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Factors affecting RTW following acute low-back pain
Steenstra, Ivan et coll. (2012). Factors affecting RTW following acute low-back pain. Institute for Work & Health (IWH) Sommaire d'une recension des écrits sur les déterminants du retour au travail chez les personnes souffrant de lombalgies aigues. Although most workers with acute low-back pain (i.e. pain for up to six weeks) return to work following a relatively straightforward path, anywhere from one-fifth to one-third go on to suffer chronic low-back pain (i.e. pain for longer than three months). This results in potentially lengthy absences from work. This systematic review...
Reexamining workers' compensation: A human rights perspective
Boden, Leslie I. (2012). Reexamining workers' compensation: A human rights perspective. American Journal of Industrial Medicine 55 (6): 483-486 Injured workers, particularly those with more severe injuries, have long experienced workers' compensation systems as stressful and demeaning, have found it difficult to obtain benefits, and, when able to obtain benefits, have found them inadequate. Moreover, the last two decades have seen a substantial erosion of the protections offered by workers' compensation. State after state has erected additional barriers to benefit receipt, making the...
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...
Making a successful return to work
The UK burden of injury multicentre longitudinal study BACKGROUND: Injuries are common and make a significant contribution to sickness absence, but little is known about problems experienced by injured people on return to work (RTW). AIM: To quantify work problems on RTW and explore predictors of such problems. Design & setting: Multicentre longitudinal study in four UK hospitals. METHOD: Prospective study of injured participants aged 16-65 years who were employed or self-employed prior to the injury and had RTW at 1 or 4 months post injury. RESULTS: At 1 month, most (59%) had only made a partial...
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...
Association of Returning to Work With Better Health in Working-Aged Adults
A Systematic Review Objectives. We systematically reviewed the literature on the impact of returning to work on health among working-aged adults. Methods. We searched 6 electronic databases in 2005. We selected longitudinal studies that documented a transition from unemployment to employment and included a comparison group. Two reviewers independently appraised the retrieved literature for potential relevance and methodological quality. Results. Eighteen studies met our inclusion criteria, including 1 randomized controlled trial. Fifteen studies revealed a beneficial effect of returning to work...
Pain coping in injured workers with chronic pain
What's unique about workers? Purpose: Pain caused by a work injury is a complex phenomenon comprising multiple factors, e.g. age, gender, prior health status, occupation, job demands, and severity of injury. Little research has focused on injured workers with chronic pain. This study investigates injured workers' pain coping. Methods: A descriptive cross-sectional study design was used to measure coping strategies of injured workers in a work rehabilitation program. Differences in coping strategies by demographics, injury-related variables, pain, disability, and depression were measured...
Medical Interpretation for Immigrant Workers
Forst, Linda et coll. (2012). Medical Interpretation for Immigrant Workers. New Solutions: A Journal of Environment and Occupational Health Policy , 22(1): 37-50. Foreign-born workers have high rates of occupational mortality and morbidity, despite downward trends for the U.S. workforce overall. They have limited access to health care services. Medical interpreters (MIs) facilitate care of acutely injured, low-English-proficiency (LEP) patients, including those sustaining occupational injuries. Our goal was to assess the potential for MIs to serve as advocates of LEP patients injured at work and...
Transitions between sickness absence, work, unemployment, and disability in Denmark 2004-2008
Pedersen, J. et coll. (2012). Transitions between sickness absence, work, unemployment, and disability in Denmark 2004-2008. Scandinavian Journal of Work, Environment, and Health (sous presse). OBJECTIVES: Studies of labor market outcomes like sickness absence are usually restricted to a single outcome. This paper investigates the use of multi-state models for studying multiple transitions between sick-listing, work, unemployment, and disability pension by analyzing longitudinal register data. Every person sick-listed in Denmark during 2004 was followed until the spring of 2008. METHODS: A multi...
Return to work and productive activities following a spinal cord injury
The role of income and insurance Study design:We analyzed longitudinal data on secondary outcomes from participants in a telerehabilitation study.Objectives:To examine the factors affecting return to productive activities and employment and the time to these events following a spinal cord injury (SCI).Setting:A large southeastern rehabilitation hospital in the United States.Methods:We used hazard regression models to analyze data from newly injured people (n=111) participating in an educational intervention post discharge who were followed for up to 2 years. Outcomes were time to return to productive...
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...
Trajectories and predictors of return to work after traumatic limb injury
A 2-year follow-up study Objectives: This study aims to explore the trajectories of return to work (RTW) and examine the predictors of different trajectories among workers following traumatic limb injury. Methods: A total of 804 participants were recruited during hospital admission for a 2-year prospective study. The RTW outcome was repeatedly assessed at 1, 3, 6, 12, 18, and 24 months after the injury. A group-based trajectory model (GBTM) was employed to identify trajectories of RTW among the participants. Comparisons of group characteristics of different trajectories were performed based on...
Breast cancer survivors' views of factors that influence the return-to-work process
A qualitative study OBJECTIVES: Accumulating evidence suggests that most employed breast cancer survivors are able to return to work but often experience difficulties in the process. The objective of this study was to identify: (i) factors experienced as barriers to and facilitators of the return-to-work (RTW) process, (ii) which factors were important during initial and post RTW, and (iii) possible solutions to RTW problems. METHODS: Twelve breast cancer survivors participated in semi-structured interviews. Interviews were thematically analyzed using MAXQDA, software for qualitative data analysis...
Return to work after early part-time sick leave due to musculoskeletal disorders
A randomized controlled trial OBJECTIVES: The purpose of this study was to assess the effects of early part-time sick leave on return to work (RTW) and sickness absence among patients with musculoskeletal disorders. Methods A randomized controlled trial was conducted in six occupational health units of medium- and large-size enterprises. Patients aged 18-60 years with musculoskeletal disorders (N=63) unable to perform their regular work were randomly allocated to part- or full-time sick leave. In the former group, workload was reduced by restricting work time by about a half. Remaining work tasks...
Preserving workers' dignity in workers' compensation systems
An international perspective Background: Workers' compensation systems are among the most generous disability insurance systems in North America, although they are also known to be potentially adversarial and may have iatrogenic effects on claimants. This article examines issues to be considered to ensure fair compensation provided in a way that respects the dignity of workers. Methods: An overview of the literature on characteristics and effects of workers' compensation systems is followed by an analysis based on classic legal methods, including those of comparative law, complemented with...
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