Development and implementation of a program for shared decision making by occupational therapists and workers with a work disability attributable to a persistent musculoskeletal disorder: the perspective of the key stakeholders in rehabilitation

Abstract

Musculoskeletal disorders (MSDs) are one of the leading causes of short- and long-term disability and generate heavy social and economic costs. Great efforts are therefore made to offer effective work-rehabilitation programs to workers who have such disorders.

In an earlier study, the researchers observed gaps between clinicians’ and workers’ understanding of certain aspects of the problem, including their mental representation of their disability and pain and of the treatment objectives. These gaps were seen to continue during the work rehabilitation program in those workers who had not returned to work by the end of the program.

The main objective of this study was to facilitate attainment of the goal shared by clinician and worker, in the context of a rehabilitation program, while taking into account the needs of and constraints faced by employers, unions and the compensation system. In the healthcare sector, shared decision making (SDM) is traditionally defined as a relationship between the worker and clinician in which there is an effective exchange of information, agreement on the action plan to pursue and the goals of the intervention, follow-up, and if need be, a readjustment of the treatment methods. By developing an SDM process and implementing it in the rehabilitation context, the researchers hope to offer a systematic approach that will improve communication and coordination among the key stakeholders and ultimately facilitate the return-to-work process.

Produced Under this Project

Scientific Publications

Moving SDM forward in Canada: milestones, public involvement, and barriers that remain
Légaré F., Stacey D., Forest P.-G., Coutu M.-F.
Source :
Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen, vol. 105, no 4, 2011, p. 245-253
How can continuing professional development better promote shared decision-making? Perspectives from an international collaboration
Légaré F., Bekker H., Desroches S., Drolet R., Politi M., Stacey D., Borduas F., Cheater F. M., Comuz J., Coutu M.-F., Ferdjaoui-Moumjid N., Griffiths F., Härter M., Jacques A., Krones T., Labrecque M., Neely C., Rodriguez C., Sargeant J., Schuerman J., Sullivan M.
Source :
Implementation Science, vol. 6, paper no. 68, 2011
Foresting shared decision making by occupational therapists and workers involved in accidents resulting in persistent musculoskeletal disorders: a study protocol
Coutu M.-F., Légaré F., Durand M.-J., Corbière M., Loisel P., Satcey D., Bainbridge L.
Source :
Implementation Science, vol. 6, paper no. 22, 2011
Adapting and validating a SDM approach for work rehabilitation programs involving workers with persistent pain due to musculoskeletal disorders
Coutu M.-F., Légaré F., Durand M.-J., Corbière M., Stacey D., Loisel P., Bainbridge L.
Source :
in International Shared Decision Making Conference / ISDM 2011, (6th : June 19-22, 2011 : Maastricht, The Netherlands), 2011
Evaluation of shared decision making competencies following a training for occupational therapists
Coutu M.-F., Légaré F., Durand M.-J., Corbière M., Stacey D., Bainbridge L.
Source :
in Pacientes @ the Centre of Healthcare : International Shared Decision Making Conference / ISDM 2013, (7th : June 16-19, 2013 : Lima, Peru), 2013
Training in shared decision making for occupational therapists in work rehabilitation: development and evaluation
Coutu M.-F., Légaré F., Durand M.-J., Corbière M., Stacey D., Bainbridge L.
Source :
in Pacientes @ the Centre of Healthcare : International Shared Decision Making Conference / ISDM 2013, (7th : June 16-19, 2013 : Lima, Peru), 2013
Third party observer instruments to measure share decision making in the context of work rehabilitation
Coutu M.-F., Labrecque M. E., Légaré F., Durand M.-J., Corbière M., Stacey D., Bainbridge L.
Source :
in Pacientes @ the Centre of Healthcare : International Shared Decision Making Conference / ISDM 2013, (7th : June 16-19, 2013 : Lima, Peru), 2013
Shared decision making involving key stakeholders in work disability: reality or fiction?
Coutu M.-F., Légaré F., Durand M.-J.
Source :
in Implementing Work Disability Prevention Knowledge : 3rd Work Disability Prevention and Integration Conference / WDPI, (3rd : September 28-October 1st, 2014 : Toronto, Canada), 2014
Shared decision making in a work rehabilitation context
Coutu M-F.
Source :
Communication présentée à Symposium d'apprentissage du personnel de l'Association des commissions des accidents du travail du Canada (ACATC) organisé par la Commission des normes, de l’équité, de la santé et de la sécurité du travail (CNESST), Québec, QC.
Mesures pratiques en gestion et prévention de l’invalidité
Coutu M-F.
Source :
Communication présentée à Conférence demandée par les cliniques d’évaluation et de réadaptation, pour former leurs partenaires (employeurs et assureurs), afin de faciliter le travail collaboratif. Organisée par le Centre de formation continue de la Faculté de médecine et des sciences de la santé de l’Université de Sherbrooke, Longueuil, Qc.
Operationalizing a shared decision making model for work rehabilitation programs: A consensus process
Coutu M-F., Légaré F., Durand M.-J., Corbière M., Stacey D., Bainbridge L., Labrecque M.-E.
Source :
(2015). Journal of Occupational Rehabilitation, 25(1), 141-152. doi: 10.1007/s10926-014-9532-7
La prise de décision partagée dans le contexte de la réadaptation au travail
Coutu M-F.
Source :
Dans M.-J. Durand, Incapacité au travail au Québec : éléments de réflexion et d’intervention quant aux nouveaux défis, (p. 55-71). [Sherbrooke], Qc: Centre d'action en prévention et réadaptation de l'incapacité au travail. Tiré de https://www.usherbrooke.ca/caprit/fileadmin/sites/caprit/Incapacite_au_travail_au_Quebec_v2.pdf
Workers on prolonged work disability for musculoskeletal disorders do not worry for nothing
Coutu M-F., Durand M.-J., O'Hagan F., Gosselin P., Iuliana Nastasia, Berbiche D., Labrecque M.-E., Pettigrew S.
Source :
(2019). Affiche présentée à Work Disability Prevention and Integration Conference, Odense, Danemark.
Occupational therapist’s shared decision-making behaviors with patients having persistent pain in work rehabilitation context: A cross-sectional study
Coutu M-F., Légaré F., Stacey D., Durand M.-J., Corbière M., Bainbridge L., Labrecque M.-E.
Source :
(2015). Patient Education and Counseling, 98(7), 864-870. doi: 10.1016/j.pec.2015.03.015
Workers’ perspectives on the return to work after total knee arthroplasty
Maillette P., Coutu M.-F., Gaudreault N.
Source :
Communication présentée à 4th Conference: Work Disability Prevention and Integration (WDPI), Amsterdam, Pays-Bas. [Affiche].
Returning to work in spite of conflicts: an exploration of different types of decision-making in work rehabilitation after a chronic musculoskeletal disorder
Gouin M.-M., Coutu M.-F., Durand M.-J.
Source :
Communication présentée à 9th International Scientific Conference on the Prevention of Work-Related Musculoskeletal Disorders (PREMUS 2016), Toronto, ON, 2016 (p. 391). Tiré de https://premus2016.iwh.on.ca/doc/PREMUS2016_Book_of_Abstracts.pdf
Contextual influences on the level of implementation of shared decision making in routine clinical care of work disabled workers with musculoskeletal pain
Coutu M.-F., Légaré F., Durand M.-J., Stacey D., Corbière M., Labrecque M.-E.
Source :
Communication présentée à 4th Conference: Work Disability Prevention and Integration (WDPI), Amsterdam, Pays-Bas, 2016 (p. 70).
How do concerted, negotiated, and imposed decisions influence return to work in the work rehabilitation context?
Gouin M.-M., Coutu M.-F., Durand M.-J.
Source :
Communication présentée à 4th Conference: Work Disability Prevention and Integration (WDPI), Amsterdam, Pays-Bas, 2016 (p. 74).
Acknowledging stakeholders’ concerns and powers to support strategic decision-making: a promising avenue to facilitate the return to work process
Gouin M.-M., Durand M.-J., Coutu M.-F.
Source :
Communication présentée à 4th Conference: Work Disability Prevention and Integration (WDPI), Amsterdam, Pays-Bas, 2016 (p. 126).
Acceptability and feasibility of a shared decision making model in work rehabilitation: A mixed methods study of stakeholders' perspectives
Coutu M.-F., Légaré F., Durand M.-J., Stacey D., Labrecque M.-E., Corbière M., Bainbridge L.
Source :
(2019). Journal of Occupational Rehabilitation, 29(1), 128-139. doi: 10.1007/s10926-018-9770-1
Return-to-work success despite conflicts: An exploration of decision-making during a work rehabilitation program
Gouin M.-M., Coutu M.-F., Durand M.-J.
Source :
(2019). Disability and Rehabilitation, 41(5), 523-533. doi: 10.1080/09638288.2017.1400592

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Additional Information

Type: Project

Number: 0099-8320

Status: Completed

Year of completion: 2015

Research Field: Occupational Rehabilitation

Team:

Marie-France Coutu (Université de Sherbrooke)
France Légaré (Université Laval)
Marie-José Durand (Université de Sherbrooke)
Marc Corbière (Université de Sherbrooke)
Patrick Loisel (Université de Sherbrooke)
Stacey Dawn (Université d'Ottawa)
Lesley Bainbridge (University of British Columbia)

IRSST - Institut de recherche Robert-Sauvé en santé et en sécurité du travail

project