Intervention challenges experienced in physiotherapy and occupational therapy with workers' pain and disability representations: a mixed methods study.
Purpose: The study objectives were to (1) identify prevalent unhelpful worker-held pain and disability representations and (2) explore clinicians' intervention challenges with these representations. Methods: An explanatory sequential mixed methods design was used (quan → QUAL). Secondary analysis of...
| Publicado en: | Journal of Occupational Rehabilitation Vol. 36; no. 2; pp. 383 - 394 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Jun2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=193142156&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 193142156 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10530487 JOR jtl: Journal of Occupational Rehabilitation issn: 10530487 maglogo: N pubinfo: dt: Jun2026 vid: 36 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 193142156 183152662 193142156 193142156 10.1007/s10926-025-10272-9 193142156 ppf: 383 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Intervention challenges experienced in physiotherapy and occupational therapy with workers' pain and disability representations: a mixed methods study. aug: au: Godbout, Patricia Coutu, Marie-France Durand, Marie-José affil: https://ror.org/00kybxq39 Centre d'Action en Prévention Et Réadaptation de L'Incapacité Au Travail (CAPRIT), Université de Sherbrooke, 150 Place Charles-Le Moyne, Suite 200, J4K 0A8, Longueuil, QC, Canada sug: subj: Musculoskeletal Pain Rehabilitation Occupational Diseases Rehabilitation Employees with Disabilities Psychosocial Factors Physical Therapy Occupational Therapy Physical Therapist Attitudes Evaluation Occupational Therapist Attitudes Evaluation Human Male Female Adult Middle Age Multimethod Studies Secondary Analysis Professional-Patient Relations Sick Role Sick Leave Job Re-Entry Adaptation, Psychological Self-Efficacy Purposive Sample Semi-Structured Interview Thematic Analysis Interview Guides Audiorecording Content Analysis Statistical Significance Data Analysis Software Descriptive Statistics Funding Source Questionnaires Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Purpose: The study objectives were to (1) identify prevalent unhelpful worker-held pain and disability representations and (2) explore clinicians' intervention challenges with these representations. Methods: An explanatory sequential mixed methods design was used (quan → QUAL). Secondary analysis of a database was performed first. The database included the scores obtained by 297 sick-listed workers with musculoskeletal disorders on the Revised Illness Perception Questionnaire for Work Disability. Descriptive statistics identified the most prevalent unhelpful worker-held representations. Quantitative results were used to develop an interview guide. Semi-structured interviews explored the physiotherapy professionals' (n = 8) and occupational therapists' (n = 6) intervention challenges with workers' pain and disability representations. Results: The secondary data analysis showed that perceptions of severe consequences, unpredictable symptoms, and negative emotions were the most prevalent unhelpful worker-held representations. The interviews identified clinicians' key intervention challenges as two specific pain-and-disability representation patterns. The first depicted workers' perceptions of unpredictable and uncontrollable pain, perceptions that generate negative emotions. The clinicians associated this pattern with workers' sense of helplessness. The second pattern involved workers' firm beliefs in a biomedical cause, leading to their perceptions of low levels of treatment and personal pain control. According to clinicians, this pattern led to workers' resistance to active rehabilitation. The clinicians regarded both patterns as hindering worker engagement in rehabilitation treatment. Conclusion: The clinicians' key intervention challenges were two pain-and-disability representation patterns, which included or not, prevalent unhelpful worker-held representations. The results underscore the need to develop a transdisciplinary intervention for work rehabilitation clinicians that takes pain and disability representations into account. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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