A logic model for a self-management program designed to help workers with persistent and disabling low back pain stay at work

Type de document

Études primaires

Année de publication

2020

Langue

Anglais

Titre de la revue

Work: A Journal of Prevention, Assessment and Rehabilitation

Première page

395

Dernière page

406

Résumé

BACKGROUND:

Workers with persistent disabling low back pain (LBP) often encounter difficulty staying at work. Self-management (SM) programs can offer interesting avenues to help workers stay at work.

OBJECTIVE:

To establish the plausibility of a logic model operationalizing a SM program designed to help workers with persistent disabling LBP stay at work.

METHODS:

We used a qualitative design. A preliminary version of the logic model was developed based on the literature and McLaughlin et al.’s framework for logic models. Clinicians in work rehabilitation completed an online survey on the plausibility of the logic model and proposed modifications, which were discussed in a focus group. Thematic analyses were performed.

RESULTS:

Participants (n = 11) found the model plausible, contingent upon a few modifications. They raised the importance of making more explicit the margin of maneuver or “job leeway” for a worker who is trying to stay at work and suggested emphasizing a capability approach. Enhancing the workers’ perceived self-efficacy and communication skills were deemed essential tasks of the model.

CONCLUSION:

A plausible logic model for a SM program designed for workers with disabling LBP stay at work was developed. The next step will be to assess its acceptability with potential users.

Mots-clés

Maux de dos, Backache, Maintien en emploi, Job maintenance, Autogestion, Self management

Numéro de projet IRSST

2016-0026

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