P-608 Making Motivational Interviewing More Accessible in Work Rehabilitation

Introduction Motivational Interviewing (MI) is a person-centered communication approach. To promote its implementation, a feasible and plausible adaptation for work rehabilitation is needed. Objective To adapt a MI intervention for work rehabilitation. Method A consensus approach was used with 9 clinician experts (occupational therapists, physiotherapists, psychologists), including one MI expert psychologist. The expert clinicians had more than 2 years of experience in work rehabilitation for musculoskeletal disorders and more than 6 hours of MI training. Based on our review of the MI literature, a draft MI intervention outlined in a logic model was created and submitted to the experts, along with a questionnaire to assess agreement on the feasibility and plausibility of the logic model. Where there was disagreement, improvements were suggested. Subsequently, group meetings with the experts helped to reach consensus on the final version of the model. Results In total, 17 statements (51.5%) in the questionnaire reached consensus (agreement score ≥85%). The 16 statements that did not reach consensus (48.5%) generated 96 proposals (1 to 6 per statement) that were discussed in three 2-hour sessions. The experts agreed on the resources/tools required to carry out the 18 activities to achieve the five outcomes necessary to support workers’ self-determination in their work rehabilitation. Training recommendations were made to support implementation. Conclusions An operationalized MI intervention for work rehabilitation is now available for integration into existing programs. The next step will be to evaluate the usability of MI training in work rehabilitation.