Resilience and Return to Work among Individuals with Chronic Illness: A Mixed-Methods Study Protocol
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Abstract
Introduction: Chronic illnesses, including cardiovascular diseases, kidney failure, diabetes mellitus, hypertension, and cancer are long-term medical conditions necessitating continuous medical management. The impacts of chronic illnesses on the workforce are detrimental particularly in manual labour jobs. High sick leave, productivity loss, and early retirement are among the most common repercussions of chronic illnesses that affect job retention. To remain in the workforce, individuals need to be resilient in navigating health challenges. Hence, the associated factors influencing resilience must be thoroughly examined. Methods: This study will employ a mixed-methods approach, incorporating both quantitative and qualitative studies in two phases. Phase I will involve a cross-sectional study of 400 individuals with chronic illnesses. Several sets of validated questionnaires will be used to examine the level of resilience and the associated factors. The data will be analysed using the Statistical Package for the Social Sciences (SPSS). In Phase II, focus group discussions involving 40 individuals with chronic illnesses will be employed to elucidate the extent to which the illnesses influence resilience and to explore any additional factors contributing to resilience to return to work. Open-ended questions will be used to collect the qualitative data. The data will then be analysed using a thematic approach. Discussion: With the increasing prevalence of chronic illnesses, factors that contribute to resilience should be identified in order to inform future strategies or to promote initiatives to support individuals with chronic illnesses in returning to the workforce.
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Hacker K. The burden of chronic disease. Mayo Clinic Proceedings: Innovations, Quality & Outcomes. 2024;8(1):112-9. doi:10.1016/j.mayocpiqo.2023.08.005.
Maraş G, Sürme Y. Multimodal Treatment Approaches to Chronic Diseases. Exploratory Research and Hypothesis in Medicine. 2022;7(2):95-101. doi:10.14218/ERHM.2021.00079.
Hu Y, Yang Y, Gao Y, Zhao L, Chen L, Sui W, Hu J. The impact of chronic diseases on the health-related quality of life of middle-aged and older adults: The role of physical activity and degree of digitization. BMC Public Health. 2024;24(1):2335. doi:10.1186/s12889-024-19833-8.
Roohafza H, Feizi A, Tirani SA, Rabiei K, Bahonar A, Alikhasi H, Sarrafzadegan N. Epidemiological survey of chronic diseases on manufacturing employees (ESCOME): Design and methodology of a large cross-sectional study. Clinical Epidemiology and Global Health. 2020;8(1):275-9. doi:10.1016/j.cegh.2019.08.012.
Awaluddin SM, Kuay LK, Shawaluddin NS, Tuan Lah TMA, Muhamad Robat R, Mahjom M, Mohd Yussof MF. The prevalence of cardiovascular disease risks among working people Malaysia: findings from the National Health and Morbidity Survey 2015. Journal of Clinical and Health Sciences. 2023; 8(2):22-34. doi:10.24191/jchs.v8i2.19191.
Bakar AS, Rahman HA, Shahar HK, Nazan AI, Idris K. Chronic Disease Management Behaviours among Malaysian Low-Income Workers: A Descriptive Study. Asian Journal of Medicine and Biomedicine. 2022;6(1):101-3. doi:10.37231/ajmb.2022.6.S1.545.
Bosma AR, Boot CR, Schaafsma FG, Anema JR. Facilitators, barriers and support needs for staying at work with a chronic condition: a focus group study. BMC Public Health. 2020;20:1-1. doi:10.1186/s12889-020-8320-x.
Kwon SH, Myong JP, Kim HA, Kim KY. Association between morbidity of non-communicable disease and employment status: a comparison between Korea and the United States. BMC Public Health. 2020;20:1-1. doi: 10.1186/s12889-020-08883-3.
Kazibwe J, Tran PB, Annerstedt KS. The household financial burden of non-communicable diseases in low-and middle-income countries: a systematic review. Health research policy and systems. 2021;19(1):96. doi:10.1186/s12961-021-00732-y.
Ye ZJ. Resilience in chronic disease. Frontiers in Psychiatry. 2022;13:846370. doi:10.3389/fpsyt.2022.846370.
Gheshlagh RG, Sayehmiri K, Ebadi A, Dalvandi A, Dalvand S, Tabrizi KN. Resilience of patients with chronic physical diseases: A systematic review and meta-analysis. Iranian Red Crescent Medical Journal. 2016;18(7). doi:10.5812/ircmj.38562.
Macía P, Barranco M, Gorbeña S, Iraurgi I. Expression of resilience, coping and quality of life in people with cancer. PloS one. 2020;15(7):e0236572. doi:10.1371/journal.pone.0236572.
Young AE, Roessler RT, Wasiak R, McPherson KM, Van Poppel MN, & Anema J. A developmental conceptualization of return to work. Journal of occupational rehabilitation. 2005;15,557-568. doi:10.1007/s10926-005-8034-z.
Oates GR, Jackson BE, Partridge EE, Singh KP, Fouad MN, Bae S. Sociodemographic patterns of chronic disease: how the mid-south region compares to the rest of the country. American journal of preventive medicine. 2017;52(1):31-39. doi:10.1016/j.amepre.2016.09.004.
Harris H, Ooi YB, Lee JS, Matanjun P. Non-communicable diseases among low income adults in rural coastal communities in Eastern Sabah, Malaysia. BMC Public Health. 2019; 19, 1-13. doi:10.1186/s12889-019-6854-6.
Su TT, Azzani M, Adewale AP, Thangiah N, Zainol R, Majid H. Physical activity and health-related quality of life among low-income adults in metropolitan Kuala Lumpur. Journal of epidemiology. 2019;29(2):43-9. doi:10.2188/jea.JE20170183.
Skamagki G, King A, Carpenter C, Wåhlin C. The concept of integration in mixed methods research: a step-by-step guide using an example study in physiotherapy. Physiotherapy Theory and Practice. 2024;40(2):197-204. doi:10.1080/09593985.2022.2120375.
Ahmad Sabki Z, Kim LH, Danaee M, Sulaiman AH, Razali KA, Koh OH, Kanagasundram S, Kaur M, Azhar FL, Francis B. Assessment of Psychometric properties of the malay version of the brief resilience scale (BRS-M) among non-academic staff working from home during COVID-19 in Malaysia. In Healthcare. 2023;11(8):1146. doi:10.3390/healthcare11081146
Etikan I, Bala K. Sampling and sampling methods. Biometrics & Biostatistics International Journal. 2017;5(6):00149. doi:10.15406/bbij.2017.05.00149.
Palinkas LA, Horwitz SM, Green CA, Wisdom JP, Duan N, Hoagwood K. Purposeful sampling for qualitative data collection and analysis in mixed method implementation research. Administration and policy in mental health and mental health services research. 2015;42:533-44. doi:10.1007/s10488-013-0528-y.
Guest G, Namey E, McKenna K. How many focus groups are enough? Building an evidence base for nonprobability sample sizes. Field methods. 2017;29(1):3-22. doi:10.1177/1525822X16639015.
Dilshad RM, Latif MI. Focus group interview as a tool for qualitative research: An analysis. Pakistan Journal of Social Sciences. 2013 Jun 30;33(1):191-8. Available from: https://pjss.bzu.edu.pk/index.php/pjss/article/view/189
Kamsan SS, Singh DK, Tan MP, Kumar S. The knowledge and self-management educational needs of older adults with knee osteoarthritis: A qualitative study. PLoS One. 2020;15(3):e0230318. doi:10.1371/journal.pone.0230318.
Braun V, Clarke V. Using thematic analysis in psychology. Qualitative research in psychology. 2006;3(2):77-101. doi:10.1191/1478088706qp063oa.
Haq ZU, Rasheed R, Rashid A, Akhter S. Criteria for assessing and ensuring the trustworthiness in qualitative research. International Journal of Business Reflections. 2023;4(2). doi:10.56249/ijbr.03.01.44.
Stahl NA, King JR. Expanding approaches for research: Understanding and using trustworthiness in qualitative research. Journal of developmental education. 2020;44(1):26-8. Available from: http://www.jstor.org/stable/45381095
Fraccascia L, Giannoccaro I, Albino V. Resilience of complex systems: State of the art and directions for future research. Complexity. 2018;2018(1):3421529. doi:10.1155/2018/3421529.
Dawadi S, Shrestha S, Giri RA. Mixed-methods research: A discussion on its types, challenges, and criticisms. Journal of Practical Studies in Education. 2021;2(2):25-36. doi:10.46809/jpse.v2i2.20.
Bosma AR, Boot CR, Snippen NC, Schaafsma FG, Anema JR. Supporting employees with chronic conditions to stay at work: perspectives of occupational health professionals and organizational representatives. BMC Public Health. 2021;21:1-3. doi:10.1186/s12889-021-10633-y.
Khaw WF, Chan YM, Nasaruddin NH, Alias N, Tan L, Ganapathy SS. Malaysian burden of disease: years of life lost due to premature deaths. BMC Public Health. 2023;23(1):1383. doi:10.1186/s12889-023-16309-z.