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Return to work after specialized rehabilitation
An explorative longitudinal study in a cohort of severely disabled persons with stroke in seven countries Introduction: Stroke may impose disabilities with severe consequences for the individual, with physical, psychological, social, and work-related consequences. The objective with the current study was to investigate to what extent persons with stroke were able to return to work, to maintain their financial situation, and to describe the follow-up services and participation in social networks and recreational activities. Methods: The design was a prospective, descriptive study of specialized...
Évaluation de différents protocoles de gestion d’incident et de soutien aux employés après un incident grave
L'industrie ferroviaire canadienne fait régulièrement face à des incidents critiques (IC) associés à des collisions avec des personnes ou des véhicules. Ces incidents peuvent occasionner des blessures graves, ou des décès, parmi les victimes, mais aussi des problèmes de santé mentale chez les ingénieurs et conducteurs opérant les locomotives. Chaque année, environ 20 personnes décèdent lors de collisions avec un train au Québec et une centaine au Canada. À ces incidents mortels...
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...
Cadre de référence sur le soutien et la réintégration au travail
Vers une approche axée sur la collaboration Le cadre de référence sur le soutien et la réintégration au travail est destiné à l'ensemble des établissements du réseau de la santé et des services sociaux. Il s'adresse d'abord à la haute direction, particulièrement à la Direction des ressources humaines, des communications et des affaires juridiques, qui est responsable du service de la gestion de la présence au travail. Il s'adresse ensuite à l'ensemble du personnel d'encadrement...
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...
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...
Engaging Employers to Prevent Disability
The Journal is honored to be publishing this special issue and grateful to all of the very talented contributors involved. The papers in this issue of the Journal provide not only a state-of-the-art review of employer factors and interventions but also provide information about research design challenges and recommendations that will be useful for anyone planning research in this domain. Practitioners will also appreciate the efforts to include information from the “grey literature” and to highlight issues of employer decision-making and implementation. All of the papers have been published...
Pratiques des grandes organisations au Québec en regard de la coordination du retour au travail
L'objectif général de cette étude consistait à décrire les pratiques des personnes impliquées dans la coordination du retour au travail dans de grandes organisations privées et publiques au Québec. Le premier objectif spécifique était de décrire les personnes impliquées dans la coordination du retour au travail, ainsi que les organisations pour lesquelles elles travaillent. Le deuxième objectif spécifique était de décrire les tâches et activités réalisées...
Développement préliminaire d’une règle de prédiction clinique pour dépister les patients ayant une lombalgie non aiguë répondant favorablement à un programme d’exercice de stabilisation lombaire
Les exercices physiques permettent de réduire la douleur et les incapacités chez les gens souffrant d'une lombalgie non aiguë (> 3-4 semaines), mais ces effets sont relativement limités. Pour rehausser l'efficacité de ce type d'intervention, nous devons déterminer pour quels patients chaque modalité d'exercice est la plus efficace (arrimage patient/intervention) et pour quelles raisons (mécanismes sous-jacents). Dans la présente recherche, nous nous intéressons aux exercices de stabilisation lombaire, une modalité...
Nordic approaches to disability prevention
Different approaches to disability prevention, including work modifications, work schedule redesign and national legislative changes were the topics at the Disability prevention seminar, held in Helsinki, Finland, by the Finnish Institute of Occupational Health (FIOH) on November 26. Source: http://www.ttl.fi/en/news/Pages/Nordic_approach_to_disability_prevention_presentations.aspx
Work-related rehabilitation aftercare for patients with musculoskeletal disorders
Results of a randomized-controlled multicenter trial There is evidence that rehabilitation with a multidisciplinary focus on work-related demands effectively improves work ability and quickens return to work in patients with musculoskeletal disorders. There could be benefits to the transfer of work-related components into rehabilitation aftercare. We examined the effectiveness of an intensified work-related rehabilitation aftercare program compared with standard intensified rehabilitation aftercare in Germany on work ability. We randomly assigned 307 patients with musculoskeletal disorders from...
Implementation of the Danish return-to-work program
Process evaluation of a trial in 21 Danish municipalities Objectives: The aim of this study was to evaluate the implementation of the Danish national return-to-work (RTW) program in 21 Danish municipalities. Methods: We conducted a structured process evaluation on (i) reach and recruitment, (ii) fidelity, (iii) dose-delivered, (iv) dose-received, and (v) context by formulating 29 implementation criteria and analyzing qualitative and quantitative data from administrative records, interviews, field notes, and questionnaires. Results: All municipalities integrated the basic features of the RTW program...
The Effect of Occupation-based Cognitive Rehabilitation for Traumatic Brain Injury
A Meta-analysis of Randomized Controlled Trials Traumatic brain injury (TBI) is the leading cause of death and disability among people younger than 35 years in the United States. Cognitive difficulty is a common consequence of TBI. To address cognitive deficits of patients with TBI, various cognitive rehabilitation approaches have been used for the clinical setting. The purpose of this study was to investigate the overall effect of occupation-based cognitive rehabilitation on patients' improvement in cognitive performance components, activity of daily living (ADL) performance, and values, beliefs...
The Effect of Social Support Features and Gamification on a Web-Based Intervention for Rheumatoid Arthritis Patients
Randomized Controlled Trial Background: Rheumatoid arthritis (RA) is chronic systematic disease that affects people during the most productive period of their lives. Web-based health interventions have been effective in many studies; however, there is little evidence and few studies showing the effectiveness of online social support and especially gamification on patients' behavioral and health outcomes. Objective: The aim of this study was to look into the effects of a Web-based intervention that included online social support features and gamification on physical activity, health care utilization...
Log in and breathe out: internet-based recovery training for sleepless employees with work-related strain
Results of a randomized controlled trial Objectives: The primary purpose of this randomized controlled trial (RCT) was to evaluate the efficacy of a guided internet-based recovery training for employees who suffer from both work-related strain and sleep problems (GET.ON Recovery). The recovery training consisted of six lessons, employing well-established methods from cognitive behavioral therapy for insomnia (CBT-I) such as sleep restriction, stimulus control, and hygiene interventions as well as techniques targeted at reducing rumination and promoting recreational activities. Methods: In a two...
Interventions to improve return to work in depressed people
Depression is a major problem that affects about 300 million people globally. Symptoms of depression include the core symptoms of low mood or loss of interest coupled with other symptoms such as feelings of inadequacy and hopelessness or sleep problems. These symptoms usually impair functioning and therefore sickness absence is common in people with depression. We evaluated the effectiveness of interventions that can help depressed workers to resume work activities. Source: Nieuwenhuijsen K, Faber B, Verbeek JH, Neumeyer-Gromen A, Hees HL, Verhoeven AC, van der Feltz-Cornelis CM, Bültmann...
Evaluation of Functional Restoration Outcomes for Chronic Disabling Occupational Cervical Disorders
Objective: To systematically evaluate the effectiveness of an interdisciplinary functional restoration program (FRP) for treating chronic cervical disorders. Methods: Consecutive chronic occupational lumbar disorder patients (n = 898) and chronic occupational cervical disorder patients (n = 215) were admitted to an FRP from 2001 to 2011. Patients were compared on demographics, work-related and psychosocial factors, and socioeconomic outcomes 1 year after discharge. Results: Compared with lumbar patients, cervical patients were more likely to be female, have preadmission surgery, perform white-collar...
La réinsertion professionnelle
Il peut s’avérer difficile pour les salariés victimes d’accidents ou de maladies – en lien ou non avec le travail – de revenir vers l’emploi. D’autant plus lorsque leur état de santé ne leur permet plus d’exercer un métier qui a souvent constitué l’essentiel de leur expérience professionnelle. De nombreuses initiatives locales ont permis pourtant un retour vers l’emploi, souvent au prix de changements conséquents, pour le salarié comme pour l’entreprise. Source: Dossier thématique...
Analyse d’un protocole d’intervention post-traumatique et de mesures de gestion associées au Centre jeunesse de Montréal-Institut universitaire
L'objectif général de la recherche est de documenter les services offerts aux travailleurs victimes d'événements à potentiel traumatique et de connaître l'efficacité de l'intervention réalisée par le CJM-IU. La Phase I, l'objet de ce rapport, vise à décrire l'intervention du CJM-IU en contexte réel d'application, à en dégager la théorie sous-jacente et à documenter les interventions alternatives présentes dans les autres Centres jeunesse du Québec...
Barriers to Change in Depressive Symptoms Following Multidisciplinary Rehabilitation for Whiplash
The Role of Perceived Injustice Objective: Depressive symptoms complicate patients' recovery following musculoskeletal injury. There is strong evidence to support the utility of multidisciplinary approaches for treating comorbid pain and depressive symptoms. Despite this, a significant proportion of patients may not experience meaningful reductions in depressive symptoms following intervention. The purpose of this study was to identify barriers to change in depressive symptom during multidisciplinary rehabilitation for patients with whiplash injuries. Methods: 53 patients with clinically meaningful...
Prognostic Factors for Return to Work, Sickness Benefits, and Transitions Between These States
A 4-year Follow-up After Work-Related Rehabilitation Purpose The aim of this study was to examine if age, gender, medical diagnosis, occupation, and previous sick leave predicted different probabilities for being at work and for registered sickness benefits, and differences in the transitions between any of these states, for individuals that had participated in an interdisciplinary work-related rehabilitation program. Methods 584 individuals on long-term sickness benefits (mean 9.3 months, SD = 3.4) were followed with official register data over a 4-year period after a rehabilitation program. 66...
Does part-time sick leave help individuals with mental disorders recover lost work capacity?
Purpose: This paper aims to answer the question whether combining sick leave with some hours of work can help employees diagnosed with a mental disorder (MD) increase their probability of returning to work. Given the available data, this paper analyzes the impact of part-time sick leave (PTSL) on the probability of fully recovering lost work capacity for employees diagnosed with an MD. Methods: The effects of PTSL on the probability of fully recovering lost work capacity are estimated by a discrete choice one-factor model using data on a nationally representative sample extracted from the register...
Workplace strength training prevents deterioration of work ability among workers with chronic pain and work disability
A randomized controlled trial Objective Imbalance between work demands and individual resources can lead to musculoskeletal disorders and reduced work ability. The aim of this study was to evaluate the effect of two contrasting interventions on work ability among slaughterhouse workers with chronic pain and work disability. Methods Sixty-six slaughterhouse workers with upper-limb chronic pain and work disability were randomly allocated to 10 weeks of either strength training for the shoulder, arm, and hand muscles (3 times per week, 10 minutes per session) or ergonomic training (usual care control...

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