Evidence map›Paper›PMID 35393323›Full record

Observational studyBMJ open2022

Enabling work participation for people with musculoskeletal conditions: lessons from work changes imposed by COVID-19: a mixed-method study.

LaKrista Morton, Kevin Stelfox, Marcus Beasley, Gareth T Jones, Gary J Macfarlane, Karen Walker-Bone, Rosemary J Hollick

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 35% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
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

7 authors at 2 institutions in 1 country.

LaKrista MortonEpidemiology Group, University of Aberdeen School of Medicine Medical Sciences and Nutrition, Aberdeen, UK.
Kevin StelfoxEpidemiology Group, University of Aberdeen School of Medicine Medical Sciences and Nutrition, Aberdeen, UK.
Marcus BeasleyEpidemiology Group, University of Aberdeen School of Medicine Medical Sciences and Nutrition, Aberdeen, UK.
Gareth T JonesEpidemiology Group, University of Aberdeen School of Medicine Medical Sciences and Nutrition, Aberdeen, UK.ORCID 0000-0003-0016-7591
Gary J MacfarlaneEpidemiology Group, University of Aberdeen School of Medicine Medical Sciences and Nutrition, Aberdeen, UK.
Karen Walker-BoneMedical Research Council Versus Arthritis Centre for Musculoskeletal Health and Work, University of Southampton, Southampton, UK.ORCID 0000-0002-5992-1459
Rosemary J HollickEpidemiology Group, University of Aberdeen School of Medicine Medical Sciences and Nutrition, Aberdeen, UK rhollick@abdn.ac.uk.ORCID 0000-0001-6558-7189
University of Aberdeen · GBArthritis UK · GB

Funding

Versus Arthritis 20665Versus Arthritis 20748
6 · The paper itself

Abstract

objectivesTo understand what we can learn from the impact of the COVID-19 pandemic and lockdown about what enables work participation for people with inflammatory arthritis and chronic pain conditions.

designQualitative interviews embedded within an observational questionnaire study of individuals with musculoskeletal (MSK) conditions.

settingUK primary care (general practices), and secondary care-based rheumatology services.

participantsIndividuals with axial spondyloarthritis, psoriatic arthritis and MSK pain from three established cohorts completed an online/paper-based questionnaire (July-December 2020). A subset of respondents were selected for semistructured interviews. PRIMARY AND SECONDARY OUTCOME MEASURES: The survey quantified the effects of lockdown on work circumstances. Qualitative interviews explored the impacts of these changes and the advantages and disadvantages of changes in work circumstances.

results491 people (52% female, median age 49 years) who were employed at the time of lockdown responded to the questionnaire. The qualitative analysis included 157 free-text comments on work from the questionnaire and data collected within 18 interviews.Participants reported impacts on mental and physical health, and significant financial anxieties. The impact of work changes varied depending on individual and home circumstances. Some felt forced to ignore advice to shield and continue working. The flexibility offered by home working and changes in commuting enabled greater physical activity for some, while others missed the exercise normally undertaken as part of their commute. Others reported a constant need to be 'present' online, which heightened anxiety and worsened MSK symptoms.

conclusionLockdown showed that flexible working arrangements, which consider the positive and negative aspects of commuting, posture, movement, and work environment matter for work participation, and can have wider benefits in terms of health and well-being for those with long-term MSK conditions. Incorporating these into new models of work will help make the workplace more equitable and inclusive for people with long-term MSK conditions.

Indexed as

COVID-19Musculoskeletal PainAnxietyCommunicable Disease ControlFemaleHumansMaleMiddle AgedPandemicsCOVID-19OCCUPATIONAL & INDUSTRIAL MEDICINEQUALITATIVE RESEARCHRHEUMATOLOGY

Identifiers

PMID35393323
PMCPMC8990257
OpenAlexW4223504588

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.