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Partner relationships and long-term sick leave among female workers: consequences and impact on dimensions of health and return to work
Dellve, Lotta et Tone Ahlborg (2012). Partner relationships and long-term sick leave among female workers: consequences and impact on dimensions of health and return to work. Scandinavian Journal of Caring Sciences . Few efforts have been made to prospectively identify resources and obstacles outside work that may predict regained work ability and return to work when workers are on sick leave. This study investigates the association between partner relationships and sick leave. Our research questions were as follows: (i) What is the influence of sick leave, pain, stress and domestic strain on the...
Predictors of employment among cancer survivors after medical rehabilitation
A prospective study Objectives This study aimed to (i) investigate cancer survivor's employment status one year after the completion of a medical rehabilitation program and (ii) identify demographic, cancer, and psychosocial, treatment-, and work-related predictors of return to work (RTW) and time until RTW. Methods A total of 1520 eligible patients were consecutively recruited on average 11 months post diagnosis and assessed at the beginning (t0) (N=1148) and end of rehabilitation (t1) (N=1060) and 12 months after rehabilitation (t2) (N=750). Participants completed validated measures assessing...
A prospective cohort study on severe pain as a risk factor for long-term sickness absence in blue- and white-collar workers
Andersen, Lars Louis et al. (2011). A prospective cohort study on severe pain as a risk factor for long-term sickness absence in blue- and white-collar workers. Occuputional and Environmental Medicine , 68 : 590-592. Source: http://oem.bmj.com/content/68/8/590.abstract Objective To estimate the impact of pain in different body regions on future long-term sickness absence (LTSA) among blue- and white-collar workers. Method Prospective cohort study in a representative sample of 5603 employees (the Danish Work Environment Cohort Study) interviewed in 2000, and followed in 2001–2002 in a national...
Functional and Occupational Characteristics Associated With Very Early Return to Work After Stroke in Japan
Tanaka H et al. (2011). Functional and occupational characteristics associated with very early return to work after stroke in Japan. Archives of Physical Medicine and Rehabilitation , 92 (5): 743-748. To examine clinical, functional, and occupational factors associated with very early return to work after stroke, and to identify factors manageable through occupational arrangements, patient education, and other welfare programs. Design: Prospective cohort study. Setting: Acute care of the first stroke event in 21 acute care hospitals specializing in clinical and occupational health. Participants...
Health Maintenance Care in Work-Related Low Back Pain and Its Association With Disability Recurrence
Cifuentes, Manuel et al. (2011). Health Maintenance Care in Work-Related Low Back Pain and Its Association With Disability Recurrence. Journal of Occupational & Environmental Medicine , 53 (4): 396–404. Objectives: To compare occurrence of repeated disability episodes across types of health care providers who treat claimants with new episodes of work-related low back pain (LBP). Method: A total of 894 cases followed 1 year using workers’ compensation claims data. Provider types were defined for the initial episode of disability and subsequent episode of health maintenance care....
Chronic Diseases and Functional Limitations Among Older Construction Workers in the United States: A 10-Year Follow-up Study
Dong, Xiuwen Sue et al. (2011). Chronic Diseases and Functional Limitations Among Older Construction Workers in the United States: A 10-Year Follow-up Study. Journal of Occupational & Environmental Medicine , 53 (4): 372–380. Objectives: To examine the health status of older construction workers in the United States, and how occupation and the aging process affect health in workers' later years. Methods: We analyzed six waves (1998 to 2008) of the Health and Retirement Study, a longitudinal survey of US residents age 50+. The study sample totaled 7200 male workers (510 in construction...
Optimism and pessimism as predictors of work disability with a diagnosis of depression: A prospective cohort study of onset and recovery
Kronström, Kim et al. (2011). Journal of Affective Disorders ,130 (1-2): 294-299 Personality characteristics are assumed to affect to the vulnerability to depression and its outcomes. The aim of this study was to examine optimism and pessimism as predictors of depression-related work disability and subsequent return to work. Methods: We conducted a prospective cohort study of 38,214 public sector employees with no record of diagnosed depression. Optimism and pessimism were measured using the Revised Life Orientation Test (LOT-R). Records of long-term (> 90 days) work disability with a diagnosis...
Return to work following road accidents: Factors associated with late work resumption
Objective: To analyse factors associated with late return to work in road accident victims. Materials and methods: The ESPARR cohort comprises road accident victims monitored over time from initiation of hospital care. A total of 608 ESPARR cohort subjects were working at the time of their accident and answered questionnaires at 6 months and/or 1 year. For each level of overall severity of injury (Maximum – Abbreviated Injury Scale (M-AIS) 1, 2, 3 and 4–5), a time-off-work threshold was defined, beyond which the subject was deemed to be a late returner; 179 subjects were considered...
Gender differences in disability after sickness absence with musculoskeletal disorders...
titre complet: Gender differences in disability after sickness absence with musculoskeletal disorders: five-year prospective study of 37,942 women and 26,307 men (article en libre accès) Gender differences in the prevalence and occupational consequences of musculoskeletal disorders (MSDs) are consistently found in epidemiological studies. The study investigated whether gender differences also exist with respect to chronicity, measured as the rate of transition from sickness absence into permanent disability pension (DP). Methods: Prospective national cohort study in Norway including all...
Sleep Disturbances as a Predictor of Cause-Specific Work Disability and Delayed Return to Work
Study Objective: To examine sleep disturbances as a predictor of cause-specific work disability and delayed return to work. Design: Prospective observational cohort study linking survey data on sleep disturbances with records of work disability (≥ 90 days sickness absence, disability pension, or death) obtained from national registers. Setting: Public sector employees in Finland. Participants: 56,732 participants (mean age 44.4 years, 80% female), who were at work and free of work disability at the study inception. Measurements and Results: During a mean follow-up of 3.3 years, incident diagnosis...
Recovery Expectations Predict Recovery in Workers With Back Pain but Not Other Musculoskeletal Conditions
Study Design: Prospective cohort study. Objective: We examined whether recovery expectations predict future return-to-work in workers filing injury claims for a variety of musculoskeletal conditions. Summary of Background Data: Recovery expectations seem to influence recovery and return-to-work after back pain, but their role in other compensable conditions is uncertain. Methods: All workers' compensation claimants receiving time-loss benefits for a musculoskeletal condition and undergoing return-to-work assessment were enrolled. Claimants completed a work-related recovery expectations questionnaire...
First return to work following injury: does it reflect a composite or a homogeneous outcome?
Objective To test whether return to work as a binary (yes/no) outcome that includes all persons who returned to work regardless of mode of return reflects a composite or a homogeneous outcome in a cohort of workers who have sustained acute orthopaedic trauma resulting in hospitalisation. Methods Prospective cohort study. One hundred and sixty-eight participants were recruited and followed for 6 months. The study achieved 89% follow-up. Baseline data were obtained at study recruitment and participants were further surveyed by phone at three timepoints during the study. Polytomous logistic regression...
Back Injury Trajectories in Heavy Industries: Defining Outcomes for Epidemiological Research
Objective: To propose an incidence definition of back injury for epidemiologic studies using health care contacts. Methods: Medical services, hospitalizations, and workers' compensation data were linked for a longitudinal database of health care contacts among a cohort of heavy-industry workers for trajectory, group-based analysis. Results: During follow-up, 25.8% of workers had no health care contacts for back injury. Among workers with at least one contact, four trajectories were identified: one with a high probability of back injury during follow-up and three with episodic trajectories of...
Impact of Burnout and Psychosocial Work Characteristics on Future Long-Term Sickness Absence
titre complet: Impact of Burnout and Psychosocial Work Characteristics on Future Long-Term Sickness Absence. Prospective Results of the Danish PUMA Study Among Human Service Workers. Objectives: The objective of this study was to examine if burnout and psychosocial factors predicted long-term sickness absence (>2 weeks) at work unit level. Methods: Data were collected prospectively at 82-work units in human services (PUMA cohort, PUMA: Danish acronym for Burnout, Motivation and Job satisfaction) followed up during the proceeding 18 months regarding onset of long-term sickness absence. Questionnaire...
A multidisciplinary rehabilitation programme for patients with chronic low back pain: a prospective study
PURPOSE. To examine the effectiveness of a multidisciplinary rehabilitation programme for patients with chronic low back pain in Hong Kong, and to identify factors associated with work resumption. METHODS. 57 men and 8 women aged 20 to 56 (mean, 39) years who had a more than 3-month history of low back pain and were unresponsive to more than 6 months of conventional treatment participated in a 14-week multidisciplinary rehabilitation programme involving physical conditioning, work conditioning, and work readiness. Training protocols entailed flexibility and endurance training, hydrotherapy, weight...
Effectiveness of a Targeted Occupational Health Intervention in Workers with High Risk of Sickness Absence
Titre complet: "Effectiveness of a Targeted Occupational Health Intervention in Workers with High Risk of Sickness Absence: Baseline Characteristics and Adherence as Effect Modifying Factors in a Randomized Controlled Trial" In a recently published randomized controlled trial (RCT), a targeted occupational health (OH) intervention was found effective in an intention-to-treat analysis in controlling sickness absence among workers with high risk of sickness absence, compared to usual care. We performed an exploratory subgroup analysis in order to detect possible effect modifiers and mediators...
Recovery Expectations Predict Recovery in Workers With Back Pain but Not Other Musculoskeletal Conditions
Study Design: Prospective cohort study. Objective: We examined whether recovery expectations predict future return-to-work in workers filing injury claims for a variety of musculoskeletal conditions. Summary of Background Data: Recovery expectations seem to influence recovery and return-to-work after back pain, but their role in other compensable conditions is uncertain. Methods: All workers' compensation claimants receiving time-loss benefits for a musculoskeletal condition and undergoing return-to-work assessment were enrolled. Claimants completed a work-related recovery expectations questionnaire...
Return to work following disabling occupational injury – facilitators of employment continuation
Return to work following occupational injury is an important rehabilitation milestone; however, it does not mark the end of the return-to-work process. Following a return to the workplace, workers can experience difficulties that compromise their rehabilitation gains. Although there has been investigation of factors related to a return to the workplace, little attention has been paid to understanding what facilitates continued return-to-work success as this paper aims to do. Methods This study used data gathered during one-on-one telephone interviews with 146 people who experienced a work-related...
Determinants of early return to work after first stroke in Japan
Objective: To examine the time to return to work after first stroke and identify determinants of early return to work in Japan. Design: A multicentre, prospective cohort study on the association between characteristics at admission and early return to work after first stroke. Subjects: Among 464 patients after first stroke, 325 were registered in this study. All participants were younger than 65 years and engaged in paid work at the time of the stroke. Methods: Data collected prospectively for 18 months were analysed using the Kaplan–Meier method for time trends, and then a multiple logistic...
Relationship between competency in activities, injury severity, and post-concussion symptoms after traumatic brain injury
Objective : To determine to what extent injury severity and post-concussion symptoms after 3 months predict ability in activities 12 months after traumatic brain injury (TBI) and assess the frequency of problems in daily activities. Methods : A one-year cohort of 63 persons with mild to severe TBI was assessed on admission, after three and 12 months. Injury severity was assessed using the Glasgow Coma Scale, Abbreviated Injury Scale for the head and Injury Severity Score. Post-concussion symptoms were reported using the Rivermead Post Concussion Symptoms Questionnaire after three months. The Patient...
A Prospective Study of Return to Work Across Health Conditions: Perceived Work Attitude, Self-efficacy and Perceived Social Support
Abstract Background The aim of the present study was to conduct subgroup-analyses in a prospective cohort of workers on long-term sickness absence to investigate whether associations between perceived work attitude, self-efficacy and perceived social support and time to RTW differ across different health conditions. Methods The study was based on a sample of 926 workers on sickness absence (6–12 weeks). The participants filled out a baseline questionnaire and were subsequently followed until the tenth month after listing sick. Perceived work attitude was measured with a Dutch language version...
Coping self-efficacy as a mediator between catastrophizing and physical functioning: treatment target selection in an osteoarthritis sample
The purpose of this study was to assess the relative effects of coping self-efficacy and catastrophizing on physical functioning. Over a 9-month period, studying changes in self-efficacy as possible mediator between catastrophizing changes and physical functioning changes might provide evidence for the most promising treatment target. Data came from a randomized, longitudinal controlled trial comparing exercise, self-management and the two combined to treat 254 individuals with early knee osteoarthritis. A secondary analysis using a bootstrapped linear mixed-effects mediational model produced estimates...
Determinants of Return to Work After Occupational Injury
The promotion of return to work (RTW) following occupational injury benefits injured workers, their families, enterprises and the society. The identification of the potential determinants would be helpful in improving RTW rate and minimizing the duration of absenteeism following injury. Objectives The aim of the study was to identify the potential determinants of RTW following work-related injury. Methods A historical cohort of workers with occupational injury in a state-owned locomotive vehicles company in central China was followed up on the outcomes of RTW. Demographic, employment and medical...
Determinants of return to work following non life threatening acute orthopaedic trauma: a prospective cohort study
OBJECTIVE: To determine factors associated with return to work following acute non-life-threatening orthopaedic trauma. DESIGN: Prospective cohort study. PARTICIPANTS: One hundred and sixty-eight participants were recruited and followed for 6 months. The study achieved 89% participant follow-up. METHODS: Baseline data were obtained by survey and medical record review. Participants were further surveyed at 2 weeks, 3 and 6 months post-injury. Logistic regression was used to examine the association between potential predictors and first return to work by these 3 time-points. RESULTS: Sixty-eight...
Determinants of return to work after long-term sickness absence in six Danish municipalities
BACKGROUND: Different follow-up times and methods in return to work (RTW) research make it difficult to compare results between studies, and not all intervention effects and determinants may be constant over time. AIMS: This study aimed to describe the RTW process of a population of long-term sickness-absent workers over a 3-year period in terms of the effect of selected determinants over time. METHODS: A total of 7780 sickness-absent persons were registered by social workers in six different municipalities and were followed up for 2 to 3 years. Estimates from multiple logistic regression analyses...
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