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Motivating factors for return to work

G Gard¹, A C Sandberg

¹Department of Physical Therapy, Lund University, Sweden.

Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy

|July 2, 1998

Summary

Patients with chronic musculoskeletal pain found that meaningful work, supportive relationships, and self-confidence were key motivators for returning to work after rehabilitation.

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Area of Science:

Rehabilitation Medicine
Occupational Health
Psychology

Background:

Chronic musculoskeletal pain often leads to prolonged sick leave, impacting individuals and healthcare systems.
A novel rehabilitation program in Sweden combined on-the-job training with intensive rehabilitation to facilitate return to work.
The program focused on pain reduction, problem-solving in work/life situations, and functional capacity building.

Purpose of the Study:

To explore patients' perceptions of motivating factors influencing their return to work.
To understand the patient experience within a structured return-to-work rehabilitation program.

Main Methods:

A phenomenological research approach was employed.
Data were collected through interviews with ten patients (aged 30-54) experiencing chronic musculoskeletal pain and extended sick leave.
Structural analysis of interview data was used to identify key themes.

Main Results:

Structural factors, particularly the division of labor and performing work comparably to colleagues, were significant motivators.
Meaningful work, social relationships (colleague cooperation, client service), and self-confidence emerged as crucial.
Everyday responsibilities, feedback, and support enhanced self-confidence and motivation.

Conclusions:

Return to work is influenced by a combination of work structure, task content, interpersonal relationships, and individual self-confidence.
The study highlights the importance of a holistic approach in rehabilitation programs for chronic pain patients.
Self-confidence, fostered by meaningful tasks and support, is a critical, previously underestimated, factor.

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