2015-11-01 12:00 - Messages

Economic Evaluation of a New Organizational RTW Intervention to Improve Cooperation Between Sick-Listed Employees and Their Supervisors: A Field Study

A Field Study
Objective: The purpose of this study is to assess the cost-effectiveness, -utility, and -benefit of a new organizational return-to-work intervention to improve COoperation between Sick-listed employees and their Supervisors (COSS).
Methods: A field study with 6 months follow-up comparing COSS with common practice randomized participants aged 18 to 60, working at least 12?hours/week and absent for at least 2 weeks. Outcomes were initial return-to-work, quality-adjusted life years, and productivity gains.
Results: After 6 months, COSS generated less costs when compared with common practice. Participants in the COSS group returned to work earlier, improvement in quality-adjusted life years were uncertain. Net benefits of COSS versus common practice yielded a productivity gain of €395.89.
Conclusions: Implementing COSS for sick-listed employees has potentials to reduce costs and improve productivity, and potentially quality of life. Longitudinal research might detect whether COSS also has the potential reaching sustainable return-to-work.

Source: Noben, Cindy; Hoefsmit, Nicole; Evers, Silvia; de Rijk, Angelique; Houkes, Inge; Nijhuis, Frans. Journal of Occupational & Environmental Medicine: November 2015, Volume 57, Issue 11, p. 1170-1177.

Understanding the Probability of a Disability Resulting From Work-Related Injuries

Objectives: To assess the conditions under which the measured risk of a workplace injury resulting in a disability changes.
Methods: Multivariate regression analysis and administrative claims data build an understanding of the factors that underlie the probability that a workplace injury results in a disability (disability probability).
Results: First, jointly examining injury incidence rates and disability probabilities challenges some conclusions suggested by examining the two separately. Second, some characteristics identified as risk factors for disability when studied in isolation are not risk factors. Third, risk factors are qualitatively consistent across groups of workers but quantitatively different.
Conclusions: Policymakers might draw incorrect conclusions about the risk of a workplace injury becoming a disability unless the research provides a joint assessment of incidence rates and disability probabilities and a comprehensive analysis of risk factors across worker groups.

Source: Journal of Occupational & Environmental Medicine: November 2015, Volume 57, Issue 11, p. 1236-1243.

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 significant advantage in terms of rate and timing of return to productive community-based work relative to control participants. When examining only return to competitive work (and not return to school), 69% of the resource facilitation group was able to return as compared to 50% of the control participants. Analyses of measures of participation in household and community activities revealed that both groups improved significantly over the 15 month study period, but no significant advantage for either group was demonstrated.
CONCLUSIONS: This study replicates the positive impact of resource facilitation in improving productive community-based activity, including competitive employment and volunteering in the community.

Source: Trexler LE, Parrott DR, Malec JF. Arch. Phys. Med. Rehabil. 2015.

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