Hutting Nathan, Detaille Sarah I, Heerkens Yvonne F, Engels Josephine A, Staal J Bart, Nijhuis-van der Sanden Maria W G
Radboud Institute for Health Sciences, IQ Healthcare, Radboud University Medical Center, Nijmegen, The Netherlands.
Research Group Occupation and Health, Faculty of Health and Social Studies, HAN University of Applied Sciences, PO Box 6960, 6503 GL, Nijmegen, The Netherlands.
J Occup Rehabil. 2017 Mar;27(1):35-48. doi: 10.1007/s10926-016-9630-9.
Purpose To investigate the experiences of participants of a self-management program for employees with complaints of the arm, neck or shoulder (CANS). The program consisted of six group sessions combined with an eHealth module. Methods Semi-structured interviews with the first 31 consecutive participants of the intervention group participating in a randomized controlled trial. Participants were interviewed after their last group session. Semi-structured interviews were guided by an interview guide and audio-recorded. Data were analyzed using thematic analysis and the emerging themes were discussed. All participants in the intervention group were asked about their experiences with a questionnaire at three (n = 58) and 12-months (n = 53) follow-up. Results Most participants appreciated the diversity of the program and benefited from the interaction with their peers. The eHealth module, although not used by everyone, was generally experienced as positive, especially the section with the physical exercises. Participants obtained more insight into their complaints and increased awareness, which contributed to the acceptance of and coping with the complaints. There was also criticism about the content of the program and the lack of a follow-up session. Results of the questionnaires showed that participants had a high level of satisfaction. Conclusions In general, the intervention fitted the needs of employees with CANS. Participants obtained more knowledge and insight into their complaints, as well as increased awareness; all this contributed to a behavioral change and improved coping. Many participants made changes at work and during their leisure time, whereas some felt that continuing their 'changed' behavior would be a challenge.
目的 调查手臂、颈部或肩部不适（CANS）员工自我管理项目参与者的体验。该项目包括六次小组会议以及一个电子健康模块。方法 对参与一项随机对照试验的干预组中连续的前31名参与者进行半结构化访谈。参与者在最后一次小组会议后接受访谈。半结构化访谈由访谈指南引导并进行录音。使用主题分析法对数据进行分析，并对新出现的主题进行讨论。干预组的所有参与者在3个月（n = 58）和12个月（n = 53）随访时通过问卷被询问他们的体验。结果 大多数参与者赞赏该项目的多样性，并从与同伴的互动中受益。电子健康模块虽然并非每个人都使用，但总体体验是积极的，尤其是体育锻炼部分。参与者对自己的不适有了更多了解并提高了认识，这有助于接受和应对这些不适。对该项目的内容和缺乏后续会议也有批评意见。问卷结果显示参与者满意度较高。结论 总体而言，该干预措施符合CANS员工的需求。参与者对自己的不适有了更多知识和了解，以及提高了认识；所有这些都促成了行为改变和更好的应对。许多参与者在工作和休闲时间都做出了改变，而一些人认为继续他们“改变了的”行为将是一个挑战。
