Therapists’ experiences and needs with regard to providing work-focused care: a focus group study

Abstract Background Musculoskeletal disorders (MSDs) can create a temporary or permanent disability that reduce a person’s ability to work. Physiotherapists (PTs), occupational therapists (OTs) and exercise therapists (ETs) are often involved in the early management of MSDs. There is a need for addi...

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Autores principales:	Wiebke Oswald, Inez Ummels, Tamara Raaijmakers, Paul Baart, J. Bart Staal, Hendrik J. Bieleman, Maria W. G. Nijhuis - van der Sanden, Yvonne F. Heerkens, Nathan Hutting
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Musculoskeletal disorders Work-focused healthcare Work participation Physiotherapy Occupational therapy Exercise therapy Diseases of the musculoskeletal system RC925-935
Acceso en línea:	https://doaj.org/article/3590201187c745d5ada32600debbb40a
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spelling	oai:doaj.org-article:3590201187c745d5ada32600debbb40a2021-11-08T10:58:24ZTherapists’ experiences and needs with regard to providing work-focused care: a focus group study10.1186/s12891-021-04806-41471-2474https://doaj.org/article/3590201187c745d5ada32600debbb40a2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12891-021-04806-4https://doaj.org/toc/1471-2474Abstract Background Musculoskeletal disorders (MSDs) can create a temporary or permanent disability that reduce a person’s ability to work. Physiotherapists (PTs), occupational therapists (OTs) and exercise therapists (ETs) are often involved in the early management of MSDs. There is a need for additional insights into therapists’ experiences, barriers and needs to work-focused care. Moreover, there is no evidence on how OTs and ETs address work participation. Therefore, the aim of this qualitative study was 1) to investigate how generalist PTs, OTs and ETs provide work-focused healthcare and 2) to obtain insight into their perceived barriers and needs that affect their ability to address occupational factors. Methods An exploratory qualitative study using three focus groups. Generalist PTs, OTs and ETs were eligible to participate if they treated working patients with MSDs. A semi-structured interview guide with open-ended questions was developed. Two moderators facilitated each focus group using the interview guide, and all the groups were audio recorded. Data were analysed using inductive thematic analysis. Results Sixteen therapists (mean age 44 years, range 25-59) participated in this study. Participants were aware of the importance of taking occupational factors into account. Whether they address occupational factors is largely dependent on the patient’s request for help. However, ETs and OTs consider it normal to ask about occupational factors during the diagnostic process, while PTs often address this in later consultations. Almost all participants were unaware of the existence of PTs, OTs or ETs who are specialised in occupational health. Moreover, almost all participants struggled with when to refer a patient to other (occupational) healthcare professionals. This study identified several needs of therapists. These included knowledge about laws and legislation and skills for identifying and addressing work-related or work-relevant complaints. Conclusions Participants in this qualitative study were aware of the importance of taking occupational factors into account. However, how PTs, OTs and ETs address work participation and the extent to which they do so can be improved. There was a lack of knowledge about and cooperation with occupational health professionals, including PTs, OTs or ETs specialised in occupational health.Wiebke OswaldInez UmmelsTamara RaaijmakersPaul BaartJ. Bart StaalHendrik J. BielemanMaria W. G. Nijhuis - van der SandenYvonne F. HeerkensNathan HuttingBMCarticleMusculoskeletal disordersWork-focused healthcareWork participationPhysiotherapyOccupational therapyExercise therapyDiseases of the musculoskeletal systemRC925-935ENBMC Musculoskeletal Disorders, Vol 22, Iss 1, Pp 1-13 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Musculoskeletal disorders Work-focused healthcare Work participation Physiotherapy Occupational therapy Exercise therapy Diseases of the musculoskeletal system RC925-935
spellingShingle	Musculoskeletal disorders Work-focused healthcare Work participation Physiotherapy Occupational therapy Exercise therapy Diseases of the musculoskeletal system RC925-935 Wiebke Oswald Inez Ummels Tamara Raaijmakers Paul Baart J. Bart Staal Hendrik J. Bieleman Maria W. G. Nijhuis - van der Sanden Yvonne F. Heerkens Nathan Hutting Therapists’ experiences and needs with regard to providing work-focused care: a focus group study
description	Abstract Background Musculoskeletal disorders (MSDs) can create a temporary or permanent disability that reduce a person’s ability to work. Physiotherapists (PTs), occupational therapists (OTs) and exercise therapists (ETs) are often involved in the early management of MSDs. There is a need for additional insights into therapists’ experiences, barriers and needs to work-focused care. Moreover, there is no evidence on how OTs and ETs address work participation. Therefore, the aim of this qualitative study was 1) to investigate how generalist PTs, OTs and ETs provide work-focused healthcare and 2) to obtain insight into their perceived barriers and needs that affect their ability to address occupational factors. Methods An exploratory qualitative study using three focus groups. Generalist PTs, OTs and ETs were eligible to participate if they treated working patients with MSDs. A semi-structured interview guide with open-ended questions was developed. Two moderators facilitated each focus group using the interview guide, and all the groups were audio recorded. Data were analysed using inductive thematic analysis. Results Sixteen therapists (mean age 44 years, range 25-59) participated in this study. Participants were aware of the importance of taking occupational factors into account. Whether they address occupational factors is largely dependent on the patient’s request for help. However, ETs and OTs consider it normal to ask about occupational factors during the diagnostic process, while PTs often address this in later consultations. Almost all participants were unaware of the existence of PTs, OTs or ETs who are specialised in occupational health. Moreover, almost all participants struggled with when to refer a patient to other (occupational) healthcare professionals. This study identified several needs of therapists. These included knowledge about laws and legislation and skills for identifying and addressing work-related or work-relevant complaints. Conclusions Participants in this qualitative study were aware of the importance of taking occupational factors into account. However, how PTs, OTs and ETs address work participation and the extent to which they do so can be improved. There was a lack of knowledge about and cooperation with occupational health professionals, including PTs, OTs or ETs specialised in occupational health.
format	article
author	Wiebke Oswald Inez Ummels Tamara Raaijmakers Paul Baart J. Bart Staal Hendrik J. Bieleman Maria W. G. Nijhuis - van der Sanden Yvonne F. Heerkens Nathan Hutting
author_facet	Wiebke Oswald Inez Ummels Tamara Raaijmakers Paul Baart J. Bart Staal Hendrik J. Bieleman Maria W. G. Nijhuis - van der Sanden Yvonne F. Heerkens Nathan Hutting
author_sort	Wiebke Oswald
title	Therapists’ experiences and needs with regard to providing work-focused care: a focus group study
title_short	Therapists’ experiences and needs with regard to providing work-focused care: a focus group study
title_full	Therapists’ experiences and needs with regard to providing work-focused care: a focus group study
title_fullStr	Therapists’ experiences and needs with regard to providing work-focused care: a focus group study
title_full_unstemmed	Therapists’ experiences and needs with regard to providing work-focused care: a focus group study
title_sort	therapists’ experiences and needs with regard to providing work-focused care: a focus group study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/3590201187c745d5ada32600debbb40a
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Therapists’ experiences and needs with regard to providing work-focused care: a focus group study

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