A logic model for a self-management program designed to help workers with persistent and disabling low back pain stay at work.

Program development disability management rehabilitation return to work work ability

Journal

Work (Reading, Mass.)
ISSN: 1875-9270
Titre abrégé: Work
Pays: Netherlands
ID NLM: 9204382

Informations de publication

Date de publication:
2020
Historique:
pubmed: 13 10 2020
medline: 29 6 2021
entrez: 12 10 2020
Statut: ppublish

Résumé

Workers with persistent disabling low back pain (LBP) often encounter difficulty staying at work. Self-management (SM) programs can offer interesting avenues to help workers stay at work. To establish the plausibility of a logic model operationalizing a SM program designed to help workers with persistent disabling LBP stay at work. We used a qualitative design. A preliminary version of the logic model was developed based on the literature and McLaughlin et al.'s framework for logic models. Clinicians in work rehabilitation completed an online survey on the plausibility of the logic model and proposed modifications, which were discussed in a focus group. Thematic analyses were performed. Participants (n = 11) found the model plausible, contingent upon a few modifications. They raised the importance of making more explicit the margin of maneuver or "job leeway" for a worker who is trying to stay at work and suggested emphasizing a capability approach. Enhancing the workers' perceived self-efficacy and communication skills were deemed essential tasks of the model. A plausible logic model for a SM program designed for workers with disabling LBP stay at work was developed. The next step will be to assess its acceptability with potential users.

Sections du résumé

BACKGROUND BACKGROUND
Workers with persistent disabling low back pain (LBP) often encounter difficulty staying at work. Self-management (SM) programs can offer interesting avenues to help workers stay at work.
OBJECTIVE OBJECTIVE
To establish the plausibility of a logic model operationalizing a SM program designed to help workers with persistent disabling LBP stay at work.
METHODS METHODS
We used a qualitative design. A preliminary version of the logic model was developed based on the literature and McLaughlin et al.'s framework for logic models. Clinicians in work rehabilitation completed an online survey on the plausibility of the logic model and proposed modifications, which were discussed in a focus group. Thematic analyses were performed.
RESULTS RESULTS
Participants (n = 11) found the model plausible, contingent upon a few modifications. They raised the importance of making more explicit the margin of maneuver or "job leeway" for a worker who is trying to stay at work and suggested emphasizing a capability approach. Enhancing the workers' perceived self-efficacy and communication skills were deemed essential tasks of the model.
CONCLUSION CONCLUSIONS
A plausible logic model for a SM program designed for workers with disabling LBP stay at work was developed. The next step will be to assess its acceptability with potential users.

Identifiants

pubmed: 33044220
pii: WOR203289
doi: 10.3233/WOR-203289
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

395-406

Auteurs

Christian Longtin (C)

School of Rehabilitation, Université de Sherbrooke, Sherbrooke, QC, Canada.
Center for Action in Work Disability Prevention and Rehabilitation (CAPRIT) affiliated with the Charles-Le Moyne - Saguenay-Lac-Saint-Jean Research Center on Health Innovations (CR-CSIS), Quebec, Canada.

Yannick Tousignant-Laflamme (Y)

School of Rehabilitation, Université de Sherbrooke, Sherbrooke, QC, Canada.
Research Centre of the CHUS, CIUSSS de l'Estrie-CHUS, Sherbrooke, QC, Canada.

Marie-France Coutu (MF)

School of Rehabilitation, Université de Sherbrooke, Sherbrooke, QC, Canada.
Center for Action in Work Disability Prevention and Rehabilitation (CAPRIT) affiliated with the Charles-Le Moyne - Saguenay-Lac-Saint-Jean Research Center on Health Innovations (CR-CSIS), Quebec, Canada.

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Classifications MeSH