Friedli, Thomas; Gantschnig, Brigitte E. (2022). The role of contextual factors on participation in the life area of work and employment after rehabilitation: A qualitative study on the views of persons with chronic pain. Work, 71(1), pp. 119-132. IOS Press 10.3233/WOR-205173
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BACKGROUND
A deeper understanding of how contextual factors affect the ability to participate in the life area of work and employment despite chronic musculoskeletal pain is needed as a basis for interprofessional rehabilitation programs.
OBJECTIVE
To investigate which contextual factors influence rehabilitation program clients' ability to participate in the life area of work and employment, and how they do this.
METHODS
Nested case study using a realist evaluation framework of interprofessional interventions. Qualitative content analysis of problem-centered interviews to identify influential context-mechanism-outcome configurations.
RESULTS
We identified several important context-mechanism-outcome configurations. In the pre-interventional phase, socioeconomic and environmental factors affected two mechanisms, "exhaustion" and "discrimination". In the intra-interventional phase, the social skills of health professionals and opportunities for discussion with peers affected the ability of program participants to engage with program content. In the post-intervention phase, volitional competences of the social system affected the sustainable application of program content in everyday life.
CONCLUSION
The identified context-mechanism-outcome configurations shows that the ability to participate in the life area of work is interdependent with the ability to participate in other areas of life. In practice and research, assessment and treatment should be carried out based on this understanding.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of Dermatology, Urology, Rheumatology, Nephrology, Osteoporosis (DURN) > Clinic of Rheumatology and Immunology |
UniBE Contributor: |
Friedli, Tom, Gantschnig, Brigitte Elisabeth |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1875-9270 |
Publisher: |
IOS Press |
Language: |
English |
Submitter: |
Andrea Stettler |
Date Deposited: |
01 Nov 2022 08:11 |
Last Modified: |
07 Dec 2022 18:38 |
Publisher DOI: |
10.3233/WOR-205173 |
PubMed ID: |
34924419 |
Uncontrolled Keywords: |
Evaluation study disability and health international classification of functioning quality of life realist evaluation rehabilitation |
BORIS DOI: |
10.48350/174369 |
URI: |
https://boris.unibe.ch/id/eprint/174369 |
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