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Development and implementation of work-related medical rehabilitation in cancer patients using organizational ethnography and action research methodology.
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- Author(s): Schwarz B;Schwarz B; Wienert J; Wienert J; Bethge M; Bethge M
- Source:
International journal of occupational medicine and environmental health [Int J Occup Med Environ Health] 2019 Apr 03; Vol. 32 (2), pp. 217-228. Date of Electronic Publication: 2019 Mar 26.- Publication Type:
Journal Article- Language:
English - Source:
- Additional Information
- Source: Publisher: Nofer Institute of Occupational Medicine Country of Publication: Poland NLM ID: 9437093 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1896-494X (Electronic) Linking ISSN: 12321087 NLM ISO Abbreviation: Int J Occup Med Environ Health Subsets: MEDLINE
- Publication Information: Publication: 2015- : Lodz : Nofer Institute of Occupational Medicine
Original Publication: Lodz : Nofer Institute of Occupational Medicine ; Polish Association of Occupational Medicine, [1994- - Subject Terms:
- Abstract: Objectives: To develop a work-related medical rehabilitation (WMR) program for cancer patients based on the best available evidence, the expertise of rehabilitation professionals and the perspective of the patients, to ensure the fidelity of its implementation and to prepare its subsequent outcome evaluation.
Material and Methods: The implementation study was based on organizational ethnography and action research, and followed a multimethod, participatory and iterative approach to data collection and analysis. The authors carried out observations in 4 rehabilitation centers and conducted focus groups with rehabilitation professionals and patients. The obtained data were subjected to qualitative content analysis. All findings were discussed promptly with the rehabilitation centers at feedback meetings that contributed to the further development of the program.
Results: The following WMR modules were defined based on the findings: additional work-related diagnostics, multi-professional team meetings, an introductory session, work-related functional capacity training, work-related psychological groups and intensified social counseling. Process descriptions for the subsequent evaluation of the program via a cluster-randomized trial were also developed, containing, e.g., instructions for patient information and recruitment.
Conclusions: Implementation studies can help to prepare for valid trials as they facilitate ensuring the feasibility, acceptability and fidelity of program implementation and evaluation. Organizational ethnography and action research are suitable methods for carrying out such studies. Int J Occup Med Environ Health. 2019;32(2):217-28.
(This work is available in Open Access model and licensed under a CC BY-NC 3.0 PL license.) - Contributed Indexing: Keywords: action research; cancer; organizational ethnography; qualitative research; return-to-work; work-related medical rehabilitation
- Publication Date: Date Created: 20190327 Date Completed: 20190521 Latest Revision: 20190521
- Publication Date: 20240105
- Accession Number: 10.13075/ijomeh.1896.01250
- Accession Number: 30912528
- Source:
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