Acceptability and feasibility of a shared decision-making model in work rehabilitation: A mixed-methods study of stakeholders' perspectives

Type de document

Études primaires

Année de publication

2019

Langue

Anglais

Titre de la revue

Journal of Occupational Rehabilitation

Première page

128

Dernière page

139

Résumé

Purpose To establish the acceptability and feasibility of implementing a shared decision-making (SDM) model in work rehabilitation. Methods We used a sequential mixed-methods design with diverse stakeholder groups (representatives of private and public employers, insurers, and unions, as well as workers having participated in a work rehabilitation program). First, a survey using a self-administered questionnaire enabled stakeholders to rate their level of agreement with the model’s acceptability and feasibility and propose modifications, if necessary. Second, eight focus groups representing key stakeholders (n = 34) and four one-on-one interviews with workers were conducted, based on the questionnaire results. For each stakeholder group, we computed the percentage of agreement with the model’s acceptability and feasibility and performed thematic analyses of the transcripts. Results Less than 50% of each stakeholder group initially agreed with the overall acceptability and feasibility of the model. Stakeholders proposed 37 modifications to the objectives, 17 to the activities, and 39 to improve the model’s feasibility. Based on in-depth analysis of the transcripts, indicators were added to one objective, an interview guide was added as proposed by insurers to ensure compliance of the SDM process with insurance contract requirements, and one objective was reformulated. Conclusion Despite initially low agreement with the model’s acceptability on the survey, subsequent discussions led to three minor changes and contributed to the model’s ultimate acceptability and feasibility. Later steps will involve assessing the extent of implementation of the model in real rehabilitation settings to see if other modifications are necessary before assessing its impact.

Mots-clés

Troubles musculosquelettiques, Musculoskeletal disease, Réadaptation professionnelle, Vocational rehabilitation, Collaboration, Cooperation, Ergothérapie, Occupational therapy, Travailleur, Employee, Rôle des organisations de travailleurs, Role of workers organisations, Rôle des assureurs, Role of insurance institutions, Maintien en emploi, Job maintenance, Enquête par questionnaire, Questionnaire survey, Enquête par entrevue, Interview survey, Québec

Numéro de projet IRSST

0099-8320

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