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Work Conditions, Recovery and Health: A Study among Workers within Pre-School, Home Care and Social Work
The study investigated the working conditions associated with the accumulation of stress and lack of recovery and how recovery is related to health. The study group was employed in pre-school, home care and social work (n = 193). Recovery was assumed to be an explanatory variable for the relations between work and health. The response rate on a survey was 79 per cent. Cluster analysis identified three groups: the ‘Recovered’ (36 per cent of the total group) and ‘Not Recovered’ (25 per cent) and the ‘In-between’ (39 per cent). The Not Recovered displayed the whole...
The `Ability' Paradigm in Vocational Rehabilitation: Challenges in an Ontario Injured Worker Retraining Program
Introduction In recent years, a focus on workers' ability, rather than impairment, has guided disability management services. However, a challenge with the notion of `ability' is identification of the border between ability and inability. This article considers this gray zone of disability management in the case of a workers' compensation vocational retraining program for injured workers in Ontario. Methods In-depth interviews and focus groups were conducted with a purposive sample of 71 participants who were directly involved with the vocational retraining process. Workers in the program...
Short-term goal attainment of in-patient rehabilitation in Germany and long-term risk of early retirement in patients with musculoskeletal diseases: results from a prospective 5-year follow-up study
Purpose: Occupational consequences of musculoskeletal disorders (MSDs) are consistently found in epidemiological studies. The aim of this study was to evaluate the prognostic value of various short-term rehabilitation outcome parameters on early retirement in Germany. Method : In a prospective multi-centre cohort study of self-rated patient status, physician chosen therapy goals and attainment were measured by means of standardized questionnaires at the beginning and end of medical rehabilitation. Information with regard to disability was collected by self-report over a 5-year follow-up period...
Injured Workers' Construction of Expectations of Return to Work with Sub-Acute Back Pain: The Role of Perceived Uncertainty
Introduction : Little is known about the formation of expectations of return to work (RTW) from the perspective of injured workers with back injuries. This modified grounded theory study uses a biopsychosocial approach that considers the workers' complex social circumstances, to unpack the multidimensional construct of expectations of RTW from the injured worker's perspective. Method : Initial semi-structured interviews were conducted with 18 individuals with sub-acute back pain, who were off work between 3 and 6 months. Follow-up interviews were conducted with 7 participants for the purposes...
Predicting Return to Work in Workers with All-Cause Sickness Absence Greater than 4 Weeks: A Prospective Cohort Study
Introduction Long-term sickness absence is a major public health and economic problem. Evidence is lacking for factors that are associated with return to work (RTW) in sick-listed workers. The aim of this study is to examine factors associated with the duration until full RTW in workers sick-listed due to any cause for at least 4 weeks. Methods In this cohort study, health-related, personal and job-related factors were measured at entry into the study. Workers were followed until 1 year after the start of sickness absence to determine the duration until full RTW. Cox proportional hazards regression...
Factors that Predict Return-to-work in Workers with PTSD
Posttraumatic stress disorder (PTSD) is a clinical condition that may develop following exposure to a traumatic event. PTSD can be triggered by traumatic workplace events including robbery, assault, or injury. Many workers who develop PTSD after a traumatic work event fail to return to work, and the factors that influence this transition are poorly understood. The purpose of this study was to identify barriers that impede return-to-work (RTW) in individuals who develop PTSD after experiencing a traumatic event in the workplace. The researchers were also interested in examining whether features...
Internal consistency and construct validity of the Revised Illness Perception Questionnaire adapted for work disability following a musculoskeletal disorder
To assess internal consistency and construct validity of the French version of the Revised Illness Perception Questionnaire adapted for Work Disability (IPQR-WD). Method: A cross sectional study was conducted in rehabilitation centers and private clinics in the Montreal region of Canada, involving 43 men and women, French speaking, absent from work between 3 months and a year due to musculoskeletal disorders. The 9 dimension IPQR-WD and the following eight-related instruments for construct validity were administered: Tampa Scale for Kinesiophobia (TSK), Pain Catastrophizing Scale (PCS), Psychological...
How policy on employee involvement in work reintegration can yield its opposite: employee experiences in a Canadian setting
Canada has a long tradition of involving employee representatives in developing work reintegration policies and expects this to positively affect employee involvement to improve work reintegration success. The purpose of this study was to examine employee involvement in reintegration in a Canadian province as experienced by employees. Method: Fourteen semi-structured interviews were held with employees in a healthcare organization. The interview topic list was based on a review of local reintegration policy documents and literature. Interviews were transcribed verbatim and analysed using ethnographic...
Work-related psychosocial and mechanical risk factors for work disability
A 3-year follow-up study of the general working population in Norway Objectives This study examines the impact of work-related psychosocial and mechanical risk factors for work disability in the general working population. Methods A randomly drawn cohort from the general population in Norway aged 18–66 years was followed for 3 years (N=12 550, 67% response rate at baseline). Eligible respondents were in paid work for ≥10 hours per week in 2006 and were still in paid work or had quit working because of health problems (work disability) in 2009 (N=6745). Five work-related psychosocial factors...
The incidence and impact of recurrent workplace injury and disease: a cohort study of WorkSafe Victoria, Australia compensation claims
OBJECTIVE : To determine the incidence and impact of recurrent workplace injury and disease over the period 1995-2008. DESIGN: Population-based cohort study using data from the state workers' compensation system database. SETTING : State of Victoria, Australia. PARTICIPANTS: A total of 448 868 workers with an accepted workers' compensation claim between 1 January 1995 and 31 December 2008 were included into this study. Of them, 135 349 had at least one subsequent claim accepted for a recurrent injury or disease during this period. MAIN OUTCOME MEASURES : Incidence of initial and recurrent...
Predicting return to work following treatment of chronic pain disorder
Background : The care of injured workers with chronic pain remains an important public health issue given its increasing prevalence. The consequences often include loss of self-esteem and stress in family relationships. Aims: To report our interdisciplinary approach to the care of chronic pain disorder (CPD) and describe the predictors associated with a successful return to work (RTW). Methods : Relevant covariates, including demographic data, time from injury, and functional scores were recorded for clients injured at work in Ontario, Canada. Our primary outcome, RTW, was assessed at 3 months...
The Combination of Work Organizational Climate and Individual Work Commitment Predicts Return to Work in Women But Not in Men
Objective : To analyze if the combination of organizational climate and work commitment can predict return to work (RTW). Methods : This prospective Swedish study was based on 2285 participants, 19 to 64 years old, consecutively selected from the employed population, newly sick-listed for more than 14 days. Data were collected in 2008 through postal questionnaire and from register data. Results : Among women, the combination of good organizational climate and fair work commitment predicted an early RTW with an adjusted relative risk of 2.05 (1.32 to 3.18). Among men, none of the adjusted variables...
Psychosocial working conditions, occupational groups, and risk of disability pension due to mental diagnoses: a cohort study of 43 000 Swedish twins
Objectives The aim of this study was to investigate associations between psychosocial working conditions, occupational groups defined by sector, and disability pension (DP) with mental diagnoses while accounting for familial confounding. Methods A prospective population-based cohort study was conducted, including all Swedish twins who, in January 1993, were living and working in Sweden and not on old-age pension or DP (N=42 715). The twins were followed from 1993–2008 regarding DP. Data on DP, exposures, and covariates were obtained from national registries. Cox proportional hazards regression...
Situations de travail et trajectoires professionnelle des actifs atteints d'un cancer
La Fondation ARC et l'INCa ont lancé conjointement en 2006 un appel à projets de recherche s'inscrivant dans les orientations du premier Plan cancer et visant à explorer les conséquences de la maladie et de ses traitements sur les situations d'emploi et de travail des personnes atteintes. Les six recherches soutenues et menées dans ce cadre, présentées dans la partie II, ont permis, à travers des approches quantitatives ou qualitatives, de mesurer et de mieux comprendre l'impact de la survenue du cancer sur la vie professionnelle...
La notion d’appartenance ethnoculturelle dans la recherche et l’intervention en réadaptation
Au Canada, avec le vieillissement de la main-d’oeuvre et le faible taux de natalité, l’État doit faire appel à l’immigration pour éviter une croissance négative de la population et pour combler les besoins de main-d’oeuvre de l’industrie. Il est rapporté que les immigrants et les personnes issues des minorités ethnoculturelles présentent une vulnérabilité accrue face aux risques liés à la SST et à l’incapacité prolongée. Cependant, très peu de choses...
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