2012-01-01 12:00 - Messages

Identifying factors relevant in the assessment of return-to-work efforts in employees on long-term sickness absence due to chronic low back pain: a focus group study

Muijzer, Anne et coll. (2012, sous presse). Identifying factors relevant in the assessment of return-to-work efforts in employees on long-term sickness absence due to chronic low back pain: a focus group study. BMC Public Health, 12. (version provisoire en libre accès)

Background: Efforts undertaken during the return to work (RTW) process need to be sufficient to prevent unnecessary applications for disability benefits. The purpose of this study was to identify factors relevant to RTW Effort Sufficiency (RTW-ES) in cases of sick-listed employees with chronic low back pain (CLBP). Methods: Using focus groups consisting of Labor Experts (LE's) working at the Dutch Social Insurance Institute, arguments and underlying grounds relevant to the assessment of RTW-ES were investigated. Factors were collected and categorized using the International Classification of Functioning, Disability and Health (ICF model). Results: Two focus groups yielded 19 factors, of which 12 are categorized in the ICF model under activities (e.g. functional capacity) and in the personal (e.g. age, tenure) and environmental domain (e.g. employer-employee relationship). The remaining 7 factors are categorized under intervention, job accommodation and measures. Conclusions: This focus group study shows that 19 factors may be relevant to RTW-ES in sick-listed employees with CLBP. Providing these results to professionals assessing RTW-ES might contribute to a more transparent and systematic approach. Considering the importance of the quality of the RTW process, optimizing the RTW-ES assessment is essential.

Source: http://www.biomedcentral.com/1471-2458/12/77/abstract

The lack of correspondence between work-related disability and receipt of workers' compensation benefits

Spieler, Emily A. et coll. (sous presse). The lack of correspondence between work-related disability and receipt of workers' compensation benefits. American Journal of Industrial Medicine.

Background: Previous studies suggest that many persons with disabilities caused by work do not receive workers' compensation benefits. Methods: Data from surveys of persons with disabilities were used to estimate the proportion of disability due to work-related injuries and diseases. Studies examining the proportion of workers with work-related disability who received workers' compensation benefits were reviewed. Legal and other factors explaining the lack of receipt of workers' compensation benefits were examined. Results: Many workers with disabilities caused by work do not receive workers' compensation benefits. The obstacles to compensation include increasingly restrictive rules for compensability in many state workers' compensation programs. Conclusions : A substantial proportion of persons with work-related disabilities do not receive workers' compensation benefits. The solutions to this problem, such as providing healthcare to workers regardless of the source of injuries or diseases, are complicated and controversial, and will be difficult to implement.

Source: http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1097-0274

IWH research helps shape new work reintegration initiative

Vous voulez connaître les tous derniers résultats de recherche portant sur le lien entre l'augmentation des exigences psychologiques au travail et la dépression; vous voulez en savoir davantage sur l'impact de la recherche sur le développement du nouveau programme ontarien de réadaptation au travail; vous voulez en savoir davantage sur les politiques de la Californie à l'égard des travailleurs ayant une incapacité de longue durée; enfin, vous voulez connaître les nouveaux outils d'aide au retour au travail développés par l'Institute for Work & Health de l'Ontario? Consultez le dernier numéro du bulletin AT WORK, le bulletin trimestriel de l'Institute for Work & Health.

Accessible gratuitement : http://www.iwh.on.ca/at-work

The 11-item workplace organizational policies and practices questionnaire (OPP-11): examination of its construct validity, factor structure, and predictive validity in injured workers with upper-limb disorders

Background Reliable and valid measurement of workplace organizational policies and practices (OPPs) is needed to evaluate their influences on the prevention and management of occupational injuries. Methods Injured workers (n = 614) attending an upper-limb specialty clinic operated by the Workplace Safety & Insurance Board of Ontario were recruited for a 1-year study. The OPP-11, completed at baseline, was examined for scaling properties (floor/ceiling effects, internal consistency, and item-convergent/discriminant validity), construct validity, and factor structure. Predictive validity for longitudinal work disability was examined using multivariable logistic regressions. Results Strong scaling properties were observed for the OPP-11. High internal consistency (Cronbach's alpha = 0.80-0.90) and expected associations with comparator constructs were evident. A 4-domain structure (fit statistics: CFI = 0.98, TLI = 0.97, and RMSEA = 0.06) was supported. Higher OPP-11 predicted more favorable 12-month work disability outcomes, after adjusting for demographic and health attributes. Conclusions The OPP-11 is valid for use in upper-limb disorders. Expanding the ergonomic practices domain could be considered. 

Source : Tang K, MacDermid JC, Amick BC, Beaton DE .  American Journal of Industrial Medicine, Vol. 54, issue 11,   834 – 846. DOI: 10.1002/ajim.20994
http://www.iwh.on.ca/biblio/the-11-item-workplace-organizational-policies-and-practices-questionnaire-opp-11-examination

 

 

 

10.1002/ajim.20994

Burnout and Behavior-Related Health Risk Factors: Results From the Population-Based Finnish Health 2000 Study

Ahola, Kirsi et coll. (2012). Burnout and Behavior-Related Health Risk Factors: Results From the Population-Based Finnish Health 2000 Study. Journal of Occupational & Environmental Medicine, 54(1): 17-22.

Objective: To explore the relationship between burnout and behavior-related health risk factors. Methods: We collected data from a population-based sample (n = 3264) through interviews, questionnaires, and health examinations. Burnout was assessed using the Maslach Burnout Inventory—General Survey. Smoking, alcohol consumption, and leisure-time physical activity were self-reported. Obesity was based on measurements at screening. Results: Burnout and exhaustion were associated with a higher likelihood of risk factors. More specifically, burnout syndrome was related to low physical activity and obesity, exhaustion dimension to low physical activity and heavy drinking, cynicism dimension to low physical activity, and diminished professional efficacy to low physical activity, obesity, and lower likelihood of heavy drinking. Conclusions: Improving working conditions and psychoeducation on recommended ways of coping and recovery could help to prevent negative health consequences of chronic work stress.

Source: http://journals.lww.com/joem/Abstract/2012/01000/Burnout_and_Behavior_Related_Health_Risk_Factors_.7.aspx

Évaluation de l’implantation et de l’impact du programme PRÉVICAP

Les lésions musculo-squelettiques (LMS) constituaient 37,3 % des maladies professionnelles indemnisées au Québec en 2000, occasionnant ainsi 40,7 % des sommes déboursées, soit près de 170 millions de dollars. Vu la situation, la CSST souhaite obtenir une évaluation scientifique de l'implantation du programme de réadaptation PRÉVICAP, actuellement à l'essai dans quatre régions. Les chercheurs étudieront la capacité de ce programme à répondre aux besoins des travailleurs risquant une incapacité prolongée, comparativement aux approches conventionnelles, ses effets sur les probabilités de retour au travail et ses aspects économiques. L'analyse de son implantation permettra de dégager les facteurs liés à son déroulement satisfaisant : contexte socio-économique, caractéristiques des entreprises et degré de coordination entre les acteurs. Ce projet permettra de mesurer l'efficacité et la rentabilité du PREVICAP, ainsi que de connaître les modifications organisationnelles qui pourraient optimiser la prise en charge des travailleurs victimes d'une LMS visant leur retour rapide et durable au travail. Les conclusions de cette étude fourniront à la CSST des données essentielles pour juger de la pertinence de généraliser la mise en place du programme PREVICAP.

Source : http://www.irsst.qc.ca/-publication-irsst-evaluation-implantation-impact-programme-previcap-r-716.html

The Paradoxes of Managing Employees’ Absences for Mental Health Reasons and Practices to Support Their Return to Work

The capacity to implement effective strategies in an organization largely depends on the capacity to mobilize on-site stakeholders around a common project. This study aims to identify the practices and paradigms of workplace stakeholders involved in managing and following up on the return to work of employees who have been absent for mental health reasons.

Source : St-Arnaud, L.; Pelletier, M.; Briand, C. Journal for Social Action in Counseling and Psychology, Vol. 3, No 2,  Fall 2011
http://www.psysr.org/jsacp/St-Arnaud-v3n2-11_36-52.pdf

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