tasks to find a good quality of life, and support—that could be obtained from the participants’ private network or the healthcare professionals. Conclusions: The patients had to make changes in their daily life, and these could bring about different feelings and restrict activity. Healthcare professionals need more knowledge of the process of coping with such life-changing matters and what could strengthen patients and give a sense of empowerment in their lives.

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“…One of the most important strategies, in the stakeholders' opinion, was the integration of employment services with the mental healthcare team [54], as well as interventions IJOMEH 2020;33(3)…”

Section: Strengths and Limitations Of The Studymentioning

confidence: 99%

Gender perspective in the analysis of the relationship between health and work cessation, and how to deal with it

Piłat

Gałaś

Wilga

et al. 2020

Int J Occup Med Environ Health

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The main objective of this study is to examine the relationship between health and an early exit from paid employment in the Finnish, Polish, and Spanish populations. The authors have addressed the following 3 issues: who chooses not to work according to gender patterns, whether the health status is a determinant of being non-employed, and what diseases are associated with being non-employed. Material and Methods: The studied material consists of data from the Collaborative Research on Ageing in Europe (COURAGE in Europe) project. The analysis was based on a sample of 5868 individuals, including 1214 from Finland, 2152 from Poland and 2532 from Spain. In the paper, these data were complemented with the results of the PArticipation To Healthy Workplaces And inclusive Strategies in the Work Sector (PATHWAYS) project. Results: The results of the study revealed that self-rated health was a strong predictor of being non-employed for different reasons. Chronic diseases, such as arthritis, angina, diabetes, chronic obstructive pulmonary disease, depression and hypertension, were typically associated with an increased risk of being non-employed due to health problems and early retirement. Women more frequently reported arthritis and depression, while a higher proportion of men suffered from angina and diabetes. Conclusions: The results obtained by the authors highlight the importance of evaluating gender patterns in work cessation and, at the same time, the importance of gender-focused actions in terms of preventing withdrawal from the labor market. In principle, all chronic diseases have some impact on participation in the labor market. It is worth noting, however, that each of them affects workforce participation in a different manner, depending on the specific disease, country and gender. For this reason, tailored support to every individual's needs is highly recommended.

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Views and Experiences of Persons with Chronic Diseases about Strategies that Aim to Integrate and Re-Integrate Them into Work: A Systematic Review of Qualitative Studies

Cited by 23 publications

References 66 publications

Effectiveness of Integration and Re-Integration into Work Strategies for Persons with Chronic Conditions: A Systematic Review of European Strategies

Effectiveness of Integration and Re-Integration into Work Strategies for Persons with Chronic Conditions: A Systematic Review of European Strategies

“Not Thinking that This Means the End When You Are Seriously Ill but Doing Something Positive about It”—A Qualitative Study of Living with a Life-Changing Disease

Gender perspective in the analysis of the relationship between health and work cessation, and how to deal with it

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