Journal of Occupational Rehabilitation最新文献

{"title":"Description of Managers' Competencies in Diversity, Equity, and Inclusion: A Scoping Review.","authors":"Alexandra Lecours, Mélissa Laliberté, Andrée-Anne Drolet, Lily Bellehumeur-Béchamp, Roxanne Bédard-Mercier, Marie-Josée Drolet, Samuel Turcotte, Camille Gauthier-Boudreault, Claude Vincent, Marie-Michèle Lord, Jocelyne Kiss, Isabelle Feillou","doi":"10.1007/s10926-025-10315-1","DOIUrl":"https://doi.org/10.1007/s10926-025-10315-1","url":null,"abstract":"<p><strong>Purpose: </strong>Organizations are increasingly integrating a diverse workforce, bringing both opportunities and challenges. To harness the benefits of diversity while addressing its complexities, the adoption of diversity, equity, and inclusion (DEI) principles is essential. These principles are particularly important in ensuring optimal accommodation for people returning to work after a period of disability, to take account of their multifaceted realities. Managers are pivotal in implementing and overseeing these initiatives, yet their specific roles and the required competencies remain underexplored. This study aimed to provide a comprehensive overview of the competencies managers need to effectively uphold DEI principles.</p><p><strong>Methods: </strong>We conducted a scoping review to collect and analyze information from 21 manuscripts, following a systematic five-step process.</p><p><strong>Results: </strong>The analysis identified seven core competencies and 28 sub-competencies that managers must exhibit to promote DEI in organizations. The seven competencies include the following: (1) communicating effectively with individuals; (2) managing DEI-related conflicts with diligence; (3) identifying and improving personal challenges related to DEI; (4) demonstrating transparency toward individuals; (5) acting as a role model to promote DEI at all levels; (6) facilitating the full potential of individuals; and (7) creating a team dynamic that fosters a sense of belonging for all individuals.</p><p><strong>Conclusion: </strong>This study underscores the critical role managers play in fostering inclusive environments, not only by promoting diversity but also by implementing fair workplace accommodations that facilitate the return to work of employees following a period of disability. This framework provides a foundation for future research on managerial practices in DEI.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692050","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":"Job Accommodations for People with Physical Disabilities: Findings of a United States National Survey.","authors":"Deborah S Crown, Emily J Dinelli, Angelika Kudla, Pamela Capraro, Jasin Wong, Robert Trierweiler, Manasi Sheth, Allen W Heinemann","doi":"10.1007/s10926-025-10314-2","DOIUrl":"https://doi.org/10.1007/s10926-025-10314-2","url":null,"abstract":"<p><strong>Purpose: </strong>Identify the job accommodations associated with increased job retention and satisfaction for people with physical disabilities.</p><p><strong>Methods: </strong>A national survey of 1265 people with physical disabilities in the United States, who worked for an employer after their disability onset. The sample was 58% males, average age of 44 years, 74% white, and worked an average of 36 h weekly. We assessed frequency, type, and use of job accommodations and used multivariate Poisson regression to evaluate the relationship between job accommodations, job tenure, and satisfaction.</p><p><strong>Results: </strong>The top job accommodations were modified work schedules, modified policies/rules, job sharing, allowing sitting/standing changes, and unpaid leave. The job accommodations needed but not received were limiting lifting, pushing, pulling; co-worker assistance; limiting twisting, bending; using modified/new equipment; and telework. Males reported higher frequency of accommodation use than females, while females reported not needing accommodations more often. Among respondents who used an accommodation, 82% rated it as moderately or very helpful. Most respondents (79%) reported that they were satisfied or very satisfied with their jobs. Poisson regression models revealed an association between using a job accommodation and job tenure for 4 years or longer for all job accommodation categories, with an increased likelihood of job tenure beyond 4 years by 10-70%. Four of 12 job accommodation categories were associated with job satisfaction.</p><p><strong>Conclusions: </strong>Use of employer- and self-provided job accommodations is associated with longer job tenure and increased job satisfaction. Each person, job, and environmental factor provides opportunities to tailor accommodations.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660723","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":"\"He was Threatened and Told to Cooperate\": Immigrant Worker Experiences with the Workers' Compensation System in the Canadian Context.","authors":"Sonja Senthanar, Bahar Ahmadi, Gillian Creese, Suhail Marino, Christopher B McLeod, Mieke Koehoorn","doi":"10.1007/s10926-025-10307-1","DOIUrl":"https://doi.org/10.1007/s10926-025-10307-1","url":null,"abstract":"<p><strong>Purpose: </strong>To understand immigrant workers' experiences when navigating the workers' compensation system for access to benefits following a work injury or illness.</p><p><strong>Methods: </strong>Interviews were conducted with 17 injured immigrant workers recruited in British Columbia through partnerships with settlement organizations, social media and professional networks. A situational analysis approach was used to analyze interview data and to identify contextual reasons for immigrant workers' experience with the workers' compensation system.</p><p><strong>Findings: </strong>The findings describe a tension between how the workers' compensation system is intended to work and how injured immigrant workers experienced the system. Workers described challenges with accessing and communicating with their case managers for timely access to benefits, work accommodation that did not align with their needs and disrupted their rehabilitation, and complicated claim trajectories stemming from perceptions of procedural unfairness. Immigrant workers described how these experiences were perpetuated by their different contexts including language barriers, unfamiliarity with the workers' compensation system, and their identity as immigrant workers.</p><p><strong>Conclusion: </strong>This study identifies contextual factors for the experiences of immigrant workers, within the Canadian context, for consideration by workers' compensation system in the management of injury and illness to reduce inequities where they may exist.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585304","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":"What Works (or Doesn't) in Return to Work after Physical Injury? A Qualitative Study on the Perspectives of Trauma Patients and Health Care Professionals on Barriers and Facilitators in Return to Work.","authors":"E de Groot, A M Hermans, M A C de Jongh, R E Geuze, I M van Dongen, S Hommes, R D Vromans, E Krahmer, T Houwen, K M E Janssens, M C W Joosen","doi":"10.1007/s10926-025-10309-z","DOIUrl":"https://doi.org/10.1007/s10926-025-10309-z","url":null,"abstract":"<p><strong>Purpose: </strong>Return to work (RTW) after physical injury may be challenging. This study aims to gain insight into barriers and facilitators in RTW, using a multi-stakeholder perspective from trauma patients with diverse injuries and health care professionals (HCPs).</p><p><strong>Methods: </strong>Three focus groups (n = 13) and four interviews were conducted with patients who sustained an extremity injury, spinal injury, or traumatic brain injury. Four focus groups (n = 19) were conducted with HCPs (e.g., occupational physicians, trauma surgeons). Data were transcribed verbatim and thematically analyzed for patients and HCPs separately.</p><p><strong>Results: </strong>Both patients and HCPs emphasized that RTW can be influenced by the extent to which core work tasks are affected by the injury. Barriers in RTW related to lack of RTW follow-up care, limited consultation time, and lack of support in the work environment. Shared facilitators were found in work not affecting the injury, and when adequate support is provided by HCPs and the work environment. While patients and HCPs shared similar ideas, perspectives diverged on RTW follow-up care, provided by HCPs in hospital. HCPs in hospital perceive physical recovery as their core task instead of RTW follow-up care, which is perceived by patients to detract attention to life after injury.</p><p><strong>Conclusion: </strong>According to patients and HCPs, regardless of the injury, the combination of injury type and job type influences RTW. Across injuries, receiving RTW follow-up care from HCPs in hospital was often missed, while perceived to facilitate RTW. Tailored RTW information could be useful to patients in resuming life after injury.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144568003","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 Vocational Rehabilitation Interventions for People with Chronic Low Back Pain: A Scoping Review.","authors":"Gitte Frydenlund, Søren O'Neill, Ole Steen Mortensen, Jens Søndergaaard, Anders Hansen","doi":"10.1007/s10926-025-10308-0","DOIUrl":"https://doi.org/10.1007/s10926-025-10308-0","url":null,"abstract":"<p><strong>Purpose: </strong>Low back pain (LBP) is the leading cause of years lived with disability worldwide. Clinical guidelines recommend multidisciplinary rehabilitation for managing chronic LBP. This scoping review maps vocational rehabilitation (VR) interventions delivered within the healthcare sector for individuals with chronic LBP. It explores (1) which professional groups are involved and how they collaborate, (2) the setting, (3) the duration, intensity, and components of interventions, and (4) how work status is assessed.</p><p><strong>Methods: </strong>A systematic search across six databases (MEDLINE, Embase, CINAHL, AMED, OT Seeker, and Scopus) was conducted in September 2023 and updated in October 2024, following PRISMA-ScR guidelines. Studies were included if they involved working age individuals with chronic LBP receiving VR initiated within the healthcare sector. Articles published before 2013, from outside Europe, or with > 50% of participants on sick leave > 12 months were excluded.</p><p><strong>Results: </strong>Of 7032 records, 26 articles representing 21 studies from seven European countries were included. Interventions varied in duration (1-12 weeks or until return-to-work (RTW) or a new plan was established), intensity (a few hours to 30 h/week), complexity, and follow-up periods (5 weeks to 5 years). Interdisciplinary collaboration was most common (six studies), although descriptions were limited. Interventions ranged from simple to complex, with up to seven components. Nineteen different methods were used to assess work status.</p><p><strong>Conclusion: </strong>Substantial heterogeneity in intervention design and RTW outcome measures limits comparability and evidence synthesis. Clearer definitions of collaboration and standardized RTW reporting are needed to inform future development of VR in healthcare contexts.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545507","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 Experience of Return to Work Among People with Persistent Symptoms Following a Concussion: An Interview Study.","authors":"Karin Vierø, Lisbeth Lund Pedersen, Jan Hartvigsen, Jette Primdahl","doi":"10.1007/s10926-025-10305-3","DOIUrl":"10.1007/s10926-025-10305-3","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to explore the experiences of Danish adults experiencing persistent symptoms following a concussion with a focus on their return to work (RTW) process.</p><p><strong>Methods: </strong>We employed a phenomenological-hermeneutic approach, using semi-structured interviews with seven persons with persistent symptoms following a concussion from two Danish municipalities. Data were analyzed using reflexive thematic analysis.</p><p><strong>Results: </strong>The analysis derived four main themes: (1) The importance of understanding and consideration from others. The participant's quality of life and RTW outcomes were influenced by the level of understanding and consideration they received from others. (2) Balancing needs and limitations. The participants struggled to balance their desire to work with their limited ability, which resulted in feelings of pressure and guilt towards their families. (3) Experiencing random support. The participants experienced random support from stakeholders and lack of guidance from the healthcare system. (4) A sense of loneliness, due to their inability to tolerate being around others.</p><p><strong>Conclusion: </strong>Recognition in daily life seem to play a key role in the RTW process for individuals with persistent symptoms following a concussion. They struggle to balance their limitations to match their desire to both work and family life. The support they received was often random and they felt lonely. The findings reflect the participant's desire for structured and recognition-based rehabilitation and support to enhance their daily lives and facilitate the RTW process.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530435","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":"Effect of Cognitive Behavioural Stress Management on Return-to-Work Amongst Sick-Listed Employees.","authors":"Charlotte Brøgger Bond, Morten Vejs Willert, Daniel Navy Ditlevsen, Louise Fleng Sandal, Lars Brandt","doi":"10.1007/s10926-025-10306-2","DOIUrl":"https://doi.org/10.1007/s10926-025-10306-2","url":null,"abstract":"<p><strong>Background: </strong>The literature provides contradictory information on the effect of cognitive behavioural therapy (CBT) interventions on return to work (RTW) for patients on sick leave due to work-related stress.</p><p><strong>Aim: </strong>We compared the cumulative number of sick leave weeks between a cohort of patients who received a CBT-based stress management intervention in the period 2011-2018 (N = 331) and a cohort of patients from 2010 to 2011 (N = 221) who did not receive the intervention. We also compared time until sustainable RTW (3 consecutive months of no sick registrations) between the cohorts.</p><p><strong>Methods: </strong>Registry data on sickness absence were obtained from the national DREAM register (Danish Public Transfer Payments Database). The cumulative time of registered sick leave in DREAM until first sustainable period of RTW was visualized using Kaplan-Meier plots. A Cox proportional hazard model was used to compare the effectiveness of the intervention relative to the comparison cohort and was reported as hazard rate ratio.</p><p><strong>Results: </strong>The intervention cohort's cumulated number of weeks in DREAM across the total period from 0 to 36 months (median 29 range 26-32) was lower than that of the comparison cohort (median 40 range 34-52), (P = 0.005), corresponding to a 14% (95% CI 0.04-0.24) reduction. For RTW, a hazard ratio rate of 1.25 (95% CI 1.02-1.54) favouring the intervention group was found (P = 0.034).</p><p><strong>Conclusion: </strong>The CBT stress management intervention significantly reduced the amount of sick leave and reduced the time until sustainable RTW for the intervention cohort compared to the comparison cohort.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486586","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":"Changes and Determinants of Health-Related Quality of Life in Patients with Work-Related Traumatic Musculoskeletal Injuries: A Longitudinal Analysis of HRQoL and the EQ-VAS.","authors":"Ilda Adrovic, Michaela Coenen, Stefan Simmel, Sandra Kus","doi":"10.1007/s10926-025-10304-4","DOIUrl":"https://doi.org/10.1007/s10926-025-10304-4","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to analyze change over time in health-related quality of life and the current overall health status of patients with severe musculoskeletal injuries, specifically focusing on those who have undergone inpatient rehabilitation following work-related injuries.</p><p><strong>Methods: </strong>Data were sourced from the icfPROreha research project (DRKS-ID: DRKS00014857), involving a multicenter longitudinal study conducted across ten German clinics. The study population comprised patients who had sustained severe musculoskeletal work-related injuries. The EuroQol 5 Dimensions 5 Levels (EQ-5D-5L) was used to assess changes in health-related quality of life (HRQoL) measured at admission (t1), discharge (t2), and four follow-up periods up to 78 weeks after discharge. Descriptive analyses were conducted to illustrate the development of HRQoL across all time points. In addition, the current overall health status was measured using the EuroQol Visual Analogue Scale (EQ-VAS) at the same time points. Multilevel growth models were used to analyze change over time in EQ-VAS scores, considering the biopsychosocial perspective of health as indicated by the International Classification of Functioning, Disability, and Health (ICF), developed by the WHO.</p><p><strong>Results: </strong>In total, 698 patients [males: 75.2%; mean age 47.5 years (SD ± 12.3)] with severe musculoskeletal work-related injuries were included in the analyses. The mean EQ-VAS at baseline was 50.3 and the mean EQ-5D-5L index was 0.6. Descriptive analyses of the EQ-5D-5L showed significant improvements across all five dimensions of HRQoL after discharge, with the most pronounced changes observed in mobility and usual activities. Moreover, the study demonstrated a significant improvement in the EQ-VAS over time. Baseline EQ-VAS had a substantial influence on subsequent changes, with various factors such as psychological well-being, visible consequences and severity of injury affecting recovery outcomes. Notably, differences in health status over time were observed across different injury types.</p><p><strong>Conclusion: </strong>The study demonstrates significant enhancements in the current overall health status among patients with traumatic musculoskeletal injuries following workplace or commuting accidents during inpatient rehabilitation. Furthermore, these findings emphasize the application of the ICF framework in capturing the multidimensional aspects of patient recovery. Despite improvements, patients' health status did not reach the levels observed in the general population, indicating the need for ongoing support and targeted interventions to ensure long-term recovery.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477292","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":"Work Ability and Work Participation Statuses of the Working-Age Population in Finland: A Register-Based Clustering Study.","authors":"Vaula Siltala, Mikko Henriksson, Matti Joensuu, Jenni Ervasti, Elina Ahola, Jarno Turunen","doi":"10.1007/s10926-025-10303-5","DOIUrl":"https://doi.org/10.1007/s10926-025-10303-5","url":null,"abstract":"<p><strong>Purpose: </strong>Work ability is a complex concept without a single golden standard measure. This study explores the possibility to use register data to form distinct work ability clusters and examine the levels of work participation between these clusters, while considering the co-occurrence of factors contributing to work ability within the population.</p><p><strong>Methods: </strong>We used register data from a 90% sample of the Finnish working-age population in 2021 (ages 20-64, n = 2 920 099) to operationalize work ability based on literature. Employing K-Prototypes clustering, we identified distinct clusters of work ability. In this cross-sectional study, we then examined work participation by assessing the number of months spent in employment, unemployment, and receiving disability benefits within each cluster.</p><p><strong>Results: </strong>The analysis resulted in 11 distinct clusters. The clusters differed from each other in age, sex, educational attainment, occupation, household size and family type, and health. The average number of months spent in different work participation statuses in 2021 varied across these clusters with employment ranging from 7.3 to 11.6 months, unemployment from 0.3 to 2 months, and disability benefits from 0.2 to 2 months per year.</p><p><strong>Conclusions: </strong>Operationalization of the multifaceted concept of work ability using register data resulted in the identification of different clusters within the Finnish working-age population. Differences in various work ability-related variables highlight the complexity of work ability. Notably, the variation in work participation statuses among these clusters underscores the nuanced ways in which these factors interact to influence employment, unemployment, and reliance on disability benefits.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250322","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":"A Mixed-Methods Process Evaluation of the Maastricht Work-Related Support Intervention for Healthcare Professionals in Clinical Care.","authors":"Maarten Butink, Annelies Boonen, Tim Boymans, Vera Baadjou, Emmelie Hazelzet, Angelique de Rijk","doi":"10.1007/s10926-024-10211-0","DOIUrl":"10.1007/s10926-024-10211-0","url":null,"abstract":"<p><strong>Purpose: </strong>To perform the process evaluation of an intervention that aims to facilitate clinical healthcare professionals (HCP) to provide Maastricht Work-Related Support (WRS) to working patients with a chronic disease.</p><p><strong>Methods: </strong>A mixed-methods approach was applied to address reach, efficacy, adoption, implementation, and maintenance (RE-AIM framework) as well as context of the Maastricht WRS intervention. Qualitative data included interviews with HCPs (N = 10), patients at two time points (N = 10 and N = 9), and field notes. Quantitative data included screening logbooks of HCPs, patient screening forms, and a questionnaire for patients. Content analysis or computation of frequencies was applied where applicable.</p><p><strong>Results: </strong>Twenty-eight HCPs participated in the intervention (reach). They had a low attitude toward providing Maastricht WRS themselves (adoption). During clinical consultations, they addressed work for 770 of 1,624 (47%) persons of working age. Only 57% (437/770) had paid work, of which 10% (44/437) acknowledged a current need for support. Discussing work during clinical consultations by HCPs was hindered by other medical priorities and patients not disclosing problems (implementation). Over time, Maastricht WRS was less consistently provided (maintenance). Patients reported a positive impact of the intervention, such as fitness for work (efficacy). Context (e.g., lack of urgency, priority, time, and management support) played a pivotal role in the implementation.</p><p><strong>Conclusion: </strong>This evaluation showed that HCPs had a positive attitude toward WRS in general, but their attitude toward provide Maastricht WRS themselves in daily clinical care was low. Recommendations include improving HCPs' attitude, addressing WRS as a key policy point, and facilitating time.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"374-389"},"PeriodicalIF":2.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12089242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141297039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}