The work was conducted at the Department of Pain Management and Research, Oslo University Hospital, Norway
Individual Placement and Support (IPS) is an evidence-based work rehabilitation model with well-documented effects for people with mental illness. The model has, however, never been tested out for people with chronic pain. This pilot study aimed to investigate chronic pain patients’ experiences with the IPS job support model.
We recruited eight consecutive patients referred for various chronic pain conditions at a hospital outpatient pain clinic. They were offered IPS job support as an integrated part of their interdisciplinary pain rehabilitation. The patients’ experiences were investigated through semi-structured interviews 3 months after inclusion in the study.
The participants reported mostly positive experiences with IPS. One participant dropped out of the study after deterioration of symptoms, while the remaining participants were satisfied with the intervention. Particular helpful aspects of the IPS intervention were the follow-up from the employment specialist, focus on competitive employment, focus on work despite pain complaints, reframing work into something positive, administrative support, and practice in writing applications. No participants reported adverse experiences from the IPS intervention. Within a 12-months time frame, 3 of the 8 participants gained competitive employment.
This is the first report of the IPS model of supported employment applied in an outpatient setting for chronic pain patients. The results suggest that IPS can be successfully integrated with interdisciplinary pain rehabilitation, and warrants large-scale testing in a randomized controlled trial.
Ihlebæk C, Lærum E. Plager flest - koster mest - muskel og skjelettlidelser i Norge, vol. 1. Oslo: Nasjonalt Ryggnettverk; 2004.
Schatman ME. IASP (the International Association for the Study of Pain). https://www.iasp-pain.org/PublicationsNews/NewsletterIssue.aspx?ItemNumber=2065.
OECD: Mental health and work: Norway.; 2013. CrossRef
Bond GRDR. Making the case for IPS supported employment. Admin Pol Ment Health. 2012;41(1):69–73. CrossRef
Corrigan PW. Place-then-train: an alternative service paradigm for persons with psychiatric disabilities. Clin Psychol Sci Pract. 2001;8(3):334–49. CrossRef
Drake RE, Bond GR, Goldman HH, Hogan MF, Karakus M. Individual placement and support services boost employment for people with serious mental illnesses, but funding is lacking. Health Aff (Millwood). 2016;35(6):1098–105. CrossRef
International Association for the Study of Pain: IASP taxonomy.; 2012.
Swanson S, Becker DR. Individual Placement and Support: en praktisk veileder. Oslo: Attføringsbedriftene; 2013.
Drake RE, Bond GR, Becker DR. IPS supported employment: an evidence-based approach to supported employment. New York: Oxford University Press; 2012. CrossRef
Fairbank JC, Pynsent PB. The Oswestry disability index. Spine (Phila Pa 1976). 2000;25(22):2940–52. discussion 2952 CrossRef
EuroQol G. nQol--a new facility for the measurement of health-related quality of life. Health Policy. 1990;16(3):199–208. CrossRef
Malterud K. Kvalitative metoder i medisinsk forskning: en innføring. Oslo: Universitetsforlaget; 2011.
Yardley L, Marks D. Research methods for clinical and health psychology. London: Sage; 2004.
Waddell B, Burton AK. Is work good for your health and well-being? London: HM Government; 2006.
Turner JA, Franklin G, Fulton-Kehoe D, Sheppard L, Wickizer TM, Wu R, Gluck JV, Egan K. Worker recovery expectations and fear-avoidance predict work disability in a population-based workers' compensation back pain sample. Spine (Phila Pa 1976). 2006;31(6):682–9. CrossRef
The Health Research Act [ http://app.uio.no/ub/ujur/oversatte-lover/data/lov-20080620-044-eng.pdf]. Accessed 10 Dec 2017.
- A pilot study of the individual placement and support model for patients with chronic pain
T. M. Ljosaa
L. P. Granan
H. B. Jacobsen
S. E. Reme
- BioMed Central
Neu im Fachgebiet Orthopädie und Unfallchirurgie
Mail Icon II