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Constructing the program impact theory for an evidence-based work rehabilitation program for workers with low back
Marie-José Durand1, Brigitte Vachon, Patrick Loisel
1Department of Community Health Sciences, Université de Sherbrooke, Quebec, Canada. marie-jose.durand@usherbrooke.ca
Work (Reading, Mass.)
|November 6, 2003
Summary
This study clarifies the PREVICAP work rehabilitation program’s impact theory, detailing how it aims to improve return-to-work rates by considering the worker, environment, and their interaction.
Area of Science:
- Occupational health
- Rehabilitation science
- Health services research
Background:
- Work rehabilitation programs for low back pain lack clear impact theories.
- Understanding program mechanisms is crucial for effective implementation by professionals and managers.
Purpose of the Study:
- To develop the program impact theory for the PREVICAP work rehabilitation program.
- To identify the intended mechanisms of action for return-to-work outcomes.
Main Methods:
- Analysis of program documents and scientific literature.
- Stakeholder consultations through individual and group discussions.
- Review of worker case files to observe program reality.
Main Results:
- The PREVICAP program impact theory is based on an ecological model of work rehabilitation.
- Program goals address worker, work environment, and worker-environment interaction dimensions.
- Two specific action mechanisms were defined to explain intended outcomes.
Conclusions:
- This study explicates the PREVICAP program's impact theory.
- The findings support an ecological approach to managing work disability.
- Rehabilitation practitioners can utilize this theory for improved work disability management.