The PREVSAM model, “prevention of sickness absence through early identification and rehabilitation of at-risk patients with musculoskeletal disorders”, is seen as beneficial for patients risking persistent musculoskeletal disorders but may be difficult to implement – a focus group study
Creators: name: Ekhammar, Annika
name: Larsson, Maria E. H.
name: Bernhardsson, Susanne
name: Holmgren, Kristina
Publisher: name: Taylor & Francis
Year: 2024
Subjects: Medicine
Biotechnology
Environmental Sciences not elsewhere classified
Biological Sciences not elsewhere classified
Science Policy
Mental Health

description: The rehabilitation model “Prevention of sickness absence through early identification and rehabilitation of at-risk patients with musculoskeletal disorders” (PREVSAM) was tested in a randomised controlled trial. This study aimed to explore participating healthcare professionals’ experiences of working according to the PREVSAM model, and their perceptions of its clinical benefit and feasibility in primary care rehabilitation. A focus group study including 12 healthcare professionals from five primary care rehabilitation clinics was analysed according to the focus group methodology described by Krueger and Casey. Four themes were identified. <i>A clear framework</i> describes how PREVSAM facilitates person-centred teamwork. <i>The value of teamwork</i> highlights benefits and challenges with teamwork. <i>Through thick and thin</i> discusses perceived patient benefits. <i>In the ideal world</i> focusses on feasibility of implementing the model. The participants experienced that the PREVSAM model may be beneficial for the patients, for their own work situation and workplace, and for society. Identifying psychological risk factors was perceived as helpful, but not enough to capture patients in need of team-based rehabilitation. While considered feasible, barriers for implementing the model were identified. Managers and healthcare policy makers must prioritise and create appropriate conditions for team-based musculoskeletal rehabilitation in primary care. Rehabilitation of musculoskeletal disorders is common in primary care and rehabilitation models to identify patients at risk and prevent persistent pain and sickness absence are needed.Working according to the PREVSAM model, ‘Prevention of sickness absence through early identification and rehabilitation of at-risk patients with musculoskeletal disorders’, with a person-centred approach to assess the patients’ needs, motivation, and resources for team-based interventions were considered beneficial for the target group of patients.The PREVSAM model may contribute to increased job satisfaction and reduce the team members’ workload.The PREVSAM model requires managers at all levels, as well as healthcare policy makers, to prioritise team-based rehabilitation. Rehabilitation of musculoskeletal disorders is common in primary care and rehabilitation models to identify patients at risk and prevent persistent pain and sickness absence are needed. Working according to the PREVSAM model, ‘Prevention of sickness absence through early identification and rehabilitation of at-risk patients with musculoskeletal disorders’, with a person-centred approach to assess the patients’ needs, motivation, and resources for team-based interventions were considered beneficial for the target group of patients. The PREVSAM model may contribute to increased job satisfaction and reduce the team members’ workload. The PREVSAM model requires managers at all levels, as well as healthcare policy makers, to prioritise team-based rehabilitation.