{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T23:24:18Z","timestamp":1787268258387,"version":"build-2736575974"},"reference-count":26,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rehabilitation (Stuttg)"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Patients in cardiac rehabilitation (CR) with subjectively impaired\noccupational prognosis are at risk of not returning to work (RTW) in the\nmedium term. This study aimed to explore, describe and summarise the aspects\nrelevant in CR patients\u2019 reflections on their occupational future.<\/jats:p>\n                  <jats:p>A qualitative study was conducted in CR in 2021\/22; 25 patients (median age\n52 years; 9 women, 16 men; working in different physically demanding\noccupations; 20 with risk of non-RTW and 5 without by the W\u00fcrzburger\nScreening) were interviewed and asked to reflect on their occupational\nfuture.About 6\u20138 months post-CR, 8 patients were re-interviewed to check the\nrelevance of the factors identified during CR. All interviews were recorded,\ntranscribed and thematically analysed.<\/jats:p>\n                  <jats:p>Aspects relevant for the reflection on subjectively perceived occupational\nfuture could be summarised into internal factors: personal aspects, health\nperception, heart-focused anxiety, and external factors: social circle and\nadjustments in work conditions. Two further themes were time-related: prior\nhealth\/illness-related experiences and intended work and lifestyle changes.\nEspecially participants with a risk of non-RTW experienced heart-focused\nanxiety, contemplated previous health\/illness experiences and expressed a\ndesire to RTW in the distant future, although they had no clear plan of\naction. Greater emphasis was placed on prioritising health and taking time\nfor RTW, and participants often felt supported in this by their social\nenvironment. Themes were overlapping between participants with and without\nrisk of non-RTW, yet different in relevance and detail.<\/jats:p>\n                  <jats:p>Overall, patients at different risk of non-RTW reflecting on their subjective\nperception of occupational future show similarities regarding relevant\naspects and themes. However, especially patients at risk of non-RTW\nreflected on perceived heart-focused anxiety and the lack of concrete RTW\nplans for their occupational future. These aspects should be considered in\nindividual, holistic and goal-oriented approaches to support patients on\ntheir RTW journey.<\/jats:p>","DOI":"10.1055\/a-2645-2652","type":"journal-article","created":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T22:54:32Z","timestamp":1754002472000},"page":"216-224","source":"Crossref","is-referenced-by-count":1,"title":["\u201cHow is my body going to cope with it? How should I go on with my\nlife?\u201d Reflections on occupational future: interview study with cardiac\nrehabilitation patients with vocational reintegration risk"],"prefix":"10.1055","volume":"65","author":[{"given":"Lara Luisa","family":"Wolff","sequence":"additional","affiliation":[{"name":"Rehabilitation Medicine, Faculty of Health Sciences, University of\nPotsdam, Potsdam, Germany"},{"name":"Value Strategy & RWE, IGES Institut GmbH, Berlin,\nGermany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Machteld","family":"Luizink-Dogan","sequence":"additional","affiliation":[{"name":"Rehabilitation Medicine, Faculty of Health Sciences, University of\nPotsdam, Potsdam, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Holmberg","sequence":"additional","affiliation":[{"name":"Institute of Social Medicine and Epidemiology, Brandenburg Medical\nSchool Theodor Fontane, Brandenburg an der Havel, Germany"},{"name":"Faculty of Health Sciences, Brandenburg Medical School Theodor Fontane,\nNeuruppin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heinz","family":"V\u00f6ller","sequence":"additional","affiliation":[{"name":"Rehabilitation Medicine, Faculty of Health Sciences, University of\nPotsdam, Potsdam, Germany"},{"name":"Rehabilitation Center for Internal Medicine, Klinik am See\nReha-Fachklinik, R\u00fcdersdorf, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annett","family":"Salzwedel","sequence":"additional","affiliation":[{"name":"Rehabilitation Medicine, Faculty of Health Sciences, University of\nPotsdam, Potsdam, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,7,31]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"172","DOI":"10.1055\/a-0862-9273","article-title":"Return to Work im Spannungsfeld zwischen Erwerbs- und\nGesundheitsorientierung","volume":"58","author":"S Bartel","year":"2019","journal-title":"Rehabilitation"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1055\/a-2129-2731","article-title":"A Mega-Ethnography of Qualitative Meta-Syntheses on Return to Work in People\nwith Chronic Health Conditions","volume":"63","author":"B Schwarz","year":"2024","journal-title":"Rehabilitation"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"e069091","DOI":"10.1136\/bmjopen-2022-069091","article-title":"Barriers and facilitators to return to work following cardiovascular disease: a\nsystematic review and meta-synthesis of qualitative research","volume":"13","author":"E B Andersen","year":"2023","journal-title":"BMJ Open"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"2399","DOI":"10.1016\/j.apmr.2019.04.003","article-title":"Determinants of Return to Work After Multicomponent Cardiac Rehabilitation","volume":"100","author":"A Salzwedel","year":"2019","journal-title":"Archives of Physical Medicine and Rehabilitation"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"e0232752","DOI":"10.1371\/journal.pone.0232752","article-title":"Patient-reported outcomes predict return to work and health-related quality of\nlife six months after cardiac rehabilitation: Results from a German multi-centre\nregistry (OutCaRe)","volume":"15","author":"A Salzwedel","year":"2020","journal-title":"PLOS ONE"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"301","DOI":"10.2147\/VHRM.S216039","article-title":"Patients\u2019 expectations of returning to work, co-morbid disorders and work\ncapacity at discharge from cardiac rehabilitation","volume":"15","author":"A Salzwedel","year":"2019","journal-title":"Vasc Health Risk Manag"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1055\/s-0028-1086302","article-title":"Das W\u00fcrzburger Screening zur Identifikation von beruflichen Problemlagen \u2013\nEntwicklung und Validierung","volume":"70","author":"S L\u00f6ffler","year":"2008","journal-title":"Gesundheitswesen"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1055\/s-2007-970583","article-title":"SIMBO: Ein Screening-Instrument zur Feststellung des Bedarfs an\nMedizinisch-Beruflich Orientierten Ma\u00dfnahmen in der medizinischen\nRehabilitation-Analysen zur Konstruktvalidit\u00e4t und Prognoseg\u00fcte","volume":"46","author":"M Streibelt","year":"2007","journal-title":"Rehabilitation"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1055\/s-0029-1220742","article-title":"Validit\u00e4t und Reliabilit\u00e4t eines Screening-Instruments zur Erkennung besonderer\nberuflicher Problemlagen bei chronischen Krankheiten (SIMBO-C)","volume":"48","author":"M Streibelt","year":"2009","journal-title":"Rehabilitation"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1055\/a-1550-8404","article-title":"Subjektive Erwerbsprognose als Indikator f\u00fcr Rehabilitationsbedarf: eine\nKohortenstudie bei Versicherten mit R\u00fcckenschmerzen","volume":"61","author":"D Fauser","year":"2022","journal-title":"Rehabilitation"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1055\/s-0042-121379","article-title":"Aspekte beruflicher und sozialer Wiedereingliederung aus Sicht kardiovaskul\u00e4r\nerkrankter Rehabilitanden in besonderen beruflichen Problemlagen \u2013 Ergebnisse\neiner qualitativen Erhebung","volume":"56","author":"C Schulz-Behrendt","year":"2017","journal-title":"Rehabilitation"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1097\/HJR.0b013e3280128bde","article-title":"Cardiac rehabilitation in Germany","volume":"14","author":"M Karoff","year":"2007","journal-title":"Eur J Cardiovasc Prev Rehabil"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"63","DOI":"10.3316\/QRJ1102063","article-title":"Purposeful Sampling in Qualitative Research Synthesis","volume":"11","author":"H Suri","year":"2011","journal-title":"Qualitative Research Journal"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"V Braun","year":"2006","journal-title":"Qualitative Research in Psychology"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"V Braun","year":"2006","journal-title":"Qualitative Research in Psychology"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"545","DOI":"10.1188\/14.ONF.545-547","article-title":"The use of triangulation in qualitative research","volume":"41","author":"N Carter","year":"2014","journal-title":"Oncology Nursing Forum"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1023\/A:1020270407044","article-title":"Readiness for return to work following injury or illness: conceptualizing the\ninterpersonal impact of health care, workplace, and insurance factors","volume":"12","author":"R-L Franche","year":"2002","journal-title":"J Occup Rehabil"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"E1215","DOI":"10.1016\/S0735-1097(11)61215-1","article-title":"Cardiovascular patients\u2019 perspectives on guilt as motivational tool","volume":"57","author":"A L Gould","year":"2011","journal-title":"Journal of the American College of Cardiology"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"637","DOI":"10.1080\/08870446.2012.743128","article-title":"Self-blame attributions, control appraisals and distress among cardiac\nrehabilitation patients","volume":"28","author":"K K Bennett","year":"2013","journal-title":"Psychology & Health"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1177\/1474515118811960","article-title":"Illness identity: Capturing the influence of illness on the person's sense\nof self","volume":"18","author":"L van Bulck","year":"2019","journal-title":"Eur J Cardiovasc Nurs"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1055\/a-1248-5703","article-title":"Berufsbezogene Problemlagen und erw\u00fcnschte Unterst\u00fctzungsangebote bei chronisch\nentz\u00fcndlichen Darmerkrankungen","volume":"60","author":"J Langbrandtner","year":"2021","journal-title":"Rehabilitation"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1177\/1742395317694700","article-title":"To change or not to change \u2013 That is the question: A qualitative study of\nlifestyle changes following acute myocardial infarction","volume":"14","author":"J Nicolai","year":"2018","journal-title":"Chronic Illn"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"2500","DOI":"10.1080\/09638288.2020.1836522","article-title":"Work conditions, support, and changing personal priorities are perceived\nimportant for return to work and for stay at work after stroke \u2013 a qualitative\nstudy","volume":"44","author":"I Lindgren","year":"2022","journal-title":"Disability and rehabilitation"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"262","DOI":"10.1037\/1089-2680.9.3.262","article-title":"Positive Adjustment to Threatening Events: An Organismic Valuing Theory of\nGrowth through Adversity","volume":"9","author":"S Joseph","year":"2005","journal-title":"Review of General Psychology"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1097\/MRR.0b013e328325a358","article-title":"Returning to work after stroke: a review","volume":"32","author":"B Wolfenden","year":"2009","journal-title":"Int J Rehabil Res"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"352","DOI":"10.1177\/0269215508101741","article-title":"Writing SMART rehabilitation goals and achieving goal attainment scaling: a\npractical guide","volume":"23","author":"TJ H Bovend'Eerdt","year":"2009","journal-title":"Clin Rehabil"}],"container-title":["Die Rehabilitation"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2645-2652.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T22:40:01Z","timestamp":1787265601000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2645-2652"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,31]]},"references-count":26,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2026,8,20]]},"published-print":{"date-parts":[[2026,8]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2645-2652","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0034-3536","1439-1309"],"issn-type":[{"value":"0034-3536","type":"print"},{"value":"1439-1309","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,31]]}}}