Appendix 4.D – Components of Effective Interventions for a CMD

Table D.1: Multi-component interventions encompassing two of the three target domains for healthy and sustainable RTW **

Domain 1: Health Domain 2: Service Coordination
D.1.1 Programs integrating multidisciplinary/interdisciplinary rehabilitation interventions
  • Physical activity/exercise? 🕇
  • Psychological interventions
  • Educational interventions
  • Organizational interventions

🕇 This intervention used alone is not effective for a healthy and durable RTW

** For a given intervention domain (1. Health; 2. Service Coordination; 3. Work modifications), this table may suggest several components. Determine the most appropriate components based on the worker’s assessment and your organization’s context (resources, etc.). Remember that the optimal combination of components, allowing for the best effects, remains unknown. It is the combination of components across at least 2 intervention domains that remains the most important principle to follow (Cullen et al, 2018).

Table D.2 Health intervention **.

Domain 1: Health
D.2.1 Programs incorporating physical activity/exercise
  • Promotion of physical activity
D.2.2 Cognitive therapies (cognitive behavioral therapy, behavioral treatment)
  • Problem identification and resolution
  • Early interventions
  • Brief therapies (up to eight weeks)
  • In-vivo exposure therapy (immersion)

Note: Although it is recommended that interventions be developed that include at least two out of three domains (Cullen et al., 2018), the two cases listed here were shown to be effective.

** For a given intervention domain (1. Health; 2. Service Coordination; 3. Work modifications), this table may suggest several components. Determine the most appropriate components based on the worker’s assessment and your organization’s context (resources, etc.). Remember that the optimal combination of components, allowing for the best effects, remains unknown. It is the combination of components across at least 2 intervention domains that remains the most important principle to follow (Cullen et al, 2018).

Table D.3 Coordination Intervention***.

Domain 2: Service Coordination
D.3.1 Organizational interventions coupled with training interventions
  • Decision making and problem solving
  • Support and feedback
  • Communication skills

Note: Although it is recommended that interventions be developed that include at least two out of three domains (Cullen et al., 2018), the case listed here was shown to be effective.

** For a given intervention domain (1. Health; 2. Service Coordination; 3. Work modifications), this table may suggest several components. Determine the most appropriate components based on the worker’s assessment and your organization’s context (resources, etc.). Remember that the optimal combination of components, allowing for the best effects, remains unknown. It is the combination of components across at least 2 intervention domains that remains the most important principle to follow (Cullen et al, 2018).

Référence :

Cullen, K. L., Irvin, E., Collie, A., Clay, F., Gensby, U., Jennings, P. A., . . . Amick, B. C. (2018). Effectiveness of workplace interventions in return-to-work for musculoskeletal, pain-related and mental health conditions: An update of the evidence and messages for practitioners. Journal of Occupational Rehabilitation, 28(1), 1-15. doi: 10.1007/s10926-016-9690-x