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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
People with mental illness returning to work
A qualitative evaluation of a Norwegian project Objective: Several studies demonstrate the need for a unified effort by the Norwegian Labour and Welfare Administration (NAV) and health services to support people with mental illness who wish to return to work and simultaneously receive treatment. The aim of the present qualitative evaluation study is to develop a deeper understanding of the participants' experiences of being involved in the NAV project called “Work, Substance Abuse and Mental Health”, which helps service recipients to combine work and treatment. Methods: The study...
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...
Effect of the Danish return-to-work program on long-term sickness absence
Results from a randomized controlled trial in three municipalities Objectives : The aim of this study was to evaluate the effect of the Danish return-to-work (RTW) program on long-term sickness absence in a randomized controlled trial in three municipalities. Methods : The intervention group comprised 1948 participants while the control group comprised 1157 participant receiving ordinary sickness benefit management (OSM). Study participants were working-age adults receiving long-term (≥8 weeks or more) benefits, included regardless of reason for sickness absence or employment status. Each beneficiary...
Efficacy and cost-effectiveness of a web-based and mobile stress-management intervention for employees: design of a randomized controlled trial
BACKGROUND : Work-related stress is associated with a variety of mental and emotional problems and can lead to substantial economic costs due to lost productivity, absenteeism or the inability to work. There is a considerable amount of evidence on the effectiveness of traditional face-to-face stress-management interventions for employees; however, they are often costly, time-consuming, and characterized by a high access threshold. Web-based interventions may overcome some of these problems yet the evidence in this field is scarce. This paper describes the protocol for a study that will examine...
Factors associated with generalized anxiety in workers undergoing work rehabilitation for persistent musculoskeletal pain
Purpose: To document in workers having a work disability due to a musculoskeletal disorder (MSD), the presence and variation over time of their intolerance of uncertainty and its maintenance factors as defined in Dugas et al.’s generalized anxiety disorder (GAD) model, i.e. worries, negative problem orientation, beliefs about the usefulness of worrying, cognitive avoidance and their consequences on depressive symptoms. Methods : An observational, prospective repeated-measures design was retained. Thirty-nine workers with an MSD having caused a work absence of over three months and who were...
A classification of components of workplace disability management programs: results from a systematic review
Purpose: This paper presents results from a Campbell systematic review on the nature and effectiveness of workplace disability management programs (WPDM) promoting return to work (RTW), as implemented and practiced by employers. A classification of WPDM program components, based on the review results, is proposed. Methods : Twelve databases were searched between 1948 to July 2010 for peer-reviewed studies of WPDM programs provided by employers to re-entering workers with occupational or non-occupational illnesses or injuries. Screening of articles, risk of bias assessment and data extraction were...
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...
How should methods for return to work be evaluated?
"Measures to decrease early retirement are underway in many countries to increase the working population and lower costs. Sick leave is the normal pathway to early retirement and methods to enable persons on sick leave to return to work (RTW) earlier and at a higher rate are in focus. Using the term “RTW”, a search in PubMed resulted in about 300 papers, of which more than half have been published after 2008 and 20% during the last year alone. RTW has been the focus of many papers recently submitted to and published in the Scandinavian Journal of Work, Environment and Health. In...
The Danish national return-to-work program: aims, content, and design of the process and effect evaluation
The Danish national return-to-work (RTW) program aims to improve the management of municipal sickness benefit in Denmark. A study is currently ongoing to evaluate the RTW program. The purpose of this article is to describe the study protocol. The program includes 21 municipalities encompassing approximately 19 500 working-age adults on long-term sickness absence, regardless of reason for sickness absence or employment status. It consists of three core elements: (i) establishment of multidisciplinary RTW teams, (ii) introduction of standardized workability assessments and sickness absence management...
The Danish national return-to-work program
The Danish national return-to-work (RTW) program aims to improve the management of municipal sickness benefit in Denmark. A study is currently ongoing to evaluate the RTW program. The purpose of this article is to describe the study protocol. The program includes 21 municipalities encompassing approximately 19 500 working-age adults on long-term sickness absence, regardless of reason for sickness absence or employment status. It consists of three core elements: (i) establishment of multidisciplinary RTW teams, (ii) introduction of standardized workability assessments and sickness absence management...
IWH research helps shape new work integration initiative
In November 2010, Ontario's Workplace Safety and Insurance Board introduced the new Work Reintegration Program. Many of its features address problems with the old vocational rehabilitation program that were described by Institute for Work & Health research. By 2009, Ontario's Workplace Safety and Insurance Board (WSIB) was certainly getting the message that its vocational rehabilitation program for injured workers, called Labour Market Re-entry (LMR), was not working as intended. Although bad press and a value-for-money audit drove the point home, evidence from a research project started...
Évaluation de l’implantation et de l’impact du programme PRÉVICAP
Les lésions musculo-squelettiques (LMS) constituaient 37,3 % des maladies professionnelles indemnisées au Québec en 2000, occasionnant ainsi 40,7 % des sommes déboursées, soit près de 170 millions de dollars. Vu la situation, la CSST souhaite obtenir une évaluation scientifique de l'implantation du programme de réadaptation PRÉVICAP, actuellement à l'essai dans quatre régions. Les chercheurs étudieront la capacité de ce programme à répondre aux besoins des travailleurs risquant une incapacité...
The Effect of Vocational Rehabilitation on Return-to-Work Rates Post Stroke: A Systematic Review
Baldwin, Cathryn et Natasha K. Brusco (2011). The Effect of Vocational Rehabilitation on Return-to-Work Rates Post Stroke: A Systematic Review. Topics in Stroke Rehabilitation , 18(5): 562-572. Purpose: Returning to work has been identified as an important rehabilitation goal following stroke. Twenty percent of stroke survivors are of working age. The purpose of this systematic review was to determine the effect of vocational rehabilitation programs on return-to-work rates post stroke. Method: Searches were performed in electronic databases and Web-based sites. Studies were eligible for inclusion...
Retour au travail après une absence pour un problème de santé mentale
Les problèmes de santé mentale au travail représentent actuellement l’une des plus importantes causes d’absence au travail, et ce phénomène a connu une croissance marquée au cours des deux dernières décennies. Les travaux entrepris dans le domaine de la réadaptation professionnelle et de la santé mentale au travail ont permis de mettre en évidence l’importance d’une démarche de collaboration entre les acteurs concernés par le processus de retour au travail. Toutefois, si quelques études...
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