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Conséquences de la survenue du cancer sur les parcours professionnels
Une analyse sur données médico-administratives Ce rapport étudie les effets à court et moyen termes de la survenue d'un cancer sur l'emploi et l'activité. Il utilise la base de données Hygie, produite par l'Irdes à partir des données administratives de la Caisse nationale de l'Assurance maladie et de la Caisse nationale d'assurance vieillesse. Hygie permet de reconstituer la carrière de l'individu ainsi que les événements de santé. Une première partie exploite la dimension rétrospective...
Return to Work in Employees on Sick Leave due to Neck or Shoulder Pain
A Randomized Clinical Trial Comparing Multidisciplinary and Brief Intervention with One-Year Register-Based Follow-Up Purpose: The aim of this study was to evaluate the effect of a multidisciplinary intervention (MDI) compared to a brief intervention (BI) with respect to return to work (RTW), pain and disability in workers on sick leave because of neck or shoulder pain. Methods: 168 study participants with sickness absence for 4–16 weeks due to neck or shoulder pain were enrolled in a hospital-based clinical study and randomized to either MDI or BI. The primary outcome was RTW obtained by...
Common Psychosocial Factors Predicting Return to Work After Common Mental Disorders, Cardiovascular Diseases, and Cancers
A Review of Reviews Supporting a Cross-Disease Approach Purpose: This systematic review aimed at identifying the common psychosocial factors that facilitate or hinder the return to work (RTW) after a sick leave due to common mental disorders (CMDs), cardiovascular diseases (CVDs), or cancers (CAs). Methods: We conducted a review of reviews searching 13 databases from 1994 to 2016 for peer-reviewed, quantitative, cohort studies investigating factors influencing RTW after a CMD, CVD, or CA. Then, for each disease we identified additional cohort studies published after the date of the latest review...
Validation of the Readiness for Return-To-Work Scale in outpatient occupational rehabilitation in Canada
Purpose: To examine construct and concurrent validity of the Readiness for Return-To-Work (RRTW) Scale with injured workers participating in an outpatient occupational rehabilitation program. Methods: Lost-time claimants (n = 389) with sub-acute or chronic musculoskeletal disorders completed the RRTW Scale on their first day of their occupational rehabilitation program. Statistical analysis included exploratory and confirmatory factor analyses of the readiness items, reliability analyses, and correlation with related scales and questionnaires. Results: For claimants in the non-job...
Rehabilitation and return to work after cancer - Instruments and practices
Being diagnosed with cancer has immediate and long-lasting effects, even after the completion of treatment. This project explores the occupational safety and health challenges that employers and employees face when workers return to work after a diagnosis of cancer. The report provides national examples of successful instruments and practices that help prevent long-term sickness absence and unemployment. Source: https://osha.europa.eu/en/tools-and-publications/publications/rehabilitation-and-return-work-after-cancer-instruments-and/view
How Can Supervisors Contribute to the Return to Work of Employees Who have Experienced Depression?
Background: In Western countries, work disability due to depression is a widespread problem that generates enormous costs. Objective: The goal of this study was to determine the types and prevalence of supervisor contributions during the different phases of the return-to-work (RTW) process (before and during the sick-leave absence, and during the RTW preparations) of employees diagnosed with depression. Moreover, we sought to determine which contributions actually facilitate employees' RTW, and to identify the work accommodations most frequently implemented by supervisors at the actual time...
Effets psychologiques et biomécaniques immédiats de deux catégories de ceintures lombaires chez des travailleurs en santé et des travailleurs avec maux de dos
Bien que les ceintures lombaires (CL) soient inefficaces pour prévenir un premier épisode de lombalgie, l'avancement des connaissances soutient leur utilisation chez les travailleurs souffrant déjà de ce mal. Dans la perspective où un retour au travail tardif risque de nuire à la condition de santé des travailleurs, l'option du port de la CL peut potentiellement être avantageuse, car elle pourrait permettre, lors du retour progressif au travail, d'apporter un soutien psychologique afin de rassurer le patient. Cela pourrait donc...
Identifying return-to-work trajectories using sequence analysis in a cohort of workers with work-related musculoskeletal disorders
Objectives: This study aimed to identify return-to-work (RTW) trajectories among workers with work-related musculoskeletal disorders (MSD) and examine the associations between different MSD and these RTW trajectories. Methods: We used administrative workers' compensation data to identify accepted MSD lost-time claims with an injury date between 2010–2012 in British Columbia, Canada. Cox regression analyses were used to investigate differences in time to RTW between MSD. Validated day-to-day calendar measures of four RTW states (sickness absence, modified RTW, RTW, and non-RTW) were grouped...
Factors associated with return to work in patients with long-term disabilities due to neurological and neuropsychiatric disorders
The current study explores factors predicting return to work in a sample of patients with neurological and neuropsychiatric disorders who have attended a prevocational readiness and social skills training programme many years after trauma. Participants were community-dwelling adults with long-term disabilities (N = 67). Results of univariate analyses followed by multivariate logistic regression analysis revealed that both pre-injury (prior) and post-injury (current) factors influenced the likelihood of employment in our sample: prior employment, current employment readiness, current...
Les pratiques d’orientation en direction des personnes malades chroniques
Accompagnement collectif et individuel dans le cadre d'une recherche-action Cet article présente les pratiques d'orientation individuelles et collectives mises en œuvre auprès de personnes malades chroniques, dans le cadre d'une recherche-action portant sur les freins et les leviers de leur retour à l'emploi. Après avoir exposé nos ancrages théoriques et les choix méthodologiques effectués, nous décrirons comment des pratiques collectives au sein d'un dispositif d'échanges et des pratiques individuelles...
Modulation du gain auditif central dans une perspective de réadaptation des travailleurs souffrant d’acouphènes
L'objectif de l'étude 1 était de démontrer l'existence du gain auditif central et de le localiser fonctionnellement. Deux groupes d'adultes ayant une audition normale ont porté des bouchons ou des générateurs de bruit pendant une semaine. Ils ont fait l'objet de tests avant et après la privation (bouchons) ou la stimulation (générateurs de bruit) sur une batterie d'évaluation de l'audition contenant des mesures allant de la cochlée jusqu'au cortex auditif. Les résultats démontrent...
Return to work: A comparison of psychological and physical injury claims
The report examines the similarities and differences between psychological and physical claims. Two main areas are considered: RTW by potential influencing factors, and employees responses and experiences. Source: https://www.safeworkaustralia.gov.au/doc/return-work-comparison-psychological-and-physical-injury-claims
Pratiques des milieux de travail pour assurer un retour en emploi sain et durable
Au Québec, la Loi sur les accidents du travail et des maladies professionnelles (LATMP) établit que tout travailleur ayant subi une lésion professionnelle qui porte atteinte à son intégrité physique ou psychique a droit à la réadaptation que requiert son état en vue de sa réinsertion sociale et professionnelle. La LATMP prévoit aussi un droit de retour au travail lorsque le travailleur redevient capable d’exercer son métier. Les organisations et les travailleurs sont donc directement concernés par la...
Work, organisational practices, and margin of manoeuver during work reintegration
BACKGROUND: Many individuals of working age experience cardiovascular disease and are disabled from work as a result. The majority of research in cardiac work disability has focused on individual biological and psychological factors influencing work disability despite evidence of the importance of social context in work disability. In this article, the focus is on work and organisational features influencing the leeway (margin of manoeuvre) workers are afforded during work reintegration. METHODS: A qualitative method was used. A large auto manufacturing plant was selected owing to work, organisational...
Models of care for the management of persistent musculoskeletal pain and/or depression
Musculoskeletal pain can occur following damage to the muscles, ligaments, tendons, and bones. The three main causes of musculoskeletal pain are unusual or repetitive strain on the system, trauma to a specific area from a fall, sprain or blow, and certain musculoskeletal diseases.1 Many Australians experience musculoskeletal pain, however for a few, this becomes chronic or persistent. 2 Persistent musculoskeletal pain is often associated with depression and anxiety.3 Persistent musculoskeletal pain is a major cause of disability in older age and a major cause of work absence in the working age...
Return to work after mild-to-moderate stroke: work satisfaction and predictive factors
A large proportion of stroke patients are unable to return to work (RTW), although figures vary greatly. A total of 121 mild-to-moderate stroke patients, who had a paid job at the time of their stroke were included (a) to quantify RTW and work satisfaction one-year post-stroke (using the Utrecht Scale for Evaluation of Rehabilitation-Participation) and (b) to determine factors predicting RTW post-stroke, based on stroke-related, personal and neuropsychological variables. Half of the patients were not in work (28%) or were working less (22%) than pre-stroke. Ninety percent of those in fulltime employment...
Length of sickness absence and sustained return-to-work in mental disorders and musculoskeletal diseases
A cohort study of public sector employees This study adds to the scientific evidence on the length of sickness absence until sustained return to work (SRTW) in depression, anxiety disorders, intervertebral disc disorders, and back pain among Finnish public sector employees. Timescales are provided for returning to work in different occupational groups also taking into consideration the persistence of the health problem and comorbid conditions. Source: Kausto, J., Pentti, J., Oksanen, T., Virta, L. J., Virtanen, M., Kivimäki, M., & Vahtera, J. (2017). Scandinavian Journal of Work, Environment...
Work ability in rheumatoid arthritis patients
A register study on the prospective risk of exclusion and probability of returning to work Objectives: The aim was to study work ability in patients with RA compared with the general population by investigating the rates and risks of long-term sickness absence, unemployment and disability pension, and the chance of returning to work and the changes in these risks over time (1994-2011). Methods: This was a cohort study with up to 17 years of follow-up (mean 6.95 years/person) including 6677 RA patients of working age (identified in the nationwide DANBIO registry) and 56 955 matched controls from...
Long-Term Outcomes of Multidisciplinary Rehabilitation for Chronic Musculoskeletal Pain
Objectives: Evidence for the effectiveness of multidisciplinary rehabilitation for chronic musculoskeletal pain (CMP) has been reported but its outcomes in the longer term and in mixed groups of chronic pain patients are largely unknown. The aim of the present study was to describe the two-year outcomes of a 15-week multidisciplinary pain rehabilitation programme in patients with mixed CMP in terms of pain, activities, participation and healthcare usage. Methods: Data were recorded routinely at admission, discharge, and at three, 12 and 24 months' follow-up for all consecutive patients...
Effectiveness of Workplace Interventions in Return-to-Work for Musculoskeletal, Pain-Related and Mental Health Conditions
An Update of the Evidence and Messages for Practitioners Purpose: The objective of this systematic review was to synthesize evidence on the effectiveness of workplace-based return-to-work (RTW) interventions and work disability management (DM) interventions that assist workers with musculoskeletal (MSK) and pain-related conditions and mental health (MH) conditions with RTW. Methods: We followed a systematic review process developed by the Institute for Work & Health and an adapted best evidence synthesis that ranked evidence as strong, moderate, limited, or insufficient. Results: Seven electronic...
Return to Work in Patients with Chronic Musculoskeletal Pain: Multidisciplinary Intervention Versus Brief Intervention
A Randomized Clinical Trial Objective: This randomized clinical trial was performed to compare the effect of a new multidisciplinary intervention (MI) programme to a brief intervention (BI) programme on return to work (RTW), fully and partly, at a 12-month and 24-month follow-up in patients on long-term sick leave due to musculoskeletal pain. Methods: Patients (n = 284, mean age 41.3 years, 53.9 % women) who were sick-listed with musculoskeletal pain and referred to a specialist clinic in physical rehabilitation were randomized to MI (n = 141) or BI (n = 143). The MI included the use of a visual...
Return to work after cancer
There is an increasing amount of information available for line managers, human resources and occupational health professionals on helping individuals with cancer stay in work. However, until this research, there had been a lack of evidence on specific health and safety issues and effective approaches to risk assessment and risk management for occupational safety and health (OSH) professionals, and others, to support those undergoing treatment or returning to work after cancer. The research addresses this evidence gap by: - seeking to understand the health and safety implications of returning to...
Rehabilitation and return to work after cancer: Literature review
As treatments have improved, there are more and more people surviving cancer in Europe. While most cancer survivors return to work after treatment, many face long-term symptoms and impairments that can make it difficult for them to do so. This report provides an overview of the relevant scientific literature, conducted to collect information on existing initiatives, policies and practices on rehabilitation and return to work after cancer and gather examples of successful interventions. Source: https://osha.europa.eu/en/tools-and-publications/publications/rehabilitation-and-return-work-after-cancer...
Joint association of multimorbidity and work ability with risk of long-term sickness absence
A prospective cohort study with register follow-up Objectives: The aim of this study was to determine the joint association of multimorbidity and work ability with the risk of long-term sickness absence (LTSA) in the general working population. Methods: Cox regression analysis censoring for competing events (statutory retirement, early retirement, disability pension, immigration, or death) was performed to estimate the joint association of chronic diseases and work ability in relation to physical and mental demands of the job with the prospective risk for LTSA (defined as ≥6 consecutive weeks...
Troubles musculosquelettiques
Revue réaliste sur les bases théoriques des programmes de réadaptation incluant le milieu de travail Une revue réaliste portant sur un ensemble de programmes de réadaptation au travail incluant une intervention en milieu de travail a été réalisée. Selon cette méthode, les programmes se caractérisent par trois éléments principaux : le contexte (C), qui représente les caractéristiques des conditions dans lesquelles les programmes sont mis en place et les composantes de ces derniers; les mécanismes...
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