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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...
Prediction of long-term absence due to sickness in employees
Development and validation of a multifactorial risk score in two cohort studies Objectives: This study aimed to develop and validate a risk prediction model for long-term sickness absence. Methods: Survey responses on work- and lifestyle-related questions from 65 775 public-sector employees were linked to sickness absence records to develop a prediction score for medically-certified sickness absence lasting >9 days and ≥90 days. The score was externally validated using data from an independent population-based cohort of 13 527 employees. For both sickness absence outcomes, a full model including...
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...
How do line managers experience and handle the return to work of employees on sick leave due to work-related stress?
A one-year follow-up study PURPOSE: To examine how line managers experience and manage the return to work process of employees on sick leave due to work-related stress and to identify supportive and inhibiting factors. MATERIALS AND METHODS: Semi-structured interviews with 15 line managers who have had employees on sick leave due to work-related stress. The grounded theory approach was employed. RESULTS: Even though managers may accept the overall concept of work-related stress, they focus on personality and individual circumstances when an employee is sick-listed due to work-related stress...
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...
Effectiveness of Occupational Therapy Interventions for Lower-Extremity Musculoskeletal Disorders
A Systematic Review Lower-extremity (LE) musculoskeletal disorders (MSDs) can have a major impact on the ability to carry out daily activities. The effectiveness of interventions must be examined to enable occupational therapy practitioners to deliver the most appropriate services. This systematic review examined the literature published between 1995 and July 2014 that investigated the effectiveness of occupational therapy interventions for LE MSDs. Forty-three articles met the criteria and were reviewed. Occupational therapy interventions varied on the basis of population subgroup: hip fracture...
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...
Development and validation of a prediction model for long-term sickness absence based on occupational health survey variables
PURPOSE: The purpose of this study is to develop and validate a prediction model for identifying employees at increased risk of long-term sickness absence (LTSA), by using variables commonly measured in occupational health surveys. MATERIALS AND METHODS: Based on the literature, 15 predictor variables were retrieved from the DAnish National working Environment Survey (DANES) and included in a model predicting incident LTSA (>/=4 consecutive weeks) during 1-year follow-up in a sample of 4000 DANES participants. The 15-predictor model was reduced by backward stepwise statistical techniques and...
Effectiveness of multifaceted implementation strategies for the implementation of back and neck pain guidelines in health care
A systematic review For the optimal use of clinical guidelines in daily practice, mere distribution of guidelines and materials is not enough, and active implementation is needed. This review investigated the effectiveness of multifaceted implementation strategies compared to minimal, single, or no implementation strategy for the implementation of non-specific low back and/or neck pain guidelines in health care. Source: Suman, A., Dikkers, M. F., Schaafsma, F. G., van Tulder, M. W., & Anema, J. R. (2016). Implementation Science, 11 (1), 126. https://dx.doi.org/10.1186%2Fs13012-016-0482-7
Return to work after vocational rehabilitation for sick-listed workers with long-term back, neck and shoulder problems
A follow-up study of factors involved BACKGROUND: Absence from work due to musculoskeletal disorders is a significant problem from a number of perspectives, and there is a great need to identify factors that facilitate return to work (RTW). OBJECTIVE: To identify factors related to RTW after vocational rehabilitation for sick-listed workers with long-term back, neck and/or shoulder problems, and to compare the results with those from a previous literature review based on studies from 1980 to 2000. METHODS: A literature review based on studies published 2001–2014 in PubMed, CINAHL, EMBASE...
Validation du questionnaire Obstacles au Retour au Travail Et Sentiment d’Efficacité pour les Surmonter (ORTESES) auprès de travailleurs avec un trouble mental courant ou un trouble musculosquelettique
L'objectif de cette étude prospective visait la validation de l'outil intitulé « Obstacles au Retour au Travail Et Sentiment d'Efficacité pour les Surmonter » (ORTESES) auprès d'employés en processus de RAT suite à un trouble mental courant (TMC) ou un trouble musculosquelettique (TMS). Plus précisément, il s'agissait de valider les propriétés psychométriques relatives à l'ORTESES : (1) validité de contenu, (2) validité apparente, (3) validité de construit...
Ill Health–Related Job Loss
A One-Year Follow-Up of 54 026 Employees Introduction: The diagnoses of workers being unfit to work may be a relevant health indicator. Therefore, the aim of this study was to analyze the one-year incidence of an unfit to work diagnosis. Method: This one-year prospective study included all workers undergoing annual work medical examination from occupational health services in Troyes, France. Results: Twenty-one occupational physicians followed 54,026 employees. The all-cause incidence of being unfit to return to work was 0.772%. The two main causes of being unfit to work were musculoskeletal disorders...
Measurement Properties of the Quebec Back Pain Disability Scale in Patients With Nonspecific Low Back Pain
Systematic Review Background: The Quebec Back Pain Disability Scale (QBPDS) has been translated into different languages, and several studies on its measurement properties have been done. Purpose: The purpose of this review was to critically appraise and compare the measurement properties, when possible, of all language versions of the QBPDS by systematically reviewing the methodological quality and results of the available studies. Method: Bibliographic databases (PubMed, Embase, CINAHL, and PsycINFO) were searched for articles with the key words “Quebec,” “back,” “pain...
Research review on rehabilitation and return to work
This review is part of a project of the European Agency for Safety and Health at Work (EU-OSHA), initiated by the European Parliament, on the safety and health of older workers. The objective of the review is to provide an up-to-date summary of knowledge regarding vocational rehabilitation and return-to-work systems, programmes and interventions and their different components. Source: https://osha.europa.eu/sites/default/files/publications/documents/Research%20review%20on%20rehabilitation%20and%20return%20to%20work.pdf
Return to Work Survey 2016 - Australia
In 2012 a working group consisting of representatives of Australian and New Zealand workers' compensation authorities, unions and employer groups developed a survey instrument and sampling methodology to be used to measure return to work outcomes of injured workers receiving workers' compensation and to better understand the experience of those injured workers and the factors that may have an effect on their return to work. In June 2012 Safe Work Australia's Strategic Issues Group for Workers' Compensation agreed to the survey instrument and methodology developed by the working...
Effectiveness of very early workplace interventions to reduce sickness absence
A systematic review of the literature and meta-analysis This systematic review identified a lack of evidence to support the effectiveness of "very early" (less than 15 days after the start of sickness absence) workplace intervention to reduce sick leave compared to usual care. Lack of consensus on definition of "very early/early" interventions, methodological design of studies, the extent, and timing of usual care provided and variable compliance between groups might explain the absence of demonstrated benefit. Source: Vargas-Prada S, Demou E, Lalloo D, Avila-Palencia I, Sanati...
Effectiveness of Occupation- and Activity-Based Interventions to Improve Everyday Activities and Social Participation for People With Traumatic Brain Injury
A Systematic Review This systematic review presents research on the effectiveness of occupation- and activity-based interventions to improve everyday activities and areas of occupation and social participation for people with traumatic brain injury (TBI). Nineteen studies identified through a comprehensive database search were reviewed and synthesized into five themes: (1) multidisciplinary and interdisciplinary treatment approaches, (2) community-based rehabilitation programs, (3) treatment approaches using client-centered goals and relevant contexts, (4) social skills training and peer mentoring...
Manual therapy for tension-type headache related to quality of work life and work presenteeism
Secondary analysis of a randomized controlled trial OBJECTIVE: The objective of this research is to evaluate the efficacy of manual therapy for tension-type headache (TTH) in restoring workers quality of work life, and how work presenteeism affects this relation. DESIGN: This study is a secondary analysis of a factorial, randomized clinical trial on manual therapy interventions. Altogether, 80 patients (85% women) with TTH and without current symptoms of any other concomitant disease participated. INTERVENTIONS: An experienced therapist delivered the treatment: myofascial inhibitory technique ...
Replication of a Prospective Randomized Controlled Trial of Resource Facilitation to Improve Return to Work and School after Brain Injury
OBJECTIVE: To determine the extent to which previous findings on the effectiveness of resource facilitation to impact return to work and school could be replicated. DESIGN: Randomized controlled trial. SETTING: Outpatient rehabilitation clinic. PARTICIPANTS: Forty-four outpatients with acquired brain injury. INTERVENTION: Fifteen months of resource facilitation services. MAIN OUTCOME MEASURES: A revised version of the Vocational Independence Scale and the Participation Index of the Mayo-Portland Adaptability Inventory-4. RESULTS: Participants randomized to the resource facilitation group demonstrated...
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...
L’évaluation clinique, les traitements et le retour en emploi de travailleurs souffrant d’atteintes de la coiffe des rotateurs
Bilan des connaissances Les atteintes musculosquelettiques de l'épaule constituent une problématique importante au sein de la population générale, et particulièrement chez les travailleurs. Ce type d'atteintes affecte le statut fonctionnel de l'épaule et la qualité de vie des personnes et peut entrainer, chez les travailleurs, des problématiques d'absentéisme ou des pertes de productivité. Les travailleurs effectuant des tâches avec les bras au-dessus des épaules ou des tâches répétitives...
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...
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...
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...
Gender Influences on Return to Work Following Mild Traumatic Brain Injury
OBJECTIVE: To examine the influence of gender on the return to work experience of workers who had sustained a work-related mild traumatic brain injury (wrMTBI) DESIGN: Qualitative study using in-depth telephone interviews SETTING: Community living adults in Ontario, Canada PARTICIPANTS: Purposive sampling was used to recruit participants. Eligibility criteria were mild/moderate TBI diagnosis based on multidisciplinary assessment and workplace injury. Six males and six females with mild TBI participated INTERVENTIONS AND MAIN OUTCOME MEASURE(S): N/A RESULTS: Our findings suggest that gender impacts...
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