Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
Chiropractic Knowledge Hub, Odense, Denmark.
BMC Public Health. 2022 Apr 7;22(1):675. doi: 10.1186/s12889-022-13060-9.
Interdisciplinary rehabilitation programmes (IRP) are used in municipality settings to assist unemployed citizens with complex health and/or life issues. Individually tailored IRP activities help people develop their personal working life skills and increase their chances of re-entering the work force. The aims of this paper were to describe citizens' wellbeing in terms of health aspects, explore the impact of stressful life events on wellbeing and obtain understanding of how IRP activities affect the participants' development towards future employment.
A mixed methods exploratory approach has been used. For data collection a quantitative longitudinal survey (baseline and 1-year follow-up) and qualitative interviews were conducted. Descriptive statistics were used for the analysis of survey data, while the data material from interviews was analysed using directed content analysis. Results were discussed with the theory of flourishing as a framework to develop understanding.
At baseline, 146 respondents (71% females) filled in the survey and seven participants were interviewed. The analysis of survey data and interviews revealed five themes: (1) Stressful life events, (2) Positive emotions - how IRP-activities positively impacted wellbeing and physical capacity, (3) Appreciation of engagement, (4) Relationships, and (5) Meaning and optimal functioning. Results showed that IRP participants from the outset experienced high general pain intensity as well as distress, anxiety and depression. Life events relating both to physical health and work life were significant for their wellbeing. IRP activities supported participants' positive development towards future employment in ways that were specific to each individual.
From this study it can be derived that participants' development took place around self-acceptance, acceptance by others, physical capacity, psychological resources and capacity to balance engagement to cultivate the best version of themselves. In future programmes, it may be emphasized that participants' interest may be an important driver for wellbeing and future employment.
ClinicalTrials.gov Identifier: NCT02641704, date of registration December 29, 2015.
综合康复方案（IRP）在市政环境中被用于帮助失业公民处理复杂的健康和/或生活问题。量身定制的 IRP 活动有助于人们发展个人工作生活技能，并增加他们重新进入劳动力市场的机会。本文的目的是描述公民的健康状况，探讨压力生活事件对幸福感的影响，并了解 IRP 活动如何影响参与者未来就业的发展。
采用混合方法探索性方法。为了收集数据，进行了定量纵向调查（基线和 1 年随访）和定性访谈。描述性统计用于调查数据的分析，而访谈的数据材料则使用定向内容分析进行分析。结果与繁荣理论进行了讨论，作为一个框架来发展理解。
在基线时，146 名受访者（71%为女性）填写了调查，7 名参与者接受了访谈。对调查数据和访谈的分析揭示了五个主题：（1）压力生活事件，（2）积极情绪——IRP 活动如何积极影响幸福感和身体能力，（3）参与的欣赏，（4）关系，和（5）意义和最佳功能。结果表明，IRP 参与者从一开始就经历了高度的一般疼痛强度以及困扰、焦虑和抑郁。与身体健康和工作生活相关的生活事件对他们的幸福感有重要影响。IRP 活动以特定于每个个体的方式支持参与者朝着未来就业的积极发展。
从这项研究中可以得出结论，参与者的发展是围绕着自我接受、他人接受、身体能力、心理资源和平衡参与的能力展开的，以培养自己的最佳状态。在未来的项目中，可以强调参与者的兴趣可能是幸福感和未来就业的重要驱动力。
ClinicalTrials.gov 标识符：NCT02641704，注册日期 2015 年 12 月 29 日。
