System responsiveness and health literacy in return-to-work challenges for individuals with chronic low back pain: a qualitative study

By adopting an HL perspective, this study provides insight into how limited interactive and critical HL can hinder engagement in RTW processes among individuals with CLBP, particularly when combined with emotional vulnerability, diagnostic uncertainty, and fragmented service coordination. These findings suggest that HL-responsive practices may help reduce HL-related inequalities and support more coherent, equitable, and accessible RTW processes.