Dulude Eve, Coutu Marie-France, Durand Marie-José
Centre de recherche Charles-Le Moyne-Saguenay-Lac-Saint-Jean sur les innovations en santé (CR-CSIS), Université de Sherbrooke ‒ Centre d'action en prévention et réadaptation de l'incapacité au travail (CAPRIT), Longueuil, Canada.
Disabil Rehabil. 2021 Dec;43(25):3652-3662. doi: 10.1080/09638288.2020.1744041. Epub 2020 Mar 31.
The aim of this study was to develop an operationalized transdiagnostic resilience-based intervention for workers at risk of long-term work disability.
A sequential mixed method design was used. Expert clinicians ( = 10) first answered a questionnaire including closed and open-ended questions on the clarity, applicability, relevance and exhaustiveness of a preliminary resilience intervention developed from evidenced-informed resilience factors to prompt reflection. Second, proposals from the questionnaire were discussed at a consensus group meeting with the same experts, yielding a final and improved intervention. Third, semi-structured interviews with work-disabled workers ( = 6) explored the intervention's acceptability to them. Thematic analysis of the verbatim was performed.
Experts identified 15 statements on clarity, applicability, relevance or exhaustiveness in the questionnaire that did not achieve consensus and generated 41 modification proposals. The consensus group adopted 15 modifications. The adapted intervention was well-accepted by the workers who had completed a work rehabilitation program. They perceived the intervention as positive, relevant, coherent, useful and consistent with their values.
A new transdiagnostic resilience intervention in work rehabilitation is available and was on exploratory basis seen acceptable by workers. Next step would be to validate it at a larger scale with more workers and other stakeholders.IMPLICATIONS FOR REHABILITATIONPromoting workers resilience in work rehabilitation fosters a holistic approach in clinical practice.Resilience interventions should be integrated into work rehabilitation programs.A new transdiagnostic resilience intervention designed to complement current work rehabilitation programs is available.
本研究旨在为有长期工作残疾风险的工人开发一种基于复原力的可操作的跨诊断干预措施。
采用序贯混合方法设计。专家临床医生（n = 10）首先回答一份问卷，其中包括关于从循证复原力因素开发的初步复原力干预措施的清晰度、适用性、相关性和详尽性的封闭式和开放式问题，以促进反思。其次，在与相同专家的共识小组会议上讨论问卷中的建议，产生最终改进的干预措施。第三，对工作残疾工人（n = 6）进行半结构化访谈，探讨他们对该干预措施的可接受性。对逐字记录进行主题分析。
专家们在问卷中确定了15条关于清晰度、适用性、相关性或详尽性的陈述未达成共识，并提出了41条修改建议。共识小组采纳了15项修改意见。完成工作康复计划的工人对调整后的干预措施接受度良好。他们认为该干预措施是积极的、相关的、连贯的、有用的，并且与他们的价值观一致。
工作康复中一种新的跨诊断复原力干预措施已经可用，并且在探索性基础上被工人认为是可接受的。下一步将是在更大规模上与更多工人和其他利益相关者一起对其进行验证。
对康复的启示
在工作康复中促进工人的复原力有助于在临床实践中采取整体方法。
复原力干预措施应纳入工作康复计划。
一种旨在补充当前工作康复计划的新的跨诊断复原力干预措施已经可用。
