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Operationalizing a shared decision making model for work rehabilitation programs: a consensus process.

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This study developed a shared decision making (SDM) model for worker rehabilitation to improve return-to-work decisions. The model operationalizes SDM principles for better understanding and agreement among stakeholders.

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Area of Science:

  • Occupational Health
  • Rehabilitation Medicine
  • Health Services Research

Background:

  • Shared decision making (SDM) enhances patient-provider relationships and decision outcomes.
  • SDM has not been previously applied to worker rehabilitation or return-to-work processes.
  • Integrating SDM may improve understanding and agreement in return-to-work decisions.

Purpose of the Study:

  • To design and operationalize a shared decision making (SDM) rehabilitation model specifically for worker rehabilitation programs.
  • To adapt SDM principles for addressing return-to-work decisions in musculoskeletal injury cases.
  • To enhance communication and consensus among stakeholders involved in return-to-work planning.

Main Methods:

  • A preliminary SDM model was designed for workers with musculoskeletal injuries.
  • Expert health professionals participated in a consensus process using the Technique for Research of Information by Animation of a Group of Experts (TRIAE).
  • The model and expert feedback were iteratively refined through group consensus sessions.

Main Results:

  • Eleven occupational therapists and four psychologists contributed to three consensus sessions.
  • The final model includes one general objective (maintaining alliance and comprehension) and 11 specific objectives across SDM phases.
  • Consensus was reached on 1-8 indicators for each objective, detailing the operationalization of the SDM model.

Conclusions:

  • A shared decision making (SDM) rehabilitation model has been successfully developed and operationalized for return-to-work plans.
  • The model aims to facilitate better return-to-work decisions through collaborative processes.
  • Future research will focus on documenting the model's feasibility with key stakeholders including employers, unions, insurers, and workers.