Women with Neck Pain on Long-Term Sick Leave-Approaches Used in the Return to Work Process: A Qualitative Study.
Linda Ahlstrom, Lotta Dellve, Mats Hagberg and 1 others
PMID 26944045WHAT IT FOUND
Women with neck pain on long-term sick leave described alternating work and leave to cope.
Some used this as a strategy; others did it because stakeholders decided, leaving them little control.
Key findings
01Women described fluctuating work status over time as the core way they handled return to work.
02Some women used fluctuating work status as a strategy and tried to control interactions with stakeholders.
03Other women experienced fluctuating work status as a consequence, following stakeholder instructions and feeling their views were not heard.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
The study reports women's experiences, not whether any treatment or workplace change improves return to work. It included only women with neck pain who were on long-term sick leave in Swedish human service organizations, so it may not apply to men, other workplaces, other countries, or other pain problems. The data came from questionnaires answered at different times and from 16 interviews, and the researchers did not use timing when analyzing the questionnaire answers, so change over time is not fully captured. The Swedish sick leave system changed during the study period and is described as changing again in 2016, so the stakeholder roles and leave rules may not match current practice everywhere. Participants answered anonymous questionnaires and interviews, and the authors note social desirable responding and researcher bias may affect what was reported.
Declared interests
The work was funded by the Swedish Research Council for Health, Working Life, and Welfare (FORTE). No other conflicts are reported in the supplied text.
The easy way to misread this
Do not read fluctuating work status as an effective return-to-work method. This qualitative study describes how women experienced their return-to-work process and did not test whether this pattern improves pain, work ability, or employment outcomes.