scholarly journals Beneficial and limiting factors in return to work after primary total knee replacement: Patients’ perspective

Work ◽  
2021 ◽  
pp. 1-8
Author(s):  
T.M.J. Pahlplatz ◽  
M.U. Schafroth ◽  
C. Krijger ◽  
T.H. Hylkema ◽  
C.N. van Dijk ◽  
...  
Keyword(s):  
Return To Work ◽  
Focus Groups ◽  
Care Pathway ◽  
Patient Characteristics ◽  
Limiting Factors ◽  
Focus Group Study ◽  
Work Related ◽  
Data Saturation ◽  
Total Knee ◽  
Integrated Care Pathway

BACKGROUND: Return to work (RTW) is an important outcome in Total Knee Arthroplasty (TKA). At present, 70–80%of TKA patients return to work within three to six months. OBJECTIVE: What are patients’ perspectives regarding beneficial and limiting factors in RTW after TKA? METHODS: Focus groups were formed in accordance with the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist. Three major topics were explored: 1. What was beneficial for RTW after TKA; 2. What was limiting for RTW after TKA; and 3. What additional care would benefit RTW after TKA? RESULTS: Data saturation was reached after four focus groups, comprising 17 participants—nine men and eight women (median age 58, range 52–65). The focus group study identified four main themes that contributed to a successful RTW namely rehabilitation (medical) like post-operative physical therapy, patient characteristics (personal), like motivation to RTW, occupational characteristics (work-related) like build-up in work tasks and medical support (medical) like availability of a walker or crutches. CONCLUSION: According to participants, factors within the following four themes can contribute to a successful return to work: occupational, patient, rehabilitation and medical care. Incorporating these factors into the integrated care pathway for the “young” TKA patients may increase the chances of a successful RTW.

scholarly journals Psychosocial Working Conditions Play an Important Role in the Return-to-Work Process After Total Knee and Hip Arthroplasty

2021 ◽  
Author(s):  
Tamara Kamp ◽  
Sandra Brouwer ◽  
Tjerk H. Hylkema ◽  
Jan van Beveren ◽  
Paul C. Rijk ◽  
...  
Keyword(s):  
Return To Work ◽  
Sex Education ◽  
Working Conditions ◽  
Hip Arthroplasty ◽  
Survey Study ◽  
Related Factors ◽  
Psychosocial Working Conditions ◽  
Work Related ◽  
Multicenter Survey ◽  
Total Knee

AbstractPurpose Both personal and work-related factors affect return to work (RTW) after total knee arthroplasty (TKA) and total hip arthroplasty (THA). Little is known about work-related factors associated with the recovery process. This study aimed to determine which work-related factors are associated with time to RTW for both TKA and THA patients. Methods A prospective multicenter survey study was conducted that included patients aged 18–63, had a paid job and were scheduled to undergo primary TKA/THA. Surveys were completed preoperatively, 6 weeks, and 3, 6, and 12 months postoperatively, and included four domains of work-related factors: work characteristics, physical working conditions, psychosocial working conditions and work adjustments. Control variables included age, sex, education, and comorbidity. Time to RTW was defined as days from surgery until RTW. Multivariate linear regression analyses were conducted separately for TKA/THA patients. Results Enrolled were 246 patients (n = 146 TKA, n = 100 THA, median age 56 years, 57% female). Median time to RTW was 79 days (IQR 52.0–146.0). Mainly physical tasks (TKA: B 58.2, 95%CI 9.5–106.8; THA: B 52.1, 95%CI 14.1–90.2) and a combination of physical and mental tasks (TKA: B 50.2, 95%CI 6.4–94.0; THA B 54.0, 95%CI 24.2–83.7) were associated with longer time to RTW after both TKA and THA. More possibilities for personal job development (B − 12.8, 95%CI − 25.3–0.4) and more work recognition (B − 13.2, 95%CI − 25.5 to − 0.9) were significantly associated with shorter time to RTW after TKA. Higher quality of supervisor leadership (B − 14.1, 95%CI − 22.2 to − 6.0) was significantly associated with shorter time to RTW after THA. Conclusion The findings of this study stress the importance of psychosocial working conditions, besides type of job tasks, in RTW after TKA/THA. Further research on work-related factors is needed, as arthroplasty is being performed on an increasingly younger population of knee and hip OA patients for whom participating in work is of critical importance.

scholarly journals Patients’ experiences and wellbeing after injury: A focus group study

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245198
Author(s):  
Eva Visser ◽  
Brenda Leontine Den Oudsten ◽  
Marjan Johanna Traa ◽  
Taco Gosens ◽  
Jolanda De Vries
Keyword(s):  
Focus Groups ◽  
Social Impact ◽  
Phenomenological Approach ◽  
Social Consequences ◽  
Trauma Patients ◽  
Focus Group Study ◽  
Good Communication ◽  
Data Saturation ◽  
Shock Room ◽  
Insufficient Knowledge

Background Injury can have physical, psychological and social consequences. It is unclear which factors have an impact on patients’ wellbeing after injury. This study aimed to explore, using focus groups, patients’ experiences and wellbeing after injury and which factors, impede or facilitate patients’ wellbeing. Methods Trauma patients, treated in the shock room of the Elisabeth-TweeSteden Hospital, the Netherlands, participated in focus groups. Purposive sampling was used. Exclusion criteria were younger than 18 years old, severe traumatic brain injury, dementia, and insufficient knowledge of the Dutch language. The interviews were recorded, transcribed verbatim, and analyzed using coding technique open, axial, and selective coding, based on phenomenological approach. Results Six focus groups (3 to 7 participants) were held before data saturation was reached. In total, 134 patients were invited, 28 (21%) agreed to participate (Median age: 59.5; min. 18 –max. 84). Main reasons to decline were fear that the discussion would be too confronting or patients experienced no problems regarding the trauma or treatment. Participants experienced difficulties on physical (no recovery to pre-trauma level), psychological (fear of dying or for permanent limitations, symptoms of posttraumatic stress disorder, cognitive dysfunction), social (impact on relatives and social support) wellbeing. These are impeding factors for recovery. However, good communication, especially clarity about the injury and expectations concerning recovery and future perspectives could help patients in surrendering to care. Patients felt less helpless when they knew what to expect. Conclusions This is the first study that explored patients’ experiences and wellbeing after injury. Patients reported that their injury had an impact on their physical, psychological, and social wellbeing up to 12 months after injury. Professionals with the knowledge of consequences after injury could improve their anticipation on patients’ need.

scholarly journals Communication difficulties reported by patients diagnosed with idiopathic pulmonary fibrosis and their carers: a European focus group study

2019 ◽  
Vol 5 (2) ◽  
pp. 00055-2019 ◽  
Author(s):  
Sarah Masefield ◽  
Nicola Cassidy ◽  
Derek Ross ◽  
Pippa Powell ◽  
Athol Wells
Keyword(s):  
Focus Group ◽  
Idiopathic Pulmonary Fibrosis ◽  
Pulmonary Fibrosis ◽  
Focus Groups ◽  
Support Groups ◽  
Care Pathway ◽  
Focus Group Study ◽  
Patient Organisations ◽  
Communication Difficulties ◽  
Communication Needs

This paper explores commonalities in the experience and unmet needs of idiopathic pulmonary fibrosis (IPF) patients and carers in Europe throughout the care pathway, focusing specifically on the unmet communication needs of patients and carers.Four patient organisations/groups in Europe held focus groups (Italy (seven patients and four carers); Belgium (six patients); Ireland (23 patients and 10 carers); and England, UK (five patients and three carers)). A focus group schedule was provided and translated into the language of each focus group by the European Lung Foundation (ELF). Content analysis was conducted by the ELF and verified by the authors of the paper.Three main themes emerged: professional−patient, professional−professional and patient−patient communication. Within these themes, eight priority areas were highlighted by two or more of the focus groups. In addition, 17 suggested action points were identified.Patients and carers in Europe have unmet communication needs, which could be met by specialist physicians and specialist centres providing more effective information and signposting to support services, including support groups and patient organisations.

scholarly journals Return to Work after Primary Total Knee Arthroplasty under the Age of 65 Years: A Systematic Review

2021 ◽  
Author(s):  
Dries Van Leemput ◽  
Jef Neirynck ◽  
Pieter Berger ◽  
Hilde Vandenneucker
Keyword(s):  
Systematic Review ◽  
Total Knee Arthroplasty ◽  
Return To Work ◽  
Knee Arthroplasty ◽  
Primary Total Knee Arthroplasty ◽  
Limiting Factors ◽  
Work Status ◽  
Number Of Patients ◽  
Total Knee ◽  
Level I

AbstractA growing number of patients undergoing total knee arthroplasty (TKA) is at working age and need to return to work (RTW) after surgery. The aim of this systematic review is to give an overview of the literature regarding RTW after TKA and beneficial and limiting factors influencing this process. A systematic search in four electronic databases was conducted in November 2019 to identify studies describing RTW after primary TKA in patients aged 65 years or younger. Study characteristics and data on work status before and after surgery were extracted. All studies were assessed for risk of bias. Fourteen studies published between 2009 and 2019 were included in this review, accounting for a total of 3,073 patients. The percentage of patients working after TKA ranged from 36 to 89%, and the fraction of patients working before and returning to work after surgery ranged from 40 to 98%. Mean time of RTW ranged from 7.7 to 16.6 weeks. Most important factors associated with a slower or no RTW were a more physical nature of employment and preoperative absence from work. The majority of patients undergoing TKA returned to work postoperatively. However, comparison between studies is seriously hampered by the wide variation regarding the definition and timeframe used to measure the work status. Therefore, standardized outcome measures for studies investigating RTW after TKA are warranted. We identify this review as level-I evidence (systematic review of level-I and level-II studies).

Experience of diabetes self-management with mobile applications: a focus group study among older people with diabetes

2018 ◽  
Vol 6 (2) ◽  
pp. 262 ◽  
Author(s):  
Qing Ye ◽  
Suzanne A Boren ◽  
Uzma Khan ◽  
Eduardo J Simoes ◽  
Min Soon Kim
Keyword(s):  
Older People ◽  
Focus Groups ◽  
Thematic Analysis ◽  
Mobile Applications ◽  
Self Management ◽  
Primary Concern ◽  
Focus Group Study ◽  
System Usability Scale ◽  
System Usability ◽  
Data Saturation

Background: The number of mobile diabetes self-management applications (apps) has risen. However, it is not certain whether these apps provide effective diabetes self-management for older people with diabetes. In this study, we aim to identify barriers in features and usability related to the needs of older people with diabetes for diabetes self-management applications.Methods: We conducted focus groups with 10 older people with diabetes (mean age = 69 years old). Based on the data saturation theory, there were 2 focus groups. Participants completed a set of diabetes self-management tasks using 9 representative diabetes self-management applications on iPads. We collected information regarding demographics, diabetes history, health literacy and prior experience using mobile devices and diabetes self-management applications. We asked participants’ preferences, concerns and needs for diabetes self-management application features. The System Usability Scale (0-100) measured overall usability. Thematic analysis identified the barriers that older participants encountered as they interacted with the diabetes self-management applications.Results: Participants found mobile applications inadequate for features on Healthy Coping and Problem Solving. The features that participants liked most for the diabetes self-management applications were documentation, information and goal setting. Thematic analysis revealed that usability was their primary concern about diabetes self-management applications in managing diabetes conditions. The average System Usability Scale score was 48 out of 100, which is considered not acceptable.Conclusions: This study suggests current diabetes self-management applications do not provide evidence-based, usable features for diabetes self-management and may not fulfill the needs of older people with diabetes.

scholarly journals Do work- and home-related demands and resources differ between women and men during return-to-work? A focus group study among employees with common mental disorders

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Lotta Nybergh ◽  
Gunnar Bergström ◽  
Therese Hellman
Keyword(s):  
Focus Group ◽  
Mental Disorders ◽  
Sick Leave ◽  
Return To Work ◽  
Common Mental Disorders ◽  
Well Being ◽  
Focus Group Study ◽  
Work Related ◽  
Group Interviews ◽  
Future Loss

Abstract Background Common mental disorders present the main reason for registered sick leave in Sweden today, and women are at a higher risk of such sick leave than men. The aim of our study was to explore how the experiences of work- and home-related demands as well as resources influence return-to-work among employees sick-listed for common mental disorders in Sweden. Specifically, we aimed to explore similarities and differences in patterns of experiences among women and men. Methods A qualitative design with semi-structured focus group interviews was applied. One pilot interview and six additional focus groups, with a total of 28 participants, were conducted. The focus group discussions were audiotaped and transcribed verbatim. Data was analyzed with conventional content analysis. Results The analysis resulted in four main categories and eight sub-categories. While the study aim was to explore aspects of work and home, additional considerations related to internal demands and involved actors were also found. The main and sub-categories were “Home-related demands and resources” (sub-categories: “Not on sick leave for home-related demands”, “Feeling responsible for relationships and the well-being of others”, “An affected economy” and “Finding energizing activities and creating routines”), “Work-related demands and resources” (sub-categories: “Encountering tough emotions and an over-bearing feeling of responsibility at work”, “Continued work-related demands create un-certainty about the future”, “Loss of boundaries” and “(Desired) support from managers and colleagues”), “Internal demands and resources” and “Demands and resources linked to involved actors”. The experiences described among women and men were similar in some categories while patterns of experiences differed in others. Conclusions Home-related demands and resources influence return-to-work among women and men sick-listed for common mental disorders in Sweden, also when work-related demands are experienced as the main reason for the sick leave period. Furthermore, several of these aspects were described differently among women and men, which highlights the need to consider possible gender differences in relation to return-to-work, while maintaining attention to individual variations.

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