Liberty Mutual Research Institute for Safety, Hopkinton, MA 01748, USA.
Disabil Rehabil. 2012;34(8):694-703. doi: 10.3109/09638288.2011.615372. Epub 2011 Oct 17.
To evaluate the extent to which the principles of chronic pain or illness self-management (SM) programs might be adapted to focus on the workplace concerns of adults with persistent or recurrent pain and lead to new workplace intervention opportunities.
Eight SM programs were selected as representative evidence-based programs and then compared to extract common instructional elements. Elements were analyzed for potential application to four workplace problem domains identified by workers with pain: activity interference, negative self-perceptions, interpersonal challenges, and the inflexibility of work.
Of 24 instructional elements, 17 were shared by at least half of the SM programs. Instructional elements judged to be best suited for dealing with workplace concerns included those focused on reducing pain and discomfort, making informed decisions, communicating effectively, and dealing with thoughts and feelings. However, aspects of the workplace that may alter the feasibility or effectiveness of SM strategies include the level of physical demands and limitations, job leeway, and the nature of workplace roles and relationships.
Principles and methods of SM intervention programs are generally well suited to address pain-related problems in the workplace, but tailoring of messages may be necessary to incorporate the unique organizational, physical, and social aspects of work into psycho-educational programs.
评估慢性疼痛或疾病自我管理（SM）计划的原则在多大程度上可以适应重点关注成年人持续或反复疼痛的工作场所问题，并为新的工作场所干预机会提供依据。
选择 8 种具有代表性的循证 SM 计划作为证据，并对其进行比较以提取常见的指导要素。分析这些要素是否可以应用于工人疼痛所确定的四个工作场所问题领域：活动干扰、负面自我认知、人际挑战和工作的不灵活性。
在 24 个指导要素中，至少有一半的 SM 计划共享了 17 个要素。被认为最适合解决工作场所问题的指导要素包括那些专注于减轻疼痛和不适、做出明智决策、有效沟通以及处理想法和感受的要素。然而，可能改变 SM 策略可行性或有效性的工作场所方面包括物理需求和限制的程度、工作回旋余地、以及工作场所角色和关系的性质。
SM 干预计划的原则和方法通常非常适合解决工作场所与疼痛相关的问题，但可能需要对信息进行调整，将工作的独特组织、物理和社会方面纳入心理教育计划中。
