Women with Neck Pain on Long-Term Sick Leave—Approaches Used in the Return to Work Process: A Qualitative Study
2016 (English)In: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688, 1-14 p.Article in journal (Refereed) PublishedText
Purpose There are difficulties in the process of return to work (RTW) from long-term sick leave, both in general and regarding sick leave because of neck pain in particular. Neck pain is difficult to assess, problematic to rehabilitate, and hard to cure; and it is not always easy to decide whether the pain is work-related. The outcome of RTW could be dependent upon individuals’ approaches, defensive or offensive behaviors, and choices related to their self-efficacy. The aim of this study was to identify approaches used in the RTW process among women with neck pain on long-term sick leave from human service organizations. Methods This is a qualitative descriptive study based on grounded theory. A Swedish cohort of 207 women with a history of long-term sick leave with neck pain from human service organizations answered open-ended written questions at 0, 6, and 12 months, and 6 years; and 16 women were interviewed. Results Individuals expressed their coping approaches in terms of fluctuating in work status over time: either as a strategy or as a consequence. Periods of sick leave were interwoven with periods of work. The women were either controlling the interaction or struggling in the interaction with stakeholders. Conclusions Return to work outcomes may be improved if the fluctuating work status over time is taken into account in the design of rehabilitation efforts for women with a history of long-term sick leave and with chronical musculoskeletal conditions.
Place, publisher, year, edition, pages
Springer-Verlag New York, 2016. 1-14 p.
Absenteeism, Grounded theory, Rehabilitation, Return to work, Work disability
Public Health, Global Health, Social Medicine and Epidemiology
IdentifiersURN: urn:nbn:se:kth:diva-187270DOI: 10.1007/s10926-016-9636-3ScopusID: 2-s2.0-84960124743OAI: oai:DiVA.org:kth-187270DiVA: diva2:929643
QC 201605192016-05-192016-05-192016-05-19Bibliographically approved