Exploring return to work barriers through the lens of model of human occupation. The NOW WHAT project

Background The challenges of returning to work after sickness absence demands a wide conceptual understanding of what hinders the employee’s work participation. Thus, there is a need to know more about self-perceived barriers for Return to Work (RTW).Aim This study aimed to investigate RTW barriers...

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Main Authors: Kine Strømstad, Lisebet S. Skarpaas, Sturla I. Haslerud, Yeasir A. Alve, Jan Sandqvist, Randi W. Aas
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Scandinavian Journal of Occupational Therapy
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Online Access:https://www.tandfonline.com/doi/10.1080/11038128.2023.2297732
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author Kine Strømstad
Lisebet S. Skarpaas
Sturla I. Haslerud
Yeasir A. Alve
Jan Sandqvist
Randi W. Aas
author_facet Kine Strømstad
Lisebet S. Skarpaas
Sturla I. Haslerud
Yeasir A. Alve
Jan Sandqvist
Randi W. Aas
author_sort Kine Strømstad
collection DOAJ
description Background The challenges of returning to work after sickness absence demands a wide conceptual understanding of what hinders the employee’s work participation. Thus, there is a need to know more about self-perceived barriers for Return to Work (RTW).Aim This study aimed to investigate RTW barriers experienced by employees on long-term sick leave, through the lens of the Model of Human Occupation (MOHO).Material and methods The study was a large-scale qualitative interview study (n = 85) using semi-structured telephone interviews. Eligible participants had received sick leave benefits for between 6 months and 1.5 years. The data were analysed with quantitative and qualitative content analysis. A deductive approach using the MOHO concepts guided the analysis process.Results The study generated 941 coded meaning units describing barriers for RTW, of which we were able to code 895 within the framework of MOHO. In the person-specific concepts, performance capacity barriers were most often described (n = 303), followed by volitional barriers (n = 165) and barriers related to habituation (n = 66). Barriers related to the environmental components amounted to 361. Barriers in the occupational environment was dominant (n = 214).Conclusion Experienced barriers related to both environmental components and person-specific concepts.Significance The habituational and volitional perspective on barriers can contribute to the identification and communication of performance capacity-related barriers not previously identified.
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spelling doaj-art-251d95dce2344f8194a5ff7ccd760c732025-01-24T17:53:19ZengTaylor & Francis GroupScandinavian Journal of Occupational Therapy1103-81281651-20142024-12-0131110.1080/11038128.2023.2297732Exploring return to work barriers through the lens of model of human occupation. The NOW WHAT projectKine Strømstad0Lisebet S. Skarpaas1Sturla I. Haslerud2Yeasir A. Alve3Jan Sandqvist4Randi W. Aas5Department of Public Health, Faculty of Health Sciences, University of Stavanger, Stavanger, NorwayDepartment of Rehabilitation Science and Health Technology, Faculty of Health Sciences, OsloMet–Oslo Metropolitan University, Oslo, NorwayDepartment of Public Health, Faculty of Health Sciences, University of Stavanger, Stavanger, NorwayDepartment of Occupational Therapy, College of Applied Health Sciences, University of Illinois at Chicago, USADepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, SwedenDepartment of Public Health, Faculty of Health Sciences, University of Stavanger, Stavanger, NorwayBackground The challenges of returning to work after sickness absence demands a wide conceptual understanding of what hinders the employee’s work participation. Thus, there is a need to know more about self-perceived barriers for Return to Work (RTW).Aim This study aimed to investigate RTW barriers experienced by employees on long-term sick leave, through the lens of the Model of Human Occupation (MOHO).Material and methods The study was a large-scale qualitative interview study (n = 85) using semi-structured telephone interviews. Eligible participants had received sick leave benefits for between 6 months and 1.5 years. The data were analysed with quantitative and qualitative content analysis. A deductive approach using the MOHO concepts guided the analysis process.Results The study generated 941 coded meaning units describing barriers for RTW, of which we were able to code 895 within the framework of MOHO. In the person-specific concepts, performance capacity barriers were most often described (n = 303), followed by volitional barriers (n = 165) and barriers related to habituation (n = 66). Barriers related to the environmental components amounted to 361. Barriers in the occupational environment was dominant (n = 214).Conclusion Experienced barriers related to both environmental components and person-specific concepts.Significance The habituational and volitional perspective on barriers can contribute to the identification and communication of performance capacity-related barriers not previously identified.https://www.tandfonline.com/doi/10.1080/11038128.2023.2297732Absenteeismconceptual modelcontent analysisemployeeemploymentsick leave
spellingShingle Kine Strømstad
Lisebet S. Skarpaas
Sturla I. Haslerud
Yeasir A. Alve
Jan Sandqvist
Randi W. Aas
Exploring return to work barriers through the lens of model of human occupation. The NOW WHAT project
Scandinavian Journal of Occupational Therapy
Absenteeism
conceptual model
content analysis
employee
employment
sick leave
title Exploring return to work barriers through the lens of model of human occupation. The NOW WHAT project
title_full Exploring return to work barriers through the lens of model of human occupation. The NOW WHAT project
title_fullStr Exploring return to work barriers through the lens of model of human occupation. The NOW WHAT project
title_full_unstemmed Exploring return to work barriers through the lens of model of human occupation. The NOW WHAT project
title_short Exploring return to work barriers through the lens of model of human occupation. The NOW WHAT project
title_sort exploring return to work barriers through the lens of model of human occupation the now what project
topic Absenteeism
conceptual model
content analysis
employee
employment
sick leave
url https://www.tandfonline.com/doi/10.1080/11038128.2023.2297732
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