Acceptability and exploratory effects of an occupational therapy intervention to improve recovery and return to work of workers with mental health disorders in primary care: a mixed methods study protocol

BackgroundPeople with common mental disorders (CMD) are prone to experience work disabilities, which can lead to sick leave. To support their recovery and return to work, evidence recommends providing a combination of primary care services including psychological and work rehabilitation intervention...

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Main Authors: Justine Labourot, Quan Nha Hong, Catherine Briand, Cynthia Cameron, Marie-José Durand, Nadia Giguère, Élyse Marois, Matthew Menear, Marielle Trottier, Helen-Maria Vasiliadis, Brigitte Vachon
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-11-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1441855/full
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author Justine Labourot
Justine Labourot
Quan Nha Hong
Quan Nha Hong
Catherine Briand
Catherine Briand
Cynthia Cameron
Marie-José Durand
Marie-José Durand
Nadia Giguère
Nadia Giguère
Élyse Marois
Matthew Menear
Matthew Menear
Marielle Trottier
Helen-Maria Vasiliadis
Helen-Maria Vasiliadis
Brigitte Vachon
Brigitte Vachon
author_facet Justine Labourot
Justine Labourot
Quan Nha Hong
Quan Nha Hong
Catherine Briand
Catherine Briand
Cynthia Cameron
Marie-José Durand
Marie-José Durand
Nadia Giguère
Nadia Giguère
Élyse Marois
Matthew Menear
Matthew Menear
Marielle Trottier
Helen-Maria Vasiliadis
Helen-Maria Vasiliadis
Brigitte Vachon
Brigitte Vachon
author_sort Justine Labourot
collection DOAJ
description BackgroundPeople with common mental disorders (CMD) are prone to experience work disabilities, which can lead to sick leave. To support their recovery and return to work, evidence recommends providing a combination of primary care services including psychological and work rehabilitation interventions. Furthermore, interventions to coordinate return to work are required to ensure timely access to services and concerted action among stakeholders. Occupational therapists are qualified to provide these interventions and to facilitate sick leave management. However, current medical practices, lack of collaboration among stakeholders, and lack of occupational therapists working within family medicine groups create highly variable care pathways and delays in access to appropriate services.AimThis study aims to evaluate the acceptability and explore the effects of an occupational therapist-led program integrated within family medicine groups designed to improve the management of CMD-related sick leave and promote patients' recovery and sustainable return to work in the Canadian province of Québec.MethodsThis study will consist of a mixed methods multiple case study design. It will also use a participatory research approach, actively engaging family medicine group team members and patient partners throughout the study. The occupational therapy program will include three components: 1) consultation for prevention of sick leave and support for return-to-work decisions, 2) coordination of recovery and return-to-work services, and 3) provision of recovery and work rehabilitation services adapted to each patient’s needs. Questionnaires, interviews, and focus groups will be used to collect data on the eight dimensions of the acceptability model described by Sekhon et al. and to measure pre- and post-outcomes to assess the effects of the occupational therapy program. Data will be analyzed using the Framework Method and repeated measures statistical analysis.DiscussionWe expect that the provision of this innovative occupational therapy program will improve patients’ outcomes and the service trajectory of people with CMD. This study will document how to enhance interprofessional collaboration within family medicine groups and to ensure equitable access to work rehabilitation services for all patients, thereby improving recovery and healthy sustainable return-to-work.
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spelling doaj-art-8acb728988034e1b92fa88cdc8c1a9e02025-08-20T01:54:15ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402024-11-011510.3389/fpsyt.2024.14418551441855Acceptability and exploratory effects of an occupational therapy intervention to improve recovery and return to work of workers with mental health disorders in primary care: a mixed methods study protocolJustine Labourot0Justine Labourot1Quan Nha Hong2Quan Nha Hong3Catherine Briand4Catherine Briand5Cynthia Cameron6Marie-José Durand7Marie-José Durand8Nadia Giguère9Nadia Giguère10Élyse Marois11Matthew Menear12Matthew Menear13Marielle Trottier14Helen-Maria Vasiliadis15Helen-Maria Vasiliadis16Brigitte Vachon17Brigitte Vachon18École de réadaptation, Faculté de médecine, Université de Montréal, Montréal, QC, CanadaCentre de Recherche de l’Institut Universitaire en Santé Mentale de Montréal, Montréal, QC, CanadaÉcole de réadaptation, Faculté de médecine, Université de Montréal, Montréal, QC, CanadaCentre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montréal, QC, CanadaCentre de Recherche de l’Institut Universitaire en Santé Mentale de Montréal, Montréal, QC, CanadaDépartement d'ergothérapie, Université du Québec à Trois-Rivières, Trois-Rivières, QC, CanadaDepartment of Family Medicine and Emergency Medicine, Faculty of Medicine, Université Laval, Québec City, QC, CanadaÉcole de Réadaptation, Faculté de Médecine et des Sciences de la Santé, Université de Sherbrooke, Sherbrooke, QC, CanadaCentre d’action en Prévention et Réadaptation de l’incapacité au Travail, Longueuil, QC, CanadaDepartment of Family Medicine and Emergency Medicine, Faculty of Medicine, Université de Montréal, Montréal, QC, CanadaCentre de recherche de Montréal sur les Inégalités sociales, les discriminations et les pratiques alternatives de citoyenneté (CREMIS), Montréal, QC, CanadaÉcole de réadaptation, Faculté de médecine, Université de Montréal, Montréal, QC, CanadaDepartment of Family Medicine and Emergency Medicine, Faculty of Medicine, Université Laval, Québec City, QC, Canada0VITAM Research Centre for Sustainable Health, Québec, QC, Canada1University of Montreal Hospital Centre (CRCHUM), Montréal, QC, Canada2Department of Community Health Sciences, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada3Charles-Le Moyne Research Center, Longueuil, QC, CanadaÉcole de réadaptation, Faculté de médecine, Université de Montréal, Montréal, QC, CanadaCentre de Recherche de l’Institut Universitaire en Santé Mentale de Montréal, Montréal, QC, CanadaBackgroundPeople with common mental disorders (CMD) are prone to experience work disabilities, which can lead to sick leave. To support their recovery and return to work, evidence recommends providing a combination of primary care services including psychological and work rehabilitation interventions. Furthermore, interventions to coordinate return to work are required to ensure timely access to services and concerted action among stakeholders. Occupational therapists are qualified to provide these interventions and to facilitate sick leave management. However, current medical practices, lack of collaboration among stakeholders, and lack of occupational therapists working within family medicine groups create highly variable care pathways and delays in access to appropriate services.AimThis study aims to evaluate the acceptability and explore the effects of an occupational therapist-led program integrated within family medicine groups designed to improve the management of CMD-related sick leave and promote patients' recovery and sustainable return to work in the Canadian province of Québec.MethodsThis study will consist of a mixed methods multiple case study design. It will also use a participatory research approach, actively engaging family medicine group team members and patient partners throughout the study. The occupational therapy program will include three components: 1) consultation for prevention of sick leave and support for return-to-work decisions, 2) coordination of recovery and return-to-work services, and 3) provision of recovery and work rehabilitation services adapted to each patient’s needs. Questionnaires, interviews, and focus groups will be used to collect data on the eight dimensions of the acceptability model described by Sekhon et al. and to measure pre- and post-outcomes to assess the effects of the occupational therapy program. Data will be analyzed using the Framework Method and repeated measures statistical analysis.DiscussionWe expect that the provision of this innovative occupational therapy program will improve patients’ outcomes and the service trajectory of people with CMD. This study will document how to enhance interprofessional collaboration within family medicine groups and to ensure equitable access to work rehabilitation services for all patients, thereby improving recovery and healthy sustainable return-to-work.https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1441855/fullprimary carecommon mental disordersoccupational therapyreturn to work coordinationacceptabilityimplementation
spellingShingle Justine Labourot
Justine Labourot
Quan Nha Hong
Quan Nha Hong
Catherine Briand
Catherine Briand
Cynthia Cameron
Marie-José Durand
Marie-José Durand
Nadia Giguère
Nadia Giguère
Élyse Marois
Matthew Menear
Matthew Menear
Marielle Trottier
Helen-Maria Vasiliadis
Helen-Maria Vasiliadis
Brigitte Vachon
Brigitte Vachon
Acceptability and exploratory effects of an occupational therapy intervention to improve recovery and return to work of workers with mental health disorders in primary care: a mixed methods study protocol
Frontiers in Psychiatry
primary care
common mental disorders
occupational therapy
return to work coordination
acceptability
implementation
title Acceptability and exploratory effects of an occupational therapy intervention to improve recovery and return to work of workers with mental health disorders in primary care: a mixed methods study protocol
title_full Acceptability and exploratory effects of an occupational therapy intervention to improve recovery and return to work of workers with mental health disorders in primary care: a mixed methods study protocol
title_fullStr Acceptability and exploratory effects of an occupational therapy intervention to improve recovery and return to work of workers with mental health disorders in primary care: a mixed methods study protocol
title_full_unstemmed Acceptability and exploratory effects of an occupational therapy intervention to improve recovery and return to work of workers with mental health disorders in primary care: a mixed methods study protocol
title_short Acceptability and exploratory effects of an occupational therapy intervention to improve recovery and return to work of workers with mental health disorders in primary care: a mixed methods study protocol
title_sort acceptability and exploratory effects of an occupational therapy intervention to improve recovery and return to work of workers with mental health disorders in primary care a mixed methods study protocol
topic primary care
common mental disorders
occupational therapy
return to work coordination
acceptability
implementation
url https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1441855/full
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