{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:37:05Z","timestamp":1787017025571,"version":"build-2736575974"},"reference-count":35,"publisher":"BMJ","issue":"4","license":[{"start":{"date-parts":[[2022,4,7]],"date-time":"2022-04-07T00:00:00Z","timestamp":1649289600000},"content-version":"unspecified","delay-in-days":6,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100012041","name":"Versus Arthritis","doi-asserted-by":"publisher","award":["20665"],"award-info":[{"award-number":["20665"]}],"id":[{"id":"10.13039\/501100012041","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100012041","name":"Versus Arthritis","doi-asserted-by":"publisher","award":["20748"],"award-info":[{"award-number":["20748"]}],"id":[{"id":"10.13039\/501100012041","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2022,3,2]]},"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To understand what we can learn from the impact of the COVID-19 pandemic and lockdown about what enables work participation for people with inflammatory arthritis and chronic pain conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Qualitative interviews embedded within an observational questionnaire study of individuals with musculoskeletal (MSK) conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>UK primary care (general practices), and secondary care-based rheumatology services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Individuals with axial spondyloarthritis, psoriatic arthritis and MSK pain from three established cohorts completed an online\/paper-based questionnaire (July\u2013December 2020). A subset of respondents were selected for semistructured interviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary and secondary outcome measures<\/jats:title>\n                    <jats:p>The survey quantified the effects of lockdown on work circumstances. Qualitative interviews explored the impacts of these changes and the advantages and disadvantages of changes in work circumstances.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>491 people (52% female, median age 49 years) who were employed at the time of lockdown responded to the questionnaire. The qualitative analysis included 157 free-text comments on work from the questionnaire and data collected within 18 interviews.<\/jats:p>\n                    <jats:p>Participants reported impacts on mental and physical health, and significant financial anxieties. The impact of work changes varied depending on individual and home circumstances. Some felt forced to ignore advice to shield and continue working. The flexibility offered by home working and changes in commuting enabled greater physical activity for some, while others missed the exercise normally undertaken as part of their commute. Others reported a constant need to be \u2018present\u2019 online, which heightened anxiety and worsened MSK symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Lockdown showed that flexible working arrangements, which consider the positive and negative aspects of commuting, posture, movement, and work environment matter for work participation, and can have wider benefits in terms of health and well-being for those with long-term MSK conditions. Incorporating these into new models of work will help make the workplace more equitable and inclusive for people with long-term MSK conditions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2021-057919","type":"journal-article","created":{"date-parts":[[2022,4,7]],"date-time":"2022-04-07T12:58:43Z","timestamp":1649336323000},"page":"e057919","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Enabling work participation for people with musculoskeletal conditions: lessons from work changes imposed by COVID-19: a mixed-method study"],"prefix":"10.1136","volume":"12","author":[{"given":"LaKrista","family":"Morton","sequence":"first","affiliation":[{"name":"Epidemiology Group, University of Aberdeen School of Medicine Medical Sciences and Nutrition, Aberdeen, UK"},{"name":"Medical Research Council Versus Arthritis Centre for Musculoskeletal Health and Work, University of Aberdeen School of Medicine Medical Sciences and Nutrition, Aberdeen, UK"},{"name":"Aberdeen Centre for Arthritis and Musculoskeletal Health (Epidemiology Group), University of Aberdeen School of Medicine Medical Sciences and Nutrition, Aberdeen, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Stelfox","sequence":"additional","affiliation":[{"name":"Epidemiology Group, University of Aberdeen School of Medicine Medical Sciences and Nutrition, Aberdeen, UK"},{"name":"Medical Research Council Versus Arthritis Centre for Musculoskeletal Health and Work, University of Aberdeen School of Medicine Medical Sciences and Nutrition, Aberdeen, UK"},{"name":"Aberdeen Centre for Arthritis and Musculoskeletal Health (Epidemiology Group), University of Aberdeen School of Medicine Medical Sciences and Nutrition, Aberdeen, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcus","family":"Beasley","sequence":"additional","affiliation":[{"name":"Epidemiology Group, University of Aberdeen School of Medicine Medical Sciences and Nutrition, Aberdeen, UK"},{"name":"Medical Research Council Versus Arthritis Centre for Musculoskeletal Health and Work, University of Aberdeen School of Medicine Medical Sciences and Nutrition, Aberdeen, UK"},{"name":"Aberdeen Centre for Arthritis and Musculoskeletal Health (Epidemiology Group), University of Aberdeen School of Medicine Medical Sciences and Nutrition, Aberdeen, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0016-7591","authenticated-orcid":false,"given":"Gareth T","family":"Jones","sequence":"additional","affiliation":[{"name":"Epidemiology Group, University of Aberdeen School of Medicine Medical Sciences and Nutrition, Aberdeen, UK"},{"name":"Medical Research Council Versus Arthritis Centre for Musculoskeletal Health and Work, University of Aberdeen School of Medicine Medical Sciences and Nutrition, Aberdeen, UK"},{"name":"Aberdeen Centre for Arthritis and Musculoskeletal Health (Epidemiology Group), University of Aberdeen School of Medicine Medical Sciences and Nutrition, Aberdeen, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary J","family":"Macfarlane","sequence":"additional","affiliation":[{"name":"Epidemiology Group, University of Aberdeen School of Medicine Medical Sciences and Nutrition, Aberdeen, UK"},{"name":"Medical Research Council Versus Arthritis Centre for Musculoskeletal Health and Work, University of Aberdeen School of Medicine Medical Sciences and Nutrition, Aberdeen, UK"},{"name":"Aberdeen Centre for Arthritis and Musculoskeletal Health (Epidemiology Group), University of Aberdeen School of Medicine Medical Sciences and Nutrition, Aberdeen, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5992-1459","authenticated-orcid":false,"given":"Karen","family":"Walker-Bone","sequence":"additional","affiliation":[{"name":"Medical Research Council Versus Arthritis Centre for Musculoskeletal Health and Work, University of Southampton, Southampton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6558-7189","authenticated-orcid":false,"given":"Rosemary J","family":"Hollick","sequence":"additional","affiliation":[{"name":"Epidemiology Group, University of Aberdeen School of Medicine Medical Sciences and Nutrition, Aberdeen, UK"},{"name":"Medical Research Council Versus Arthritis Centre for Musculoskeletal Health and Work, University of Aberdeen School of Medicine Medical Sciences and Nutrition, Aberdeen, UK"},{"name":"Aberdeen Centre for Arthritis and Musculoskeletal Health (Epidemiology Group), University of Aberdeen School of Medicine Medical Sciences and Nutrition, Aberdeen, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,4,7]]},"reference":[{"key":"2025121600042966000_12.4.e057919.1","unstructured":"GaB W , Kim A . Is work good for your health and well-being? in: pensions DfWa. The Stationary Office, 2006."},{"key":"2025121600042966000_12.4.e057919.2","unstructured":"Black C . Working for a healthier tomorrow. Dame Carol Black\u2019s Review of the Health of Britain\u2019s Working Age Population, 2008."},{"key":"2025121600042966000_12.4.e057919.3","unstructured":"Versus Arthritis . Working with arthritis: arthritis research UK, 2016. Available: https:\/\/www.versusarthritis.org\/media\/2071\/working-with-arthritis-policy-report.pdf"},{"key":"2025121600042966000_12.4.e057919.4","unstructured":"Bridges S . Health survey for England: chapter 9 chronic pain. Contract No: Report, 2011."},{"key":"2025121600042966000_12.4.e057919.5","unstructured":"Price C , Hoggart B , Olukoga O , et al . National pain audit final report 2010\u20132012. London: Healthcare Quality Improvement Partnership, British Pain Society and Dr Foster Intelligence, 2012."},{"key":"2025121600042966000_12.4.e057919.6","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.180477"},{"key":"2025121600042966000_12.4.e057919.7","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2020-eular.3444"},{"key":"2025121600042966000_12.4.e057919.8","unstructured":"Macfarlane G , Hollick R , Morton L . The effect of COVID19 public health restrictions on the health of people with musculoskeletal conditions and symptoms: the contain study. Rheumatology."},{"key":"2025121600042966000_12.4.e057919.9","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2009.108233"},{"key":"2025121600042966000_12.4.e057919.10","doi-asserted-by":"publisher","DOI":"10.1002\/art.21972"},{"key":"2025121600042966000_12.4.e057919.11","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2021-eular.3228"},{"key":"2025121600042966000_12.4.e057919.12","unstructured":"Scottish index of multiple deprivation (SIMD) 2016."},{"key":"2025121600042966000_12.4.e057919.13","unstructured":"English indices of deprivation (EID) 2015."},{"key":"2025121600042966000_12.4.e057919.14","unstructured":"StatsWales . The Welsh index of multiple deprivation, 2014."},{"key":"2025121600042966000_12.4.e057919.15","unstructured":"Office for National S . SOC2010 volume 2: the structure and coding index, 2010."},{"key":"2025121600042966000_12.4.e057919.16","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.191368"},{"key":"2025121600042966000_12.4.e057919.17","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"2025121600042966000_12.4.e057919.18","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1080\/2159676X.2019.1704846","article-title":"To saturate or not to saturate? Questioning data saturation as a useful concept for thematic analysis and sample-size rationales","volume":"13","author":"Braun","year":"2021","journal-title":"Qual Res Sport Exerc Health"},{"key":"2025121600042966000_12.4.e057919.19","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2020-eular.5609"},{"key":"2025121600042966000_12.4.e057919.20","unstructured":"Johnson P , Joyce R , Platt L . The IFS Deaton Review of Inequalities: a New Year\u2019s message. Contract No: Report, 2021."},{"key":"2025121600042966000_12.4.e057919.21","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1093\/ppar\/praa029","article-title":"Early evidence on the impact of coronavirus disease 2019 (COVID-19) and the recession on older workers","volume":"30","author":"Bui","year":"2020","journal-title":"Public Policy Aging Rep"},{"key":"2025121600042966000_12.4.e057919.22","doi-asserted-by":"crossref","unstructured":"Adams-Prassl A , Boneva T , Golin M , et al . Inequality in the impact of the coronovirus shock: new survey evidence for the UK. Contract No: Report, 2020.","DOI":"10.2139\/ssrn.3590881"},{"key":"2025121600042966000_12.4.e057919.23","unstructured":"Industrial Injuries Advisory C . COVID-19 and occupation: IIAC position paper 48, 2021."},{"key":"2025121600042966000_12.4.e057919.24","unstructured":"Trades Union Congress (TUC) . Disabled workers\u2019 experiences during the pandemic. A TUC Report, 2021. Available: https:\/\/www.tuc.org.uk\/sites\/default\/files\/2021-06\/Outline%20Report%20-%20Covid-19%20and%20Disabled%20Workers.pdf"},{"key":"2025121600042966000_12.4.e057919.25","unstructured":"Parry J , Young Z , Bevan S , et al . Working from home under COVID-19 lockdown: transitions and tensions, work after Lockdown. Contract No: Report, 2021."},{"key":"2025121600042966000_12.4.e057919.26","article-title":"Driving difficulties in patients with axial spondyloarthritis: results from the Scotland Registry for ankylosing spondylitis","author":"Morton","year":"2021","journal-title":"Arthritis Care Res"},{"key":"2025121600042966000_12.4.e057919.27","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2020.110186"},{"key":"2025121600042966000_12.4.e057919.28","unstructured":"Black CaFD . Health at work - an independent review of sickness absence: The Stationery Office Limited, 2011. Available: https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/181060\/health-at-work.pdf"},{"key":"2025121600042966000_12.4.e057919.29","doi-asserted-by":"publisher","DOI":"10.1093\/occmed\/51.2.124"},{"key":"2025121600042966000_12.4.e057919.30","doi-asserted-by":"publisher","DOI":"10.2478\/s13382-011-0013-3"},{"key":"2025121600042966000_12.4.e057919.31","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291799002925"},{"key":"2025121600042966000_12.4.e057919.32","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.94.12.2155"},{"key":"2025121600042966000_12.4.e057919.33","unstructured":"Mason V . The prevalence of back pain in Great Britain. Office of Population Censuses and surveys, HMSO, 1994."},{"key":"2025121600042966000_12.4.e057919.34","doi-asserted-by":"publisher","DOI":"10.5465\/AMR.2001.4011984"},{"key":"2025121600042966000_12.4.e057919.35","unstructured":"Taylor M , Marsh G , Nicol D , et al . Good work: the Taylor review of modern working practices. Contract No: Report, 2017."}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2021-057919","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T08:04:43Z","timestamp":1765872283000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2021-057919"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4]]},"references-count":35,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2022,4,7]]},"published-print":{"date-parts":[[2022,4]]}},"alternative-id":["10.1136\/bmjopen-2021-057919"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2021-057919","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4]]}}}