ArticleJournal of occupational rehabilitation2026
Supporting Work Participation in Rheumatic and Musculoskeletal Disorders: Outcomes from Work-Able Solutions a Multisite Work-Focused Occupational Therapy Intervention.
Article in Journal of occupational rehabilitation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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9 authors.
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Abstract
purposeTo describe the implementation and outcomes of Work-Able Solutions a multisite, early access, work-focused occupational therapy intervention, adopting a transdiagnostic approach to support job retention, return to work, and work role functioning.
methodsWorking-age adults with rheumatic and musculoskeletal disorders (RMDs), employed or receiving illness benefits ≤ 6 months, and reporting work difficulties were recruited across three sites. Participants received a 2 h assessment followed by individualised occupational therapy sessions, delivered face-to-face, virtually, or at the workplace. Interventions were guided by the Person-Environment-Occupation-Performance framework, incorporating biopsychosocial and person-centred strategies for symptom management, overcoming workplace barriers, self-advocacy, reasonable accommodations, and return-to-work planning. Primary outcomes were work status and illness benefit; secondary outcomes included work role functioning, future work ability, perceived job loss risk, quality of life, and symptom burden. Outcomes were collected pre-post-intervention and three-month follow-up. Non-parametric analyses included McNemar, Friedman, and Wilcoxon signed-rank tests.
results283 participants were recruited (mean age 47.9 ± 11.7 years, 72% female); 195 completed three-month follow-up. Work status improved post-intervention (p < 0.001) and was sustained at follow-up (p = 0.003). Illness benefit usage declined (p < 0.001). Work role functioning, quality of life, coping, and symptom measures (pain, fatigue, disability) improved post-intervention and at three months (all p < 0.001). Future work concerns and perceived likelihood of job loss due to RMD decreased (p < 0.001).
conclusionEarly individualised work-focused occupational therapy supports adults with RMDs to maintain employment, enhance role functioning, improve quality of life, and symptoms, indicating real-world effectiveness for job retention and return to work.
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