چکیده (انگلیسی):

Background:The working relationship between client and therapist can be important to enhance outcomes from
vocational rehabilitation for women withstress-related disorders in primary health care. The aim was to investigate the
workingrelationship,asperceivedbyclientsandtherapists in the Redesigning Daily Occupations (ReDO™)program,and
its relationships to return to work and satisfaction with the rehabilitation. Another aim was to compare the ReDO™group
and a“care-as-usual”(CAU) group regarding perceptions of the working relationship with the social insurance officer.
Method:Forty-two ReDO™clients and 42 matched controls receivingCAU participated. The study included four
measurements (baseline, after 16 weeksrehabilitation and follow-ups after 6 and 12 months). 37 + 37 clients completed.
Return to work data was obtained from the Social Insurance Offices (SIO), and the working relationship and client
satisfaction were assessed by self-report questionnaires.
Results:The clients rated the working relationship higher than the therapists (mean rating 101.1 vs. 93.9;
p < 0.001). The therapists’ rating showed a statistically significant association with return to work at the 12-month
follow-up, and the clients’ perceptions were statistically significantly related to how they rated satisfaction with
the rehabilitation received. The ReDO™and the CAU groups did not differ regarding how they rated the
relationship with the SIO officer (mean ratings 83.9 vs. 77; p = 0.189). The working relationship with the SIO officer
wasnotrelatedtoreturntowork,butanassociation(rs= 0.70, p < 0.001) to client satisfaction at 16 weeks
appeared in the CAU group alone.
Conclusion:The working relationship as perceived by clients and therapists seemed to be partly separate
phenomena, the client perceptions being linked with satisfaction with the rehabilitation and the therapist
perceptions with the clients’ return to work. The relationship to the SIO officers was of no importance to return
to work but was of some significance for satisfaction with the rehabilitation among the CAU clients. Therapists
should strive to improve the relationship with clients to whom they feel the relationship is fragile since that
might enhance the chances for those clients to return to work.
Trial registration:Registered at ClinicalTrials.gov (identifier NCT01234961) 2 November 2010.