Optimizing a physiotherapist-led vocational intervention for people with rheumatoid arthritis or axial spondyloarthritis. A qualitative evaluation from a patient's perspective.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος:	Optimizing a physiotherapist-led vocational intervention for people with rheumatoid arthritis or axial spondyloarthritis. A qualitative evaluation from a patient's perspective.
Συγγραφείς:	Voorneveld MSE; Department of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, Leiden, the Netherlands., Bakker NF; Department of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, Leiden, the Netherlands., Vliet Vlieland TPM; Department of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, Leiden, the Netherlands., Hutting N; Research Group Occupation and Health, HAN University of Applied Sciences, Nijmegen, The Netherlands., Knoop J; Musculoskeletal Rehabilitation Research Group, HAN University of Applied Sciences, Nijmegen, The Netherlands., van Weely SFE; Department of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, Leiden, the Netherlands.; Institute of Allied Health Professions, HU University of Applied Sciences, Utrecht, The Netherlands.
Πηγή:	Disability and rehabilitation [Disabil Rehabil] 2026 Jul; Vol. 48 (15), pp. 4934-4948. Date of Electronic Publication: 2026 Jan 04.
Τύπος έκδοσης:	Journal Article; Randomized Controlled Trial
Γλώσσα:	English
Στοιχεία περιοδικού:	Publisher: Taylor & Francis Country of Publication: England NLM ID: 9207179 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1464-5165 (Electronic) Linking ISSN: 09638288 NLM ISO Abbreviation: Disabil Rehabil Subsets: MEDLINE
Imprint Name(s):	Publication: 2015- : Abingdon, Oxford : Taylor & Francis Original Publication: London ; Washington, DC : Taylor & Francis, c1992-
Ιατρικοί όροι (MeSH):	Arthritis, Rheumatoid/rehabilitation , Rehabilitation, Vocational/methods , Axial Spondyloarthritis/rehabilitation , Physical Therapists, Humans ; Female ; Male ; Adult ; Middle Aged ; Qualitative Research ; Interviews as Topic ; Physical Therapy Modalities
Περίληψη:	Purpose: Rheumatoid arthritis (RA) and axial spondyloarthritis (axSpA) are chronic inflammatory diseases that often lead to reduced work ability. This study explored participants' perspectives on their experiences with a physiotherapist (PT)-led, vocational intervention to improve work ability. Material and Methods: A qualitative process evaluation, integrated into the Physiotherapy WORKs randomized controlled trial, compared a PT-led vocational intervention to usual care in people with RA or axSpA and reduced work ability. Semi-structured interviews with 10 participants were conducted using a standardized interview guide, recorded, transcribed verbatim, and analyzed using thematic analysis. Results: Three themes emerged. First, perceived effects included a) enhanced awareness or symptoms and balance between capacity and load; b) improved self-management and c) better physical functioning. Second, facilitators included a) personalized approach, b) trust in physiotherapists' expertise, c) comprehensive, work focused content and d) optionality of treatment modalities. Third, a mismatch was perceived between intervention and the participants' perceived severity of work-related limitations. Conclusion: Employed people with RA or axSpA valued the intervention's personalized approach and the professional expertise of the PT. However, better alignment between the intervention and severity of work-related limitations is needed. These findings offer valuable insights for improving the content and implementation of vocational interventions.
Contributed Indexing:	Keywords: RMD; arthritis; occupational health; physical therapy; qualitive research; rehabilitation Local Abstract: [plain-language-summary] Rheumatoid arthritis (RA) and axial spondyloarthritis (axSpA) are chronic inflammatory diseases that often lead to reduced work ability.Employed people with inflammatory arthritis who participated in a physiotherapist-led vocational intervention generally perceived it as a valuable treatment.The comprehensive and personalized approach and the specific expertise of the physical therapist were seen as main strengths and worthwhile to consider in future vocational interventions.
Entry Date(s):	Date Created: 20260104 Date Completed: 20260711 Latest Revision: 20260711
Update Code:	20260712
DOI:	10.1080/09638288.2025.2610469
PMID:	41485204
Βάση Δεδομένων:	MEDLINE

Περιγραφή
ISSN:	1464-5165
DOI:	10.1080/09638288.2025.2610469