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
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Author (Corporation)
Publication date
2022
Typ of student thesis
Course of study
Collections
Type
01A - Journal article
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Editor (Corporation)
Supervisor
Parent work
Work
Special issue
DOI of the original publication
Link
Series
Series number
Volume
71
Issue / Number
1
Pages / Duration
119-132
Patent number
Publisher / Publishing institution
IOS Press
Place of publication / Event location
Amsterdam
Edition
Version
Programming language
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Practice partner / Client
Abstract
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.
Keywords
Evaluation study, disability and health, international classification of functioning, quality of life, realist evaluation, rehabilitation
Event
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ISBN
ISSN
1051-9815
1875-9270
1875-9270
Language
English
Created during FHNW affiliation
No
Strategic action fields FHNW
Publication status
Published
Review
Peer review of the complete publication
Open access category
Gold
License
Citation
Friedli, T., & Gantschnig, B. 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), 119–132. https://doi.org/10.3233/wor-205173