The Experience of Return to Work Among People with Persistent Symptoms Following a Concussion: An Interview Study.

Purpose: 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.

Methods: 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.

Results: 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.

Conclusion: 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.