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Participants received a 2 h assessment followed by individualised occupational therapy sessions, delivered face-to-face, virtually, or at the workplace. Interventions were guided by the Person\u2013Environment\u2013Occupation\u2013Performance framework, incorporating biopsychosocial and person-centred strategies for symptom management, overcoming workplace barriers, self-advocacy, reasonable accommodations, and return-to-work planning. Primary outcomes were work status and illness benefit; secondary outcomes included work role functioning, future work ability, perceived job loss risk, quality of life, and symptom burden. Outcomes were collected pre-post-intervention and three-month follow-up. Non-parametric analyses included McNemar, Friedman, and Wilcoxon signed-rank tests.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      283 participants were recruited (mean age 47.9\u2009\u00b1\u200911.7 years, 72% female); 195 completed three-month follow-up. Work status improved post-intervention (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and was sustained at follow-up (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003). Illness benefit usage declined (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Work role functioning, quality of life, coping, and symptom measures (pain, fatigue, disability) improved post-intervention and at three months (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Future work concerns and perceived likelihood of job loss due to RMD decreased (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Early individualised work-focused occupational therapy supports adults with RMDs to maintain employment, enhance role functioning, improve quality of life, and symptoms, indicating real-world effectiveness for job retention and return to work.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10926-026-10419-2","type":"journal-article","created":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T11:15:39Z","timestamp":1782299739000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Supporting Work Participation in Rheumatic and Musculoskeletal Disorders: Outcomes from Work-Able Solutions a Multisite Work-Focused Occupational Therapy Intervention"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2824-2880","authenticated-orcid":false,"given":"Yvonne","family":"Codd","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0942-3862","authenticated-orcid":false,"given":"Susan","family":"Somerville","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie","family":"Mahon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oriel","family":"Glennon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-6880-9119","authenticated-orcid":false,"given":"Trish","family":"Fitzgerald","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0532-7251","authenticated-orcid":false,"given":"Jane","family":"Brownlee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9139-6060","authenticated-orcid":false,"given":"Tadhg","family":"Stapleton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary","family":"Killeen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5460-0965","authenticated-orcid":false,"given":"David","family":"Kane","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,24]]},"reference":[{"key":"10419_CR1","volume-title":"Model of care for rheumatology in Ireland","author":"Health Service Executive","year":"2018","unstructured":"Health Service Executive. 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Approval was granted by the Ethics Committees of St Vincent\u2019s University Hospital, (21\n                      st\n                      September 2023\/RS23-059), Naas General Hospital (13\n                      th\n                      October 2023\/Work-Able Solutions) and HSE South East (22\n                      nd\n                      November 2023\/Work-Able Solutions).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval"}},{"value":"Informed written consent was obtained from all individual participants included in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed Consent"}}]}}