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Sick-listed persons’ experiences with taking part in an in-patient occupational rehabilitation program based on Acceptance and Commitment Therapy: a qualitative focus group interview study

Rise, Marit By; Gismervik, Sigmund Østgård; Johnsen, Roar; Fimland, Marius Steiro
Journal article, Peer reviewed
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Rise+et+al+2015+Sick-listed+persons+experiences+with+taking+part+in+occupational.pdf (509.2Kb)
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http://hdl.handle.net/11250/2366373
Utgivelsesdato
2015
Metadata
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  • Institutt for samfunnsmedisin og sykepleie [1769]
  • Publikasjoner fra CRIStin - NTNU [21000]
Originalversjon
BMC Health Services Research 2015, 526   10.1186/s12913-015-1190-8
Sammendrag
Background: Occupational medicine has shifted emphasis from disease treatment to disability rehabilitation and

management. Hence, newly developed occupational rehabilitation programs are often generic and multicomponent,

aiming to influence the sick-listed persons’ perception on return to work, and thereby support the return to work

process. The aim of this study was to explore sick-listed persons’ experiences with taking part in an in-patient

occupational rehabilitation program based on Acceptance and Commitment Therapy.

Methods: Twenty-nine adults on sickness benefit or work assessment allowance due to musculoskeletal and/or

common mental health disorders participated in this study. They were interviewed in focus groups at the beginning

and at the end of a 3.5 week inpatient group-based occupational rehabilitation program in Central Norway. Key

elements in the program were Acceptance and Commitment Therapy (ACT), physical exercise and creating a

work-participation plan. The program was mainly group-based including participants with different diagnoses. Data

was analyzed according to a phenomenological approach.

Results: At the start of the program most participants expressed frustration regarding being sick-listed, external

anticipations as well as hindrances towards returning to work, and described hope that the program would provide

them with the skills and techniques necessary to cope with health problems and being able to return to work. At the

end of the program the participants described that they had embarked upon a long process of increased awareness.

This process encompassed four areas; an increased awareness of what was important in life, realizing the strain from

external expectations and demands, a need to balance different aspects of life, and return to work as part of a long

and complex process.

Conclusions: The occupational rehabilitation program induced a perceived meaningful reorientation encompassing

several aspects of life. However, the return to work process was described as diffuse and uncertain for most

participants. The providers of occupational rehabilitation program should balance this reorientation with specific steps

towards return to work. Effect studies and long-term qualitative studies evaluating how this affects long-term

work- and health outcomes are underway.

Keywords: MeSH, Absenteeism, Occupational health, Rehabilitation, Return to work, Acceptance and

commitment therapy, Cognitive behaviour therapy, Musculoskeletal diseases.
Utgiver
BioMed Central
Tidsskrift
BMC Health Services Research

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