Article Details

Research Database: Article Details

Citation:  Gignac, M. A. M., Jetha, A., Bowring, J., Beaton, D., & Badley, E. (2012). Management of work disability in rheumatic conditions: A review of non-pharmacological interventions. Best Practice & Research Clinical Rheumatology, 26 369-386.
Title:  Management of work disability in rheumatic conditions: A review of non-pharmacological interventions
Authors:  Gignac, M. A. M., Jetha, A., Bowring, J., Beaton, D., & Badley, E.
Year:  2012
Journal/Publication:  Best Practice & Research Clinical Rheumatology
Publisher:  Elsevier, Ltd.
Full text:   
Peer-reviewed?  Yes
NIDILRR-funded?  No
Research design:  Systematic review / meta-analysis

Structured abstract:

Background:  A review of non-pharmacological employment interventions for people with rheumatic diseases focusing on the comprehensiveness of interventions, whether they have been targeted to those groups identified as most at risk, and intervention outcomes and effectiveness.
Purpose:  The purpose of this study is to determine what types of interventions or what components within an intervention are most useful and when an intervention should be delivered to maximize success.
Setting:  This study is a systematic review. The included studies were undertaken in various locations and settings.
Study sample:  A total of 20 studies evaluating 15 interventions for individuals with rheumatic disease were reveiwed.
Intervention:  Medical assessments, rehabilitation services, exercise, psychological counseling, disease self-management and education, workplace counseling, information about accommodations, benefits and legal rights and responsibilities.
Control or comparison condition:  There were no comparison or control conditions.
Data collection and analysis:  Data collection and analysis include RCT and pre-test post-test evaluation.
Findings:  Rheumatic diseases can have a significant impact on employment. Managing this impact is often stressful for patients. Early diagnosis and treatment of rheumatic diseases may not keep people at work, working or enable return to work. Emerging evidence suggests that comprehensive work interventions can have positive psychological effects, as well as result in increased work participation.
Conclusions:  More high-quality studies need to be conducted on non-pharmacological interventions given the personal, social and environmental needs of people working with rheumatic diseases. Research needs to address the optimum time to intervene. Consistent inclusion of behavioral and psychological outcomes such as absenteeism, return to work, support, work stress and job satisfaction would enable comparison across intervention studies.

Disabilities served:  Arthritis
Populations served:  Gender: Female and Male
Interventions:  Accommodations
Benefits counseling
Environmental modifications
Non-psychological counseling
Psychological counseling
Rehabilitation counseling
Outcomes:  Employment acquisition
Return to work