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A survey to establish current practice in addressing work participation with inflammatory arthritis in the Irish clinical setting

Inflammatory arthritis (IA) is a complex progressive disease, with 2,250 cases diagnosed in Ireland annually (Kane & Kavanagh, 2011) and an average age at onset of 35–45 years (Health Service Executive, 2015). International guidelines recommend that clinical management maximizes health‐related quality of life, including maintaining work ability (Combe et al., 2007; National Institute of Clinical Excellence, 2009). It is recognized that participation in paid employment is affected in the early phases of IA and there is a need for increased early support for participation and engagement in work, to ensure improved quality of life outcomes (Codd, Stapleton, Veale, FitzGerald, & Bresnihan, 2010). Research into work disability has recognized the impacts of the diagnosis on occupational performance and participation (Codd et al., 2010; Forsyth et al., 2006; Prior & Hammond, 2013). Addressing work issues among people with IA in an organized and timely manner is important, although implementation of this in practice is inconsistent and fragmented (Lacaille et al., 2007; Hoving, et al., 2013; Walker‐Bone & Black, 2016). The American Occupational Therapy Association (2014) practice framework (third edition) identified work as a domain of concern for occupational therapists. UK and Irish surveys examined the perspectives of rheumatology occupational therapists on the provision of work support in clinical practice (Prior & Hammond, 2014; Corcoran et al., 2015). It was found that 64% of referrals were work related (Corcoran et al., 2015), and that one‐third of respondents to the UK survey did not provide vocational rehabilitation (Prior & Hammond, 2014). These studies reaffirmed the challenge of providing equitable and high‐ quality occupational therapy work support to this population. International standards recommend the provision of work support, yet variances in the provision of clinical services remain. To date, there has been no examination of multidisciplinary team members'