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This study developed an occupational advice intervention tailored to individual needs and demonstrated encouraging rates of adherence, but a randomised trial would be required to assess its effectiveness.

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Paul Baker 1,2,*, Carol Coole 3, Avril Drummond 3, Sayeed Khan 4, Catriona McDaid 2, Catherine Hewitt 2, Lucksy Kottam 1, Sarah Ronaldson 2, Elizabeth Coleman 2, David A McDonald 5,6, Fiona Nouri 3, Melanie Narayanasamy 3, Iain McNamara 7, Judith Fitch 8, Louise Thomson 3, Gerry Richardson 9, Amar Rangan 1,2,10,11

1 South Tees Hospitals NHS Foundation Trust, Middlesbrough, UK
2 York Trials Unit, Department of Health Sciences, University of York, York, UK
3 School of Health Sciences, Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham, UK
4 Make UK, The Manufacturers’ Organisation, London, UK
5 Whole System Patient Flow Programme, Scottish Government, Edinburgh, UK
6 Nursing, Midwifery and Allied Health Professions Research Unit, Glasgow Caledonian University, Glasgow, UK
7 Norfolk and Norwich University Hospital NHS Foundation Trust, Norwich, UK
8 British Orthopaedic Association Patient Liaison Group, Royal College of Surgeons of England, London, UK
9 Centre for Health Economics, University of York, York, UK
10 Faculty of Medical Sciences, University of Oxford, Oxford, UK
11 Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford, Oxford, UK
* Corresponding author Email: Paul.baker1@nhs.net

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