2013-05-01 12:00 - Messages

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 conducted in pairs of reviewers. Studies were clustered around various dimensions of the design and context of programs. Results: 16,932 records were identified by the initial search. 599 papers were assessed for relevance. Thirteen studies met inclusion criteria. Twelve peer reviewed articles (two non-randomized studies, and ten single group experimental before and after studies), including ten different WPDM programs informed the synthesis of results. Narrative descriptions of the included program characteristics provided insight on program scope, components, procedures and human resources involved. However, there were insufficient data on the characteristics of the sample and the effect sizes were uncertain. A taxonomy classifying policies and practices around WPDM programs is proposed. Conclusion: There is insufficient evidence to draw conclusions on the effectiveness of employer provided WPDM programs promoting RTW. It was not possible to determine if specific program components or specific sets of components are driving effectiveness. The proposed taxonomy may guide future WPDM program evaluation and clarify the setup of programs offered to identify gaps in existing company strategies.

Source : Gensby U, Labriola M, Irvin E, Amick BC, Lund T. J. Occup. Rehabil. 2013; ePub. http://dx.doi.org/10.1007/s10926-013-9437-x

Maladies chroniques et travail : l'exemple danois du programme "Return To Work"

Les maladies chroniques évolutives posent un challenge majeur en matière de santé en Europe. Mais elles ont aussi un impact substantiel sur le marché du travail et la vie professionnelle. Des actions sur l’organisation du travail peuvent pourtant être menées pour améliorer la situation des salariés et celle des entreprises. Le réseau Anact est l'opérateur pour la France d'un projet réunissant 18 pays de l'Union sur ce sujet. Retour d'expérience sur une initiative danoise

Source : http://www.anact.fr/web/International/Bonnes_pratiques_detail?p_thingIdToShow=32501605

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 chain of risk factors, involving difficult working conditions to which they responded with increased compensatory strategies. Despite this group having significantly greater reports of ill health, work absenteeism was not greater, which is likely related to their substituting sickness absence with sickness presence. As many as 43 per cent of the social workers were found to belong to the Not Recovered group. Multiple regression analyses controlling for background variables revealed that the Not Recovered group had a significantly higher relative risk for poor self-rated health than those in the Recovered group. Even sharper increases in relative risk existed for the other five symptoms that were analysed. Practical implications and new research questions are discussed.

Source : Gunnar Aronsson*, Wanja Astvik and Klas Gustafsson. Br J Soc Work, first published online March 4, 2013 doi:10.1093/bjsw/bct036.

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