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Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: The role of contextual factors on participation in the life area of work and employment after rehabilitation : a qualitative study on the views of persons with chronic pain
Authors: Friedli, Thomas
Gantschnig, Brigitte E.
et. al: No
DOI: 10.3233/WOR-205173
Published in: Work
Volume(Issue): 71
Issue: 1
Page(s): 119
Pages to: 132
Issue Date: 2022
Publisher / Ed. Institution: IOS Press
ISSN: 1051-9815
Language: English
Subjects: Evaluation study; Disability and health; International classification of functioning; Quality of life; Realist evaluation; Rehabilitation; Employment; Health personnel; Human; Qualitative research; Chronic pain; Musculoskeletal pain
Subject (DDC): 615.8515: Occupational therapy
616.7: Diseases of musculoskeletal system and orthopaedics
Abstract: Background: A deeper understanding of how contextual factors affect the ability to participate in the life area of work and employment despite chronic musculoskeletal pain is needed as a basis for interprofessional rehabilitation programs. Objective: To investigate which contextual factors influence rehabilitation program clients’ ability to participate in the life area of work and employment, and how they do this. Methods: Nested case study using a realist evaluation framework of interprofessional interventions. Qualitative content analysis of problem-centered interviews to identify influential context-mechanism-outcome configurations. Results: We identified several important context-mechanism-outcome configurations. In the pre-interventional phase, socioeconomic and environmental factors affected two mechanisms, “exhaustion” and “discrimination”. In the intra-interventional phase, the social skills of health professionals and opportunities for discussion with peers affected the ability of program participants to engage with program content. In the post-intervention phase, volitional competences of the social system affected the sustainable application of program content in everyday life. Conclusion: The identified context-mechanism-outcome configurations shows that the ability to participate in the life area of work is interdependent with the ability to participate in other areas of life. In practice and research, assessment and treatment should be carried out based on this understanding.
Fulltext version: Published version
License (according to publishing contract): CC BY-NC 4.0: Attribution - Non commercial 4.0 International
Departement: School of Health Sciences
Organisational Unit: Institute of Occupational Therapy (IER)
Appears in collections:Publikationen Gesundheit

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