Operationalizing a shared decision making model for work rehabilitation programs: A consensus process

Type de document

Études primaires

Année de publication

2015

Langue

Anglais

Titre de la revue

Journal of Occupational Rehabilitation

Première page

141

Dernière page

152

Résumé

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.

Mots-clés

Réadaptation professionnelle, Vocational rehabilitation, Programme de prévention, Health and safety program, Maintien en emploi, Job maintenance, Prise de décision, Decision making, Troubles musculosquelettiques, Musculoskeletal disease

Numéro de projet IRSST

0099-8320

Ce document n'est pas disponible pour le moment.

Partager

COinS