Journal of Occupational Rehabilitation最新文献

{"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":"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":"570-579"},"PeriodicalIF":2.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13099714/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reflections of Autistic Adults on Employment Preparation Programs: A Qualitative Analysis.","authors":"Jena K Randolph, Jaclyn Benigno, Maia Z Markollari, Nancy Cheak-Zamora","doi":"10.1007/s10926-025-10296-1","DOIUrl":"10.1007/s10926-025-10296-1","url":null,"abstract":"<p><strong>Purpose: </strong>Autistic adults face significant barriers to employment. While caregiver and provider perspectives have informed transition programming to address these barriers, limited research has gathered insights directly from autistic adults. This study aimed to explore the experiences of autistic adults who completed an employment preparation program to identify the unmet needs and evaluate the impact on employment outcomes.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with 16 autistic adults and consisted of 26 core questions, allowing for an exploratory line of questioning. This method was chosen to address the gap in the literature regarding autistic adults' direct experiences and needs. The interviews were analyzed using inductive thematic analysis, prioritizing participants' words and experiences revealing novel insights into transition services. Demographic information and closed-ended questions were analyzed using descriptive statistics.</p><p><strong>Results: </strong>Participants expressed overall satisfaction with the programs, and most were currently employed, attributing their job obtainment to the transition program. Thematic analysis revealed four primary themes: (1) Job Skills; (2) Job Experience and Coaching; (3) Peer Relationships; and (4) Goal Setting. Participants reported benefits such as improved job obtainment skills, on-the-job experience, peer socialization, and practice setting goals. However, challenges were identified, including difficulties in maintaining relationships with peers and concerns about excessive involvement by job coaches.</p><p><strong>Conclusion: </strong>The findings highlight the benefits and limitations of employment preparation programs for autistic adults. The insights gained can inform the development of future programs and the training of personnel aiming to enhance the effectiveness of services for autistic adults seeking employment.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"549-560"},"PeriodicalIF":2.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080666","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":"Intervention challenges experienced in physiotherapy and occupational therapy with workers' pain and disability representations: a mixed methods study.","authors":"Patricia Godbout, Marie-France Coutu, Marie-José Durand","doi":"10.1007/s10926-025-10272-9","DOIUrl":"10.1007/s10926-025-10272-9","url":null,"abstract":"<p><strong>Purpose: </strong>The study objectives were to (1) identify prevalent unhelpful worker-held pain and disability representations and (2) explore clinicians' intervention challenges with these representations.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"383-393"},"PeriodicalIF":2.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460120","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":"Validation of JEM Soignances Job-Exposure Matrix Through Comparison with Self-Reported Exposures Among Healthcare Workers in CONSTANCES.","authors":"Allison Singier, Marc Fadel, Fabien Gilbert, Marie Zins, Laura Temime, Alexis Descatha","doi":"10.1007/s10926-025-10289-0","DOIUrl":"10.1007/s10926-025-10289-0","url":null,"abstract":"<p><strong>Purpose: </strong>A healthcare-specific job-exposure matrix, JEM Soignances, was recently developed to assess the occupational exposome of healthcare workers. This study aimed to compare estimates of known associations between occupational exposures and health outcomes obtained using JEM Soignances and self-reported data.</p><p><strong>Methods: </strong>Healthcare professionals from the CONSTANCES cohort with linked data from the French National Healthcare Database (SNDS) were included (n = 12219). Exposures were estimated using JEM Soignances (occupations and sectors of activity) and its alternative version (+ establishment size and status), as binary exposure at inclusion or as lifetime cumulative exposure (< 10y/ ≥ 10y). Association with relevant health outcomes (i.e., pain, depressive symptoms, hypertension, cancer, use of psychoactive drugs) were evaluated using logistic regression and compared to estimates obtained from self-reported exposure data in terms of direction, magnitude, and significance.</p><p><strong>Results: </strong>For organizational exposures, 10/16 associations for JEM Soignances and 12/16 for the alternative version aligned with self-reported data in direction and magnitude. For biomechanical exposures, confidence intervals overlapped in 11/15 associations for JEM Soignances and in 9/15 for the alternative version. For the others, discrepancies generally lean toward underestimation. For psychosocial exposure, JEM Soignances revealed significant limitations: While self-reported effort-reward imbalance was strongly associated with depressive symptoms (aOR = 3.18[2.81;3.59]), JEM Soignances underestimated this association (aOR = 1.37[1.23;1.54]), and the alternative version failed to detect it (aOR = 0.99[0.87;1.13]).</p><p><strong>Conclusion: </strong>JEM Soignances demonstrated good agreement with self-reported data for organizational and biomechanical exposures but failed for psychosocial exposure, often underestimating or missing associations. Further research is needed to evaluate JEM Soignances validity for biological, chemical, and physical exposures.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"480-492"},"PeriodicalIF":2.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13099736/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765442","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":"Evaluating Effectiveness of Telerehabilitation Among Workers Admitted to a Posttraumatic Stress Injury Rehabilitation Program.","authors":"Brandon K Krebs, Katelyn Brehon, Maxi Miciak, Bruce D Dick, Suzette C Brémault-Phillips, Sebastian Straube, Douglas P Gross","doi":"10.1007/s10926-025-10285-4","DOIUrl":"10.1007/s10926-025-10285-4","url":null,"abstract":"<p><strong>Purpose: </strong>Telerehabilitation or hybrid delivery (i.e., a mixture of telerehabilitation and in-person care) was increasingly used to deliver posttraumatic stress injury (PTSI) rehabilitation in response to the COVID-19 pandemic. Limited research, however, has evaluated the use of telerehabilitation to deliver PTSI interventions, including exposure-based therapies, and some service providers concerned about the potential adverse effects of delivery over telerehabilitation continue to advocate for in-person delivery. We evaluated the effectiveness of telerehabilitation versus hybrid delivery in promoting return-to-work (RTW) among workers with PTSI.</p><p><strong>Methods: </strong>We conducted a pragmatic, quasi-experimental study using archived data from workers undergoing PTSI rehabilitation programs offered by the Workers' Compensation Board of Alberta. The RTW outcomes of workers treated solely using telerehabilitation between November 6, 2020, and September 30, 2021, were compared to outcomes of workers treated using a hybrid model of delivery. A logistic regression analysis was used to examine if the method of treatment delivery was associated with RTW outcomes while controlling for a variety of potential confounders.</p><p><strong>Results: </strong>The study cohort included 222 workers with ongoing workers' compensation claims for PTSI. The majority were middle-aged (mean 42 years) men (61%) working as public safety personnel (35.9%) or in transport occupations (25.2%). The adjusted regression model showed no statistically significant differences in RTW outcomes between workers receiving telerehabilitation or hybrid treatment (Adjusted Odds Ratio 1.7; 95% CI 0.8-3.6).</p><p><strong>Conclusion: </strong>PTSI rehabilitation programs delivered exclusively via virtual means appear to produce RTW outcomes that are equally effective to delivery using a hybrid model.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"470-479"},"PeriodicalIF":2.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597909","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":"Bridging the Gap Between Rehabilitation and Return to Work: A Qualitative Evaluation of a Workplace Intervention for Low Back Pain.","authors":"Lisa Bernaers, Tine Marieke Willems, Dorina Rusu, Christophe Demoulin, Dominique Van de Velde, Lutgart Braeckman","doi":"10.1007/s10926-025-10295-2","DOIUrl":"10.1007/s10926-025-10295-2","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Low back pain (LBP) can lead to disability and sick leave, impacting work participation and overall health. Given the complex and multifactorial nature of LBP, Belgium's Federal Agency for Occupational Risks (FEDRIS) promotes a secondary prevention strategy for LBP among workers engaged in ergonomically demanding tasks. This strategy includes multidisciplinary-based rehabilitation and an optional workplace intervention (WPI), initiated upon employer request. The WPI component consists of a half-day ergonomic risk analysis at the workplace conducted by an external occupational health service. This paper is one of two parallel qualitative studies that explored the experiences and perspectives of employees and healthcare professionals (HCPs) on the secondary prevention program. The current study focuses on the optional WPI, aiming to identify its strengths, challenges, and potential solutions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Between April 2022 and April 2023, six multicenter semistructured focus groups were held with 15 employees (2015-2019 program participants) and 24 HCPs (including external ergonomists) recruited from 11 Belgian rehabilitation centers and hospitals. Sessions were organized as employee-only, HCP-only, or mixed groups. All the interviews were anonymized, transcribed verbatim, and analyzed inductively via thematic analysis, with validation through data triangulation, intercoder checks, and participant feedback.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The analysis reveals strengths, challenges, and solutions associated with the WPI before, during, and after implementation. Before the intervention, some HCPs recognized the WPIs' benefits, but limited awareness, employer hesitancy, practicality concerns, and job security fears presumably contributed to low application rates. The proposed solutions include proactive communication, streamlined processes, and enhanced employer engagement. During implementation, strengths included improved employee engagement and interdisciplinary collaboration, but challenges related to limited integration and timing affected effectiveness. Early ergonomic assessments and better communication are suggested. After the intervention, inconsistent feedback hindered sustainability, highlighting the need for systematic follow-up and stronger organizational commitment.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The WPI provides some tangible benefits for sustainable return to work in Belgium's secondary prevention strategy for LBP, yet a few gaps remain. Low employer awareness, application hesitancy, and inconsistent follow-up hinder effective implementation. Equally, interdisciplinary collaboration and proactive ergonomic assessments are considered strengths of the WPI. Involving all key stakeholders emerges as critical for addressing practical concerns and ensuring ongoing support. Future refinements should prioritize streamlined processes, early-stage interventions, and consistent feedback.&lt;/","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"534-548"},"PeriodicalIF":2.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054195","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":"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":"580-590"},"PeriodicalIF":2.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13099682/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Suffering of Common Mental Disorders but Still at Work: A Longitudinal Study During Periods of Differences in Regulations for Having Sick Leave.","authors":"Magnus Helgesson, Klas Gustafsson, Constanze Leineweber","doi":"10.1007/s10926-025-10269-4","DOIUrl":"10.1007/s10926-025-10269-4","url":null,"abstract":"<p><strong>Purpose: </strong>The aim was to analyse the relationships between work environment characteristics and periods of sick leave (> 14 days) in individuals diagnosed with common mental disorders (CMDs) across 1993-2014. Additionally, the study describes changes in the work environment and sick leave trends over these two periods.</p><p><strong>Methods: </strong>From the Swedish Work Environment Surveys (SWES) 1993-2013, participants with a diagnosis of a CMD up to five years before the interview were drawn (n = 3795). Risk ratios (RRs) of the annual average number of sick leave days one year after the interview in SWES (1993-2014) were calculated for various work environment characteristics, along with 95% confidence intervals (CIs).</p><p><strong>Results: </strong>Having flexible working hours (RR 0.65: 0.46-0.91) and having an active job (RR 0.60: 0.41-0.88), that is, high job demands and high job control, were associated with a significantly decreased risk for a spell of sick leave > 14 days after adjusting for interview year, age, sex, and educational level. There was a tendency that also some aspects of job control, i.e. influence over working hours (RR 0.79: 0.62-1.01) and influence over work pace (0.80: 0.62-1.03), were associated with a lower risk of having  > 14 days of sick leave. There was a more substantial effect on these work environment factors in 2009-2013 than 1993-2007.</p><p><strong>Conclusion: </strong>Enabling flexible working hours and influencing work pace and working hours can decrease the risk of sick leave among employees diagnosed with a CMD.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"373-382"},"PeriodicalIF":2.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13099786/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075885","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":"Feasibility and Effects of Exercise During Working Hours in Acute Hospital Staff - A Non-Randomized Controlled Trial.","authors":"S G Nielsen, M Pedersen, J U Toftager-Oster, C A Saervoll, T K Fischer, B Lindegaard, S Molsted","doi":"10.1007/s10926-025-10275-6","DOIUrl":"10.1007/s10926-025-10275-6","url":null,"abstract":"<p><strong>Purpose: </strong>Workplace health interventions with exercise have positive effects on musculoskeletal pain and well-being at work, however, effectiveness is questioned due to low adherence. In hospitals participation is challenged by shiftwork and unpredictable workload. Our aim was to investigate the feasibility of exercise during working hours in an acute hospital, herein to estimate the health impact to guide management decisions on implementation.</p><p><strong>Methods: </strong>A clinical trial in a public hospital, offering staff supervised group-based individualized exercise with combined aerobic and strength training during working hours twice weekly for 20 weeks. Delivery, acceptance, and adherence were investigated. Subjective outcomes were social capital, well-being, quality of life, and musculoskeletal pain were assessed. Objective outcomes were blood pressure, body composition, and cardiorespiratory fitness.</p><p><strong>Results: </strong>Twenty-three percent of the employees (n = 617) accepted participation (92% female, median age was 50 years, 38% nurses). Adherence was 29% with no difference between employees with clinical versus non-clinical functions. Non-clinicians participated during working hours, while clinicians participated outside of working hours in 50% (IQR 5-87) of the sessions. Positive changes were seen in systolic and diastolic blood pressure (decreased 2.0 [0.9; 2.2] and 0.9 [0.1; 1.7] mmHG, respectively), aerobic capacity 2.3 ml/O2/min/kg [1.7; 2.9], and in waist-hip ratio, social capital, well-being, quality of life, and musculoskeletal pain.</p><p><strong>Conclusion: </strong>Exercise during working hours in an acute hospital staff was feasible, but strategies to increase acceptance and adherence are necessary for a successful implementation. Despite low adherence, the intervention was associated with improvements of physical and mental health.</p><p><strong>Registration: </strong>The study protocol has been uploaded on www.</p><p><strong>Clinicaltrials: </strong>gov (NCT04988724).</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"407-415"},"PeriodicalIF":2.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13099752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450681","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":"Changes in Pregabalin Dispensing to Australians with Workers' Compensation Claims for Low Back Pain Following the Listing of Pregabalin on the Pharmaceutical Benefits Scheme.","authors":"Michael F Di Donato, Christina Abdel Shaheed, Alex Collie, Christopher G Maher, Stephanie Mathieson","doi":"10.1007/s10926-025-10276-5","DOIUrl":"10.1007/s10926-025-10276-5","url":null,"abstract":"<p><strong>Objectives: </strong>We sought to identify whether the inclusion of pregabalin on the list of medicines subsidised by the Australian government in 2013 resulted in changes to the dispensing of pregabalin to Australians with workers' compensation claims for low back pain.</p><p><strong>Methods: </strong>Using a sample of workers' compensation claims and payments data (2010-2018), we measured the prevalence of pregabalin dispensing and time to first pregabalin dispensing in workers whose claim began before, during or after pregabalin was listed on the Pharmaceutical Benefits Scheme (PBS) with binary logistic and Cox proportional hazards models. We used interrupted time-series analyses to measure changes in the monthly number, percentage of pain medicines, percentage of gabapentinoid dispensings, and median cost per dispensing of pregabalin.</p><p><strong>Results: </strong>Of the 17,689 workers included in the study, 13.7% (n = 2431) were dispensed pregabalin during the study period. Workers in the groups whose claim occurred before or during when pregabalin was listed on the PBS were at significantly lower odds of being dispensed pregabalin than the group whose claim began after PBS listing (OR 0.20, 99% CI 0.15, 0.25 and OR 0.40, 99% CI 0.33, 0.48, respectively). There were significant step increases in the number of pregabalin dispensings (26.3%, 99% CI 6.2%, 50.3%), percentage of pain medicines that were pregabalin (29.3%, 99% CI 1.5%, 64.9%), and percentage of gabapentinoid dispensings that were pregabalin (13.9%, 99% CI 7.5%, 20.6%). There was a significant step decrease in the median cost per pregabalin dispensing (- 61.8%, 99% CI - 66.8%, - 56.1%).</p><p><strong>Conclusion: </strong>Listing pregabalin on the PBS saw significant increases in the prevalence, number and percentage of pain medicines, and significant decreases in time to first pregabalin dispensing and cost.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"416-425"},"PeriodicalIF":2.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13099708/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411222","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}