ORCID Profile
0000-0002-6018-2235
Current Organisations
University of Southampton
,
AECC University College
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Publisher: Springer Science and Business Media LLC
Date: 04-04-2020
DOI: 10.1186/S40814-020-00588-Z
Abstract: In idual Placement and Support (IPS) is a model of vocational rehabilitation originally developed to help people with severe mental illness obtain and maintain employment. Work disability is common amongst people with chronic pain conditions, yet few effective interventions exist. As part of mixed-methods feasibility research and as a forerunner to a pilot trial (In STEP), we investigated the barriers and facilitators to carrying out a future randomised controlled trial of IPS set in primary care amongst people unemployed with chronic pain. Semi-structured interviews and focus groups were conducted with: unemployed people with health conditions receiving IPS (clients), Employment Support Workers (ESWs) delivering IPS for people with chronic health conditions and primary healthcare professionals. Interviews and focus groups were transcribed verbatim and analysed with field notes using thematic analysis. All stakeholders generally viewed a future trial of IPS positively and deemed both the intervention and treatment as usual acceptable. Themes that emerged regarding potential barriers were recruitment, the importance of recruiting people voluntarily who wanted to return to work and were motivated to do so and giving them agency in the process a need for additional training and support of the ESWs and a risk of over-burdening participants with paperwork. Regarding facilitators however, the themes were offering the intervention early after unemployment, the importance of relationship and continuity with the ESWs and that an employment intervention could bring a range of health benefits. All stakeholders thought that a randomised trial was potentially feasible and highlighted some potential advantages of participation. Study no ISRCTN30094062
Publisher: Springer Science and Business Media LLC
Date: 12-2018
Publisher: Wiley
Date: 06-04-2022
DOI: 10.1002/MSC.1637
Abstract: Pathoanatomical beliefs about the cause of low back pain may negatively influence patients' perceptions of ‘best care’, such as the inclusion of exercise for low back pain (LBP) management. The aims of this study were to explore what patients receiving manual therapy are told and understand about their LBP diagnosis, and how this affects their perceptions regarding the role of exercise in the management of their LBP. An interpretative phenomenological analysis (IPA) study design was utilised using semi‐structured telephone interviews of patients who experience persistent LBP and seek care at an outpatient clinic at the University of South Wales. Ten participants were interviewed for the study (six male). Interviews were transcribed verbatim and analysed using an IPA approach. Three main themes were generated: (1) Constructing explanation of pain . (2) Expectations of exercise within care seeking behaviours . (3) Resolving conflict between exercise and back pain narratives . Participants linked their pain to a pathoanatomical cause, impacting their beliefs on exercise as a treatment approach. Diagnostic models used by clinicians which are grounded within a pathoanatomical framework influence patients' perceptions and rationale for exercise. Exercise prescription using contemporary pain science and biopsychosocial approaches should be emphasised in practice and education.
Publisher: Springer Science and Business Media LLC
Date: 06-02-2018
Publisher: Informa UK Limited
Date: 07-2019
DOI: 10.2147/PROM.S156291
Publisher: Royal College of General Practitioners
Date: 30-06-2020
DOI: 10.3399/BJGPOPEN20X101036
Abstract: In idualised Placement and Support (IPS) is a tailored, client-centred employment intervention for people with chronic health conditions. It involves the integration of vocational advisers within health teams to optimise return-to-work strategies. The intervention aims to get clients into employment by complementing traditional job searching skills with placements, and one-to-one mentoring alongside a work-focused health intervention. To explore the concept of IPS for in iduals with chronic pain. A multi-method qualitative study was designed to explore stakeholder views of IPS for in iduals with chronic pain in southern England. Fourteen semi-structured interviews and three focus groups were conducted with current recipients of IPS (clients), employment support workers (ESWs), and healthcare professionals (HCPs). All data were audio-recorded, transcribed, and analysed using thematic analysis. In total, 11 HCPs, five ESWs, and nine clients participated in the study. The analysis identified four themes. The situations of chronic pain patients were discussed, including their complex needs, multifaceted relationship with work, support from HCPs, and existing programmes that were failing to meet their needs. The intervention input was highlighted, including the recruitment procedures and role of ESWs. Programme activities and outcomes were also identified. This study identified the complex needs and relationship with work of in iduals with chronic pain. It showed that ESWs need to understand the unpredictability of symptoms for in iduals with chronic pain and that clients may need additional support before a placement. The findings highlighted several activities for future IPS interventions and potential outcomes for future evaluation.
Publisher: Springer Science and Business Media LLC
Date: 04-11-2016
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
No related grants have been discovered for Michelle Holmes.