Journal of Occupational Rehabilitation最新文献

{"title":"Occupational Health Nurses' Perceptions in Work Ability Risk Management and Analysis.","authors":"Johanna Sirkka, Riitta Suhonen, Juha Liira, Minna Stolt","doi":"10.1007/s10926-025-10282-7","DOIUrl":"10.1007/s10926-025-10282-7","url":null,"abstract":"<p><strong>Purpose: </strong>Occupational health nurses (OHN) play a key role in identifying and managing work ability risks, as they have close interaction with employees and the customer organization, and they monitor work ability in multiple ways. The study aimed to describe OHNs' perceptions of work ability risk management and analysis (WARMA) and identify promoting and hindering factors.</p><p><strong>Methods: </strong>A descriptive qualitative study with semi-structured thematic interviews was conducted in May-June 2023, using purposive sampling of ten OHNs. The data were analyzed using both inductive and deductive approaches.</p><p><strong>Findings: </strong>OHNs perceived management and analysis of work ability risks as important work. The management and analysis of work ability risks was described as the central core work of occupational health care, which is carried out at the level of the customer organization and at the individual level. Factors promoting the management and analysis of work ability risks are electronic tools, time resources, occupational health cooperation, multi-professional cooperation, and personal experience. Factors hindering WARMA are insufficient time resources and productivity pressures.</p><p><strong>Conclusion: </strong>OHNs' perceptions of WARMA varied. There are multiple factors that promote or hinder WARMA which require consideration at individual and organizational levels. The findings of this study provide a basis for further research that could focus on measuring OHNs' overall competence in WARMA.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"423-433"},"PeriodicalIF":2.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12089217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634437","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}

{"title":"How Much Physiotherapy, Chiropractic, and Osteopathy Care Do Compensated Australian Workers with Low Back Pain Receive? A Retrospective Cohort Study.","authors":"Michael Di Donato, Shannon Gray, Luke R Sheehan, Rachelle Buchbinder, Ross Iles, Alex Collie","doi":"10.1007/s10926-024-10202-1","DOIUrl":"10.1007/s10926-024-10202-1","url":null,"abstract":"<p><strong>Objectives: </strong>To identify the prevalence and frequency of physiotherapy, chiropractic, and/or osteopathy care in Australians with workers' compensation claims for low back pain (LBP).</p><p><strong>Methods: </strong>We included workers with accepted workers' compensation claims longer than 2 weeks from the Australian states of Victoria, Queensland, South Australia, and Western Australia. Workers were grouped by whether they attended physiotherapy, chiropractic, and/or osteopathy in the first 2 years of their claim. Descriptive statistics and logistic regression were used to describe differences between groups. Descriptive statistics and negative binomial regression were used to describe differences in the number of attendances in each group.</p><p><strong>Results: </strong>Most workers had at least one physical therapy attendance during the period of their claim (n = 23,619, 82.0%). Worker state, socioeconomic status, and remoteness were the largest contributing factors to likelihood of physical therapy attendance. Most workers only attended physiotherapy (n = 21,035, 89.1%, median of 13 times). Far fewer only attended chiropractic (n = 528, 2.2%, median of 8 times) or only osteopathy (n = 296, 1.3%, median of 10 times), while 1,750 (7.5%) attended for care with more than one type of physical therapy (median of 31 times).</p><p><strong>Conclusion: </strong>Most Australian workers with workers' compensation time loss claims for LBP attend physiotherapy at least once during their claims. State of claim is the strongest predictor of which physical therapy profession they attend, possibly due to regional availability. Workers who see a physiotherapist have significantly more attendances. Future research should explore the relationship between these patterns of care and claimant outcomes, including work disability duration.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"345-355"},"PeriodicalIF":2.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12089149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140959827","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}

{"title":"The Association of Physiotherapy Continuity of Care with Duration of Time Loss Among Compensated Australian Workers with Low Back Pain.","authors":"Shannon E Gray, Benedict Tudtud, Luke R Sheehan, Michael Di Donato","doi":"10.1007/s10926-024-10209-8","DOIUrl":"10.1007/s10926-024-10209-8","url":null,"abstract":"<p><strong>Purpose: </strong>The aims of this study are to determine how continuous the care provided by physiotherapists to compensated workers with low back pain is, what factors are associated with physiotherapy continuity of care (CoC; treatment by the same provider), and what the association between physiotherapy CoC and duration of working time loss is.</p><p><strong>Methods: </strong>Workers' compensation claims and payments data from Victoria and South Australia were analysed. Continuity of care was measured with the usual provider continuity metric. Binary logistic regression examined factors associated with CoC. Cox regression models examined the association between working time loss and CoC.</p><p><strong>Results: </strong>Thirty-six percent of workers experienced complete CoC, 25.8% high CoC, 26.1% moderate CoC, and 11.7% low CoC. Odds of complete CoC decreased with increased service volume. With decreasing CoC, there was significantly longer duration of compensated time loss.</p><p><strong>Conclusion: </strong>Higher CoC with a physiotherapist is associated with shorter compensated working time loss duration for Australian workers with low back pain.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"366-373"},"PeriodicalIF":2.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12089250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141097164","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}

{"title":"Therapeutic Approaches for the Prevention of Upper Limb Repetitive Strain Injuries in Work-Related Computer Use: A Scoping Review.","authors":"Alita de Waal, Amy Killian, Afika Gagela, Jada Baartzes, Susan de Klerk","doi":"10.1007/s10926-024-10204-z","DOIUrl":"10.1007/s10926-024-10204-z","url":null,"abstract":"<p><strong>Purpose: </strong>To explore and describe therapeutic approaches for the prevention of upper limb (UL) repetitive strain injuries (RSI) amongst computer users in the twenty-first century.</p><p><strong>Methods: </strong>A scoping review was conducted using the method described by Arksey and O'Malley, further enhanced by Levac et al. to ensure rigor, validity and reliability during analysis. Key concepts pertaining to the research question have been mapped, following comprehensive searches of relevant electronic databases namely EBSCOHost (Academic Search Premier, CINAHL, eBook Collection, E-Journals, Health Source-Consumer Edition, Health Sources-Nursing/Academic Edition and MEDLINE), PUBMED and Google Scholar. The identified studies have been presented in a descriptive numerical summary to address the research aim.</p><p><strong>Results: </strong>From the 577 studies initially identified, 58 studies were eligible for inclusion in the scoping review after abstract and full text screening. Strategies for the prevention of UL RSIs in computer users were categorised into overarching types of intervention as well as the factors which contribute towards sustained implementation of prevention strategies. Using ergonomic equipment was the most prevalent approach during intervention, breaks and rest periods were found to be the less common intervention offered to prevent RSIs. The majority of the studies noted personal worksite adjustments, including adjustments of the chair, back rest, lumbar support, handles or any arm support to the individual as a strategy to prevent UL RSIs. In high income countries the use of ergonomic equipment was the most common type of approach during intervention, in middle income countries stretches were the most common therapeutic intervention strategy and in low-income countries there was an even distribution between a number of different therapeutic interventions aimed at preventing RSIs.</p><p><strong>Conclusions: </strong>The review provides an overview of approaches and a comprehensive baseline for identifying further research required to generate prevention approaches. The information within the review may be used to impact company practice, policy and decision making in terms of developing prevention strategies.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"234-267"},"PeriodicalIF":2.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12089234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141285026","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}

{"title":"The Relationship Between Strategic Human Resource Management Practices and the Employment of Vulnerable Workers: A Two-Wave Study Among Employers.","authors":"Amber Kersten, Marianne van Woerkom, Goedele A Geuskens, Roland W B Blonk","doi":"10.1007/s10926-024-10197-9","DOIUrl":"10.1007/s10926-024-10197-9","url":null,"abstract":"<p><strong>Purpose: </strong>To improve the inclusion of vulnerable workers in the labor market, employer behavior is key. However, little is known about the effectiveness of strategic Human Resource Management (HRM) practices that employers use to employ vulnerable workers. Therefore, this exploratory study investigates the association between strategic HRM practices (based on social legitimacy, economic rationality and employee well-being) and the actual and intended employment of vulnerable workers in the future.</p><p><strong>Methods: </strong>In total, 438 organizations included in the Netherlands Employers Work Survey participated in a two-wave study with a nine-month follow-up period. Logistic regression models were used to estimate the relationship between strategic HRM practices (T0) with the employment of vulnerable workers (T1) and intentions to hire vulnerable workers (T1), while controlling for organizational size, sector, and employment of vulnerable workers at baseline.</p><p><strong>Results: </strong>Employers who applied strategic HRM practices based on social legitimacy (e.g., inclusive mission statement or inclusive recruitment) or economic rationality (e.g., making use of reimbursements, trial placements, or subsidies) at T0 were more likely to employ vulnerable workers and to intend to hire additional vulnerable workers at T1. No significant results were found for practices related to employee well-being.</p><p><strong>Conclusion: </strong>Since different types of strategic HRM practices contribute to the inclusion of vulnerable workers, employers can build on their strategic priorities and strengths to create inclusive HRM approaches. Future research is needed to study whether these strategic HRM domains also relate to sustainable employment of vulnerable workers.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"294-305"},"PeriodicalIF":2.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12089176/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868508","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}

{"title":"Elements of Return-to-Work Interventions for Workers on Long-Term Sick Leave: A Systematic Literature Review.","authors":"Christa J C de Geus, Maaike A Huysmans, H Jolanda van Rijssen, Marianne de Maaker-Berkhof, Linda J Schoonmade, Johannes R Anema","doi":"10.1007/s10926-024-10203-0","DOIUrl":"10.1007/s10926-024-10203-0","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this systematic review is to identify vocational rehabilitation (VR) interventions that are effective to enhance return-to-work (RTW) for people on long-term sick leave (> 90 days) and to identify main elements of these interventions.</p><p><strong>Methods: </strong>Six electronic databases were searched for peer-reviewed studies published up to February 2022. Each article was screened independently by two different reviewers. Thereafter, one author performed the data-extraction which was checked by another author. The EPHPP quality assessment tool was used to appraise the methodological quality of the studies.</p><p><strong>Results: </strong>11.837 articles were identified. 21 articles were included in the review, which described 25 interventions. Results showed that ten interventions were more effective than usual care on RTW. Two interventions had mixed results. The effective interventions varied widely in content, but were often more extensive than usual care. Common elements of the effective interventions were: coaching, counseling and motivational interviewing, planning return to work, placing the worker in work or teaching practical skills and advising at the workplace. However, these elements were also common in interventions that were not effective on RTW compared to usual care and can therefore not explain why certain interventions are effective and others are not.</p><p><strong>Conclusion: </strong>The effective interventions included in this study were often quite extensive and aimed at multiple phases of the RTW-process of the worker. In the future, researchers need to describe the population and the content of the investigated interventions more elaborate to be able to better compare VR interventions and determine what elements make interventions effective.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"159-180"},"PeriodicalIF":2.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12089148/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141288778","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}

{"title":"Establishing Key Domains for Measuring Workplace Mental Health: The Indicators of A Thriving Workplace Survey.","authors":"Ross Iles, Dianne M Sheppard","doi":"10.1007/s10926-025-10302-6","DOIUrl":"https://doi.org/10.1007/s10926-025-10302-6","url":null,"abstract":"<p><strong>Purpose: </strong>The importance, value, and benefits of fostering mentally healthy workplaces are well established. The Indicators of a Thriving Workplace (ITW) questionnaire measures a range of individual psychological and organisational factors as lead indicators of workplace mental health. The current study aimed to develop a valid summary set of indicators or domains of workplace mental health to enable comparisons across industries and sectors nationally.</p><p><strong>Methods: </strong>Exploratory factor analysis and principal components analysis were sequentially performed on survey data from two independent samples selected from a nationally representative and large (n = 9,947) cohort of Australian workers.</p><p><strong>Results: </strong>Five domains of workplace mental health aligning with the integrated approach to workplace mental health emerged and were confirmed: Leadership, Connectedness, Safety, Work Design, and Capability. When average domain scores were compared across industry, small but statistically significant differences were identified.</p><p><strong>Conclusion: </strong>The validation of these domains positions the ITW questionnaire as the first comprehensive measure of workplace mental health and well-being that focuses on thriving as a positive construct for Australian workers. Further, industry-based Domain profiling could provide a basis for the prioritisation of efforts to improve workplace mental health, with successful initiatives and practices perhaps adaptable to other industries. Interventions addressing workplace mental health are likely to be more successful when they are industry specific, although interventions responding to mental health challenges in the workplace, such as those tackling mental health-related stigma, may require less cross-industry tailoring.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136442","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 Shortened Upper Extremity Functional Capacity Evaluation for Patients with Complaints of Hand, Wrist, Forearm, and Elbow: Composition and Assessment of Construct Validity and Test-Retest Reliability.","authors":"Redmar J Berduszek, Rienk Dekker, Corry K van der Sluis, Michiel F Reneman","doi":"10.1007/s10926-025-10298-z","DOIUrl":"https://doi.org/10.1007/s10926-025-10298-z","url":null,"abstract":"<p><strong>Purpose: </strong>Upper extremity functional capacity evaluation (UE-FCE) contains tests covering aspects of upper extremity functioning. UE-FCE tests usually consist of multiple repeated trials. Shortened UE-FCEs with less trials per test have been proposed but never tested in patients. The aims of this study were (1) to compose a shortened UE-FCE (fewer trials per test) and (2) to assess construct validity and test-retest reliability when applied in patients with nontraumatic musculoskeletal complaints of the hand, wrist, forearm, and elbow.</p><p><strong>Methods: </strong>Participants performed a UE-FCE, with original full-length tests, twice (1 to 3 weeks apart). A shortened UE-FCE, with fewer trials per test, was composed based on the agreement (ICC ≥ 0.90) between shortened and original UE-FCE tests. Consequently, construct validity and test-retest reliability of the shortened UE-FCE tests were assessed.</p><p><strong>Results: </strong>UE-FCEs were performed by 45 participants. The proposed shortened UE-FCE included one-trial tests for hand grip and finger strength (instead of three-trial tests), two-trial tests for fingertip and hand/forearm dexterity (instead of three-trial and four-trial tests, respectively). Overhead lifting and working tests were already one-trial tests and remain unchanged. Construct validity was demonstrated for hand grip strength of the left hand, overhead lifting, and overhead working, but not for hand grip strength of the right hand, finger strength, fingertip dexterity and hand and forearm dexterity. Test-retest reliability was above 0.70 for all tests, except for fingertip dexterity of the dominant hand (0.59).</p><p><strong>Conclusion: </strong>The shortened UE-FCE with fewer trials per test agreed strongly with the original UE-FCE. Using the shortened UE-FCE could save 18 min. Construct validity differed per UE-FCE test. Test-retest reliability was sufficient for all UE-FCE tests except fingertip dexterity of the dominant hand.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095642","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":"Workplace Programs to Reduce Post-traumatic Stress Injuries Work Disability: First Responder Experiences.","authors":"Dwayne Van Eerd, S Ragunathan, E Irvin, J Varickanickal, E Tompa, M McElheran, S Brémault-Phillips","doi":"10.1007/s10926-025-10299-y","DOIUrl":"https://doi.org/10.1007/s10926-025-10299-y","url":null,"abstract":"<p><strong>Purpose: </strong>First responders (FR-police, firefighters, paramedics) are exposed to trauma which can result in post-traumatic stress injuries (PTSI). Despite a lack of strong evidence on interventions to address PTSI work disability, workplace PTSI programs and policies are necessary to prevent work disability. The study objective was to examine experiences and perspectives about workplace programs, policies, and experiences related to the prevention of PTSI work disability among FR in Alberta, Canada.</p><p><strong>Methods: </strong>This qualitative study collected the perspective of police members, firefighters, and paramedics in Alberta, Canada regarding current workplace PTSI programs and policies. Qualitative interview data underwent descriptive thematic analysis.</p><p><strong>Results: </strong>Interviews were conducted with 47 FR members from police (16), fire (16), and paramedic (15) services who shared their experience with PTSI and workplace programs and policies. Three key themes emerged: improving culture, programs under development, and trusted communication. Three additional themes related to recommendations to improve programs and policies in the workplace were also identified: streamlined processes, better resources, and continue to reduce stigma. The themes and recommendations from participants provide practical information about how programs and policies can be improved.</p><p><strong>Conclusion: </strong>Interviews provided rich descriptions of current FR workplace PTSI practices and policies. While participants noted that awareness about PTSI and the culture of FR workplaces has improved, more needs to be done. Paramount were recommendations regarding the need for streamlined processes and better resources to reduce PTSI work disability. Study findings suggest that the development and implementation of workplace PTSI programs have a positive impact on FR organizations and on the mental wellbeing of the FR workforce. Future research should examine FR workplace program and policy development as well as implementation.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086817","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":"Designing a Multi-Stakeholder Intervention for Return to Work After Burnout. A Participatory Approach.","authors":"Eva Geluk, Remco Lenstra, Bart Cambré, Anja Van den Broeck","doi":"10.1007/s10926-025-10300-8","DOIUrl":"https://doi.org/10.1007/s10926-025-10300-8","url":null,"abstract":"<p><strong>Purpose: </strong>Burnout is a leading cause of prolonged sick leave and workforce withdrawal, with high relapse rates after return to work (RTW). Despite its classification as an occupational phenomenon, RTW interventions for burnout to date predominantly focus on individual recovery, often neglecting workplace-directed strategies. This study aimed to develop a multi-stakeholder RTW intervention, integrating both individual and organizational components through a participatory, iterative design process.</p><p><strong>Methods: </strong>Using a Design Thinking approach structured within the Double Diamond framework, this study employed a co-creation methodology to engage employees, supervisors, HR professionals, occupational health practitioners, and other RTW experts in the development of a comprehensive RTW intervention. The process unfolded through iterative cycles of stakeholder engagement, prototyping, and refinement. Formative usability testing was conducted to assess feasibility, practicality, and alignment with workplace needs.</p><p><strong>Results: </strong>The intervention included three key components: (1) a neutral RTW facilitator role and corresponding training program for facilitators supporting employees and supervisors; (2) a structured step-by-step RTW process with distinct pre- and post-RTW phases; and (3) a supporting toolbox incorporating conversation cards and a digital tool for progress monitoring.</p><p><strong>Conclusion: </strong>This study highlights the feasibility of a multi-stakeholder, design-driven approach to RTW intervention development. By aligning the intervention with real-world needs through participatory design, the intervention holds the promise for reducing relapse and supporting sustainable RTW. Future research should evaluate its effectiveness in real-world implementation and its impact on long-term work retention.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095644","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}