2015-07-01 12:00 - Messages

Participant recruitment for studies on disability and work: challenges and solutions

PURPOSE: A number of key issues related to employment of persons with disabilities demand ongoing and effective lines of inquiry. There is evidence, however, that work researchers struggle with recruitment of participants, and that this may limit the types and appropriateness of methods selected. This two phase study sought to identify the nature of recruitment challenges in workplace-based disability research, and to identify strategies for addressing identified barriers.
METHODS: The first phase of this study was a scoping review of the literature to identify the study designs and approaches frequently used in this field of inquiry, and the success of the various recruitment methods in use. In the second phase, we used qualitative methods to explore with employers and other stakeholders in the field their perceived challenges related to participating in disability-related research, and approaches that might address these.
RESULTS: The most frequently used recruitment methods identified in the literature were non-probability approaches for qualitative studies, and sampling from existing worker databases for survey research. Struggles in participant recruitment were evidenced by the use of multiple recruitment strategies, and heavy reliance on convenience sampling. Employers cited a number of barriers to participation, including time pressures, fear of legal reprisal, and perceived lack of relevance to the organization.
CONCLUSIONS: Participant recruitment in disability-related research is a concern, particularly in studies that require collection of new data from organizations and individuals, and where large probability samples and/or stratified or purposeful samples are desirable. A number of strategies may contribute to improved success, including development of participatory research models that will enhance benefits and perceived benefits of workplace involvement.

Source: Lysaght R, Kranenburg R, Armstrong C, Krupa T. J. Occup. Rehabil, 2015.
http://dx.doi.org/10.1007/s10926-015-9594-1

Absenteeism due to Functional Limitations Caused by Seven Common Chronic Diseases in US Workers

Objective: The study examined the relationship between functional limitation due to chronic diseases and absenteeism among full-time workers. The studied chronic diseases include arthritis/rheumatism, cancer, diabetes, heart disease, hypertension, lung disease, and stroke.
Methods: We analyzed data from the 2011 to 2013 National Health Interview Survey. Economic impact was determined by workdays lost and lost income.
Results: Increase in absenteeism was observed for each studied condition. Employees with multiple conditions also saw increase absenteeism. Employers lose 28.2 million workdays annually ($4.95 billion in lost income) due to functional limitation caused by chronic diseases.
Conclusions: The results show a burden on society due to functional limitation caused by studied chronic diseases. Employers should look into implementing intervention/prevention programs, such as the Chronic Disease Self-Management Programs, to help reduce the cost associated with absenteeism.

Source: Vuong, Tam D.; Wei, Feifei; Beverly, Claudia J. Journal of Occupational & Environmental Médicine, July 2015, Volume 57, Issue 7, p. 779-784.
http://dx.doi.org/10.1097/JOM.0000000000000452

Travailler avec une maladie chronique évolutive

Face à la multiplication des pathologies dans la population active, les entreprises ne peuvent plus se contenter de réponses individuelles. La solution passe par la mise en oeuvre de politiques collectives, à même de favoriser le maintien en emploi des personnes atteintes.

Source: Travail & Changement, numéro 360, juillet-août-septembre 2015.
http://www.anact.fr/portal/pls/portal/docs/1/17170384.PDF

Prognostic factors of return to work after traumatic or non-traumatic acquired brain injury

PURPOSE: To investigate and to determine evidence of prognostic factors for return to work (RTW) after acquired brain injury (ABI).
METHOD: A systematic literature search was conducted in PubMed (2008-2014), applying terms for ABI and RTW. In addition, studies published after 2003 of a previous review on the same topic were added. The methodological quality of the included studies was assessed and evidence was classified.
RESULTS: Twenty-seven studies were included. There is strong evidence that a high education level is positively associated with RTW after traumatic ABI; a low education level, unemployment and length of stay in rehabilitation are negatively associated, and a clear tendency has been deduced from the studies that conscious state in the Emergency Department is not associated with RTW. After non-traumatic ABI, there is strong evidence that independence in activities of daily living is positively associated with RTW and aetiology of stroke is not.
CONCLUSIONS: This study confirms earlier findings that after both traumatic and non-traumatic ABI injury related factors in the Emergency Department are not associated with RTW. In addition, it provides further evidence that personal factors after traumatic ABI and activity-related factors after non-traumatic ABI are strongly associated with RTW. Implications for Rehabilitation We found strong evidence for a significant association between RTW and personal factors (education level, unemployment) after traumatic ABI, and activities of daily living (ADL) after non-traumatic ABI. We advise to focus on work-related activities during the RTW process besides ADL-training and pay attention to and support patients at risk for not returning to work.

Source: Donker-Cools BH, Wind H, Frings-Dresen MH. Disabil. Rehabil. 2015.
http://dx.doi.org/10.3109/09638288.2015.1061608
 

Conséquences des troubles musculo-squelettiques sur l’itinéraire professionnel, résultats d’une enquête nationale

Objectif: Utiliser les données d'une enquête nationale pour décrire les conséquences sur l'itinéraire professionnel des troubles musculo-squelettiques (TMS), que ceux-ci soient ou non d'origine professionnelle, avec un intérêt spécifique pour certaines conséquences : retrait définitif du marché du travail, inaptitude, rente pour maladie professionnelle.
Matériel et méthodes: La population d'étude est constituée des 11 646 sujets de l'enquête santé et itinéraire professionnel (SIP), âgés de 30 à 74 ans, qui avaient occupé au moins un emploi dans leur vie. Les sujets ayant souffert de TMS dans leur vie, et pour lesquels la conséquence a été un retrait définitif du travail, ont été comparés à deux autres groupes, TMS sans conséquence sur l'histoire professionnelle, et absence de TMS, par des modèles multinomiaux. Les autres conséquences des TMS sur l'itinéraire professionnel ont fait l'objet d'analyses descriptives.
Résultats: Parmi les sujets classés « TMS avec conséquence sur l'itinéraire professionnel » c'est le retrait définitif du marché du travail qui est la conséquence la plus fréquente, pour les hommes comme pour les femmes, et ce risque est lié au niveau d'études. Un pourcentage élevé des sujets mis en inaptitude suite à un TMS se retrouve licencié ou hors du marché du travail (18/27 pour les hommes, 32/48 pour les femmes). Peu de sujets dans le groupe « TMS avec conséquence » bénéficient d'une rente pour maladies professionnelle (3 % des hommes, 1 % des femmes), et dans ce groupe être bénéficiaire de l'allocation adulte handicapé (AAH) est plus fréquent pour les femmes que pour les hommes.
Conclusions: Ces résultats amènent à s'interroger sur ce qui devrait être mis en œuvre pour que des personnes souffrant de TMS (ou d'autres problèmes de santé) puissent continuer à travailler. Il serait aussi utile de comprendre quels sont les processus de décision qui sous-tendent les associations observées.

Source: Leclerc, A., Chastang, J. F., Pascal, P., Plouvier, S., & Mediouni, Z. (2015). Archives des Maladies Professionnelles et de l'Environnement.
http://dx.doi.org/10.1016/j.admp.2014.10.009

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