因工患病员工在重返工作过程中接受激励式访谈的体验：一项定性访谈研究。
Sick-listed workers' experiences with motivational interviewing in the return to work process: a qualitative interview study.
机构信息
Department of Public Health and Nursing, Faculty of Medicine and Health Science, Norwegian University of Science and Technology, Postboks 8905, MTFS, 7491, Trondheim, Norway.
Department of Psychology, Faculty of Social and Educational Sciences, Norwegian University of Science and Technology, Trondheim, Norway.
出版信息
BMC Public Health. 2020 Feb 28;20(1):276. doi: 10.1186/s12889-020-8382-9.
BACKGROUND
When returning to work after being on long-term sick leave, individuals may experience varying levels of motivation and self-efficacy. Motivational interviewing (MI) is a counseling style that aims to increase motivation towards change, and it may be useful in the return to work (RTW) process. The aim of this study was to explore sick-listed workers' experiences with MI in the RTW process.
METHODS
This qualitative study was part of a randomized controlled trial evaluating the effects of MI on the RTW process, and it was administered by caseworkers at the Norwegian Labor and Welfare Administration. Sixteen sick-listed individuals, aged 33-60, participated in semi-structured interviews. All had a sick leave status of 50-100% for at least 8 weeks when interviewed and all had completed 2 MI sessions. The data was analyzed with systematic text condensation.
RESULTS
Participants' experiences of the MI sessions were categorized into three themes: (1) relationship with the MI caseworker, (2) normalizing sick leave, and (3) adjusting RTW strategies. The MI sessions were experienced as a positive encounter due to the supportive relationship that was built between the MI caseworker and the sick-listed worker. Being sick listed led to feelings of guilt and stigmatization, but acceptance and support from the MI caseworkers helped normalize the situation for the sick-listed workers. Furthermore, MI sessions allowed for personalized feedback and discussions on adjustments to their RTW strategies.
CONCLUSION
Sick-listed workers experienced MI as positive due to the good relationship that developed with the MI caseworker, how this normalized sick leave, and the help they received with adjusting their RTW strategies. Professionals working with individuals attempting to RTW may benefit from using MI as a method for helping sick-listed workers to RTW.
TRIAL REGISTRATION
ClinicalTrials.gov: NCT03212118 (registered July 11, 2017).
背景
长期请病假后重返工作岗位时，个人可能会经历不同程度的动机和自我效能感。动机性访谈（MI）是一种旨在提高改变动机的咨询方式，它可能对重返工作岗位（RTW）过程有用。本研究旨在探讨 sick-listed 工人在 RTW 过程中接受 MI 的体验。
方法
这是一项定性研究，是评估 MI 对 RTW 过程影响的随机对照试验的一部分，由挪威劳动和福利管理局的个案工作者实施。16 名 sick-listed 个体参与了半结构化访谈，年龄 33-60 岁。所有个体的病假状态为至少 8 周的 50-100%，并且在接受采访时都已完成 2 次 MI 会议。使用系统文本浓缩法对数据进行分析。
结果
参与者对 MI 会议的体验分为三个主题：（1）与 MI 个案工作者的关系，（2）病假正常化，（3）调整 RTW 策略。由于 MI 个案工作者与 sick-listed 工人之间建立了支持性关系，因此 MI 会议被体验为积极的互动。请病假会导致内疚和污名化的感觉，但 MI 个案工作者的接受和支持帮助 sick-listed 工人使情况正常化。此外，MI 会议允许对个性化反馈和讨论调整他们的 RTW 策略。
结论
由于与 MI 个案工作者发展良好的关系，以及 MI 如何使病假正常化以及帮助他们调整 RTW 策略， sick-listed 工人对 MI 体验为积极。尝试 RTW 的个体的专业人员可能会受益于将 MI 用作帮助 sick-listed 工人 RTW 的方法。
试验注册
ClinicalTrials.gov：NCT03212118（2017 年 7 月 11 日注册）。
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