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Psychological interventions can support people with chronic pain to work, yet little is known about which components are most effective. A systematic review and meta\u2010analysis assessed the effectiveness of interventions targeting sick leave, return to work, work ability and work\u2010related self\u2010efficacy in chronic pain populations. Intervention content was analysed to identify effective components.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A search strategy was developed and applied to six databases from inception until 2nd March 2023, being updated in December 2024: PsychInFO, Medline, Cinahl, Web of Science, Cochrane Library and Embase. Intervention descriptions were coded for intervention functions, theoretical domains and behaviour change techniques. Risk of bias was assessed using the ROB\u20102 tool.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      51 randomized controlled trials were identified. Study quality was poor overall. Meta\u2010analysis showed that psychological interventions were complex, that is, contained multiple components delivered alongside other interventions, which together were associated with reduced sick leave (SMD \u2212.41, 95% CI: \u2212.64 to \u2212.18) and a small increase in those working at long\u2010term follow\u2010up (&gt;12\u2009months) (RR 1.03, 95% CI: 1.01\u20131.06;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090%) but not work ability\/capacity (SMD \u2212.02, 95% CI: \u2212.12\u2013.08,\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090%) or return to work (RR .98, 95% CI: .91\u20131.05,\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090%). No intervention components appeared most effective, but five common components were identified: education, skills\/training, social support, emotional regulation, and confidence building.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Complex psychological interventions can positively influence work outcomes for people with chronic pain. Future research should prioritize high\u2010quality studies and incorporate the five components to enhance work\u2010focussed support.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bjhp.70077","type":"journal-article","created":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T13:21:12Z","timestamp":1778246472000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Interventions to enhance work participation in people with chronic pain: A systematic review and meta\u2010analysis including analysis of complex psychological intervention components"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0580-2179","authenticated-orcid":false,"given":"Joanna","family":"McParland","sequence":"first","affiliation":[{"name":"School of Health and Life Sciences Glasgow Caledonian University  Glasgow 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