title: Customers' perspectives on the impact of the Pathways to Work condition management programme on their health, well-being and vocational activity.
abstract: OBJECTIVE
  Pathways to Work is a UK initiative aimed at supporting customers on incapacity benefits to return to work. This qualitative study complements previous evaluations of Pathways to Work by exploring customers' perceptions of the impact of the Condition Management Programme (CMP) offered to claimants with long-term health conditions.
  
  
  METHODS
  39 customers took part in focus groups held at the seven sites where Pathways was originally piloted. The main focus of the discussions was on perceptions of the ways in which participation had impacted on health, well-being and return to work. The discussions were audio-recorded and fully transcribed for analysis using a text analysis framework to enable the development and refinement of categories and overarching patterns in the data.
  
  
  RESULTS
  Perceived impacts on health and well-being included a more positive outlook, social contact, changed perceptions of conditions and improvements in health. Some customers also reported an increase in their vocational activity and others felt ready to embark on new activities. Factors associated with positive outcomes included the extent and quality of contact with CMP staff and practical advice about condition management. Factors impeding positive employment outcomes related mainly to obstacles to returning to work.
  
  
  CONCLUSIONS
  The results indicated that CMP can assist customers to learn about and manage their health conditions and increase their vocational activity, and that CMP therefore provides a promising means of enabling people with long-term health conditions to regain a fulfilling, productive life.
authors.affiliation: Faculty of Health & Social Care, Anglia Ruskin University, Chelmsford, CM1 1SQ, UK. Jenny.secker@anglia.ac.uk
authors.forename: Jenny
authors.initials: J
authors.lastname: Secker
authors.forename: Gail
authors.initials: G
authors.lastname: Pittam
authors.forename: Fiona
authors.initials: F
authors.lastname: Ford
mesh_terms: D000328:Adult; D003258:Consumer Behavior; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D015397:Program Evaluation; D036301:Qualitative Research; D012050:Rehabilitation, Vocational / Q000379:methods* / Q000523:psychology; D062707:Return to Work / Q000523:psychology*; D006113:United Kingdom