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Aili, K., Svartengren, M., Danielsson, K., Johansson, E. & Hellman, T. (2023). Active engagement of managers in employee RTW and manager-employee relationship: managers’ experiences of participating in a dialogue using the Demand and Ability Protocol. Disability and Rehabilitation, 45(26), 4394-4403
Open this publication in new window or tab >>Active engagement of managers in employee RTW and manager-employee relationship: managers’ experiences of participating in a dialogue using the Demand and Ability Protocol
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2023 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 45, no 26, p. 4394-4403Article in journal (Refereed) Published
Abstract [en]

Purpose: To describe how managers of employees on sick-leave, due to chronic pain conditions, experience participating in a three-party meeting using the Demand and Ability Protocol (DAP) in the return-to-work process.

Materials and methods: This study is based on individual semi-structured interviews with 17 managers of employees with chronic pain. Interviews were conducted after participating in a three-party meeting including the employee, manager, and a representative from the rehabilitation team. The data were analyzed using thematic analysis with an inductive approach.

Results: Two main themes were identified–“to converse with a clear structure and setup” and “to be involved in the employee’s rehabilitation.” The first theme describe experiences from the conversation, and the second theme reflected the managers’ insights when being involved in the employee’s rehabilitation. The themes comprise 11 sub-themes describing how the DAP conversation and the manager′s involvement in the rehabilitation may influence the manager, the manager-employee relationship, and the organization.

Conclusions: This study show, from a manager's perspective, how having a dialogue with a clear structure and an active involvement in the employee’s rehabilitation may be beneficial for the manager-employee relationship. Insights from participating in the DAP may also be beneficial for the organization.

IMPLICATIONS FOR REHABILITATION

* A structured dialogue between the employee, employer, and rehabilitation supports the return to work (RTW) process

* A structured dialogue and collaboration may strengthen the relationship between the manager and employee

* An active engagement of managers in the employeès RTW process is beneficial for the manager-employee relationship, and for the organisation

* Healthcare professionals should collaborate with the workplace to promote participation of managers. © 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Place, publisher, year, edition, pages
Abingdon: Taylor & Francis, 2023
Keywords
chronic pain, qualitative method, rehabilitation, return to work, Workplace intervention
National Category
Occupational Therapy
Identifiers
urn:nbn:se:hh:diva-48956 (URN)10.1080/09638288.2022.2151654 (DOI)000910541700001 ()36453588 (PubMedID)2-s2.0-85143441697 (Scopus ID)
Funder
AFA Insurance, 190071
Available from: 2022-12-19 Created: 2022-12-19 Last updated: 2024-01-17Bibliographically approved
Lönn, M., Aili, K., Svedberg, P., Nygren, J. M., Jarbin, H. & Larsson, I. (2023). Experiences of Using Weighted Blankets among Children with ADHD and Sleeping Difficulties. Occupational Therapy International, 2023, 1-12, Article ID 1945290.
Open this publication in new window or tab >>Experiences of Using Weighted Blankets among Children with ADHD and Sleeping Difficulties
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2023 (English)In: Occupational Therapy International, ISSN 0966-7903, E-ISSN 1557-0703, Vol. 2023, p. 1-12, article id 1945290Article in journal (Refereed) Published
Abstract [en]

Introduction. Sleeping difficulties are common in children with attention deficit hyperactivity disorder (ADHD). A sleep intervention with weighted blankets was designed to increase current understanding of using weighted blankets to target children’s individual needs in connection with sleep and daytime functioning. Aim. To explore how children with ADHD and sleeping difficulties experience the use of weighted blankets. Methods. An explorative qualitative design in which 26 children with ADHD and sleeping difficulties, 6-15 years old, were interviewed about a sleep intervention with weighted blankets. Four categories emerged from qualitative content analysis. Results. Children’s experiences revealed that the use of weighted blankets 1) requires a commitment, by adjusting according to needs and preferences and adapting to the environment; 2) improves emotional regulation by feeling calm and feeling safe; 3) changes sleeping patterns by creating new routines for sleep and improving sleep quality; and 4) promotes everyday participation by promoting daily function and balancing activity and sleep. Conclusions. Using weighted blankets promoted children’s management of daily life with ADHD and sleeping difficulties. Occupational therapists can improve the assessment and delivery of weighted blankets tailored to individual needs based on increased knowledge from the children themselves. Copyright © 2023 Maria Lönn et al.

Place, publisher, year, edition, pages
Oxford: John Wiley & Sons, 2023
National Category
Psychiatry
Identifiers
urn:nbn:se:hh:diva-50117 (URN)10.1155/2023/1945290 (DOI)000938743200001 ()36824380 (PubMedID)2-s2.0-85148774514 (Scopus ID)
Available from: 2023-03-27 Created: 2023-03-27 Last updated: 2023-03-27Bibliographically approved
Malmborg, J. S., Svedberg, P., Nygren, J. M., Aili, K. & Larsson, I. (2023). Parents' health experiences after their child with ADHD and sleep problems underwent a sleep intervention with a weighted blanket. In: : . Paper presented at Nordic Health Promotion Research Conference, Halmstad, Sweden, 14-16 June, 2023.
Open this publication in new window or tab >>Parents' health experiences after their child with ADHD and sleep problems underwent a sleep intervention with a weighted blanket
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2023 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Background: Being a parent of a child with attention deficit hyperactivity disorder (ADHD) and sleep problems can be challenging and stressful. Weighted blankets have the potential to improve sleep and health in these children, but less is known about the potential effects the child's use of a weighted blanket may have on parents' health.

Purpose of the study: To explore parents' health experiences after their child with ADHD and sleep problems underwent a sleep intervention with a weighted blanket.

Methods: This study is a part of a randomized, controlled crossover trial with a 16-week sleep intervention with weighted blankets for children with ADHD and sleep problems. A total of 24 parents of children who preferred sleeping with a weighted blanket were interviewed about how the sleep intervention influenced their health. An inductive qualitative content analysis resulted in seven subcategories and two categories.

Findings: Children's sleep with weighted blankets influenced parents experienced health in terms of 1) coping with everyday life, including finding harmony, nurturing family relationships, and maintaining a sustainable structure, and 2) feeling well-being, including being well rested, sustaining energy, reaching calm, and achieving meaningful leisure time.

Conclusion: A sleep intervention with weighted blankets in children with ADHD and sleep problems influenced parents' health positively by improving management of life and well-being. For parents who struggle to meet the everyday challenges of their child's ADHD, this sleep intervention may contribute to a sustainable health. 

Keywords
parents' health, children with ADHD, weighted blanke, qualitative method
National Category
Other Health Sciences
Research subject
Health Innovation, IDC
Identifiers
urn:nbn:se:hh:diva-52012 (URN)
Conference
Nordic Health Promotion Research Conference, Halmstad, Sweden, 14-16 June, 2023
Available from: 2023-11-15 Created: 2023-11-15 Last updated: 2023-12-14Bibliographically approved
Larsson, I., Aili, K., Lönn, M., Svedberg, P., Nygren, J. M., Ivarsson, A. & Johansson, P. (2023). Sleep interventions for children with attention deficit hyperactivity disorder (ADHD): A systematic literature review. Sleep Medicine, 102, 64-75
Open this publication in new window or tab >>Sleep interventions for children with attention deficit hyperactivity disorder (ADHD): A systematic literature review
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2023 (English)In: Sleep Medicine, ISSN 1389-9457, E-ISSN 1878-5506, Vol. 102, p. 64-75Article, review/survey (Refereed) Published
Abstract [en]

Objective/background: Healthy sleep is particularly important for children with attention deficit hyperactivity disorder (ADHD), as sleep disturbances might aggravate disease symptoms. This review aims to synthesize and report evidence on the effectiveness of sleep interventions in increasing sleep, quality of life (QoL), and ADHD symptoms among children with ADHD. Patients/methods: The systematic literature review follows the Cochrane Collaboration methodology recommendations for literature reviews. Four databases were used based on the population, intervention, control and outcome (PICO) framework. Controlled trials with minimum 20 children in each group, aged 6–18, and published from 2005 and onwards were included. Results from the studies were reported in forest plots and three of the seven review outcomes were synthesized in meta-analyses. Results: The search identified 7710 records; of which 4808 abstracts were screened. After fulltext-screening of 99 papers, eight papers from five studies were included. The studies included behavioral sleep interventions and pharmacological interventions using melatonin and eszopiclone. For six of the seven outcomes, the effect sizes were small to moderate and the certainty of the evidence was low. For one outcome, sleep disturbances, the effect size was a moderate −0.49 standardized mean differences (95% confidence interval −0.65;-0.33), with a moderate certainty of evidence for the behavioral interventions for children aged 5–13 years with ADHD. Conclusions: This review identified few and heterogeneous studies. A moderate certainty of evidence for a moderate effect size was only obtained for sleep disturbances from the behavioral interventions. A low certainty of the evidence for a moderate effect size was found for the total sleep time from the pharmacological intervention using melatonin and one behavioral intervention, which indicates that these sleep interventions impact sleep quantity and quality among children with ADHD. © 2022 The Authors

Place, publisher, year, edition, pages
Amsterdam: Elsevier, 2023
Keywords
Attention deficit hyperactivity disorder (ADHD), Children, Effectiveness, Sleep, Sleep interventions, Systematic literature review
National Category
Pediatrics
Identifiers
urn:nbn:se:hh:diva-49904 (URN)10.1016/j.sleep.2022.12.021 (DOI)000918992300001 ()36603513 (PubMedID)2-s2.0-85145676504 (Scopus ID)
Funder
Knowledge Foundation, 20200012Knowledge Foundation, 2019/152Forte, Swedish Research Council for Health, Working Life and Welfare, 2021-00664
Available from: 2023-02-01 Created: 2023-02-01 Last updated: 2023-08-21Bibliographically approved
Lönn, M., Svedberg, P., Nygren, J. M., Jarbin, H., Aili, K. & Larsson, I. (2023). The efficacy of weighted blankets for sleep in children with attention-deficit/hyperactivity disorder—A randomized controlled crossover trial. Journal of Sleep Research, Article ID e13990.
Open this publication in new window or tab >>The efficacy of weighted blankets for sleep in children with attention-deficit/hyperactivity disorder—A randomized controlled crossover trial
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2023 (English)In: Journal of Sleep Research, ISSN 0962-1105, E-ISSN 1365-2869, article id e13990Article in journal (Refereed) Epub ahead of print
Abstract [en]

Weighted blankets are a non-pharmacological intervention for treating sleep and anxiety problems in children with attention-deficit/hyperactivity disorder. However, research on the efficacy of weighted blankets is sparse. The aim of this randomized controlled trial with a crossover design (4 + 4 weeks) was to evaluate the efficacy of weighted blankets on sleep among children with attention-deficit/hyperactivity disorder and sleeping problems. Children diagnosed with uncomplicated Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition attention-deficit/hyperactivity disorder with verified sleep problems were randomized to start with either a weighted blanket or a lighter control blanket. Data collection was performed at weeks 0, 4 and 8 using actigraphy, questionnaires and a daily sleep diary. T-tests were used to evaluate efficacy. The study included 94 children with attention-deficit/hyperactivity disorder (mean age 9.0 [sd 2.2] years; 54 [57.4%] boys). Weighted blankets had a significant effect on total sleep time (mean diff. 7.72 min, p = 0.027, Cohen's d = 0.24), sleep efficiency (mean diff. 0.82%, p = 0.038, Cohen's d = 0.23) and wake after sleep onset (mean diff. −2.79 min, p = 0.015, Cohen's d = −0.27), but not on sleep-onset latency (p = 0.432). According to our exploratory subgroup analyses, weighted blankets may be especially beneficial for improving total sleep time in children aged 11–14 years (Cohen's d = 0.53, p = 0.009) and in children with the inattentive attention-deficit/hyperactivity disorder subtype (Cohen's d = 0.58, p = 0.016). Our results suggest that weighted blankets may improve children's sleep and could be used as an alternative to pharmacological sleep interventions. © 2023 The Authors. Journal of Sleep Research published by John Wiley & Sons Ltd on behalf of European Sleep Research Society.

Place, publisher, year, edition, pages
Chichester: Wiley-Blackwell Publishing Inc., 2023
Keywords
actigraphy, attention-deficit/hyperactivity disorder, randomized controlled trial, sleep intervention, sleep problems
National Category
Psychiatry Medical and Health Sciences
Research subject
Health Innovation, Information driven care
Identifiers
urn:nbn:se:hh:diva-51406 (URN)10.1111/jsr.13990 (DOI)001028827400001 ()37452697 (PubMedID)2-s2.0-85165257033 (Scopus ID)
Funder
Knowledge Foundation, 20200012Forte, Swedish Research Council for Health, Working Life and Welfare, 2021-00664Region Halland
Note

Funding: This work was supported by external grants from The Knowledge Foundation [number 20200012], Swedish Research Council for Health Working Life and Welfare (Forte) [number 2021-00664]; Majblomman foundation and different grants from Region Halland.

Available from: 2023-08-15 Created: 2023-08-15 Last updated: 2023-11-22Bibliographically approved
Andersson, M. L. .., Haglund, E., Aili, K., Bremander, A. & Bergman, S. (2022). Associations between metabolic factors and radiographic knee osteoarthritis in early disease - a cross-sectional study of individuals with knee pain. BMC Musculoskeletal Disorders, 23(1), Article ID 938.
Open this publication in new window or tab >>Associations between metabolic factors and radiographic knee osteoarthritis in early disease - a cross-sectional study of individuals with knee pain
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2022 (English)In: BMC Musculoskeletal Disorders, E-ISSN 1471-2474, Vol. 23, no 1, article id 938Article in journal (Refereed) Published
Abstract [en]

Objective: Metabolic factors have been shown to be associated to severe radiographic knee osteoarthritis (RKOA). However, more knowledge is needed in early clinical knee osteoarthritis (KOA). The aim was to study associations between metabolic factors and radiographic knee osteoarthritis (OA) in individuals with knee pain. A second aim was to study associations between metabolic factors and RKOA in those with normal BMI and in those overweight/obese, respectively. Method: This cross-sectional study included 282 individuals with knee pain (without cruciate ligament injury) and aged 30–67 years, and 70% women. Waist circumference, body mass index (BMI), proportion of fat and visceral fat area (VFA) were assessed. RKOA was defined as Ahlbäck grade 1 in at least one knee. Fasting blood samples were taken and triglycerides, cholesterol (total, low density lipoprotein (LDL) and high density lipoprotein (HDL)), C-reactive protein (CRP), glucose, HbA1C were analysed. Metabolic syndrome was defined in accordance with the International Diabetes Federation (IDF). Associations were analysed by logistic regression. Results: Individuals with RKOA were older, had higher BMI, higher VFA, larger waist circumference and had increased total cholesterol, triglycerides and LDL-cholesterol, but not fasting glucose. There was no difference between the group with RKOA vs. non-radiographic group regarding the presence of metabolic syndrome. In a subgroup analysis of individuals with normal BMI (n = 126), those with RKOA had higher VFA, more central obesity, higher levels of CRP and total cholesterol, compared with individuals without RKOA. In individuals with obesity, age was the only outcome associated to RKOA. Conclusion: There were clear associations between metabolic factors and RKOA in individuals with knee pain, also in those with normal BMI. In individuals with obesity age was the only variable associated to RKOA. Trial registration:: clinicalTrials.gov Identifier: NCT04928170. © 2022, The Author(s).

Place, publisher, year, edition, pages
London: BioMed Central (BMC), 2022
Keywords
Knee osteoarthritis, Knee pain, Metabolic factors
National Category
Orthopaedics
Identifiers
urn:nbn:se:hh:diva-48784 (URN)10.1186/s12891-022-05881-x (DOI)000876271800005 ()36307803 (PubMedID)2-s2.0-85141056952 (Scopus ID)
Funder
Swedish Rheumatism Association, R-531621, R-635431, R-939824, R-967899The Crafoord Foundation
Note

The study was funded by the Swedish Rheumatism Association, grant number R-531621, R-635431, R-939824, R-967899, Targeted investment from the Swedish Rheumatism Association – Osteoarthritis from 2014 to 2019, and the Crafoord Foundation. The funders have not influenced the study design, collection, analysis, or interpretation of data, nor the writing of the manuscript or the decision to submit the manuscript for publication. Open access funding provided by Lund University

Available from: 2022-12-09 Created: 2022-12-09 Last updated: 2024-01-17Bibliographically approved
Andersson, M. L., Haglund, E., Aili, K., Bremander, A. & Bergman, S. (2022). Cohort profile: the Halland osteoarthritis (HALLOA) cohort–from knee pain to osteoarthritis: a longitudinal observational study in Sweden. BMJ Open, 12(7), Article ID e057086.
Open this publication in new window or tab >>Cohort profile: the Halland osteoarthritis (HALLOA) cohort–from knee pain to osteoarthritis: a longitudinal observational study in Sweden
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2022 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 12, no 7, article id e057086Article in journal (Refereed) Published
Abstract [en]

Purpose: The overall objective in this study is to investigate the early development of radiographic knee osteoarthritis (OA) and its association with hand or/and knee OA, metabolic diseases, biomarkers, chronic pain, physical function and daily physical activity types.

Participants: The Halland osteoarthritis (HALLOA) cohort is a longitudinal cohort study that includes individuals with knee pain in the southwest of Sweden. Enrolment took place from 2017 to 2019. The inclusion criteria were current knee pain, with no former known radiographic knee OA and no cruciate ligament rupture or rheumatological disorder. The participants were recruited: (1) when seeking care for knee pain in primary healthcare or (2) by advertisements in local newspapers. There are 306 individuals included in the study, mean age (SD) 51.7 (8.7) years and 69% are women. The baseline and follow-ups include clinical tests, radiographical examinations, blood samples, metabolic measures, pain pressure thresholds, tests of physical functions, daily physical activity types and patient-reported outcomes.

Findings to date: There were associations between metabolic factors and radiographic knee OA, even in those with normal body mass index at baseline. In addition, clinical hand OA was positively associated with fasting plasma glucose. We also found that modifiable factors as increased visceral fat and total body fat were associated with increased pain sensitivity among individuals with knee pain.

Future plans: By studying possible pathophysiological mechanisms of OA over time, we aim to provide new insights on OA progression, identify usable preventive measures helping the clinicians in the management of the disease and improve health for the patients. It is also important to study the development of chronic pain in OA, to get tools to identify individuals at risk and to be able to offer them treatment.

 © Author(s) (or their employer(s)) 2022. 

Place, publisher, year, edition, pages
London: BMJ Publishing Group Ltd, 2022
Keywords
Internal Medicine, Knee, Musculoskeletal disorders, Rheumatology
National Category
Rheumatology and Autoimmunity Health Sciences
Identifiers
urn:nbn:se:hh:diva-48969 (URN)10.1136/bmjopen-2021-057086 (DOI)000826598000010 ()35835523 (PubMedID)2-s2.0-85134137962 (Scopus ID)
Funder
Swedish Rheumatism Association, R-531621Swedish Rheumatism Association, R-635431Swedish Rheumatism Association, R-939824Swedish Rheumatism Association, R-967899The Crafoord Foundation
Note

Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Available from: 2022-12-20 Created: 2022-12-20 Last updated: 2023-08-28Bibliographically approved
Aili, K., Nygren, J. M., Arvidsson, S., Olsson, M. & Jarfelt, M. (2022). Health Outcomes in Adult Survivors of Childhood All and Their Siblings – A National Long Term Follow Up. Paper presented at 54th Congress of the International Society of Paediatric Oncology (SIOP 2022), Barcelona, Spain, September 28 – October 1, 2022. Pediatric Blood & Cancer, 69(S5), S173-S173, Article ID e29952.
Open this publication in new window or tab >>Health Outcomes in Adult Survivors of Childhood All and Their Siblings – A National Long Term Follow Up
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2022 (English)In: Pediatric Blood & Cancer, ISSN 1545-5009, E-ISSN 1545-5017, Vol. 69, no S5, p. S173-S173, article id e29952Article in journal, Meeting abstract (Refereed) Published
Place, publisher, year, edition, pages
Hoboken, NJ: John Wiley & Sons, 2022
National Category
Pediatrics
Research subject
Health Innovation, IDC
Identifiers
urn:nbn:se:hh:diva-52253 (URN)10.1002/pbc.29952 (DOI)000859203900351 ()
Conference
54th Congress of the International Society of Paediatric Oncology (SIOP 2022), Barcelona, Spain, September 28 – October 1, 2022
Note

Meeting Abstract: EP051

Available from: 2023-12-15 Created: 2023-12-15 Last updated: 2023-12-18Bibliographically approved
Aili, K., Arvidsson, S., Olsson, M., Jarfelt, M. & Nygren, J. M. (2022). Health-related quality of life in adults treated for paediatric acute lymphoblastic leukaemia: a cross-sectional and longitudinal cohort study. BMJ Open, 12, Article ID e048325.
Open this publication in new window or tab >>Health-related quality of life in adults treated for paediatric acute lymphoblastic leukaemia: a cross-sectional and longitudinal cohort study
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2022 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 12, article id e048325Article in journal (Refereed) Published
Abstract [en]

Introduction: Acute lymphoblastic leukaemia (ALL) is the most common form of cancer in children. Although treatment methods have improved and resulted in significant improvement of survival and reduction in late effects and late mortality risk, the health-related quality of life (HRQOL) of survivors might be affected. To introduce new interventions in clinical practice with the potential to support positive HRQOL outcomes, more knowledge is needed on how HRQOL in this group is constructed and stimulated. The purpose of this study is to investigate how HRQOL is affected in adults treated for paediatric ALL, in a long-term perspective and possible factors influencing this relationship.

Methods and analysis: This cohort of young adult ALL survivors allows for investigations of factors influencing HRQOL outcomes on a national level. Eligible participants are obtained from the Swedish Childhood Cancer quality registry. Data collection includes both a follow-up of data collected in 2012 (n=224) and recruitment of new eligible participants to the cohort (n=601). The cohort will cover survivors of paediatric ALL, diagnosed between 1985 and 2007, at an age between 0 and 15 years. Data will be collected using validated, multidimensional, self-administered instruments, designed to measure HRQOL (SF-36), social support, sense of coherence and resilience.

Ethics and dissemination: The study will be carried out in accordance with the ethics permit obtained from the Swedish ethics review authority (Dnr 2019-05181). Dissemination of study results will take place through research articles and reports to the national patient organisation and the national network for consultancy nurses for this target group and to the working group for the Swedish national long-term care programme for childhood cancer. Results will also reach practical application within the follow-up clinic for adult childhood cancer survivors at Sahlgrenska Hospital in Gothenburg. © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Place, publisher, year, edition, pages
London: BMJ Publishing Group Ltd, 2022
Keywords
acute lymphoblastic leukaemia, cohort, health-related quality of life, HRQOL, paediatric
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hh:diva-46494 (URN)10.1136/bmjopen-2020-048325 (DOI)000741038800003 ()34996782 (PubMedID)2-s2.0-85123271468 (Scopus ID)
Funder
Swedish Research Council
Available from: 2022-03-21 Created: 2022-03-21 Last updated: 2023-08-28Bibliographically approved
Aili, K., Hellman, T., Svartengren, M. & Danielsson, K. (2022). Including a Three-Party Meeting Using the Demand and Ability Protocol in an Interdisciplinary Pain Rehabilitation Programme for a Successful Return to Work Process. International Journal of Environmental Research and Public Health, 19(24)
Open this publication in new window or tab >>Including a Three-Party Meeting Using the Demand and Ability Protocol in an Interdisciplinary Pain Rehabilitation Programme for a Successful Return to Work Process
2022 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 24Article in journal (Refereed) Published
Abstract [en]

The Demand and Ability Protocol (DAP) is used in three-party meetings involving an employee, an employer, and a representative from the rehabilitation team. The aim of this study is to investigate the inclusion of an intervention using the DAP in an interdisciplinary pain rehabilitation programme (IPRP) compared to usual care. This non-randomised controlled trial included patients assigned to an IPRP in Sweden. The intervention group received a DAP intervention targeting their work situation in addition to the usual care provided by the IPRP. The control group received IPRP only. Outcome measures were collected from the Swedish Quality Registry for Pain Rehabilitation. Results demonstrated improvements in both groups regarding self-reported anxiety, depression and EQ5D. Sleep was improved in the intervention group but not in the control group. No statistical differences in outcomes were observed between the groups. In conclusion, adding the DAP intervention to IPRP seemed to have the potential to improve sleep among the patients, which may indicate an overall improvement regarding health outcomes from a longer perspective. The results were less clear, however, regarding the work-related outcomes of sickness absence and workability. © 2022 by the authors.

Place, publisher, year, edition, pages
Basel: MDPI, 2022
Keywords
chronic pain, rehabilitation, return to work, workplace intervention
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hh:diva-49135 (URN)10.3390/ijerph192416614 (DOI)000900925200001 ()36554495 (PubMedID)2-s2.0-85144512268 (Scopus ID)
Available from: 2023-01-09 Created: 2023-01-09 Last updated: 2023-01-09Bibliographically approved
Projects
Evaluation of health effects and cost effectiveness from a sleep intervention with weight blankets in children with ADHD and sleep problems [2021-00664_Forte]; Halmstad University; Publications
Lönn, M., Svedberg, P., Nygren, J. M., Jarbin, H., Aili, K. & Larsson, I. (2023). The efficacy of weighted blankets for sleep in children with attention-deficit/hyperactivity disorder—A randomized controlled crossover trial. Journal of Sleep Research, Article ID e13990. Harris, U., Svedberg, P., Aili, K., Nygren, J. M. & Larsson, I. (2022). Parents’ Experiences of Direct and Indirect Implications of Sleep Quality on the Health of Children with ADHD: A Qualitative Study. International Journal of Environmental Research and Public Health, 19(22), Article ID 15099.
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-4260-7399

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