Journal of Occupational Rehabilitation最新文献

{"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":"https://doi.org/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":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-15","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":"Healthcare Professionals' Experiences with Vocational Rehabilitation for People with Inflammatory Arthritis.","authors":"Anne-Birgitte Madsen, Jette Primdahl, Jeanette Reffstrup Christensen, Ann Bremander, Christina Merete Tvede Madsen","doi":"10.1007/s10926-025-10297-0","DOIUrl":"https://doi.org/10.1007/s10926-025-10297-0","url":null,"abstract":"<p><strong>Purpose: </strong>To explore healthcare professionals' (HPs') experiences of work-related challenges among people with inflammatory arthritis (IA).</p><p><strong>Methods: </strong>A qualitative, interview study using a hermeneutic approach was planned. HPs with different professional backgrounds working with people with rheumatic diseases were recruited. An interview guide was developed according to relevant literature. The analysis followed Graneheim and Lundman's qualitative content analysis.</p><p><strong>Results: </strong>Twenty-one HPs representing two municipalities, three hospitals, a university college and one patient organisation participated in individual semi-structured interviews. The analysis derived three themes: (1) Work identity and living with IA. The disease causes emotional and economic effects regarding fulfilling roles in everyday life, including work; (2) Opportunities and challenges when supporting patients. Promoting and inhibiting factors that affect retention in the labour market include organisational factors at work, opportunities for involving the patient's relatives and working interprofessionally and cross-sectorally; and (3) Cooperation with employers. People with IA use different strategies and opportunities for compensatory schemes to maintain work. Cooperation with employers is an important part of vocational rehabilitation.</p><p><strong>Conclusion: </strong>HPs experience that people with IA find it difficult to manage their everyday life, including work. HPs want to support people with IA to maintain their jobs but find it difficult if the patient has not informed the employer about the disease. This study clarifies the need for vocational rehabilitation to support people with IA to stay in work, from time of diagnosis through hospitalisation, municipal rehabilitation and job clarification.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990854","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 Influence of a Health Promotion Program on Health and Paid Employment Among Long-Term Non-employed Individuals in the Netherlands.","authors":"Roos W Hijdra, Marike van Kalken, Stijn de Zeeuw, Arie Dijkstra, Alex Burdorf, Merel Schuring","doi":"10.1007/s10926-025-10290-7","DOIUrl":"https://doi.org/10.1007/s10926-025-10290-7","url":null,"abstract":"<p><strong>Purpose: </strong>Long-term unemployment is accompanied by worse health, making it challenging to enter paid employment. This study aims to investigate effects of a health promotion program on physical and mental health, work ability, and entering paid employment among long-term non-employed individuals.</p><p><strong>Methods: </strong>In a longitudinal study, Exercise Works participants (N = 208) and a treatment-as-usual group (N = 117) were followed with measurements at baseline, 3 months, and 12 months. The Exercise Works program is a health promotion program that lasts 12 to 18 weeks. It consists of individual- and group-based physical exercises, lifestyle education, and individual coaching for two half days per week. A generalized linear mixed model for repeated measurements was used to investigate changes within individuals in health status, employment participation, and work ability during the Exercise Works program in comparison to the control group. Subgroup analyses were performed based on socio-demographic characteristics and a per protocol analysis. Interviews with 20 participants and 21 professionals were conducted.</p><p><strong>Results: </strong>This study demonstrated no significant improvements in physical and mental health, work ability and being in paid employment participation among participants of Exercise Works compared to the control group. Participants and professionals had a very positive impression of the Exercise Works program.</p><p><strong>Conclusion: </strong>Despite the Exercise Works program being positively received, the effect evaluation did not demonstrate its effectiveness. Complex problems of non-employed persons should be addressed when developing a health promotion program.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062836","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":"https://doi.org/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":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-07","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":"Exploring Intersections of Race and Disability in the Context of Canadian Employment Support Systems Through the Experiences of Job Seekers/Workers, Employers, and Service Providers.","authors":"Eakam Grewal, Evelyne Durocher, Stephanie Premji, Rebecca Gewurtz","doi":"10.1007/s10926-025-10291-6","DOIUrl":"10.1007/s10926-025-10291-6","url":null,"abstract":"<p><strong>Purpose: </strong>Racism and ableism have impacts at individual and organizational levels and can produce and reproduce inequities and injustices in diverse contexts. However, their intersection remains largely unexamined in the provision of employment supports. The objective of this qualitative study is to identify barriers and facilitators within employment supports to seek strategies to improve the employment outcomes of racialized disabled job seekers and workers and address gaps faced by service providers and employers.</p><p><strong>Methods: </strong>This study used interpretive description (Thorne S. Interpretive description: Qualitative research for applied practice; 2016.). Four racialized disabled job seekers and workers, two employers and four service providers from Canada participated in semi-structured interviews. Thematic analysis (Braun and Clarke in Qual Res Psychol 3:77-101, 2006) was used to analyze the data.</p><p><strong>Findings: </strong>Five core themes were identified: (1) managing intersectional confusion; (2) employer education; (3) contextual barriers; (4) client-service provider relationships; and (5) urgency for solutions.</p><p><strong>Conclusion: </strong>This study provides grounding evidence about common concerns and barriers within existing employment support systems and can assist policymakers and service providers to better understand the complex and nuanced lived experiences of racialized disabled job seekers and workers.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041864","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":"Managers' Use of Organizational Resources when Supporting Employees with Common Mental Disorders: A Swedish Qualitative Study.","authors":"Ellinor Tengelin, Lisa Björk, Linda Corin, Gunnel Hensing, Carin Staland-Nyman, Christian Ståhl, Monica Bertilsson","doi":"10.1007/s10926-025-10293-4","DOIUrl":"https://doi.org/10.1007/s10926-025-10293-4","url":null,"abstract":"<p><strong>Purpose: </strong>Among the diverse tasks of managers, handling employees with common mental disorders (CMDs) is perceived as particularly challenging. Little is known about the organizational resources that managers use in these situations. The aim of this study was to explore the organizational resources that managers use when handling employees with CMDs and how they experience their use.</p><p><strong>Methods: </strong>An interview study inspired by the critical incident technique was designed. Swedish managers (n = 35) were recruited if they were managers in a private company with at least 50 employees and had experience supporting one or more employees with a CMD in the last 2 years. An incident was defined as a situation when a manager needed to support an employee with a CMD.</p><p><strong>Results: </strong>The analysis revealed managers' use of seven kinds of resources, and how the resource helped or hindered support to employees: (1) routines and structures; (2) frames for action; (3) training and education; (4) expert functions; (5) safety representatives from worker unions; (6) social support from colleagues and management; (7) interaction with employees. Secondary findings were personal and external resources, widening the study's organizational focus.</p><p><strong>Conclusions: </strong>This study is one of the first to explore managers' real-life experiences of the support available in their organization when managing employees with CMDs. Managers' experiences may help organizations provide structures for the management of individual cases of CMD at work. Resources flexible to the needs of managers in specific situations were experienced as supportive by participants in this study.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057678","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":"Predicting Work Disability Related to Spinal Pain: A Systematic Review of the Most Clinically Relevant Tools.","authors":"Thomas Gerard, Pierre-Luc Lachance, Martin Rabey, Yannick Tousignant-Laflamme","doi":"10.1007/s10926-025-10294-3","DOIUrl":"https://doi.org/10.1007/s10926-025-10294-3","url":null,"abstract":"<p><strong>Purpose: </strong>Musculoskeletal disorders, especially spinal conditions, are leading causes of disability, contributing significantly to work absenteeism and socio-economic burden. Rehabilitation is essential for promoting sustainable return to work (RTW). However, clinicians need reliable tools with appropriate psychometric properties to determine patients' risk of persistent work disability and tailor interventions. This systematic review objectives were to (1) identify clinically useful questionnaires that enable clinicians to identify individuals with spinal pain (back or neck pain) at risk of work disability, and (2) document the psychometric properties of the identified questionnaires.</p><p><strong>Methods: </strong>A systematic search was conducted in three databases from inception to 01/10/2025, to retrieve relevant studies. Studies were included if they reported self-administered questionnaires with ≤ 15 items predicting RTW outcomes in spinal disorders. Tools were evaluated based on psychometric properties (calibration, discrimination), and pragmatic characteristics (number of items, readability).</p><p><strong>Results: </strong>Seventeen studies were retrieved including 16 unique questionnaires of which four demonstrated sufficient discrimination capability. From these, the Örebro musculoskeletal pain questionnaire 10-items (ÖMPQ- 10), STarT Back screening tool (SBST), and a single item from the ÖMPQ- 25 demonstrated acceptable to excellent discrimination for low back pain populations, but showed lower discrimination for mixed or neck pain populations.</p><p><strong>Conclusion: </strong>The SBST, ÖMPQ- 10, and single items from the ÖMPQ- 25 performed best in predicting RTW outcomes for low back pain. No questionnaire had sufficient discriminatory capability for neck pain. These results should be interpreted with caution, as the overall risk of bias assessment remains unclear for the OMPQ- 10 and high for the SBST. Further research is necessary to develop or validate tools specific to neck pain and mixed populations.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988248","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":"Disclosure Impact of Mental Health Conditions in the Workplace: A Scoping Review and a Thematic Analysis.","authors":"Cyrielle Richard, Marc Corbière, Hubert Fiset-Renaud, Meryl Caiada, Justin Lamontagne, Felix Diotte, Anne-Marie Kik, Raphaëlle Merlo, Tania Lecomte","doi":"10.1007/s10926-025-10288-1","DOIUrl":"https://doi.org/10.1007/s10926-025-10288-1","url":null,"abstract":"<p><strong>Objective: </strong>Disclosing one's mental health conditions in the workplace is essential for accessing accommodations, but it can also bring negative consequences. This scoping review aims at collecting positive and negative impacts of disclosing mental health conditions in the workplace, with the hope of better supporting employees and organizations facing mental health disclosure at work.</p><p><strong>Method: </strong>We conducted a synthesis of studies published between March 2000 and February 2025. Selected articles needed to address disclosure and mental health conditions in the workplace, from the perspective of employees, managers or organizations. Study biases were assessed using the Cochrane Risk of Bias Comparison. Articles were reviewed following principles of thematic analysis.</p><p><strong>Results: </strong>The 71 included studies reflect the range of impacts of mental health conditions disclosure. In total, 5 overarching themes and 12 themes were generated for the positive outcomes, whereas 6 overarching themes and 19 themes were identified for the negative outcomes. Those themes reflected both individual and organizational perspectives. Positive responses include receiving accommodations, advocacy engagement, improvement in self-image, and better relationships within the work environment. Negative repercussions include unmet needs, refusal of assistance, diminished self-perception, regret over disclosure, and negative/discriminatory behavior from colleagues or managers, particularly in highly stereotyped jobs (e.g., Law enforcement).</p><p><strong>Conclusion: </strong>The scoping review highlights the repercussions of disclosing mental health conditions in the workplace and their specific implications for organizations, managers and employees. Recommendations for improving the impact of mental health conditions disclosure in the workplace are proposed.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796801","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":"https://doi.org/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":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Capturing the Perspectives of \"Laypeople\" on Policy Effectiveness: Employers' and Precariously Employed Workers' Suggested Improvements for the Workers' Compensation System and Work Injury Processes.","authors":"Nicole Billias, Ellen MacEachen","doi":"10.1007/s10926-025-10287-2","DOIUrl":"https://doi.org/10.1007/s10926-025-10287-2","url":null,"abstract":"<p><strong>Purpose: </strong>Precarious employment rates are rising, which challenges the effectiveness of current workers' compensation systems. Precariously employed workers encounter problems related to short-term and/or temporary employment, and complicated employment relationships. Few voices are captured in the literature from precariously employed workers and employers of these workers regarding day-to-day experience of workers' compensation policies. This article describes employers' and precariously employed workers' suggested changes and improvements to a workers' compensation system and other processes related to work injury and return-to-work.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted in Ontario, Canada with 36 precariously employed workers and 15 employers of precariously employed workers who were recruited via social media, email lists, cold calling, word-of-mouth, and the \"snowball\" method. Thematic code summaries were analyzed to identify suggested workers' compensation system improvements that relate to precarious employment.</p><p><strong>Results: </strong>Employers' and precariously employed workers' suggestions fell into the categories of (1) communication, (2) worker health and healthcare, and (3) worker and employer support.</p><p><strong>Conclusion: </strong>Identifying precariously employed workers and employers of precariously employed workers' suggestions enables a better understanding of areas of improvement for workers' compensation policy and how these policy changes could affect these interested parties with regards to managing workplace rehabilitation and disability.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765441","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}