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Work-related psychosocial and mechanical risk factors for work disability
A 3-year follow-up study of the general working population in Norway Objectives This study examines the impact of work-related psychosocial and mechanical risk factors for work disability in the general working population. Methods A randomly drawn cohort from the general population in Norway aged 18–66 years was followed for 3 years (N=12 550, 67% response rate at baseline). Eligible respondents were in paid work for ≥10 hours per week in 2006 and were still in paid work or had quit working because of health problems (work disability) in 2009 (N=6745). Five work-related psychosocial factors...
Biopsychosocial determinants of work outcomes of workers with occupational injuries receiving compensation
Objectives: The evolution of musculoskeletal disorders and the adjustment to its consequences is a complex, multidimensional process determined by biopsychosocial factors. Despite the plethora of research in this field, little consensus has emerged about its main risk factors. The aims of the present study are to investigate the capacity of biopsychosocial variables to predict active involvement in a return to work process. Participants: A sample (N=62) of workers with mostly chronic occupational injuries receiving compensation benefits from the CSST [Quebec Workers' Compensation Board] was...
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...
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...
How well do observed functional limitations explain the variance in Roland Morris scores in patients with chronic non-specific low back pain undergoing physiotherapy?
Caporaso, F. et coll. How well do observed functional limitations explain the variance in Roland Morris scores in patients with chronic non-specific low back pain undergoing physiotherapy? European Spine Journal . Self-rated activity limitations in patients with non-specific chronic low back pain (cLBP) do not correlate well with performance in traditional tests of impairment (e.g. back strength, ROM, etc.). Tests using more “functional activities” have therefore been recommended as alternative “objective” outcome measures. We examined the relationship between a battery...
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...
Prediction of failure to retain work 1 year after interdisciplinary functional restoration in occupational injuries
OBJECTIVE: To identify risk factors for work retention (a patients' ability to both obtain and retain employment) at 1 year after treatment for a chronic disabling occupational musculoskeletal disorder (CDOMD). DESIGN: Prospective cohort study. SETTING: Consecutive patients undergoing interdisciplinary functional restoration treatment in a regional rehabilitation referral center. PARTICIPANTS: A sample of 1850 consecutive CDOMD patients, who were admitted to and completed a functional restoration program, were subsequently classified as work retention or nonwork retention at a 1-year posttreatment...
Factors that affect the occurrence and chronicity of occupation-related musculoskeletal disorders
Horsley, Robyn (2011). Factors that affect the occurrence and chronicity of occupation-related musculoskeletal disorders. Best Practice & Research Clinical Rheumatology , 25(1): 103-115. (Accès limité) The components that affect the occurrence and chronicity of musculoskeletal disease are multifactorial. The return to work process and prevention of future chronic disability commences at the time of the initial assessment. The clinician can identify, at an early stage, patients with negative expectations of return to work and adopt a care plan oriented to functional adaptation...
Help-seeking behaviour for the treatment of chronic pain
There are more people living with chronic pain than cardiovascular disease and cancer combined. Many people with chronic pain do not seek help from health professionals and suffer in silence for many years. Untreated chronic pain can lead to increased disability, increased risk of fall, depression, sleep deprivation, reduced quality of life and social isolation. The aim of this review is to determine the factors associated with help-seeking for chronic pain in an effort to highlight potential reasons why help may or may not be sought. A total of 23 studies were included in the review. On the whole...

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