TY - JOUR
T1 - Influence of significant others on work participation of individuals with chronic diseases
T2 - a systematic review
AU - Snippen, Nicole C
AU - de Vries, Haitze J
AU - van der Burg-Vermeulen, Sylvia J
AU - Hagedoorn, Mariët
AU - Brouwer, Sandra
N1 - © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
PY - 2019
Y1 - 2019
N2 - Objective It is widely recognised that significant others (SOs), such as a partner, family member or friend, can influence health outcomes of individuals with a chronic disease. However, not much is known about which specific cognitions (ie, illness perceptions and expectation of work ability) and behaviours (eg, emotional and practical support) of SOs influence work participation. Therefore, we aimed to identify cognitions and behaviours of SOs that are related to work participation of individuals with a chronic disease. Design A systematic review and thematic synthesis. Data sources PubMed, Embase, PsycINFO, SocINDEX and Web of Science were searched until 28 March 2017. Eligibility criteria for selecting studies We included studies reporting on cognitions and behaviours of SOs related to work participation in populations with various chronic diseases. Data extraction and synthesis Two independent reviewers extracted the data and performed a quality assessment using the Quality Assessment Tool for Quantitative Studies from the Effective Public Health Practice Project 2007 and a checklist for assessment of qualitative studies derived from the Cochrane Supplemental Handbook Guidance. Evidence was thematically synthesised. Results Out of 5168 articles, 18 were included (15 qualitative and 3 quantitative) of moderate to high quality. Studies were on cancer, chronic pain, brain injuries and mental health disorders. After thematic synthesis 27 factors could be distinguished. Consistent evidence was found that SOs' positive and encouraging attitudes regarding work participation, encouragement and motivating behaviour and open communication with patients are facilitators for work participation. Consistently reported barriers were SOs' positive attitudes towards sickness absence and advise, encouragement or pressure to refrain from work. Conclusions Our findings show that several cognitions and behaviours of SOs can facilitate or hinder work participation of individuals with a chronic disease. Intervening on these factors by involving SOs in disability prevention and return to work intervention strategies may be beneficial. More prognostic studies are needed, as the current evidence is mostly based on qualitative studies.
AB - Objective It is widely recognised that significant others (SOs), such as a partner, family member or friend, can influence health outcomes of individuals with a chronic disease. However, not much is known about which specific cognitions (ie, illness perceptions and expectation of work ability) and behaviours (eg, emotional and practical support) of SOs influence work participation. Therefore, we aimed to identify cognitions and behaviours of SOs that are related to work participation of individuals with a chronic disease. Design A systematic review and thematic synthesis. Data sources PubMed, Embase, PsycINFO, SocINDEX and Web of Science were searched until 28 March 2017. Eligibility criteria for selecting studies We included studies reporting on cognitions and behaviours of SOs related to work participation in populations with various chronic diseases. Data extraction and synthesis Two independent reviewers extracted the data and performed a quality assessment using the Quality Assessment Tool for Quantitative Studies from the Effective Public Health Practice Project 2007 and a checklist for assessment of qualitative studies derived from the Cochrane Supplemental Handbook Guidance. Evidence was thematically synthesised. Results Out of 5168 articles, 18 were included (15 qualitative and 3 quantitative) of moderate to high quality. Studies were on cancer, chronic pain, brain injuries and mental health disorders. After thematic synthesis 27 factors could be distinguished. Consistent evidence was found that SOs' positive and encouraging attitudes regarding work participation, encouragement and motivating behaviour and open communication with patients are facilitators for work participation. Consistently reported barriers were SOs' positive attitudes towards sickness absence and advise, encouragement or pressure to refrain from work. Conclusions Our findings show that several cognitions and behaviours of SOs can facilitate or hinder work participation of individuals with a chronic disease. Intervening on these factors by involving SOs in disability prevention and return to work intervention strategies may be beneficial. More prognostic studies are needed, as the current evidence is mostly based on qualitative studies.
KW - Attitude to Health
KW - Caregivers
KW - Chronic Disease/psychology
KW - Employment/psychology
KW - Family
KW - Humans
KW - Interpersonal Relations
KW - Qualitative Research
KW - Spouses/psychology
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85060391615&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/30670501
U2 - https://doi.org/10.1136/bmjopen-2018-021742
DO - https://doi.org/10.1136/bmjopen-2018-021742
M3 - Review article
C2 - 30670501
SN - 2044-6055
VL - 9
JO - BMJ Open
JF - BMJ Open
IS - 1
M1 - e021742
ER -