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``It was really nice to have someone'' - Lay people with musculoskeletal disorders request supportive relationships in rehabilitation

Division of Social Medicine and Public Health Science, Department of Health and Environment, Faculty of Health Sciences, Linköping, Sweden, gunla{at}ihm.liu.se

Elisabet Cedersund

Division of Social Medicine and Public Health Science, Department of Health and Environment, Faculty of Health Sciences, Linköping, Sweden

Kristina Alexanderson

Division of Social Medicine and Public Health Science, Department of Health and Environment, Faculty of Health Sciences, Linköping, Sweden

Gunnel Hensing

Division of Social Medicine and Public Health Science, Department of Health and Environment, Faculty of Health Sciences, Linköping, Sweden

Aims: To explore the lay person's perspective on the rehabilitation process. Methods: A total of 20 interviews were conducted with women and men who had recent or more distant experience of sickness absence with musculoskeletal diagnoses. Grounded theory was used, which includes an inductive approach and theoretical sampling. The interviews focused on the individuals' own stories and experiences of factors that promoted or hindered the rehabilitation process. Results : The interviewees emphasized how and by whom they had been treated rather than what type of rehabilitation programmes they had attended. They focused on the importance of supportive relationships from the private, occupational, and health care arenas. The relationship with rehabilitation agents (professionals who implemented rehabilitation) was described as having either supportive or non-supportive qualities. Based on the interviewees' descriptions, a model was developed on the socioemotional qualities of the rehabilitation agent. The most promoting factor in the rehabilitation process was to have a professional mentor that is a rehabilitation agent who combines a supportive approach with individually chosen rehabilitation measures and goals. Conclusions: The lay person's perspective gave additional knowledge regarding rehabilitation and recovery from musculoskeletal disorders. The socioemotional qualities of the rehabilitation agents were emphasized by the interviewees and a model regarding these qualities was developed. This model needs to be tested further. A clinical implication of the present study is the need for rehabilitation agents to develop their communication skills further.

Key Words: lay experiences • neck • qualitative interviews • rehabilitation • shoulder and low back pain.

Scandinavian Journal of Public Health, Vol. 29, No. 4, 285-291 (2001)
DOI: 10.1177/14034948010290041401


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