Management of work disability in rheumatic conditions: A review of non-pharmacological interventions | Knowledge Translation for Employment Research Center

Authors:	Glavare, M., Lofgren, M., & Schult, M. L.
Year Published	2012
Publication	Best Practice & Research Clinical Rheumatology
Volume	26
Number
Pages	369-386
Publisher	Elsevier, Ltd.
Background	A review of non-pharmacological employment interventions for people with rheumatic diseases focusing on the comprehensiveness of interventions, whether they have been targeted to those groups identified as most at risk, and intervention outcomes and effectiveness.
Purpose	The purpose of this study is to determine what types of interventions or what components within an intervention are most useful and when an intervention should be delivered to maximize success.
Setting	This study is a systematic review. The included studies were undertaken in various locations and settings.
Sample	A total of 20 studies evaluating 15 interventions for individuals with rheumatic disease were reviewed.
Data Collection	Data collection and analysis include RCT and pre-test post-test evaluation.
Control	There were no comparison or control conditions.
Findings	Rheumatic diseases can have a significant impact on employment. Managing this impact is often stressful for patients. Early diagnosis and treatment of rheumatic diseases may not keep people at work, working or enable return to work. Emerging evidence suggests that comprehensive work interventions can have positive psychological effects, as well as result in increased work participation.
Conclusions	More high-quality studies need to be conducted on non-pharmacological interventions given the personal, social and environmental needs of people working with rheumatic diseases. Research needs to address the optimum time to intervene. Consistent inclusion of behavioral and psychological outcomes such as absenteeism, return to work, support, work stress and job satisfaction would enable comparison across intervention studies.
URL	http://www.ncbi.nlm.nih.gov/pubmed/22867932
Disabilities
Populations	Male & Female
Outcomes	Employment acquisition \| Return to work
NIDILRR Funded	No
Research Design	Systematic reviews and meta-analysis
Peer Reviewed	Yes

Year Published

2012

Publication

Best Practice & Research Clinical Rheumatology

Volume

26

Number

Pages

369-386

Publisher

Elsevier, Ltd.

Background

A review of non-pharmacological employment interventions for people with rheumatic diseases focusing on the comprehensiveness of interventions, whether they have been targeted to those groups identified as most at risk, and intervention outcomes and effectiveness.

Purpose

The purpose of this study is to determine what types of interventions or what components within an intervention are most useful and when an intervention should be delivered to maximize success.

Setting

This study is a systematic review. The included studies were undertaken in various locations and settings.

Sample

A total of 20 studies evaluating 15 interventions for individuals with rheumatic disease were reviewed.

Data Collection

Data collection and analysis include RCT and pre-test post-test evaluation.

Control

There were no comparison or control conditions.

Findings

Rheumatic diseases can have a significant impact on employment. Managing this impact is often stressful for patients. Early diagnosis and treatment of rheumatic diseases may not keep people at work, working or enable return to work. Emerging evidence suggests that comprehensive work interventions can have positive psychological effects, as well as result in increased work participation.

Conclusions

More high-quality studies need to be conducted on non-pharmacological interventions given the personal, social and environmental needs of people working with rheumatic diseases. Research needs to address the optimum time to intervene. Consistent inclusion of behavioral and psychological outcomes such as absenteeism, return to work, support, work stress and job satisfaction would enable comparison across intervention studies.

URL

http://www.ncbi.nlm.nih.gov/pubmed/22867932

Disabilities

Populations

Male & Female

Outcomes

Employment acquisition | Return to work

NIDILRR Funded

No

Research Design

Systematic reviews and meta-analysis

Peer Reviewed

Yes