caa a22 4500 606210733 CHVBK 20210128101034.0 cr unu---uuuuu 210128e20150301xx s 000 0 eng 10.1007/s10926-014-9532-7 doi (NATIONALLICENCE)springer-10.1007/s10926-014-9532-7 Operationalizing a Shared Decision Making Model for Work Rehabilitation Programs: A Consensus Process [Elektronische Daten] [Marie-France Coutu, France Légaré, Marie-José Durand, Marc Corbière, Dawn Stacey, Lesley Bainbridge, Marie-Elise Labrecque] Purpose The objective of this study was to design and operationalize shared decision making (SDM) rehabilitation model for worker rehabilitation programs. SDM has previously been shown to improve decision outcomes in patient-health care professional relationships. To date, SDM has not yet been adapted to work rehabilitation, although it could be a valuable approach to better understand and agree on return-to-work decisions. Methods We designed a preliminary model for return-to-work decisions for workers suffering from pain due to musculoskeletal injuries. We submitted the preliminary model and a questionnaire to expert health care professionals. Using the Technique for Research of Information by Animation of a Group of Experts method, a group consensus process was used to discuss and refine the experts' responses to operationalize a model adapted for rehabilitation. Results Eleven occupational therapists (three were clinical coordinators) and four psychologists participated in three group consensus sessions. The final version of the model included one general longitudinal objective (the maintenance of a working alliance and assuring mutual comprehension among all stakeholders), and 11 specific objectives: establishing a working alliance, seven in the deliberation phase of the SDM process, and three in the implementation of the decision. Participants also reached consensus on between 1 and 8 indicators per objective. Conclusion We developed and operationalized an SDM rehabilitation model intended for a return-to-work implementation plan. The next step will be to document its feasibility among the main stakeholders (employer, union, insurer and worker) taking part in decisions about return to work. Springer Science+Business Media New York, 2014 Rehabilitation nationallicence Shared decision making nationallicence Work nationallicence Injuries nationallicence People with disabilities nationallicence Chronic pain nationallicence Consensus nationallicence Process theory nationallicence Coutu Marie-France Research Center - Hôpital Charles-Le Moyne, Université de Sherbrooke, 150, Place Charles LeMoyne, J4K 0A8, Longueuil, QC, Canada aut Légaré France Research Center of Centre Hospitalier Universitaire de Québec, Hospital St-François d'Assise, Quebec, Canada aut Durand Marie-José Research Center - Hôpital Charles-Le Moyne, Université de Sherbrooke, 150, Place Charles LeMoyne, J4K 0A8, Longueuil, QC, Canada aut Corbière Marc Research Center - Hôpital Charles-Le Moyne, Université de Sherbrooke, 150, Place Charles LeMoyne, J4K 0A8, Longueuil, QC, Canada aut Stacey Dawn Faculty of Health Sciences, School of Nursing, University of Ottawa, Ottawa, Canada aut Bainbridge Lesley University of British Colombia, Vancouver, Canada aut Labrecque Marie-Elise Research Center - Hôpital Charles-Le Moyne, Université de Sherbrooke, 150, Place Charles LeMoyne, J4K 0A8, Longueuil, QC, Canada aut Journal of Occupational Rehabilitation Springer US; http://www.springer-ny.com 25/1(2015-03-01), 141-152 1053-0487 25:1<141 2015 25 10926 https://doi.org/10.1007/s10926-014-9532-7 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10926-014-9532-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Coutu Marie-France Research Center - Hôpital Charles-Le Moyne, Université de Sherbrooke, 150, Place Charles LeMoyne, J4K 0A8, Longueuil, QC, Canada aut NATIONALLICENCE 700 1- Légaré France Research Center of Centre Hospitalier Universitaire de Québec, Hospital St-François d'Assise, Quebec, Canada aut NATIONALLICENCE 700 1- Durand Marie-José Research Center - Hôpital Charles-Le Moyne, Université de Sherbrooke, 150, Place Charles LeMoyne, J4K 0A8, Longueuil, QC, Canada aut NATIONALLICENCE 700 1- Corbière Marc Research Center - Hôpital Charles-Le Moyne, Université de Sherbrooke, 150, Place Charles LeMoyne, J4K 0A8, Longueuil, QC, Canada aut NATIONALLICENCE 700 1- Stacey Dawn Faculty of Health Sciences, School of Nursing, University of Ottawa, Ottawa, Canada aut NATIONALLICENCE 700 1- Bainbridge Lesley University of British Colombia, Vancouver, Canada aut NATIONALLICENCE 700 1- Labrecque Marie-Elise Research Center - Hôpital Charles-Le Moyne, Université de Sherbrooke, 150, Place Charles LeMoyne, J4K 0A8, Longueuil, QC, Canada aut NATIONALLICENCE 773 0- Journal of Occupational Rehabilitation Springer US; http://www.springer-ny.com 25/1(2015-03-01), 141-152 1053-0487 25:1<141 2015 25 10926