Implementation of Behavioral Change Strategies for Return to Work

Interventions aimed at reducing pain intensity do not consistently lead to improved work participation. Since work participation is human behaviour, behavioural change interventions are likely more effective. Trials of motivational interviewing and health coaching have found long-term improvements in sustained work participation. Work ability assessment is also an integral part of several effective behavioral change interventions, including graded activity and functional restoration programs. Insight: Behavioural change interventions (including some that integrate workability assessment) appear more effective for promoting work participation than treatments aimed at reducing pain intensity.