{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T10:29:32Z","timestamp":1770892172184,"version":"3.50.1"},"reference-count":70,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2023,10,21]],"date-time":"2023-10-21T00:00:00Z","timestamp":1697846400000},"content-version":"vor","delay-in-days":20,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100021697","name":"Vestfold Hospital Trust","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100021697","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Musculoskeletal and mental health complaints are common in the general population and frequent reasons for healthcare utilization and work absence. Illness perceptions, coping expectancies, rumination and self-stigma are important factors in the management of these health complaints and factors closely linked to health literacy (HL). The aims of the study were to identify helpful elements in a brief intervention (BI) targeting HL regarding common musculoskeletal and mental health complaints and to identify patient perceptions of how the intervention was helpful and whether it affected their subsequent coping. Three focus group interviews with 14 patients were conducted. Systematic text condensation was used for the analysis, supported by the health literacy skill (HLS) framework to sharpen the focus on intervention elements related to the acquisition and utilization of HLSs. Results revealed the importance of receiving comprehensible health information and guidance, the use of metaphors to create recognizable narratives and the use of practical examples and exercises. Normalizing the experienced health complaints, together with a safe and accommodating clinical environment, facilitated the change process. The BI initiated processes that contributed to acceptance, resilience and empowerment, aiding work\u2013life balance and return to work. The study presents authentic narratives of value for future focus in BI.<\/jats:p>","DOI":"10.1093\/heapro\/daad132","type":"journal-article","created":{"date-parts":[[2023,10,21]],"date-time":"2023-10-21T16:02:23Z","timestamp":1697904143000},"source":"Crossref","is-referenced-by-count":4,"title":["Helpful elements in a brief work-oriented intervention targeting musculoskeletal and mental health literacy"],"prefix":"10.1093","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7711-686X","authenticated-orcid":false,"given":"Tone Langjordet","family":"Johnsen","sequence":"first","affiliation":[{"name":"Division of Physical Medicine and Rehabilitation, Vestfold Hospital Trust , POB 2168, 3103 T\u00f8nsberg , Norway"},{"name":"Department of Health, Social and Welfare Studies, University of South-Eastern Norway , Raveien 215, 3184 Horten , Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Torill Helene","family":"Tveito","sequence":"additional","affiliation":[{"name":"Department of Health, Social and Welfare Studies, University of South-Eastern Norway , Raveien 215, 3184 Horten , Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irene","family":"\u00d8yeflaten","sequence":"additional","affiliation":[{"name":"NORCE Norwegian Research Centre , Nyg\u00e5rdsgaten 112, 5008 Bergen , Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,10,21]]},"reference":[{"key":"2023102116021436900_CIT0001","doi-asserted-by":"crossref","first-page":"1931","DOI":"10.1001\/jama.1995.03530240041038","article-title":"Somatization and medicalization in the era of managed care","volume":"274","author":"Barsky","year":"1995","journal-title":"JAMA"},{"key":"2023102116021436900_CIT0002","doi-asserted-by":"crossref","first-page":"daab183","DOI":"10.1093\/heapro\/daab183","article-title":"Health literacy, pain-related interference and pain-related distress of patients with musculoskeletal pain","volume":"38","author":"Bittencourt","year":"2021","journal-title":"Health Promotion International"},{"key":"2023102116021436900_CIT0003","doi-asserted-by":"crossref","first-page":"S265","DOI":"10.1542\/peds.2009-1162B","article-title":"Health literacy and child health outcomes: a systematic review of the literature","volume":"124","author":"DeWalt","year":"2009","journal-title":"Pediatrics"},{"key":"2023102116021436900_CIT0004","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1186\/1741-7015-7-79","article-title":"Psychoeducation for depression, anxiety and psychological distress: a meta-analysis","volume":"7","author":"Donker","year":"2009","journal-title":"BMC Medicine"},{"key":"2023102116021436900_CIT0005","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1207\/s15327558ijbm1102_9","article-title":"Are subjective health complaints a result of modern civilization","volume":"11","author":"Eriksen","year":"2004","journal-title":"International Journal of Behavioral Medicine"},{"key":"2023102116021436900_CIT0006","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1207\/s15327558ijbm0402_3","article-title":"Directive and nondirective social support in diabetes management","volume":"4","author":"Fisher","year":"1997","journal-title":"International Journal of Behavioral Medicine"},{"key":"2023102116021436900_CIT0007","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1016\/j.pain.2007.12.007","article-title":"Illness perceptions of low back pain patients in primary care: what are they, do they change and are they associated with outcome","volume":"136","author":"Foster","year":"2008","journal-title":"Pain"},{"key":"2023102116021436900_CIT0008","doi-asserted-by":"crossref","first-page":"e0172003","DOI":"10.1371\/journal.pone.0172003","article-title":"Can group-based reassuring information alter low back pain behavior? 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