Evidence map›Paper›PMID 34727896›Full record

ArticleBMC musculoskeletal disorders2021

Therapists' experiences and needs with regard to providing work-focused care: a focus group study.

Wiebke Oswald, Inez Ummels, Tamara Raaijmakers, Paul Baart, J Bart Staal, Hendrik J Bieleman, Maria W G Nijhuis-van der Sanden, Yvonne F Heerkens, Nathan Hutting

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Collaboration between occupational health services and other health care: a scoping review.Journal of occupational medicine and toxicology (London, England) · 2025
    Review
  3. Article
  4. Article
  5. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Wiebke OswaldSchool of Organisation and Development, HAN University of Applied Sciences, Research Group Occupation & Health, P.O. Box 6960, 6503 GL, Nijmegen, The Netherlands.
Inez UmmelsSchool of Organisation and Development, HAN University of Applied Sciences, Research Group Occupation & Health, P.O. Box 6960, 6503 GL, Nijmegen, The Netherlands.
Tamara RaaijmakersCentre Work Health, Amersfoort, The Netherlands.
Paul BaartCentre Work Health, Amersfoort, The Netherlands.
J Bart StaalSchool for Allied Health, HAN University of Applied Sciences, Key Factors in Physiotherapy and Allied Health Research Group, Nijmegen, the Netherlands.
Hendrik J BielemanSaxion University of Applied Sciences, Research Group Health and Physical Activity, Enschede, The Netherlands.
Maria W G Nijhuis-van der SandenRadboud Institute for Health Sciences, Radboud University Medical Centre, IQ Healthcare, Nijmegen, the Netherlands.
Yvonne F HeerkensSchool of Organisation and Development, HAN University of Applied Sciences, Research Group Occupation & Health, P.O. Box 6960, 6503 GL, Nijmegen, The Netherlands.
Nathan HuttingSchool of Organisation and Development, HAN University of Applied Sciences, Research Group Occupation & Health, P.O. Box 6960, 6503 GL, Nijmegen, The Netherlands. Nathan.Hutting@han.nl.
HAN University of Applied Sciences · NLRadboud University Nijmegen · NLSaxion University of Applied Sciences · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMusculoskeletal disorders (MSDs) can create a temporary or permanent disability that reduce a person's ability to work. Physiotherapists (PTs), occupational therapists (OTs) and exercise therapists (ETs) are often involved in the early management of MSDs. There is a need for additional insights into therapists' experiences, barriers and needs to work-focused care. Moreover, there is no evidence on how OTs and ETs address work participation. Therefore, the aim of this qualitative study was 1) to investigate how generalist PTs, OTs and ETs provide work-focused healthcare and 2) to obtain insight into their perceived barriers and needs that affect their ability to address occupational factors.

methodsAn exploratory qualitative study using three focus groups. Generalist PTs, OTs and ETs were eligible to participate if they treated working patients with MSDs. A semi-structured interview guide with open-ended questions was developed. Two moderators facilitated each focus group using the interview guide, and all the groups were audio recorded. Data were analysed using inductive thematic analysis.

resultsSixteen therapists (mean age 44 years, range 25-59) participated in this study. Participants were aware of the importance of taking occupational factors into account. Whether they address occupational factors is largely dependent on the patient's request for help. However, ETs and OTs consider it normal to ask about occupational factors during the diagnostic process, while PTs often address this in later consultations. Almost all participants were unaware of the existence of PTs, OTs or ETs who are specialised in occupational health. Moreover, almost all participants struggled with when to refer a patient to other (occupational) healthcare professionals. This study identified several needs of therapists. These included knowledge about laws and legislation and skills for identifying and addressing work-related or work-relevant complaints.

conclusionsParticipants in this qualitative study were aware of the importance of taking occupational factors into account. However, how PTs, OTs and ETs address work participation and the extent to which they do so can be improved. There was a lack of knowledge about and cooperation with occupational health professionals, including PTs, OTs or ETs specialised in occupational health.

Indexed as

Occupational TherapyPhysical TherapistsAdultAllied Health PersonnelFocus GroupsHumansMiddle AgedOccupational TherapistsQualitative ResearchExercise therapyMusculoskeletal disordersOccupational therapyPhysiotherapyWork-focused healthcareWork participation

Identifiers

PMID34727896
PMCPMC8565033
OpenAlexW3211200100

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.