Department of Rehabilitation, Faculty of Medicine, Laval University, Quebec City, QC, Canada.
Centre for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), Quebec City, QC, Canada.
Clin Rehabil. 2021 Oct;35(10):1488-1499. doi: 10.1177/02692155211010254. Epub 2021 Apr 14.
To explore the facilitators and barriers to implementation of a pilot workplace rehabilitation and global wellness program for orchestral musicians.
Qualitative study comprising focus groups and interviews.Setting: Workplace of conservatory and orchestral musicians and administrators.
Musicians, administrators and a conductor from two professional orchestras; tertiary-level orchestral students and an administrator from a conservatory of music.
We held four focus groups and two interviews to document the perspectives of the participants concerning the implementation determinants of a pilot workplace rehabilitation and wellness program (exercises and health-related education). Meetings consisted of questions based on the Consolidated Framework for Implementation Research. Thematic content analysis was conducted using this same framework, with subcoding according to the Theoretical Domains Framework.
Fourteen musicians and five administrators participated. Results suggest that the implementation determinants for the pilot and future programs rely mainly on the , that is, what musicians refer to as 'the music world', specifically cultural elements such as pain beliefs (e.g. no pain no gain) and lack of resources and time (barriers). such as social influences amongst colleagues and beliefs about the consequences of self-care or lack thereof, and such as complexity can be facilitators or barriers. All emerging themes have an undercurrent that lies in the .
Musicians' culture, currently a barrier, is a crucial determinant of rehabilitation and wellness program implementation in the orchestral musicians' workplace. A focus on musicians' workplace environment is necessary to optimise implementation and intervention impacts.
探索为管弦乐队音乐家实施试点工作场所康复和全球健康计划的促进因素和障碍。
包括焦点小组和访谈的定性研究。
音乐学院和管弦乐队的工作场所，包括音乐家、行政人员和指挥。
来自两个专业管弦乐队的音乐家、行政人员和指挥；音乐学院的大学生和行政人员。
我们举行了四次焦点小组会议和两次访谈，记录参与者对试点工作场所康复和健康计划（锻炼和健康相关教育）实施决定因素的看法。会议根据综合实施研究框架提出了问题。使用相同的框架进行主题内容分析，并根据理论领域框架进行子编码。
14 名音乐家和 5 名行政人员参加了会议。结果表明，试点和未来计划的实施决定因素主要取决于“音乐世界”，即音乐家所说的“音乐世界”，具体包括疼痛信念（如“没有痛苦就没有收获”）等文化因素以及资源和时间不足（障碍）。同事之间的社会影响和对自我保健或缺乏自我保健的后果的信念等因素，以及复杂性等因素，都可以成为促进因素或障碍。所有新出现的主题都有一个潜在的暗流，即“音乐世界”。
音乐家的文化目前是一个障碍，但它是管弦乐队音乐家工作场所康复和健康计划实施的关键决定因素。需要关注音乐家的工作场所环境，以优化实施和干预措施的影响。
