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11.09.2024

Rehabilitating Workers Aged 55 and Over: Professionals’ Perspectives and Solutions

verfasst von: Marie-José Durand, Marie-France Coutu, Alexandra Lecours, Guillaume Léonard, Valérie Lederer, Iuliana Nastasia, Junie Carrière, Marie-Andrée Paquette

Erschienen in: Journal of Occupational Rehabilitation

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Abstract

Purpose

Work disability affects a growing number of workers aged 55 and over (W55 +). While rehabilitation programs have demonstrated efficacy for workers with an average age of 42, they often have not been designed to meet unique needs of aging workers. This study aimed to describe the difficulties encountered by work rehabilitation professionals and explore their solutions for improving services offered to W55 + .

Methods

This study used a simple descriptive design with purposive sampling. Occupational therapists, physical therapists, and psychologists were mainly recruited in private clinics. An interview guide based on the Work Disability Paradigm was piloted and used with the participants. Qualitative interviews were conducted with work rehabilitation professionals and then transcribed. A thematic analysis was performed.

Results

The sample consisted of fifteen participants (average age 38 years) with near equal representation across genders and disciplines. Difficulties were identified in relation to the (1) characteristics of W55 + , (2) work environment, (3) compensation system, and (4) communication among stakeholders. Five solutions were proposed to improve the services offered: provide healthcare professionals with access to tools and training, implement communication mechanisms, integrate a return-to-work coordinator, develop a joint action plan for managing W55 + , and implement an integrative prevention approach in workplaces.

Conclusions

Our results represent a first step in mapping various stakeholders’ needs to ensure better support for W55 + with work disabilities. These results delineate a roadmap for future research that should expand upon these stakeholders’ perspectives to provide a more comprehensive description of their needs and potential solutions.
Fußnoten
1
At the end of the quotations, the acronym OCT refers to a participating occupational therapist. Similarly, PHY refers to a participating physiotherapist, and PSY refers to a participating psychologist.
 
Literatur
2.
Zurück zum Zitat Heuvel S, Zwaan L, Dam Lv, Oude Hengel K, Eekhout I, van Emmerik M, et al. Estimating the costs of work-related accidents and ill-health: an analysis of European data sources. Luxembourg: European Agency for Safety and Health at work, 2017. Heuvel S, Zwaan L, Dam Lv, Oude Hengel K, Eekhout I, van Emmerik M, et al. Estimating the costs of work-related accidents and ill-health: an analysis of European data sources. Luxembourg: European Agency for Safety and Health at work, 2017.
3.
Zurück zum Zitat Public Health Agency of Canada. Economic burden of illness in Canada, 2005–2008. Ottawa: Government of Canada; 2014. Public Health Agency of Canada. Economic burden of illness in Canada, 2005–2008. Ottawa: Government of Canada; 2014.
4.
Zurück zum Zitat International Labour Office. Plan safe, plan healthy: Guidelines for developing national programmes on occupational safety and health. Geneva: International Labour Organization; 2013. International Labour Office. Plan safe, plan healthy: Guidelines for developing national programmes on occupational safety and health. Geneva: International Labour Organization; 2013.
7.
Zurück zum Zitat Federal/Provincial/Territorial Ministers responsible for seniors. Promoting the labour force participation of older Canadians: promising initiatives. Ottawa: Government of Canada; 2018. Federal/Provincial/Territorial Ministers responsible for seniors. Promoting the labour force participation of older Canadians: promising initiatives. Ottawa: Government of Canada; 2018.
8.
Zurück zum Zitat Hasselhorn HM, Wenke A. Understanding employment participation of older workers: creating a knowledge base for future labour market challenges. Berlin: Federal Ministry of Labour and Social Affairs (BMAS); 2015. Hasselhorn HM, Wenke A. Understanding employment participation of older workers: creating a knowledge base for future labour market challenges. Berlin: Federal Ministry of Labour and Social Affairs (BMAS); 2015.
9.
Zurück zum Zitat Kelly K. The aging workforce: four steps to maximize older workers in your organization. Chapel Hill: University of North Carolina, Kenan-Flagler Business School; 2015. Kelly K. The aging workforce: four steps to maximize older workers in your organization. Chapel Hill: University of North Carolina, Kenan-Flagler Business School; 2015.
11.
Zurück zum Zitat Smith PM, Black O, Keegel T, Collie A. Are the predictors of work absence following a work-related injury similar for musculoskeletal and mental health claims? J Occup Rehabil. 2014;24:79–88.PubMedCrossRef Smith PM, Black O, Keegel T, Collie A. Are the predictors of work absence following a work-related injury similar for musculoskeletal and mental health claims? J Occup Rehabil. 2014;24:79–88.PubMedCrossRef
12.
Zurück zum Zitat Van Eerd D, Smith P, Vu U. Implications of an aging workforce for work injury, recovery, returning to work and remaining at work. OOHNA J. 2019;38:30–36. Van Eerd D, Smith P, Vu U. Implications of an aging workforce for work injury, recovery, returning to work and remaining at work. OOHNA J. 2019;38:30–36.
14.
Zurück zum Zitat Boucher A, Duguay P, Busque M. Analysis of differences in compensation durations by gender and age group (Analyse des différences de durées d'indemnisation selon le sexe et le groupe d'âge). Montreal: Institut de recherche Robert-Sauvé en santé et en sécurité du travail; 2019. Boucher A, Duguay P, Busque M. Analysis of differences in compensation durations by gender and age group (Analyse des différences de durées d'indemnisation selon le sexe et le groupe d'âge). Montreal: Institut de recherche Robert-Sauvé en santé et en sécurité du travail; 2019.
15.
Zurück zum Zitat Durand M-J, Coutu M-F, Tremblay D, Sylvain C, Gouin M-M, Bilodeau K, et al. Insights into the sustainable return to work of aging workers with a work disability: an interpretative description study. J Occup Rehabil. 2021;31:92–106.PubMedCrossRef Durand M-J, Coutu M-F, Tremblay D, Sylvain C, Gouin M-M, Bilodeau K, et al. Insights into the sustainable return to work of aging workers with a work disability: an interpretative description study. J Occup Rehabil. 2021;31:92–106.PubMedCrossRef
16.
Zurück zum Zitat Loisel P, Durand M-J, Berthelette D, Vézina N, Baril R, Gagnon D, et al. Disability prevention: New paradigm for the management of occupational back pain. Dis-Manage-Health-Outcomes. 2001;9:351–360.CrossRef Loisel P, Durand M-J, Berthelette D, Vézina N, Baril R, Gagnon D, et al. Disability prevention: New paradigm for the management of occupational back pain. Dis-Manage-Health-Outcomes. 2001;9:351–360.CrossRef
17.
Zurück zum Zitat Lecours A, Bédard-Mercier R. The return to work experience of aging people with health injury: a scoping review (L’expérience de retour au travail des personnes vieillissantes ayant subi une atteinte à la santé: un examen de la portée). Can J Aging. 2023;42:1–12.PubMedCrossRef Lecours A, Bédard-Mercier R. The return to work experience of aging people with health injury: a scoping review (L’expérience de retour au travail des personnes vieillissantes ayant subi une atteinte à la santé: un examen de la portée). Can J Aging. 2023;42:1–12.PubMedCrossRef
18.
Zurück zum Zitat Neary J, Katikireddi SV, Brown J, Macdonald EB, Thomson H. Role of age and health in perceptions of returning to work: a qualitative study. BMC Public Health. 2019;19:1–10.CrossRef Neary J, Katikireddi SV, Brown J, Macdonald EB, Thomson H. Role of age and health in perceptions of returning to work: a qualitative study. BMC Public Health. 2019;19:1–10.CrossRef
19.
Zurück zum Zitat Lecours A, Laliberté M, Lord M-M, Léonard G, Ruel J. The process of rehabilitation, return and stay at work of aging workers who suffered an occupational injury: a portrait based on the experience of Canadian stakeholders. J Occup Rehabil. 2022;32:790–802.PubMedCrossRef Lecours A, Laliberté M, Lord M-M, Léonard G, Ruel J. The process of rehabilitation, return and stay at work of aging workers who suffered an occupational injury: a portrait based on the experience of Canadian stakeholders. J Occup Rehabil. 2022;32:790–802.PubMedCrossRef
20.
Zurück zum Zitat Barros-Bailey M, Fischer J, Saunders JL. Age, work, and disability: rehabilitation at the end of the worklife. J Appl Rehabil Couns. 2007;38:20–31. Barros-Bailey M, Fischer J, Saunders JL. Age, work, and disability: rehabilitation at the end of the worklife. J Appl Rehabil Couns. 2007;38:20–31.
21.
Zurück zum Zitat Dong S. Assessing workplace accommodation requests among older workers. Rehabil Couns Bull. 2018;61:101–111.CrossRef Dong S. Assessing workplace accommodation requests among older workers. Rehabil Couns Bull. 2018;61:101–111.CrossRef
22.
Zurück zum Zitat Saunders C, Brown JJ, Carter DJ, Lapkin S. Chronic disease management support in Australian workplaces—low base, rising need. Health Promot J Austr. 2018;29:257–264.PubMedCrossRef Saunders C, Brown JJ, Carter DJ, Lapkin S. Chronic disease management support in Australian workplaces—low base, rising need. Health Promot J Austr. 2018;29:257–264.PubMedCrossRef
23.
Zurück zum Zitat Tremblay PC. An exploratory empirical study on the judicial treatment of requests for reasonable accommodation in the workplace (Une étude empirique exploratoire sur le traitement juridictionnel des demandes d’accommodement raisonnable en milieu de travail). The Law Notebooks (Les Cahiers de droit). 2018;59:727–776.CrossRef Tremblay PC. An exploratory empirical study on the judicial treatment of requests for reasonable accommodation in the workplace (Une étude empirique exploratoire sur le traitement juridictionnel des demandes d’accommodement raisonnable en milieu de travail). The Law Notebooks (Les Cahiers de droit). 2018;59:727–776.CrossRef
24.
Zurück zum Zitat Cullen KL, Irvin E, Collie A, Clay F, Gensby U, Jennings PA, et al. Effectiveness of workplace interventions in return-to-work for musculoskeletal, pain-related and mental health conditions: an update of the evidence and messages for practitioners. J Occup Rehabil. 2018;28:1–15.PubMedCrossRef Cullen KL, Irvin E, Collie A, Clay F, Gensby U, Jennings PA, et al. Effectiveness of workplace interventions in return-to-work for musculoskeletal, pain-related and mental health conditions: an update of the evidence and messages for practitioners. J Occup Rehabil. 2018;28:1–15.PubMedCrossRef
26.
Zurück zum Zitat Bourgeois É. Analysis of training needs in organizations: a theoretical and methodological model (L’analyse des besoins de formation dans les organisations: un modèle théorique et méthodologique). Mes Eval Educ. 1991;14:17–59. Bourgeois É. Analysis of training needs in organizations: a theoretical and methodological model (L’analyse des besoins de formation dans les organisations: un modèle théorique et méthodologique). Mes Eval Educ. 1991;14:17–59.
27.
Zurück zum Zitat Roegiers X, Wouters P, Gérard F-M. From the concept of training needs analysis to its implementation (Du concept d’analyse de besoins en formation à sa mise en œuvre). Training and technologies—European journal of training professionals (Formation et technologies-Revue européenne des professionnels de la formation). 1992;1:32–42. Roegiers X, Wouters P, Gérard F-M. From the concept of training needs analysis to its implementation (Du concept d’analyse de besoins en formation à sa mise en œuvre). Training and technologies—European journal of training professionals (Formation et technologies-Revue européenne des professionnels de la formation). 1992;1:32–42.
28.
Zurück zum Zitat Reme SE. Common mental disorders and work: barriers and opportunities. In: Bültmann U, Siegrist J, editors. Handbook of disability, work and health. Cham: Springer; 2020. p. 467–81.CrossRef Reme SE. Common mental disorders and work: barriers and opportunities. In: Bültmann U, Siegrist J, editors. Handbook of disability, work and health. Cham: Springer; 2020. p. 467–81.CrossRef
29.
Zurück zum Zitat Fortin M-F, Gagnon J. Fundamentals and steps of the research process: quantitative and qualitative methods (Fondements et étapes du processus de recherche: méthodes quantitatives et qualitatives), Montreal: Chenelière éducation; 2016. Fortin M-F, Gagnon J. Fundamentals and steps of the research process: quantitative and qualitative methods (Fondements et étapes du processus de recherche: méthodes quantitatives et qualitatives), Montreal: Chenelière éducation; 2016.
30.
Zurück zum Zitat Reed K, Jaxson L. Shared decision making: exploring the experience of mental health practitioners. NZ J Occup Therapy. 2019;66:5–10. Reed K, Jaxson L. Shared decision making: exploring the experience of mental health practitioners. NZ J Occup Therapy. 2019;66:5–10.
31.
Zurück zum Zitat Verhaegh KJ, Seller-Boersma A, Simons R, Steenbruggen J, Geerlings SE, de Rooij SE, et al. An exploratory study of healthcare professionals’ perceptions of interprofessional communication and collaboration. J Interprof Care. 2017;31:397–400.PubMedCrossRef Verhaegh KJ, Seller-Boersma A, Simons R, Steenbruggen J, Geerlings SE, de Rooij SE, et al. An exploratory study of healthcare professionals’ perceptions of interprofessional communication and collaboration. J Interprof Care. 2017;31:397–400.PubMedCrossRef
32.
Zurück zum Zitat Guest G, Bunce A, Johnson L. How many interviews are enough? An experiment with data saturation and variability. Field Methods. 2006;18:59–82.CrossRef Guest G, Bunce A, Johnson L. How many interviews are enough? An experiment with data saturation and variability. Field Methods. 2006;18:59–82.CrossRef
33.
Zurück zum Zitat Paillé P, Mucchielli A. Qualitative analysis in human and social sciences (L’analyse qualitative en sciences humaines et sociales). Paris: Armand Colin; 2012.CrossRef Paillé P, Mucchielli A. Qualitative analysis in human and social sciences (L’analyse qualitative en sciences humaines et sociales). Paris: Armand Colin; 2012.CrossRef
34.
Zurück zum Zitat Patton MQ. Qualitative research and evaluation methods. Thousand Oaks: Sage Publications; 2002. Patton MQ. Qualitative research and evaluation methods. Thousand Oaks: Sage Publications; 2002.
35.
Zurück zum Zitat Miles MB, Huberman AM, Saldaña J. Qualitative data analysis: a methods sourcebook. 4th ed. Los Angeles: Sage publications; 2020. Miles MB, Huberman AM, Saldaña J. Qualitative data analysis: a methods sourcebook. 4th ed. Los Angeles: Sage publications; 2020.
36.
Zurück zum Zitat Qaseem A, Wilt TJ, McLean RM, Forciea MA. Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2017;166:514–530.PubMedCrossRef Qaseem A, Wilt TJ, McLean RM, Forciea MA. Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2017;166:514–530.PubMedCrossRef
37.
Zurück zum Zitat Ng W, Slater H, Starcevich C, Wright A, Mitchell T, Beales D. Barriers and enablers influencing healthcare professionals’ adoption of a biopsychosocial approach to musculoskeletal pain: a systematic review and qualitative evidence synthesis. Pain. 2021;162:2154–2185.PubMedCrossRef Ng W, Slater H, Starcevich C, Wright A, Mitchell T, Beales D. Barriers and enablers influencing healthcare professionals’ adoption of a biopsychosocial approach to musculoskeletal pain: a systematic review and qualitative evidence synthesis. Pain. 2021;162:2154–2185.PubMedCrossRef
38.
Zurück zum Zitat Hudon A, Hunt M, Ehrmann FD. Physiotherapy for injured workers in Canada: are insurers’ and clinics’ policies threatening good quality and equity of care? Results of a qualitative study. BMC Health Serv Res. 2018;18:1–13.CrossRef Hudon A, Hunt M, Ehrmann FD. Physiotherapy for injured workers in Canada: are insurers’ and clinics’ policies threatening good quality and equity of care? Results of a qualitative study. BMC Health Serv Res. 2018;18:1–13.CrossRef
39.
Zurück zum Zitat Russell E, Kosny A. Communication and collaboration among return-to-work stakeholders. Disabil Rehabil. 2019;41:2630–2639.PubMedCrossRef Russell E, Kosny A. Communication and collaboration among return-to-work stakeholders. Disabil Rehabil. 2019;41:2630–2639.PubMedCrossRef
40.
Zurück zum Zitat Bartys S, Frederiksen P, Bendix T, Burton K. System influences on work disability due to low back pain: an international evidence synthesis. Health Policy. 2017;121:903–912.PubMedCrossRef Bartys S, Frederiksen P, Bendix T, Burton K. System influences on work disability due to low back pain: an international evidence synthesis. Health Policy. 2017;121:903–912.PubMedCrossRef
41.
Zurück zum Zitat Main CJ, Shaw WS, Nicholas MK, Linton SJ. System-level efforts to address pain-related workplace challenges. Pain. 2022;163:1425–1431.PubMedCrossRef Main CJ, Shaw WS, Nicholas MK, Linton SJ. System-level efforts to address pain-related workplace challenges. Pain. 2022;163:1425–1431.PubMedCrossRef
42.
Zurück zum Zitat Hudon A, Lippel K, MacEachen E. Mapping first-line health care providers’ roles, practices, and impacts on care for workers with compensable musculoskeletal disorders in four jurisdictions: a critical interpretive synthesis. Am J Ind Med. 2019;62:545–558.PubMedCrossRef Hudon A, Lippel K, MacEachen E. Mapping first-line health care providers’ roles, practices, and impacts on care for workers with compensable musculoskeletal disorders in four jurisdictions: a critical interpretive synthesis. Am J Ind Med. 2019;62:545–558.PubMedCrossRef
43.
Zurück zum Zitat Lippel K. Regulatory contexts affecting work reintegration of people with chronic disease and disabilities: an international perspective. In: Bültmann U, Siegrist J, editors. Handbook of disability, work and health. Cham: Springer; 2020. p. 1–17. Lippel K. Regulatory contexts affecting work reintegration of people with chronic disease and disabilities: an international perspective. In: Bültmann U, Siegrist J, editors. Handbook of disability, work and health. Cham: Springer; 2020. p. 1–17.
44.
Zurück zum Zitat Desmette D, Iweins De Wavrans C, Yzerbyt V. Ageism and age management at work (Âgisme et gestion des âges au travail). In Lagacé M, editor. Representations and discourses on aging: the hidden face of ageism? (Représentations et discours sur le vieillissement: la face cachée de l'âgisme?). Québec : Les Presses de l’Université Laval; 2015. pp.147–171. Desmette D, Iweins De Wavrans C, Yzerbyt V. Ageism and age management at work (Âgisme et gestion des âges au travail). In Lagacé M, editor. Representations and discourses on aging: the hidden face of ageism? (Représentations et discours sur le vieillissement: la face cachée de l'âgisme?). Québec : Les Presses de l’Université Laval; 2015. pp.147–171.
45.
Zurück zum Zitat Côté D, Dubé J, Gravel S, Gratton D, White BW. Cumulative stigma among injured immigrant workers: a qualitative exploratory study in Montreal (Quebec, Canada). Disabil Rehabil. 2020;42:1153–1166.PubMedCrossRef Côté D, Dubé J, Gravel S, Gratton D, White BW. Cumulative stigma among injured immigrant workers: a qualitative exploratory study in Montreal (Quebec, Canada). Disabil Rehabil. 2020;42:1153–1166.PubMedCrossRef
47.
Zurück zum Zitat Quebec Charter of Human Rights and Freedoms (Charte des droits et libertés de la personne du Québec), C-12 (1975). Quebec Charter of Human Rights and Freedoms (Charte des droits et libertés de la personne du Québec), C-12 (1975).
48.
Zurück zum Zitat Canadian Charter of Rights and Freedoms. Sect. 7, Part 1 of the Constitution Act (1982). Canadian Charter of Rights and Freedoms. Sect. 7, Part 1 of the Constitution Act (1982).
49.
Zurück zum Zitat Sorensen G, McLellan DL, Sabbath EL, Dennerlein JT, Nagler EM, Hurtado DA, et al. Integrating worksite health protection and health promotion: a conceptual model for intervention and research. Prev Med. 2016;91:188–196.PubMedPubMedCentralCrossRef Sorensen G, McLellan DL, Sabbath EL, Dennerlein JT, Nagler EM, Hurtado DA, et al. Integrating worksite health protection and health promotion: a conceptual model for intervention and research. Prev Med. 2016;91:188–196.PubMedPubMedCentralCrossRef
50.
Zurück zum Zitat Calvet B, Vézina N, Laberge M, Nastasia I, Sultan-Taïeb H, Toulouse G, et al. Integrative prevention and coordinated action toward primary, secondary and tertiary prevention in workplaces: a scoping review. Work. 2021;70:893–908.PubMedCrossRef Calvet B, Vézina N, Laberge M, Nastasia I, Sultan-Taïeb H, Toulouse G, et al. Integrative prevention and coordinated action toward primary, secondary and tertiary prevention in workplaces: a scoping review. Work. 2021;70:893–908.PubMedCrossRef
51.
Zurück zum Zitat Corbière M, Mazaniello-Chézol M, Bastien M-F, Wathieu E, Bouchard R, Panaccio A, et al. Stakeholders’ role and actions in the return-to-work process of workers on sick-leave due to common mental disorders: a scoping review. J Occup Rehabil. 2020;30:381–419.PubMedCrossRef Corbière M, Mazaniello-Chézol M, Bastien M-F, Wathieu E, Bouchard R, Panaccio A, et al. Stakeholders’ role and actions in the return-to-work process of workers on sick-leave due to common mental disorders: a scoping review. J Occup Rehabil. 2020;30:381–419.PubMedCrossRef
52.
Zurück zum Zitat Dol M, Varatharajan S, Neiterman E, McKnight E, Crouch M, McDonald E, et al. Systematic review of the impact on return to work of return-to-work coordinators. J Occup Rehabil. 2021;31:675–698.PubMedCrossRef Dol M, Varatharajan S, Neiterman E, McKnight E, Crouch M, McDonald E, et al. Systematic review of the impact on return to work of return-to-work coordinators. J Occup Rehabil. 2021;31:675–698.PubMedCrossRef
53.
Zurück zum Zitat Link BG, Phelan JC. Conceptualizing stigma. Annu Rev Sociol. 2001;27:363–385.CrossRef Link BG, Phelan JC. Conceptualizing stigma. Annu Rev Sociol. 2001;27:363–385.CrossRef
54.
Zurück zum Zitat Hsieh W, Faulkner N, Wickes R. What reduces prejudice in the real world? A meta-analysis of prejudice reduction field experiments. Brit J of Soc Psychol. 2022;61(3):689–710.CrossRef Hsieh W, Faulkner N, Wickes R. What reduces prejudice in the real world? A meta-analysis of prejudice reduction field experiments. Brit J of Soc Psychol. 2022;61(3):689–710.CrossRef
55.
Zurück zum Zitat Lytle A, Nowacek N, Levy SR. Instapals: Reducing ageism by facilitating intergenerational contact and providing aging education. Gerontol Geriatr Educ. 2020;41(3):308–319.PubMedCrossRef Lytle A, Nowacek N, Levy SR. Instapals: Reducing ageism by facilitating intergenerational contact and providing aging education. Gerontol Geriatr Educ. 2020;41(3):308–319.PubMedCrossRef
56.
Zurück zum Zitat O’Brien BC, Harris IB, Beckman TJ, Reed DA, Cook DA. Standards for reporting qualitative research: a synthesis of recommendations. Acad Med. 2014;89:1245–1251.PubMedCrossRef O’Brien BC, Harris IB, Beckman TJ, Reed DA, Cook DA. Standards for reporting qualitative research: a synthesis of recommendations. Acad Med. 2014;89:1245–1251.PubMedCrossRef
Metadaten
Titel
Rehabilitating Workers Aged 55 and Over: Professionals’ Perspectives and Solutions
verfasst von
Marie-José Durand
Marie-France Coutu
Alexandra Lecours
Guillaume Léonard
Valérie Lederer
Iuliana Nastasia
Junie Carrière
Marie-Andrée Paquette
Publikationsdatum
11.09.2024
Verlag
Springer US
Erschienen in
Journal of Occupational Rehabilitation
Print ISSN: 1053-0487
Elektronische ISSN: 1573-3688
DOI
https://doi.org/10.1007/s10926-024-10236-5