Affiliations: [a] School of Rehabilitation, Université de Sherbrooke, Sherbrooke, QC, Canada
| [b]
Research Centre of the CHUS, CIUSSS de l’Estrie-CHUS, Sherbrooke, QC, Canada
| [c] Center for Action in Work Disability Prevention and Rehabilitation (CAPRIT) affiliated with the Charles-Le Moyne – Saguenay-Lac-Saint-Jean Research Center on Health Innovations (CR-CSIS), Quebec, Canada
Correspondence:
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Address for correspondence: Marie-France Coutu, CAPRIT, School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke, 150 Place Charles-Le Moyne, Longueuil, QC J4K 0A8, Canada. Tel.: +1 450 463 1835, ext. 61797; E-mail: Marie-France.Coutu@usherbrooke.ca.
Abstract: BACKGROUND:Workers with persistent disabling low back pain (LBP) often encounter difficulty staying at work. Self-management (SM) programs can offer interesting avenues to help workers stay at work. OBJECTIVE:To establish the plausibility of a logic model operationalizing a SM program designed to help workers with persistent disabling LBP stay at work. METHODS:We used a qualitative design. A preliminary version of the logic model was developed based on the literature and McLaughlin et al.’s framework for logic models. Clinicians in work rehabilitation completed an online survey on the plausibility of the logic model and proposed modifications, which were discussed in a focus group. Thematic analyses were performed. RESULTS:Participants (n = 11) found the model plausible, contingent upon a few modifications. They raised the importance of making more explicit the margin of maneuver or “job leeway” for a worker who is trying to stay at work and suggested emphasizing a capability approach. Enhancing the workers’ perceived self-efficacy and communication skills were deemed essential tasks of the model. CONCLUSION:A plausible logic model for a SM program designed for workers with disabling LBP stay at work was developed. The next step will be to assess its acceptability with potential users.
Keywords: Program development, rehabilitation, return to work, disability management, work ability
