J Occup Med Toxicol. 2015 Feb 27;10:9. doi: 10.1186/s12995-015-0051-z. eCollection 2015.
Development of a self-management intervention for employees with complaints of the arm, neck and/or shoulder (CANS): a focus group study with experts.
Journal of occupational medicine and toxicology (London, England)
Nathan Hutting, Josephine A Engels, J Bart Staal, Yvonne F Heerkens, Maria W G Nijhuis-van der Sanden
Affiliations
Affiliations
- Radboud Institute for Health Sciences, IQ Healthcare, Radboud University Medical Center, Nijmegen, The Netherlands ; Research Group Occupation and Health, HAN University of Applied Sciences, PO Box 6960, Nijmegen, 6503 GL The Netherlands.
- Research Group Occupation and Health, HAN University of Applied Sciences, PO Box 6960, Nijmegen, 6503 GL The Netherlands.
- Radboud Institute for Health Sciences, IQ Healthcare, Radboud University Medical Center, Nijmegen, The Netherlands.
PMID: 25745509
PMCID: PMC4349775 DOI: 10.1186/s12995-015-0051-z
Abstract
BACKGROUND: Many people suffer from complaints of the arm, neck and/or shoulder (CANS). The complaints are persistent and there is a need for intervention programs for those with longstanding CANS. Studies suggest that a behavioural change is needed in employees with CANS. A self-management program with an add-on eHealth module might be an effective option to achieve the behavioural change needed to manage the complaints in employees with CANS. The aim of this study was to determine the content and strategies of the intervention and to gain insight into possible barriers and facilitators for implementation. Therefore, we examined the views of experts on the problems and characteristics associated with employees with CANS as well as their opinion on a self-management program consisting of self-management sessions and an eHealth module.
METHODS: A qualitative study was performed consisting of three focus groups involving a total of 17 experts (with experience with CANS, self-management and/or eHealth interventions). Experts were asked their opinion about the content and requirements of a self-management program for employees with CANS, including an eHealth module. Data were analysed using qualitative data analysis. After coding, the emergent themes were used to organise the data into main categories, expressing the ideas and opinions of experts on CANS, self-management and/or eHealth interventions.
RESULTS: The experts pointed out that the intervention should focus on increasing employees' self-efficacy and empowerment, and address topics related to the possible risk factors for CANS, symptoms, work environment, social environment and personal factors. The eHealth module should be self-explanatory and attractive, and the information provided should be brief, clear and concise.
CONCLUSIONS: Experts appeared to see a role for a self-management program for employees with CANS. They indicated that the combination of group sessions and eHealth can work well. Experts provided valuable information with regard to the content of the self-management intervention and the design of the eHealth module.
Keywords: CANS; Complaints of the arm; Focus group; Neck and/or shoulder; Self-management; WRUED; Work-related upper extremity disorders
References
- Health Educ Behav. 1998 Oct;25(5):545-63 - PubMed
- J Clin Epidemiol. 2010 Dec;63(12):1370-9 - PubMed
- Pain Manag Nurs. 2014 Mar;15(1):258-64 - PubMed
- J Occup Rehabil. 2014 Mar;24(1):52-67 - PubMed
- Occup Environ Med. 2003 Sep;60(9):649-54 - PubMed
- BMC Public Health. 2010 Jun 21;10:353 - PubMed
- Lancet. 2007 May 26;369(9575):1815-22 - PubMed
- Qual Life Res. 2013 Sep;22(7):1805-16 - PubMed
- Am J Ind Med. 2011 Oct;54(10):780-90 - PubMed
- Am J Ind Med. 2002 May;41(5):315-42 - PubMed
- Am J Prev Med. 2007 May;32(5 Suppl):S75-82 - PubMed
- Clin J Pain. 2008 Mar-Apr;24(3):253-9 - PubMed
- J Hand Surg Am. 2009 Apr;34(4):724-31 - PubMed
- J Occup Rehabil. 2006 Sep;16(3):279-302 - PubMed
- Clin J Pain. 2012 May;28(4):344-54 - PubMed
- Work. 2010;37(4):425-32 - PubMed
- Pain. 2005 Mar;114(1-2):47-53 - PubMed
- BMJ. 2000 Sep 16;321(7262):676-9 - PubMed
- Scand J Work Environ Health. 1994 Dec;20(6):417-26 - PubMed
- J Occup Environ Med. 2005 Apr;47(4):352-61 - PubMed
- Scand J Work Environ Health. 2009 Jul;35(4):301-8 - PubMed
- Int J Med Inform. 2013 Aug;82(8):637-52 - PubMed
- Int Arch Occup Environ Health. 2014 Jan;87(1):73-83 - PubMed
- Scand J Work Environ Health. 2003 Apr;29(2):134-42 - PubMed
- Occup Med (Lond). 2005 May;55(3):168-76 - PubMed
- JAMA. 2003 Jun 11;289(22):2963-9 - PubMed
- Lancet. 2004 Oct 23-29;364(9444):1523-37 - PubMed
- Man Ther. 2013 Aug;18(4):274-80 - PubMed
- J Med Internet Res. 2005 Mar 31;7(1):e11 - PubMed
- J Med Internet Res. 2012 Oct 19;14(5):e124 - PubMed
- BMJ. 2001 May 5;322(7294):1115-7 - PubMed
- Int Arch Occup Environ Health. 2006 Aug;79(7):585-92 - PubMed
- J Occup Rehabil. 2006 Sep;16(3):401-9 - PubMed
- Best Pract Res Clin Rheumatol. 2007 Feb;21(1):123-33 - PubMed
- Cancer Epidemiol Biomarkers Prev. 2006 Jul;15(7):1360-6 - PubMed
- Am J Ind Med. 2002 Apr;41(4):236-49 - PubMed
- Patient Educ Couns. 2011 Dec;85(3):e299-310 - PubMed
- J Occup Rehabil. 2008 Mar;18(1):87-101 - PubMed
- Man Ther. 2010 Oct;15(5):476-81 - PubMed
- BMC Musculoskelet Disord. 2006 Jan 31;7:7 - PubMed
- J Occup Med. 1993 Nov;35(11):1123-30 - PubMed
- BMC Musculoskelet Disord. 2014 Apr 29;15:141 - PubMed
- Health Informatics J. 2009 Jun;15(2):122-46 - PubMed
- Arthritis Rheum. 1993 Apr;36(4):439-46 - PubMed
- J Med Internet Res. 2013 Feb 20;15(2):e37 - PubMed
- J Occup Rehabil. 2008 Sep;18(3):262-6 - PubMed
- Pain. 2007 Nov;132(1-2):142-53 - PubMed
- Scand J Work Environ Health. 2010 Jan;36(1):25-33 - PubMed
- Arch Phys Med Rehabil. 2010 Jun;91(6):862-7 - PubMed
- Occup Med (Lond). 2004 Mar;54(2):122-7 - PubMed
- Rheumatology (Oxford). 2007 Jan;46(1):169-76 - PubMed
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