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2. Implementation Science and Employer Disability Practices: Embedding Implementation Factors in Research Designs

Author

Main, Chris J., Nicholas, Michael K., Shaw, William S., Tetrick, Lois E., Ehrhart, Mark G., Pransky, Glenn, Amick, III, Benjamin C., Anema, Johannes R., Besen, Elyssa, Blanck, Peter, Boot, Cécile R. L., Bültmann, Ute, Chan, Chetwyn C. H., Delclos, George L., Ekberg, Kerstin, Ehrhart, Mark G., Fassier, Jean-Baptiste, Feuerstein, Michael, Gimeno, David, Kristman, Vicki L., Linton, Steven J., Main, Chris J., Munir, Fehmidah, Nicholas, Michael K., Pransky, Glenn, Shaw, William S., Sullivan, Michael J., Tetrick, Lois E., Tveito, Torill H., Viikari-Juntura, Eira, Williams-Whitt, Kelly, Young, Amanda E., and the Hopkinton Conference Working Group on Workplace Disability Prevention

Published
2016
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3. Employer Policies and Practices to Manage and Prevent Disability: Conclusion to the Special Issue

Author

Main, Chris J., Shaw, William S., Amick, III, Benjamin C., Anema, Johannes R., Besen, Elyssa, Blanck, Peter, Boot, Cécile R. L., Bültmann, Ute, Chan, Chetwyn C. H., Delclos, George L., Ekberg, Kerstin, Ehrhart, Mark G., Fassier, Jean-Baptiste, Feuerstein, Michael, Gimeno, David, Kristman, Vicki L., Linton, Steven J., Main, Chris J., Munir, Fehmidah, Nicholas, Michael K., Pransky, Glenn, Shaw, William S., Sullivan, Michael J., Tetrick, Lois E., Tveito, Torill H., Viikari-Juntura, Eira, Williams-Whitt, Kelly, Young, Amanda E., and the Hopkinton Conference Working Group on Workplace Disability Prevention

Published
2016
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4. Employer Policies and Practices to Manage and Prevent Disability: Foreword to the Special Issue

Author

Shaw, William S., Main, Chris J., Pransky, Glenn, Nicholas, Michael K., Anema, Johannes R., Linton, Steven J., Young, Amanda E., Amick, III, Benjamin C., Boot, Cécile R. L., Chan, Chetwyn C. H., Main, Chris J., Gimeno, David, Viikari-Juntura, Eira, Besen, Elyssa, Munir, Fehmidah, Delclos, George L., Pransky, Glenn, Fassier, Jean-Baptiste, Anema, Johannes R., Williams-Whitt, Kelly, Ekberg, Kerstin, Tetrick, Lois E., Ehrhart, Mark G., Feuerstein, Michael, Sullivan, Michael J., Nicholas, Michael K., Blanck, Peter, Linton, Steven J., Tveito, Torill H., Bültmann, Ute, Kristman, Vicki L., Shaw, William S., and the Hopkinton Conference Working Group on Workplace Disability Prevention

Published
2016
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5. On "Fragility and Back Pain: Lessons From the Frontiers of Biopsychosocial Practice." Nicholls DA. Phys Ther. 2023; 103:pzad040. https://doi.org/10.1093/ptj/pzad040.

Author

Beneciuk, Jason M, George, Steven Z, Simon, Corey B, Ballengee, Lindsay A, Lentz, Trevor A, Greco, Carol M, Main, Chris J, and Keefe, Francis J

Subjects
ANXIETY prevention, PHYSICAL therapy, CHRONIC pain, EXERCISE therapy, CONFIDENCE, PATIENT-centered care, BEHAVIORISM (Psychology), BACKACHE, BIOPSYCHOSOCIAL model, LUMBAR pain
Published
2024
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6. Sustaining Work Participation Across the Life Course

Author

Pransky, Glenn S., Fassier, Jean-Baptise, Besen, Elyssa, Blanck, Peter, Ekberg, Kerstin, Feuerstein, Michael, Munir, Fehmidah, Amick, III, Benjamin C., Anema, Johannes R., Besen, Elyssa, Blanck, Peter, Boot, Cécile R. L., Bültmann, Ute, Chan, Chetwyn C. H., Delclos, George L., Ekberg, Kerstin, Ehrhart, Mark G., Fassier, Jean-Baptiste, Feuerstein, Michael, Gimeno, David, Kristman, Vicki L., Linton, Steven J., Main, Chris J., Munir, Fehmidah, Nicholas, Michael K., Pransky, Glenn, Shaw, William S., Sullivan, Michael J., Tetrick, Lois E., Tveito, Torill H., Viikari-Juntura, Eira, Williams-Whitt, Kelly, Young, Amanda E., and the Hopkinton Conference Working Group on Workplace Disability Prevention

Published
2016
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7. New Business Structures Creating Organizational Opportunities and Challenges for Work Disability Prevention

Author

Ekberg, Kerstin, Pransky, Glenn S., Besen, Elyssa, Fassier, Jean-Baptise, Feuerstein, Michael, Munir, Fehmidah, Blanck, Peter, Amick, III, Benjamin C., Anema, Johannes R., Besen, Elyssa, Blanck, Peter, Boot, Cécile R. L., Bültmann, Ute, Chan, Chetwyn C. H., Delclos, George L., Ekberg, Kerstin, Ehrhart, Mark G., Fassier, Jean-Baptiste, Feuerstein, Michael, Gimeno, David, Kristman, Vicki L., Linton, Steven J., Main, Chris J., Munir, Fehmidah, Nicholas, Michael K., Pransky, Glenn, Shaw, William S., Sullivan, Michael J., Tetrick, Lois E., Tveito, Torill H., Viikari-Juntura, Eira, Williams-Whitt, Kelly, Young, Amanda E., and Hopkinton Conference Working Group on Workplace Disability Prevention

Published
2016
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8. Workplace Interventions to Prevent Disability from Both the Scientific and Practice Perspectives: A Comparison of Scientific Literature, Grey Literature and Stakeholder Observations

Author

Williams-Whitt, Kelly, Bültmann, Ute, Amick, III, Benjamin, Munir, Fehmidah, Tveito, Torill H., Anema, Johannes R., Amick, III, Benjamin C., Anema, Johannes R., Besen, Elyssa, Blanck, Peter, Boot, Cécile R. L., Bültmann, Ute, Chan, Chetwyn C. H., Delclos, George L., Ekberg, Kerstin, Ehrhart, Mark G., Fassier, Jean-Baptiste, Feuerstein, Michael, Gimeno, David, Kristman, Vicki L., Linton, Steven J., Main, Chris J., Munir, Fehmidah, Nicholas, Michael K., Pransky, Glenn, Shaw, William S., Sullivan, Michael J., Tetrick, Lois E., Tveito, Torill H., Viikari-Juntura, Eira, Williams-Whitt, Kelly, Young, Amanda E., and the Hopkinton Conference Working Group on Workplace Disability Prevention

Published
2016
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9. Workplace Outcomes in Work-Disability Prevention Research: A Review with Recommendations for Future Research

Author

Young, Amanda E., Viikari-Juntura, Eira, Boot, Cécile R. L., Chan, Chetwyn, de Porras, David Gimeno Ruiz, Linton, Steven J., Amick, III, Benjamin C., Anema, Johannes R., Besen, Elyssa, Blanck, Peter, Boot, Cécile R. L., Bültmann, Ute, Chan, Chetwyn C. H., Delclos, George L., Ekberg, Kerstin, Ehrhart, Mark G., Fassier, Jean-Baptiste, Feuerstein, Michael, Gimeno, David, Kristman, Vicki L., Linton, Steven J., Main, Chris J., Munir, Fehmidah, Nicholas, Michael K., Pransky, Glenn, Shaw, William S., Sullivan, Michael J., Tetrick, Lois E., Tveito, Torill H., Viikari-Juntura, Eira, Williams-Whitt, Kelly, Young, Amanda E., and The Hopkinton Conference Working Group on Workplace Disability Prevention

Published
2016
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10. Researching Complex and Multi-Level Workplace Factors Affecting Disability and Prolonged Sickness Absence

Author

Kristman, Vicki L., Shaw, William S., Boot, Cécile R. L., Delclos, George L., Sullivan, Michael J., Ehrhart, Mark G., Amick, III, Benjamin C., Anema, Johannes R., Besen, Elyssa, Blanck, Peter, Boot, Cécile R. L., Bültmann, Ute, Chan, Chetwyn C. H., Delclos, George L., Ekberg, Kerstin, Ehrhart, Mark G., Fassier, Jean Baptiste, Feuerstein, Michael, Gimeno, David, Kristman, Vicki L., Linton, Steven J., Main, Chris J., Munir, Fehmidah, Nicholas, Michael K., Pransky, Glenn, Shaw, William S., Sullivan, Michael J., Tetrick, Lois E., Tveito, Torill H., Viikari-Juntura, Eira, Williams-Whitt, Kelly, Young, Amanda E., and the Hopkinton Conference Working Group on Workplace Disability Prevention

Published
2016
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12. The Psychologically Informed Practice Consultation Roadmap: A Clinical Implementation Strategy.

Author

Main, Chris J, Simon, Corey B, Beneciuk, Jason M, Greco, Carol M, George, Steven Z, and Ballengee, Lindsay A

Subjects
*PHYSICAL therapy, *CONVALESCENCE, *PSYCHOLOGY, *PATIENT-centered care, *COMMUNICATION, *HEALTH behavior, *PATIENT-professional relations, *PAIN management, *BEHAVIOR modification
Abstract

Psychologically informed practice (PiP) includes a special focus on psychosocial obstacles to recovery, but research trials have revealed significant difficulties in implementing PiP outside of research environments. Qualitative studies have identified problems of both competence and confidence in tackling the psychosocial aspects of care, with a tendency to prefer dealing with the more mechanical aspects of care. In PiP, the distinction between assessment and management is not clear-cut. Analysis of the problem is part of the intervention, and guided self-management begins with the initial detective work by the patient, who is encouraged to develop successful and relevant behavior change. This requires a different style and focus of communication that some clinicians find difficult to enact. In this Perspective, the PiP Consultation Roadmap is offered as a guide for clinical implementation to establish a therapeutic relationship, develop patient-centered communication, and guide effective pain self-management. These strategies are illustrated through the metaphor of the patient learning to drive, with the therapist as a driving instructor and the patient as a student driver. For convenience, the Roadmap is depicted in 7 stages. Each stage represents aspects of the clinical consultation in a recommended order, although the Roadmap should be viewed as a general guide with a degree of flexibility to accommodate individual differences and optimize PiP interventions. It is anticipated that the experienced PiP clinician will find it progressively easier to implement the Roadmap as the building blocks and style of consultation become more familiar. [ABSTRACT FROM AUTHOR]

Published
2023
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13. Psychologically Informed Practice: The Importance of Communication in Clinical Implementation.

Author

Main, Chris J, Ballengee, Lindsay A, George, Steven Z, Beneciuk, Jason M, Greco, Carol M, and Simon, Corey B

Subjects
*CHRONIC pain, *PAIN measurement, *PHYSICIAN-patient relations, *PATIENT-centered care, *PATIENTS' attitudes, *COMMUNICATION, *PSYCHIATRIC treatment, *PAIN management, *BEHAVIOR modification, *HEALTH self-care
Abstract

There has been increasing interest in the secondary prevention of chronic pain and pain-associated disability over the past 3 decades. In 2011, psychologically informed practice (PiP) was suggested as a framework for managing persistent and recurrent pain, and, since then, it has underpinned the development of stratified care linking risk identification (screening). Although PiP research trials have demonstrated clinical and economic advantage over usual care, pragmatic studies have been less successful, and qualitative studies have identified implementation difficulties in both system delivery and individual clinical management. Effort has been put into the development of screening tools, the development of training, and the assessment of outcomes; however, the nature of the consultation has remained relatively unexplored. In this Perspective, a review of the nature of clinical consultations and the clinician–patient relationship is followed by reflections on the nature of communication and the outcome of training courses. Consideration is given to the optimization of communication, including the use of standardized patient-reported measures and the role of the therapist in facilitating adaptive behavior change. Several challenges in implementing a PiP approach in day-to-day practice are then considered. Following brief consideration of the impact of recent developments in health care, the Perspective concludes with a brief introduction to the PiP Consultation Roadmap (the subject of a companion paper), the use of which is suggested as a way of structuring the consultation with the flexibility required for a patient-centered approach to guided self-management of chronic pain conditions. [ABSTRACT FROM AUTHOR]

Published
2023
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23. Rehabilitation For Chronic Low Back Pain

Author

Price, Cathy, de C. Williams, Amanda C., Main, Chris J., Guzmán, Jaime, Esmail, Rosmin, Karjalainen, Kaija, Malmivaara, Antti, and Bombardier, Claire

Published
2001

24. System-level efforts to address pain-related workplace challenges.

Author

Main, Chris J., Shaw, William S., Nicholas, Michael K., and Linton, Steven J.

Subjects
*PAIN clinics, *SUPPORTED employment, *MEDICAL personnel, *WORK environment, *CANCER pain, *COMMUNICATIVE disorders, *JOB applications, *PHYSICIANS' attitudes, *CHRONIC pain
Abstract

Painful musculoskeletal disorders represent an enormous burden at the individual, organizational, and societal levels.[72] In the workplace context, disabling effects of pain are influenced by a wide range of psychosocial factors, including pain beliefs, psychological distress, social support, self-efficacy, and perceptions of organizational support.[[26], [49], [52], [66]] Moreover, a patient's ability to return to work (RTW) or maintain employment can be affected by multiple overlapping systems outside of the clinic. Work and pain: a lifespan development approach.; Oxford: Oxford University Press, 2020. p., 160-77. 9 Bhattacharya A,, Ray T. Precarious work, job stress, and health-related quality of life. In all cases, interventions may need to address workplace and individual issues[82] and prognostic factors that vary by pain duration.[[12], [40], [89]] The effective management of pain-associated limitations in the workplace therefore requires consideration of both physical and psychosocial factors as well as overall management planning.[76] 2.1. [Extracted from the article]

Published
2022
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49. The cost effectiveness of NHS physiotherapy support for occupational health (OH) services

Author

Phillips Ceri J, Phillips (nee Buck) Rhiannon, Main Chris J, Watson Paul J, Davies Shân, Farr Angela, Harper Christie, Noble Gareth, Aylward Mansel, Packman Julie, Downton Matt, and Hale Janine

Subjects
Musculoskeletal conditions, Quality of life, Cost-effectiveness analysis, Physical therapy, Occupational health, Diseases of the musculoskeletal system, RC925-935
Abstract

Abstract Background Musculoskeletal pain is detrimental to quality of life (QOL) and disruptive to activities of daily living. It also places a major economic burden on healthcare systems and wider society. In 2006, the Welsh Assembly Government (WAG) established a three tiered self-referral Occupational Health Physiotherapy Pilot Project (OHPPP) comprising: 1.) telephone advice and triage, 2.) face-to-face physiotherapy assessment and treatment if required, and 3.) workplace assessment and a return-to-work facilitation package as appropriate. This study aimed to evaluate the feasibility and cost-effectiveness of the pilot service. Methods A pragmatic cohort study was undertaken, with all OHPPP service users between September 2008 and February 2009 being invited to participate. Participants were assessed on clinical status, yellow flags, sickness absence and work performance at baseline, after treatment and at 3 month follow up. Cost-effectiveness was evaluated from both top-down and bottom-up perspectives and cost per Quality Adjusted Life Year (cost/QALY) was calculated. The cost-effectiveness analysis assessed the increase in service cost that would be necessary before the cost-effectiveness of the service was compromised. Results A total of 515 patients completed questionnaires at baseline. Of these, 486 were referred for face to face assessment with a physiotherapist and were included in the analysis for the current study. 264 (54.3%) and 199 (40.9%) were retained at end of treatment and 3 month follow up respectively. An improvement was observed at follow up in all the clinical outcomes assessed, as well as a reduction in healthcare resource usage and sickness absence, and improvement in self-reported work performance. Multivariate regression indicated that baseline and current physical health were associated with work-related outcomes at follow up. The costs of the service were £194-£360 per service user depending on the method used, and the health gains contributed to a cost/QALY of £1386-£7760, which would represent value for money according to current UK thresholds. Sensitivity analyses demonstrated that the service would remain cost effective until the service costs were increased to 160% per user. Conclusions This pragmatic evaluation of the OHPPP indicated that it was likely to be feasible in terms of service usage and could potentially be cost effective in terms of QALYs. Further, the study confirmed that improving physical health status for musculoskeletal pain patients is important in reducing problems with work capacity and related costs. This study suggests that this type of service could be potentially be useful in reducing the burden of pain and should be further investigated, ideally via randomised controlled trials assessing effectiveness and cost-effectiveness.

Published
2012
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