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Including a Three-Party Meeting Using the Demand and Ability Protocol in an Interdisciplinary Pain Rehabilitation Programme for a Successful Return to Work Process

Author

Listed:
  • Katarina Aili

    (Department of Medical Sciences, Occupational and Environmental Medicine, Uppsala University, 751 85 Uppsala, Sweden
    Department of Health and Sport, School of Health and Welfare, Halmstad University, 301 18 Halmstad, Sweden)

  • Therese Hellman

    (Department of Medical Sciences, Occupational and Environmental Medicine, Uppsala University, 751 85 Uppsala, Sweden
    Department of Occupational and Environmental Medicine, Uppsala University Hospital, 751 85 Uppsala, Sweden)

  • Magnus Svartengren

    (Department of Medical Sciences, Occupational and Environmental Medicine, Uppsala University, 751 85 Uppsala, Sweden
    Department of Occupational and Environmental Medicine, Uppsala University Hospital, 751 85 Uppsala, Sweden)

  • Katarina Danielsson

    (Department of Medical Sciences, Psychiatry, Uppsala University, 751 85 Uppsala, Sweden)

Abstract

The Demand and Ability Protocol (DAP) is used in three-party meetings involving an employee, an employer, and a representative from the rehabilitation team. The aim of this study is to investigate the inclusion of an intervention using the DAP in an interdisciplinary pain rehabilitation programme (IPRP) compared to usual care. This non-randomised controlled trial included patients assigned to an IPRP in Sweden. The intervention group received a DAP intervention targeting their work situation in addition to the usual care provided by the IPRP. The control group received IPRP only. Outcome measures were collected from the Swedish Quality Registry for Pain Rehabilitation. Results demonstrated improvements in both groups regarding self-reported anxiety, depression and EQ5D. Sleep was improved in the intervention group but not in the control group. No statistical differences in outcomes were observed between the groups. In conclusion, adding the DAP intervention to IPRP seemed to have the potential to improve sleep among the patients, which may indicate an overall improvement regarding health outcomes from a longer perspective. The results were less clear, however, regarding the work-related outcomes of sickness absence and workability.

Suggested Citation

  • Katarina Aili & Therese Hellman & Magnus Svartengren & Katarina Danielsson, 2022. "Including a Three-Party Meeting Using the Demand and Ability Protocol in an Interdisciplinary Pain Rehabilitation Programme for a Successful Return to Work Process," IJERPH, MDPI, vol. 19(24), pages 1-13, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:24:p:16614-:d:999687
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    References listed on IDEAS

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    1. Erik Berglund & Ingrid Anderzén & Åsa Andersén & Lars Carlsson & Catharina Gustavsson & Thorne Wallman & Per Lytsy, 2018. "Multidisciplinary Intervention and Acceptance and Commitment Therapy for Return-to-Work and Increased Employability among Patients with Mental Illness and/or Chronic Pain: A Randomized Controlled Tria," IJERPH, MDPI, vol. 15(11), pages 1-12, October.
    2. Juhani Ilmarinen, 2019. "From Work Ability Research to Implementation," IJERPH, MDPI, vol. 16(16), pages 1-7, August.
    3. Hedvig Zetterberg & Ida Flink & Sören Spörndly-Nees & Sofia Wagner & Rolf Karlsten & Pernilla Åsenlöf, 2022. "Behavioral Medicine Physiotherapy in the Context of Return to Work for Chronic Pain: A Single-Case Experimental Design Study," IJERPH, MDPI, vol. 19(3), pages 1-24, January.
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