caa a22 4500 606211128 CHVBK 20210128101036.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s10926-015-9578-1 doi (NATIONALLICENCE)springer-10.1007/s10926-015-9578-1 What Challenges Manual Workers' Ability to Cope with Back Pain at Work, and What Influences Their Decision to Call in Sick? [Elektronische Daten] [Pernille Frederiksen, Mette Karsten, Aage Indahl, Tom Bendix] Introduction Although back pain (BP) is a very common cause for sickness absence, most people stay at work during BP episodes. Existing knowledge on the factors influencing the decision to stay at work despite pain is limited. The aim of this study was to explore challenges for coping with BP at work and decisive factors for work attendance among workers with high physical work demands. Methods Three focus groups (n=20) were conducted using an explorative inductive method. Participants were public-employed manual workers with high physical work demands. All had personal BP experience. Thematic analysis was used for interpretation. Results were matched with the Flags system framework to guide future recommendations. Results Workers with BP were challenged by poor physical work conditions and a lack of supervisor support/trust (i.e. lack of adjustment latitude). Organization of workers into teams created close co-worker relationships, which positively affected BP coping. Workers responded to BP by applying helpful individual adjustments to reduce or prevent pain. Traditional ergonomics was considered inconvenient, but nonetheless ideal. When pain was not decisive, the decision to call in sick was mainly governed by workplace factors (i.e. sick absence policies, job strain, and close co-workers relationships) and to a less degree by personal factors. Conclusion Factors influencing BP coping at work and the decision to report sick was mainly governed by factors concerning general working conditions. Creating a flexible and inclusive working environment guided by the senior management and overall work environment regulations seems favourable. Springer Science+Business Media New York, 2015 Back pain nationallicence Workplace nationallicence Sick leave nationallicence Sickness absence nationallicence Social support nationallicence Focus groups nationallicence Frederiksen Pernille Copenhagen Center for Back Research (COPE BACK), Centre for Rheumatology and Spine Diseases, Glostrup University Hospital, Ndr. Ringvej 57, 2600, Glostrup, Denmark aut Karsten Mette Copenhagen Center for Back Research (COPE BACK), Centre for Rheumatology and Spine Diseases, Glostrup University Hospital, Ndr. Ringvej 57, 2600, Glostrup, Denmark aut Indahl Aage Department of Research and Development, Clinic Physical Medicine and Rehabilitation, Vestfold Hospital Trust, Stavern, Norway aut Bendix Tom Copenhagen Center for Back Research (COPE BACK), Centre for Rheumatology and Spine Diseases, Glostrup University Hospital, Ndr. Ringvej 57, 2600, Glostrup, Denmark aut Journal of Occupational Rehabilitation Springer US; http://www.springer-ny.com 25/4(2015-12-01), 707-716 1053-0487 25:4<707 2015 25 10926 https://doi.org/10.1007/s10926-015-9578-1 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/s10926-015-9578-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Frederiksen Pernille Copenhagen Center for Back Research (COPE BACK), Centre for Rheumatology and Spine Diseases, Glostrup University Hospital, Ndr. Ringvej 57, 2600, Glostrup, Denmark aut NATIONALLICENCE 700 1- Karsten Mette Copenhagen Center for Back Research (COPE BACK), Centre for Rheumatology and Spine Diseases, Glostrup University Hospital, Ndr. Ringvej 57, 2600, Glostrup, Denmark aut NATIONALLICENCE 700 1- Indahl Aage Department of Research and Development, Clinic Physical Medicine and Rehabilitation, Vestfold Hospital Trust, Stavern, Norway aut NATIONALLICENCE 700 1- Bendix Tom Copenhagen Center for Back Research (COPE BACK), Centre for Rheumatology and Spine Diseases, Glostrup University Hospital, Ndr. Ringvej 57, 2600, Glostrup, Denmark aut NATIONALLICENCE 773 0- Journal of Occupational Rehabilitation Springer US; http://www.springer-ny.com 25/4(2015-12-01), 707-716 1053-0487 25:4<707 2015 25 10926