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Étude des qualités psychométriques de l’Outil d’identification de la situation de handicap au travail (OISHT) utilisé auprès de travailleurs ayant un trouble musculosquelettique ou un trouble mental courant
L'outil d'identification de la situation de handicap au travail (OISHT) consiste en une entrevue structurée qui a été développée pour aider les cliniciens à identifier de façon systématique les facteurs liés à l'incapacité au travail. L'OISHT est un des rares outils disponibles en réadaptation pour la clientèle en phase chronique d'incapacité au travail. Il tient compte de l'influence de différents systèmes (personnel, santé, travail, indemnisation) et a...
Use of Framingham Risk Score as a Clinical Tool for the Assessment of Fitness for Work
Results From a Cohort Study Objective: The aim of this study is to validate the use of the Framingham Risk Score (FRS) as clinical tool to predict the risk of diagnosis of unsuitability for work in a cohort of Italian workers. Methods: A cohort of workers has been observed from January 2006 to March 2014. FRS was calculated at each visit. Health surveillance diagnosis of unsuitability for work was selected as outcome. Results: Two thousand eight hundred fifty seven workers were observed, 58.9% were men, mean age was 51.6 (±6.7), the mean FRS was 15.1% (±10.7%). Increased values of...
The capability set for work
Development and validation of a new questionnaire Objectives: The aim of this study was to develop a questionnaire to measure work capabilities based on Amartya Sen's capability approach and evaluate its validity. Methods: The development of the questionnaire was based on a combination of qualitative and quantitative methods: interviews, literature study, and an expert meeting. Additionally, in a survey, the validity was evaluated by means of hypotheses testing (using correlations and regression analyses). Results: The questionnaire consists of a set of seven capability aspects for work. For...
Outcomes of the introduction of a standardized fitness-for-duty evaluation of commercial truck drivers on the incidence of low back injuries and workers' compensation costs
OBJECTIVE: To determine the incidence of low back injuries and associated workers' compensation costs before and after the introduction of a standardized fitness-for-duty evaluation of commercial truck drivers who present for their comprehensive Department of Transportation (DOT) physical examination. METHODS: Trained physical therapists administered questionnaires and performed functional testing of commercial truck drivers scheduled for their DOT examination. The results were communicated to providers performing DOT examinations. Incidence rates of low back injury and associated workers'...
The Clinical Utility of the Multidimensional Pain Inventory (MPI) in Characterizing Chronic Disabling Occupational Musculoskeletal Disorders
Purpose The Multidimensional Pain Inventory (MPI) was designed to help capture unique characteristics of chronic pain patients. The present study examined the proportion of subgroups classified by the MPI in a chronic disabling occupational musculoskeletal disorder (CDOMD) patient cohort, and described characteristics of MPI profile groups in terms of other psychosocial variables. Methods A cohort of 1,270 CDOMD patients undergoing an interdisciplinary functional restoration program was studied. Before the start of the program, all patients received a standard psychosocial assessment battery. A...
Confirmatory Factor Analysis of the Work Limitations Questionnaire (WLQ-25) in Workers' Compensation Claimants with Chronic Upper-Limb Disorders
Purpose : To examine the factorial validity of the Work Limitations Questionnaire (WLQ-25) among workers' compensation claimants with chronic upper-limb disorders. Methods : Attendees of the WSIB Shoulder and Elbow Specialty clinic in Toronto, Ontario, Canada, completed a survey that includes the WLQ-25 [4 subscales: time-management (TM), physical demands (PD), mental-interpersonal (MI), and output demands (OD)]. Confirmatory factor analyses (n = 2262) were conducted to evaluate and compare alternative 4- and 5-factor WLQ-25 structures [MI subscale intact vs. separated into mental demands ...
Examining functional content in widely used Health-Related Quality of Life scales
Hall, Trevor et coll. (2011). Examining functional content in widely used Health-Related Quality of Life scales. Rehabilitation Psychology , 56 (2): 94-99. Purpose: Assess extent to which generic Quality of Life (QOL) and Health-Related Quality of Life (HRQOL) scales include function in assessment of health, and identify health assessment items that are free of functional content. Methods: An expert panel on measurement of health and disability reached consensus on definitions of health, disability, and function. They assessed all items of all generic (non-condition-specific) scales in the 2006...
Empowerment of people with a long-term work disability: development of the ‘VrijBaan’ questionnaire
Purpose . To develop an instrument that measures empowerment among people with a long-term work disability. Methods . A six-dimension empowerment model was chosen as a theoretical framework. These dimensions are as follows: competence, self-determination, meaning, impact, positive identity and group orientation. A literature search was conducted to find instruments that currently are being used to measure one or more of these constructs. Validated and applicable instruments from this search were used in a preliminary questionnaire. A pilot test was conducted consulting the target population...
A Typology of Sick-Listed Claimants to Improve Communication Skills for Social Insurance Physicians during Medical Disability Assessment Interviews
Introduction Role play with standardised simulated patients is often included in communication training. However, regarding physician-patient encounters in medical disability assessment interviews it is unclear what should be included in the scenarios for actors. The first objective of this study was to determine which types of medical disability claimants can be distinguished based on behavioural determinants. The second objective was to determine if these types of claimants differed in their perception of communication behaviour and their satisfaction with the communication with physicians. Methods...
Medical Assessments of the Years 2004 and 2005 at the Diagnostic Medical Department MEDAS, University Clinic Basel - A Critical Analysis
Les expertises commandées par l'assurance invalidité (AI) concernant des patients demandant à bénéficier d'une rente AI constituent un volet important des prestations de MEDAS/asim, Bâle. L'analyse de 593 expertises effectuées en 2004/2005 avait pour but de fournir des précisions sur les caractéristiques de cette catégorie de patients. Dans le cadre de ce travail, des données relatives à la sociodémographie, aux diagnostics et à la capacité de travail attestée ont été...
Not working
CAB evidence on the ESA work capability assessment Employment and support allowance (ESA) was introduced in October 2008 to replace the existing incapacity benefit (IB) for new claimants. It aims to give more help to those who might, with support, be able to work. Citizens Advice has been monitoring the impact of the new benefit, and this is our second report since its introduction. Limited capability, published in November 2009, covered the administration of the benefit, and this report looks at the assessment process. Bureaux advisers have expressed grave concern at the number of people unexpectedly...
The Friction Model – a dynamic model of functioning, disability and contextual factors and its conceptual and practical applicability
Purpose .To develop a model of the dynamics of functioning, disability and contextual factors which harmonises with the International Classification of Functioning, Disability and Health (ICF). Method .Model parts based on ICF were identified and a model drawing from engineering concepts was developed. The conceptual and practical applicability of the model was discussed. Results .The so called Friction Model was created, which incorporates the ICF entities capacity, performance, environmental factors, health condition, body functions and structures, and personal factors. Friction describes the...

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