Sick-listed persons' experiences with taking part in an in-patient occupational rehabilitation program based on acceptance and commitment therapy: a qualitative focus group interview study
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BACKGROUND: Occupational medicine has shifted emphasis from disease treatment to disability rehabilitation and management. Hence, newly developed occupational rehabilitation programs are often generic and multicomponent, aiming to influence the sick-listed persons' perception on return to work, and thereby support the return to work process. The aim of this study was to explore sick-listed persons' experiences with taking part in an in-patient occupational rehabilitation program based on Acceptance and Commitment Therapy. METHODS: Twenty-nine adults on sickness benefit or work assessment allowance due to musculoskeletal and/or common mental health disorders participated in this study. They were interviewed in focus groups at the beginning and at the end of a 3.5 week inpatient group-based occupational rehabilitation program in Central Norway. Key elements in the program were Acceptance and Commitment Therapy (ACT), physical exercise and creating a work-participation plan. The program was mainly group-based including participants with different diagnoses. Data was analyzed according to a phenomenological approach. RESULTS: At the start of the program most participants expressed frustration regarding being sick-listed, external anticipations as well as hindrances towards returning to work, and described hope that the program would provide them with the skills and techniques necessary to cope with health problems and being able to return to work. At the end of the program the participants described that they had embarked upon a long process of increased awareness. This process encompassed four areas; an increased awareness of what was important in life, realizing the strain from external expectations and demands, a need to balance different aspects of life, and return to work as part of a long and complex process. CONCLUSIONS: The occupational rehabilitation program induced a perceived meaningful reorientation encompassing several aspects of life. However, the return to work process was described as diffuse and uncertain for most participants. The providers of occupational rehabilitation program should balance this reorientation with specific steps towards return to work. Effect studies and long-term qualitative studies evaluating how this affects long-term work- and health outcomes are underway.
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CBT/ACT has been suggested for occupational rehabilitation in patients on sick leave.
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Gismervik, S. Ø., Aasdahl, L., Vasseljen, O., Fors, E. A., Rise, M. B., Johnsen, R., Hara, K., Jacobsen, H. B., Pape, K., Fleten, N., et al. (2020) · Scandinavian Journal of Work, Environment & Health · doi:10.5271/sjweh.3882 · Cited by 37 · see citing works
“Furthermore, ACT has successfully been implemented as a coping modality in group-based interventions for sicklisted individuals with different diagnoses (12, 19, 20).”
MethodSelf-citationHåkansson, A., Cronhjort, M., Lidin-Darlington, P., Lilja, G., Nilsson, A., Schandl, A., & Friberg, H. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.907215 · Cited by 5 · see citing works
- Authors
- Rise, M. B., Gismervik, S. Ø., Johnsen, R., & Fimland, M. S.
- Affiliations
- Norwegian University of Science and Technology (NO)
- Corresponding author
- Rise, Marit B.
- Venue
- BMC Health Services Research
- Published
- 2015-06
- Volume
- 15
- Issue
- 1
- Pages
- 526-526
- ISSN
- 1472-6963 (ISSN-L)
- PMC
- PMC4662815
- OpenAlex
- W2181126835
- Cited by
- 23
- References
- 60
- Citations by year
- 2026: 3 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 3 · 2020: 3 · 2019: 2 · 2018: 6 · 2017: 3
- FWCI
- 7.99
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Health Services Research (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Health Sciences › Health Professions › Occupational Therapy › Occupational Therapy Practice and Research
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- vocational rehabilitation, acceptance and commitment therapy, return to work, musculoskeletal disorders, common mental disorders, sickness benefits, physical activity, participant experiences, disability rehabilitation
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Attitude to Health, Mental Disorders, Female, Persons with Disabilities, Humans, Longitudinal Studies, Male, Middle Aged, Musculoskeletal Diseases, Norway, Focus Groups, Sick Leave, Qualitative Research, Young Adult, Return to Work, Acceptance and Commitment Therapy
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