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Long-term effect in ADL after an interdisciplinary rehabilitation programme for WAD patients: A mixed-method study for deeper understanding of participants' programme experiences
Department Occupational Therapy, Rehabilitation Clinic, Södra Älvsborgs Hospital, Borås, Sweden; Department of Clinical Neuroscience and Rehabilitation, University of Gothenburg, Institute of Neuroscience and Physiology/Occupational Therapy, Gothenburg, Sweden.ORCID iD: 0000-0002-2036-3613
2014 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 36, no 12, p. 1006-1013Article in journal (Refereed) Published
Sustainable development
Sustainable Development
Abstract [en]

Purpose: To evaluate long-term effects in self-perceived occupational performance and satisfaction in Activities of Daily Living (ADL) for patients with Whiplash Associated Disorders (WAD) with chronic pain in an interdisciplinary rehabilitation programme, and investigate patients' opinions of programme effects. Method: A mixed-method with sequential explanatory design was used. Fifty-three patients with WAD were followed-up 12 months after discharge. The Canadian Occupational Performance Measure was used to evaluate the change in ADL and the Multidimensional Pain Inventory for psychosocial functioning. Telephone interviews, based on five structured questions about the perceived impact of the rehabilitation programme, were made. Results: The 12-month follow-up showed significant ADL improvement (p<0.001). There was less interference in daily activities due to pain (p<0.01), and life control increased. More people were back to work. Interviews revealed the programme's environment as strengthening and safe, and participants felt they were met with respect. Key success factors were to be treated with respect to being part of the social context and to obtain new knowledge. Conclusions: The interdisciplinary rehabilitation programme had initiated a process of change towards a more active life for the participants. They had found a new way of managing their lives. Despite the absence of pain reduction, they managed ADL in a better way, had more life control and returned to work to a higher degree.Implications for RehabilitationChronic pain after WAD effects the entire life for many people.Long-term effects on activities of daily living, life control and work ability have shown positive results after an interdisciplinary rehabilitation programme based on behavioural and cognitive principles.The key success factors were to be treated with respect to being a part of a social context and to obtain new knowledge. 

Place, publisher, year, edition, pages
Taylor & Francis, 2014. Vol. 36, no 12, p. 1006-1013
Keywords [en]
Chronic, Life control, Self-efficacy, Whiplash associated disorder, adolescent, adult, daily life activity, female, human, interview, male, middle aged, pain measurement, physiotherapy, questionnaire, Sweden, treatment outcome, Whiplash Injuries, Activities of Daily Living, Humans, Interviews as Topic, Physical Therapy Modalities, Questionnaires
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:hj:diva-54452DOI: 10.3109/09638288.2013.825651ISI: 000337028400006PubMedID: 23962189Scopus ID: 2-s2.0-84902130616OAI: oai:DiVA.org:hj-54452DiVA, id: diva2:1590201
Available from: 2021-09-02 Created: 2021-09-02 Last updated: 2025-02-11Bibliographically approved

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