Journal of Occupational Rehabilitation最新文献

{"title":"The Lived Experience of Return to Work in Individuals with Spinal Cord Injury in Saudi Arabia: An Interpretative Phenomenological Analysis.","authors":"Walaa AlAmmar, Teena J Clouston, Hadeel R Bakhsh","doi":"10.1007/s10926-025-10332-0","DOIUrl":"https://doi.org/10.1007/s10926-025-10332-0","url":null,"abstract":"<p><strong>Purpose: </strong>Spinal cord injury (SCI) is a life-altering condition that often results in varying degrees of sensory and motor impairment. In Saudi Arabia, SCI predominantly affects young individuals aged 16-30 years, disrupting their daily activities and limiting their participation in work and community life. Despite this, no prior research in Saudi Arabia has explored the experiences of individuals with SCI regarding returning to work (RTW) or how they manage the long-term impacts of their disability. This study aimed to explore the lived experiences of returning to employment amongst individuals with SCI in Saudi Arabia.</p><p><strong>Methods: </strong>A qualitative study design was employed using interpretative phenomenological analysis. Semi-structured interviews lasting 45-90 min were conducted with three individuals living with SCI. Data were analysed following the IPA framework outlined by Smith et al. (2009).</p><p><strong>Results: </strong>Six themes emerged from the analysis: employment history, RTW barriers, RTW facilitators, personal factors, community, and RTW itself.</p><p><strong>Conclusion: </strong>The RTW experience of individuals with SCI in Saudi Arabia is shaped by personal, social, and systemic factors. The individual's capacity for coping and problem-solving is central to this process. However, structural barriers and limited societal inclusion often lead to occupational injustice. There is an urgent need for policymakers and rehabilitation professionals to implement supportive frameworks that promote equitable work reintegration and community participation for people with SCI.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Promoting Job Quality and Career Advancement Among Persons with Disabilities During Critical Career Transitions: A Scoping Review of Published Evidence.","authors":"Arif Jetha, Sabrina Hossain, Lahmea Navaratnerajah, Dan Samosh, Sinead McCarthy, Laura R Bowman","doi":"10.1007/s10926-025-10335-x","DOIUrl":"https://doi.org/10.1007/s10926-025-10335-x","url":null,"abstract":"<p><strong>Purpose: </strong>Persons with disabilities can face challenges in obtaining high quality jobs during critical work transitions that are linked to worker well-being and opportunities for sustainable career growth. There is a need to identify and describe employment interventions that support persons living with disabilities in obtaining high quality jobs and advancing in their careers during critical work transitions.</p><p><strong>Methods: </strong>A scoping review of published intervention research was conducted. Two parallel searches focusing on job quality and career advancement were carried out and merged. Articles were screened at the title and abstract level and at full text level by two reviewers. A narrative synthesis was undertaken to examine the impact of relevant interventions on job quality and career advancement during critical work transitions.</p><p><strong>Results: </strong>Searches yielded 5858 studies (2543 job quality studies; 3315 career advancement studies). Fifteen studies were included from the job quality search and one study was included from the career advancement search. Studies originated from 3 different countries, the most prevalent being the United States of America (n = 14). Eight studies focussed on vocational rehabilitation interventions, six focused on interventions at post-secondary educational settings, one study focused on individualized placement services and two focussed on customised employment. The included studies offered limited measurements of job quality outcomes and career advancement. Vocational rehabilitation interventions were promising for enhancing job quality at the early career phase, particularly when delivered within educational institutions.</p><p><strong>Conclusion: </strong>Overall, evidence is lacking on the interventions that promote job quality and career advancement at different phases of the working life course. Additional research is needed to develop applied insights that enhance current programs, ensuring persons with disabilities can navigate career transitions and to promote job quality and career advancement.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145313826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association of Waiting Time with Postoperative Health Care Use and Sickness Absences: A Register Study in Finland.","authors":"Lauri Vähätalo, Mikko Korhonen, Anna Siukola, Elina Kervinen, Klas Winell, Tiia Reho, Mervi Viljamaa, Riitta Sauni","doi":"10.1007/s10926-025-10336-w","DOIUrl":"https://doi.org/10.1007/s10926-025-10336-w","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to examine the length of waiting time in elective knee, shoulder, hip, and lower back surgery, and how it was associated with sickness absence, use of health care, and work ability support services during 1 year after the surgery.</p><p><strong>Methods: </strong>The patients (n = 429) were grouped by the elective surgery they had undergone. Waiting time was calculated as the time between the day of referral and the day of operation. The register data were analyzed with general linear regression.</p><p><strong>Results: </strong>The median waiting time for a knee operation (n = 287) was 98 days, for a shoulder operation (n = 105) 39 days, for a hip operation (n = 19), 177 days and for a lower back operation (n = 18) 114 days. The use of work ability support services increased after all the operations. A prolonged waiting time (> 90 days) for knee and shoulder operations was associated with the amount of sickness absence (IRR: 1.09, 95% CI 1.06-1.12; IRR: 0.86, 95% CI 0.82-0.89, respectively), secondary health care visits (IRR: 1.81, 95% CI 1.33-2.47; IRR: 2.28, 95% CI 1.50-3.47, respectively), and occupational curative care visits (IRR: 2.06, 95% CI 1.30-3.29) for shoulder operations. No association was found between a prolonged waiting time and work ability service visits during the year after the surgery.</p><p><strong>Conclusion: </strong>The association of waiting time length with postoperative sickness absences and health care visits calls for taking actions to reduce the waiting times. Waiting should be considered as an active time aiming to prepare for the operation and the recovery.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145294028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Timing Return-to-Work Counseling: An Observational Study Into the Effect of Time to First Consultation on Return to Work.","authors":"Thomas B van Rossum, Robin N Kok, Karen Nieuwenhuijsen","doi":"10.1007/s10926-025-10334-y","DOIUrl":"https://doi.org/10.1007/s10926-025-10334-y","url":null,"abstract":"<p><strong>Purpose: </strong>Return-to-work (RTW) counseling is a critical part of rehabilitation of sick-listed employees with common mental disorders (CMD). In the Netherlands it is mandatory that RTW counseling with an occupational physician (OP) starts within two weeks, but current literature and guidelines provide little empiric support. This study aims to answer the questions \"Is starting RTW counseling within two weeks associated with faster RTW?\" and \"Is there a dose-response effect (i.e. the earlier the better)?\".</p><p><strong>Methods: </strong>In an observational design, sick-listed employees (n = 12,169) seen by an OP within two weeks of onset of sick leave were compared to those seen later using Cox proportional hazards analysis. Next, per week effects were examined, reporting pairwise comparisons of weeks 1 through 6 if the omnibus test was significant.</p><p><strong>Results: </strong>Earlier RTW counseling was associated with earlier RTW (HR: 0.89, 95%CI: 0.86-0.93). There was a dose-response effect (LLR χ²: 46.08, df = 5, p < 0.001) with significant earlier RTW when RTW counseling was started in week 1 versus week 3 (HR: 0.90(95%CI 0.85-0.96), p < 0.001), week 1 versus week 5 (HR: 0.88(95%CI 0.81-0.94), p < 0.001), week 1 versus week 6 (HR: 0.82(95%CI 0.77-0.88), p < 0.001), and week 2 versus week 6 (HR: 0.84(95%CI 0.79-0.89), p < 0.001). However, subgroup analyses showed these findings only held for employees with adjustment disorders.</p><p><strong>Conclusions: </strong>There is a modest benefit to starting RTW counseling earlier. However, this effect is limited to those seen very early and there are no significant differences between weeks 2 through 5. Whether these modest benefits warrant strict adherence to a two-week deadline should be re-evaluated.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Validation of the Questionnaire of Factors Related to the Adaptability to Return to Work Among Cancer Patients.","authors":"Xiao-Qin Su, Wei-Ya Dong, Ying Xu, Hong-Yan Zhao, Yu-Qi Jiang, Yu-Jie Guo","doi":"10.1007/s10926-025-10333-z","DOIUrl":"https://doi.org/10.1007/s10926-025-10333-z","url":null,"abstract":"<p><strong>Aim: </strong>Enhancing the adaptability to return to work among cancer patients can help them fully mobilize coping resources and adapt to the environment during the reintegration process. However, influenced by multiple factors, the adaptability to return to work among cancer patients in China remains inadequate and requires improvement. To address this, we aim to develop and validate the Questionnaire of Factors related to the Adaptability to Return to Work Among Cancer Patients (abbreviated as QF-ARTWCP). Grounded in the theoretical model \"Cancer Patients' Return-to-Work Adaptation Experience and Coping Resources,\" social ecosystems theory, and social support theory, this instrument will provide a foundation for subsequent investigations and the development of targeted intervention programs.</p><p><strong>Methods: </strong>The development of the QF-ARTWCP was conducted in three phases: (1) Item generation: A literature review identified relevant influencing factors and existing evaluation tools. This was followed by three rounds of experts consultations (15 experts) and a pilot survey (30 patients), resulting in a 59-item initial questionnaire; (2) Preliminary survey: Item analysis, exploratory factor analysis (EFA), and reliability testing were performed with 238 participants. Content validity was assessed by 8 experts; and (3) Formal verification investigation: Confirmatory Factor Analysis (CFA) using fit indices (e.g., χ²/df, RMSEA, SRMR) evaluated model-data fit. Convergent validity was quantified via average variance extracted (AVE), and composite reliability (CR), with 277 participants.</p><p><strong>Results: </strong>The final QF-ARTWCP consists of 34 items across nine factors: Healthy Cognition; Work Cognition; Emotional Coping; Work Coping; Unit Support; Support from Friends and Relatives, Financial Burden; Social Atmosphere; and Policy Support. The CFA demonstrated acceptable model fit (χ²/df = 2.245, P < 0.001; RMSEA = 0.067, SRMR = 0.052; CFI = 0.914, and TLI = 0.902. Additionally, the AVE (0.615-0.792) and CR (0.834-0.938) values indicated strong aggregate validity.</p><p><strong>Discussion: </strong>The QF-ARTWCP is a validated, user-friendly tool tailored for cancer patients. This questionnaire enables the evaluation and monitoring of the adaptability to return to work in occupational settings, supporting targeted interventions.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Return-to-Work Outcomes Following Mental Health Treatment Among Public Safety Personnel Disabled by Post-Traumatic Stress Disorder.","authors":"Cameron A Mustard, Kathleen G Dobson, Yu-Chun Chien, Walter P Wodchis, Peter M Smith","doi":"10.1007/s10926-025-10337-9","DOIUrl":"https://doi.org/10.1007/s10926-025-10337-9","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the influence of a mental health treatment program for public safety personnel (PSP) disabled by post-traumatic stress disorder (PTSD) on return-to-work outcomes.</p><p><strong>Methods: </strong>A mental health treatment program established exclusively for PSPs disabled by work-related PTSD received 582 referrals over the period November 2021 to June 2023. Return-to-work outcomes were defined as the cessation of workers' compensation wage replacement benefits over an 18-36 month period following referral. Outcomes among the referral cohort were compared to PSPs not referred to treatment who also had an accepted workers' compensation claim for PTSD. Referrals were matched to non-referrals on age, sex, occupation and date of injury.</p><p><strong>Results: </strong>Among the 472 referrals to the treatment program eligible for inclusion in the study, 54.4% initiated treatment. There was no difference in return-to-work outcomes over the follow-up period between the referrals who initiated treatment (29.9%) and the 215 referrals not initiating treatment (32.5%, p = 0.612). In contrast, return-to-work outcomes were more positive among the matched non-referral comparison group (41.9%, p < 0.001, all referrals vs the matched non-referral comparison group).</p><p><strong>Conclusion: </strong>In this large cohort of PSPs disabled by PTSD, there was no evidence of a positive treatment effect on return-to-work outcomes. The prognosis for return-to-work among public safety personnel with long durations of recovery from PTSD is poor. The implications of this study point to the importance of the development and testing of novel evidence-based treatments and opportunities to support employers' commitment and capacity to provide suitable accommodation as strategies to improve return-to-work outcomes among public safety personnel disabled by PTSD.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Return on Investment of the Back At Work After Surgery (BAAS) Care Pathway Compared to Care-as-Usual in Knee Arthroplasty.","authors":"Daniël O Strijbos, A Carlien Straat, Geert van der Sluis, Wim F C van Houtert, Johanna M van Dongen, Tim Boymans, P Paul F M Kuijer, Michiel F Reneman","doi":"10.1007/s10926-025-10328-w","DOIUrl":"10.1007/s10926-025-10328-w","url":null,"abstract":"<p><strong>Purpose: </strong>The Back At work After Surgery (BAAS) care pathway integrates medical and occupational care to enhance return to work (RTW) after knee arthroplasty (KA). BAAS has shown effectiveness in improving RTW outcomes, but its economic impact is unknown. This study evaluates the costs and return on investment (ROI) of BAAS compared with care-as-usual.</p><p><strong>Methods: </strong>This multicenter, prospective cohort study involved 270 employed patients having KA, comparing the BAAS pathway (n = 137) to care-as-usual (ACTIVE trial, n = 133). The ROI was evaluated from societal and employer's perspectives. Productivity (absenteeism and presenteeism) and healthcare (primary and secondary) costs were assessed using cost questionnaires administered at 3, 6, 9, and 12 months post-surgery. Propensity score matching and multiple imputation addressed non-randomization and missing data, respectively. ROI was calculated by dividing the netto benefits-defined as reductions in productivity and healthcare costs, or productivity costs alone minus costs of the BAAS intervention-by the intervention costs multiplied by 100%.</p><p><strong>Results: </strong>Propensity score-matched analyses included 102 patients per cohort. The total netto benefits from employers and societal perspective were of €4,493 and €4,982, respectively. Intervention costs were €845/patient. This resulted in a ROI of 590% (95% CI 67-1112%) and 532% (95% CI 27-1037%) from the societal and employer's perspective, respectively, per Euro invested.</p><p><strong>Conclusions: </strong>The BAAS care pathway demonstrates a favorable economic impact through significant 12 month downstream reductions in absenteeism and healthcare costs, and a positive ROI from both the societal and employer perspective.</p><p><strong>Trail registration: </strong>This study was retrospectively registered at clinicaltrails.gov ( https://clinicaltrials.gov/ct2/show/NCT05690347 , date of first registration: 19-01-2023).</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effectiveness of the Back At work After Surgery (BAAS) Work-Integrated Care Pathway on Return to Work for Patients Receiving Knee Arthroplasty: A Study of Three Comparative Cohorts in the Netherlands.","authors":"Daniël O Strijbos, Geert van der Sluis, Wim F C van Houtert, A Carlien Straat, Yvonne van Zaanen, Carolien M Kooijman, Igor van den Brand, Stephan E de Groot, Michiel F Reneman, Tim Boymans, P Paul F M Kuijer","doi":"10.1007/s10926-025-10331-1","DOIUrl":"10.1007/s10926-025-10331-1","url":null,"abstract":"<p><strong>Purpose: </strong>Considering the increase in the demand from working age patients seeking knee arthroplasty (KA) and the low return-to-work (RTW) rates, optimization of care for patients getting KA with a focus on RTW is essential. We evaluated a work-integrated care pathway-Back At work After Surgery (BAAS)-aimed at improving RTW compared with care-as-usual in the Netherlands.</p><p><strong>Methods: </strong>In this multicenter study of three comparative cohorts, working patients who had primary KA were included. Patients in two Dutch hospitals (BAAS cohort) received integrated medical and occupational care, including structured pre- and postoperative consultations, goal setting, activity tracking, and interdisciplinary team meetings with both medical and occupational health professionals. Two independent control cohorts with comparable patient inclusion criteria (Expect TO work and ACTIVE) from 15 hospitals/clinics received care-as-usual. The primary outcomes were the time to first day of RTW and time to full RTW within 12 months. Inverse Probability of Treatment Weighting was used with known prognostic factors as covariates to account for possible differences in baseline characteristics.</p><p><strong>Results: </strong>A total of 457 patients were included (BAAS n = 145; Expect TO work n = 179; ACTIVE n = 133). The median time to first day of RTW was 16-25 days shorter in the BAAS cohort (27 days) compared to Expect TO work (52 days; hazard ratio [HR] 2.7; 95% confidence interval [CI]:2.1-3.4) and ACTIVE cohort (43 days; HR:1.95; CI:1.5-2.6). At three months, 90% of BAAS patients had started RTW versus 63% and 77% in the control cohorts. BAAS patients also achieved full RTW earlier, with a median time reduced by 27 days compared to the ACTIVE cohort (HR:1.4; CI:1.1-1.8). The odds of full RTW at 12 months were higher in the BAAS cohort compared to Expect TO work, namely odds ratio (OR) 5.0 (CI:1.3-18.5) and ACTIVE OR 9.3 (CI:2.5-34.8).</p><p><strong>Conclusion: </strong>The BAAS work-integrated care pathway was more effective than care-as-usual in improving RTW after KA in the Netherlands.</p><p><strong>Trail registration: </strong>This study was retrospectively registered at clinicaltrails.gov ( https://clinicaltrials.gov/ct2/show/NCT05690347 , date of first registration: 19-01-2023).</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Constituents of Trust in the Context of Return to Work Following a Work Disability: A Scoping Review and a Thematic Analysis.","authors":"Hermann B T Tegninko, Marie-Michelle Gouin","doi":"10.1007/s10926-025-10327-x","DOIUrl":"https://doi.org/10.1007/s10926-025-10327-x","url":null,"abstract":"<p><strong>Purpose: </strong>Trust is key to a successful return to work following a work disability. Its constituents, which have been widely documented in social and management sciences research, are not addressed in return to work (RTW) research. This study therefore aims to portray the constituents of trust that have been documented in the context of RTW following an absence due to musculoskeletal disorder or a common mental disorder.</p><p><strong>Method: </strong>A scoping review was performed using Joanna Briggs Institute methodology and the PRISMA extension for scoping review guidelines. Studies were extracted from six databases using keywords like trust, RTW/disability, and musculoskeletal/common mental disorders. Study selection and analysis were conducted in Covidence by two reviewers independently. An Excel framework served to record the constituents of trust (i.e., antecedents, attributes, and consequences) identified in accordance with a thematic analysis approach.</p><p><strong>Results: </strong>From the 2795 references extracted, 30 studies were selected, 73% of which were published in the Last 10 years. All three constituents were documented, mainly in the dyadic relationship between the worker returning to work and other stakeholders. Yet, some known antecedents of trust remain underexplored and new consequences emerge. Support also appears to be both an antecedent and a consequence, which encourages reflection on the possibility of trust reciprocity.</p><p><strong>Conclusion: </strong>While the constituents of trust involved in RTW were documented, they should be tested empirically, and some constituents and relationships need further exploration. Recommendations to improve trust between stakeholders are proposed.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mapping the Landscape of Work Rehabilitation Education in Physiotherapy Programs: Findings from a Cross-Sectional Survey in Quebec.","authors":"Christian Longtin, Quan Nha Hong, Fatima Amari, Lesley Singer, Lynn Cooper, André Bussières, Junie S Carrière, Michaël Bertrand-Charette, Kadija Perreault, Anne Hudon, Timothy H Wideman","doi":"10.1007/s10926-025-10325-z","DOIUrl":"https://doi.org/10.1007/s10926-025-10325-z","url":null,"abstract":"<p><strong>Purpose: </strong>Physiotherapists play a central role in the rehabilitation of individuals with work-related musculoskeletal disorders. Yet, it is currently unclear how entry-level training prepares them to manage work disability. This study aimed to (1) identify a set of work rehabilitation competencies, (2) examine how these competencies are integrated into entry-level physiotherapy training programs in Quebec, Canada, and (3) assess educators' perceptions of the adequacy of work rehabilitation education.</p><p><strong>Methods: </strong>A five-step consensus-building process with engaged partners and a literature review served to identify the competencies. Subsequently, educators from all Quebec physiotherapy programs completed a cross-sectional survey containing closed- and open-ended questions. The survey documented the integration of general and competency-specific work rehabilitation content and educators' ratings of students' preparedness for entry-to-practice for each competency. Quantitative data were analyzed descriptively, and open-text responses were analyzed using qualitative metasummary.</p><p><strong>Results: </strong>Seven work rehabilitation competencies were identified and used to structure the survey. The median time dedicated to work rehabilitation education was 5.5 h (range 1-21.5). Programs partially integrated the competencies, using mostly didactic learning strategies. Coverage of key topics for each competency and relevance to work rehabilitation varied considerably across programs. Educators reported low student preparedness for competencies requiring work-focused knowledge and skills and varying comfort with teaching this content.</p><p><strong>Conclusion: </strong>This study highlights critical gaps in physiotherapy education related to work rehabilitation and provides a benchmark for how key competencies are addressed in Quebec programs. These findings offer a foundation for improving work rehabilitation training for physiotherapists.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}