Operationalizing a Shared Decision Making Model for Work Rehabilitation Programs: a Consensus Process

Overview

Journal J Occup Rehabil

Publisher Springer

Specialties Occupational Medicine
Rehabilitation Medicine

Date 2014 Jul 9

PMID 25001070

Citations 7

Authors

Marie-France Coutu

France Legare

Marie-Jose Durand

Marc Corbiere

Dawn Stacey

Lesley Bainbridge

Marie-Elise Labrecque

Affiliations

Soon will be listed here.

Abstract

Purpose: The objective of this study was to design and operationalize shared decision making (SDM) rehabilitation model for worker rehabilitation programs. SDM has previously been shown to improve decision outcomes in patient-health care professional relationships. To date, SDM has not yet been adapted to work rehabilitation, although it could be a valuable approach to better understand and agree on return-to-work decisions.

Methods: We designed a preliminary model for return-to-work decisions for workers suffering from pain due to musculoskeletal injuries. We submitted the preliminary model and a questionnaire to expert health care professionals. Using the Technique for Research of Information by Animation of a Group of Experts method, a group consensus process was used to discuss and refine the experts' responses to operationalize a model adapted for rehabilitation.

Results: Eleven occupational therapists (three were clinical coordinators) and four psychologists participated in three group consensus sessions. The final version of the model included one general longitudinal objective (the maintenance of a working alliance and assuring mutual comprehension among all stakeholders), and 11 specific objectives: establishing a working alliance, seven in the deliberation phase of the SDM process, and three in the implementation of the decision. Participants also reached consensus on between 1 and 8 indicators per objective.

Conclusion: We developed and operationalized an SDM rehabilitation model intended for a return-to-work implementation plan. The next step will be to document its feasibility among the main stakeholders (employer, union, insurer and worker) taking part in decisions about return to work.

Citing Articles

Recognition During the Return-to-Work Process in Workers with Common Mental Disorders.

Corbiere M, Charette-Dussault E, Lariviere N J Occup Rehabil. 2022; 33(3):486-505.

PMID: 36462069 DOI: 10.1007/s10926-022-10087-y.

Shared Decision Making in an Integrated Mental Health and Vocational Rehabilitation Intervention: Stakeholder Practices and Experiences.

Pii K, Hybholt L, Poulsen R, Eplov L, Meijer M Int J Integr Care. 2020; 20(4):18.

PMID: 33335459 PMC: 7716790. DOI: 10.5334/ijic.5509.

Development of a Japanese Version of a Collaborative Relationship Scale between Clients and Occupational Therapists.

Choji Y, Kobayashi R Prog Rehabil Med. 2020; 5:20200001.

PMID: 32789269 PMC: 7365236. DOI: 10.2490/prm.20200001.

Adaptation of a Guide to Equip Employers to Manage the Gradual Return to Work of Individuals with a Musculoskeletal Disorder.

Bouffard J, Durand M, Coutu M J Occup Rehabil. 2019; 29(3):625-635.

PMID: 30661156 DOI: 10.1007/s10926-019-09827-4.

Acceptability and Feasibility of a Shared Decision-Making Model in Work Rehabilitation: A Mixed-Methods Study of Stakeholders' Perspectives.

Coutu M, Legare F, Durand M, Stacey D, Labrecque M, Corbiere M J Occup Rehabil. 2018; 29(1):128-139.

PMID: 29663111 DOI: 10.1007/s10926-018-9770-1.

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