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Étude des qualités psychométriques de l’Outil d’identification de la situation de handicap au travail (OISHT) utilisé auprès de travailleurs ayant un trouble musculosquelettique ou un trouble mental courant
L'outil d'identification de la situation de handicap au travail (OISHT) consiste en une entrevue structurée qui a été développée pour aider les cliniciens à identifier de façon systématique les facteurs liés à l'incapacité au travail. L'OISHT est un des rares outils disponibles en réadaptation pour la clientèle en phase chronique d'incapacité au travail. Il tient compte de l'influence de différents systèmes (personnel, santé, travail, indemnisation) et a...
Use of Framingham Risk Score as a Clinical Tool for the Assessment of Fitness for Work
Results From a Cohort Study Objective: The aim of this study is to validate the use of the Framingham Risk Score (FRS) as clinical tool to predict the risk of diagnosis of unsuitability for work in a cohort of Italian workers. Methods: A cohort of workers has been observed from January 2006 to March 2014. FRS was calculated at each visit. Health surveillance diagnosis of unsuitability for work was selected as outcome. Results: Two thousand eight hundred fifty seven workers were observed, 58.9% were men, mean age was 51.6 (±6.7), the mean FRS was 15.1% (±10.7%). Increased values of...
The capability set for work
Development and validation of a new questionnaire Objectives: The aim of this study was to develop a questionnaire to measure work capabilities based on Amartya Sen's capability approach and evaluate its validity. Methods: The development of the questionnaire was based on a combination of qualitative and quantitative methods: interviews, literature study, and an expert meeting. Additionally, in a survey, the validity was evaluated by means of hypotheses testing (using correlations and regression analyses). Results: The questionnaire consists of a set of seven capability aspects for work. For...
Examining the Relationship Between Productivity Loss Trajectories and Work Disability Outcomes Using the Panel Study of Income Dynamics
Objective: To identify trajectories of productivity loss and examine the relationship between the trajectories and work disability outcomes. Methods: Latent class growth analysis of productivity loss was estimated for the ages of 25 to 44 years in the Panel Study of Income Dynamics (N = 4960). Differences among the trajectories for work disability outcomes for the ages of 25 to 64 years were estimated using logistic regression and analysis of variance. Results: A five-group trajectory model was identified with a no-risk, low-risk, high-risk, early-onset increasing risk, and late-onset increasing...
Prévention de l'incapacité prolongée chez les travailleurs indemnisés pour troubles musculo-squelettiques
Une revue systématique de la littérature - Mise à jour 2008-2013 La présente mise à jour confirme et renforce les tendances déjà observées dans la revue de la littérature précédemment citée et couvrant la période 2000-2007 : l'intérêt pour le dépistage des travailleurs à risque d'incapacité prolongée, l'intérêt pour les points de vue de différents acteurs intervenant dans le processus de prévention, l'intérêt...
Outcomes of the introduction of a standardized fitness-for-duty evaluation of commercial truck drivers on the incidence of low back injuries and workers' compensation costs
OBJECTIVE: To determine the incidence of low back injuries and associated workers' compensation costs before and after the introduction of a standardized fitness-for-duty evaluation of commercial truck drivers who present for their comprehensive Department of Transportation (DOT) physical examination. METHODS: Trained physical therapists administered questionnaires and performed functional testing of commercial truck drivers scheduled for their DOT examination. The results were communicated to providers performing DOT examinations. Incidence rates of low back injury and associated workers'...
The Clinical Utility of the Multidimensional Pain Inventory (MPI) in Characterizing Chronic Disabling Occupational Musculoskeletal Disorders
Purpose The Multidimensional Pain Inventory (MPI) was designed to help capture unique characteristics of chronic pain patients. The present study examined the proportion of subgroups classified by the MPI in a chronic disabling occupational musculoskeletal disorder (CDOMD) patient cohort, and described characteristics of MPI profile groups in terms of other psychosocial variables. Methods A cohort of 1,270 CDOMD patients undergoing an interdisciplinary functional restoration program was studied. Before the start of the program, all patients received a standard psychosocial assessment battery. A...
Workplace Rehabilitation and Supportive Conditions at Work: A Prospective Study
Purpose To investigate the impact of rehabilitation measures on work ability and return to work (RTW), specifically the association between workplace rehabilitation/supportive conditions at work and work ability and RTW over time, among women on long-term sick leave. Methods Questionnaire data were collected (baseline, 6 and 12 months) from a cohort of women (n = 324). Linear mixed models were used for longitudinal analysis of the repeated measurements of work ability index (WAI), work ability score and working degree. These analyses were performed with different models; the explanatory variables...
Employers' Attitudes Towards Hiring and Retaining People with Disabilities: A Review of the Literature
This selective review provides an overview of salient research findings related to employers' attitudes towards disability and prospective influences on employers to improve employment outcomes of people with disabilities. Research studies included for review are mainly those which investigated employer attitudes towards disability as predispositions to hiring people with disability. Selected studies were classified into three categories including hiring and accommodating employees with disabilities, work performance, and affective reactions and behavioural intentions of employers. Excluded...
Disability Accommodation in Nonstandard and Precarious Employment Arrangements
This study, based on data from a large nationally representative sample of Canadian workers with disabilities, examines the relationship between employment arrangements and the accommodation of disability in the workplace. We address whether workers with disabilities in nonstandard arrangements are more likely to have unmet accommodation needs and if other key dimensions of precarious employment mediate the relationship between nonstandard work and accommodation. Results from multivariate models suggest that despite disability legislation, practices of workplace disability accommodation parallel...
Confirmatory Factor Analysis of the Work Limitations Questionnaire (WLQ-25) in Workers' Compensation Claimants with Chronic Upper-Limb Disorders
Purpose : To examine the factorial validity of the Work Limitations Questionnaire (WLQ-25) among workers' compensation claimants with chronic upper-limb disorders. Methods : Attendees of the WSIB Shoulder and Elbow Specialty clinic in Toronto, Ontario, Canada, completed a survey that includes the WLQ-25 [4 subscales: time-management (TM), physical demands (PD), mental-interpersonal (MI), and output demands (OD)]. Confirmatory factor analyses (n = 2262) were conducted to evaluate and compare alternative 4- and 5-factor WLQ-25 structures [MI subscale intact vs. separated into mental demands ...
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...
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...
Évolution comparée de la douleur et du statut de travail à la suite d’un programme de réadaptation pour des travailleurs ayant des troubles musculo-squelettiques
Les troubles musculo-squelettiques (TMS) touchent chaque année plus de 45 000 travailleurs québécois dans tous les secteurs d’activité. Dans un modèle de représentation biopsychosocial des TMS, la question des croyances des principaux acteurs sociaux à propos de l’incapacité et la douleur est fondamentale pour le processus de réadaptation. Plusieurs intervenants de la santé, employeur ou assureur, croient que l’employé ne doit pas se présenter au travail avant d’être complètement...
Predictors for suicidal ideation after occupational injury
Risk of suicide has been associated with trauma and negative life events in several studies. Our aim was to investigate the prevalence and risk factors of suicidal ideation, and the population attributable risk among workers after occupational injuries. We investigated workers who had been hospitalized for ?3days after occupational injuries between February 1 and August 31, 2009. A self-reported questionnaire including demographic data, injury condition, and the question of suicidal ideation was sent to 4498 workers at 3months after their occupational injury. A total of 2001 workers (45.5%) completed...
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...
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...
Examining functional content in widely used Health-Related Quality of Life scales
Hall, Trevor et coll. (2011). Examining functional content in widely used Health-Related Quality of Life scales. Rehabilitation Psychology , 56 (2): 94-99. Purpose: Assess extent to which generic Quality of Life (QOL) and Health-Related Quality of Life (HRQOL) scales include function in assessment of health, and identify health assessment items that are free of functional content. Methods: An expert panel on measurement of health and disability reached consensus on definitions of health, disability, and function. They assessed all items of all generic (non-condition-specific) scales in the 2006...
The quest for greater flexibility: Creative innovations for workers with arthritis
Arthritis is a leading cause of disability among adults, and it often affects them in the prime of their career. How it’s approached in the workplace can make all the difference, according to a new study by an adjunct scientist at the Institute for Work & Health. An accessible and supportive workplace is the litmus test as to whether a person with arthritis can continue working. This is the implication of a study led by Institute for Work & Health (IWH) Adjunct Scientist Dr. Monique Gignac, which explored the sometimes mercurial combination of arthritis and work. Gignac and her team...
Empowerment of people with a long-term work disability: development of the ‘VrijBaan’ questionnaire
Purpose . To develop an instrument that measures empowerment among people with a long-term work disability. Methods . A six-dimension empowerment model was chosen as a theoretical framework. These dimensions are as follows: competence, self-determination, meaning, impact, positive identity and group orientation. A literature search was conducted to find instruments that currently are being used to measure one or more of these constructs. Validated and applicable instruments from this search were used in a preliminary questionnaire. A pilot test was conducted consulting the target population...
A Typology of Sick-Listed Claimants to Improve Communication Skills for Social Insurance Physicians during Medical Disability Assessment Interviews
Introduction Role play with standardised simulated patients is often included in communication training. However, regarding physician-patient encounters in medical disability assessment interviews it is unclear what should be included in the scenarios for actors. The first objective of this study was to determine which types of medical disability claimants can be distinguished based on behavioural determinants. The second objective was to determine if these types of claimants differed in their perception of communication behaviour and their satisfaction with the communication with physicians. Methods...
Medical Assessments of the Years 2004 and 2005 at the Diagnostic Medical Department MEDAS, University Clinic Basel - A Critical Analysis
Les expertises commandées par l'assurance invalidité (AI) concernant des patients demandant à bénéficier d'une rente AI constituent un volet important des prestations de MEDAS/asim, Bâle. L'analyse de 593 expertises effectuées en 2004/2005 avait pour but de fournir des précisions sur les caractéristiques de cette catégorie de patients. Dans le cadre de ce travail, des données relatives à la sociodémographie, aux diagnostics et à la capacité de travail attestée ont été...
Has the Prevalence of Invalidating Musculoskeletal Pain Changed Over the Last 15 Years (1993–2006)? A Spanish Population-Based Survey
The aim of the current study was to estimate the prevalence and time trend of invalidating musculoskeletal pain in the Spanish population and its association with socio-demographic factors, lifestyle habits, self-reported health status, and comorbidity with other diseases analyzing data from 1993-2006 Spanish National Health Surveys (SNHS). We analyzed individualized data taken from the SNHS conducted in 1993 (n = 20,707), 2001 (n = 21,058), 2003 (n = 21,650) and 2006 (n = 29,478). Invalidating musculoskeletal pain was defined as pain suffered from the preceding 2 weeks that decreased main working...
Not working
CAB evidence on the ESA work capability assessment Employment and support allowance (ESA) was introduced in October 2008 to replace the existing incapacity benefit (IB) for new claimants. It aims to give more help to those who might, with support, be able to work. Citizens Advice has been monitoring the impact of the new benefit, and this is our second report since its introduction. Limited capability, published in November 2009, covered the administration of the benefit, and this report looks at the assessment process. Bureaux advisers have expressed grave concern at the number of people unexpectedly...
A Biopsychosocial Perspective on the Management of Work-Related Musculoskeletal Disorders
This article provides an overview of current literature about workplace-related musculoskeletal disorders from a biopsychosocial perspective. The authors conclude that disability management and early intervention efforts can only be meaningful within the context of targeted interventions, including mechanisms for psychosocial screening. In addition, they suggest that return to work should be considered an integral, rather than superficial, contribution to the rehabilitative process. Source: http://www.aaohnjournal.com/showAbst.asp?thing=62185
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