Return to work: A 6-year follow up with persons living with spinal cord injury

Background: In a previous study early experiences and expectations of RTW after spinal cord injury (SCI) were explored in a group of young adults on sick-leave 1-5 years post injury (Bergmark et al., 2011). The study revealed... [ view full abstract ]

Background: In a previous study early experiences and expectations of RTW after spinal cord injury (SCI) were explored in a group of young adults on sick-leave 1-5 years post injury (Bergmark et al., 2011). The study revealed high expectations but difficulties to pursue choices leading to RTW. The aim of this 6-year follow up was to explore experiences of RTW over time.

Method: Qualitative interviews and observations grounded in a narrative approach were used. Men and women with SCI between 26-41 years of age, and 7-11 years post-injury were included. Qualitative thematic analysis was used to explore the data.

Results: 1-5 years post-injury, participants expressed desire and expectations for RTW, however 6-11 years post-injury RTW was not prioritised. Barriers to RTW included uncertainty in relation to health, economy, and possibilities for meaningful employment.

Conclusion: The impact of a SCI coupled with lack of societal and rehabilitative support results in barriers and challenges in RTW.

Application to Practice: Knowledge of the individual experience is important in evidence-based OT practice. A person-centred intervention for RTW after SCI as an early and integrated part of rehabilitation is needed to avoid long-term sick leave after SCI.

References
BERGMARK, L., WESTGREN, N. & ASABA, E. 2011. Returning to work after spinal cord injury: exploring young adults' early expectations and experience. Disability and Rehabilitation, 33, 2553-2558.

Financial support by Doctoral School in Health Care Sciences - Karolinska Institutet, Norrbacka Eugenia Foundation, and Swedish Occupational Therapy Association is gratefully acknowledged.