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Obstacles to and Facilitators of Return to Work After Work-Disabling Back Pain: The Workers' Perspective
Introduction Back pain entails considerable costs, particularly because many injured workers are absent from work for long periods. Factors that influence return to work among workers with back pain are still, however, not well understood. This qualitative study aimed at documenting affected workers' perspective on the: 1-difficulties caused by back pain, and 2-most important obstacles to and facilitators of return to work. Methods Two focus groups composed of workers having suffered from work-disabling back pain were held: a group of participants who had returned to work (n = 9) and a group...
Injured Workers' Construction of Expectations of Return to Work with Sub-Acute Back Pain: The Role of Perceived Uncertainty
Introduction : Little is known about the formation of expectations of return to work (RTW) from the perspective of injured workers with back injuries. This modified grounded theory study uses a biopsychosocial approach that considers the workers' complex social circumstances, to unpack the multidimensional construct of expectations of RTW from the injured worker's perspective. Method : Initial semi-structured interviews were conducted with 18 individuals with sub-acute back pain, who were off work between 3 and 6 months. Follow-up interviews were conducted with 7 participants for the purposes...
The Combination of Work Organizational Climate and Individual Work Commitment Predicts Return to Work in Women But Not in Men
Objective : To analyze if the combination of organizational climate and work commitment can predict return to work (RTW). Methods : This prospective Swedish study was based on 2285 participants, 19 to 64 years old, consecutively selected from the employed population, newly sick-listed for more than 14 days. Data were collected in 2008 through postal questionnaire and from register data. Results : Among women, the combination of good organizational climate and fair work commitment predicted an early RTW with an adjusted relative risk of 2.05 (1.32 to 3.18). Among men, none of the adjusted variables...
The crystal ball: predicting return to work following low-back pain
What factors affect how long it will take workers to return to work following an episode of acute low-back pain? A just-completed systematic review from the Institute for Work & Health points to a number of them, including workers’ recovery expectations and their interactions with health-care practitioners. It began with a question: “What influences return to work among workers in the early phase of a disability due to low-back pain?” It ended with some concrete answers, and then took one step further: a workshop to see if the answers rang true for case managers, medical examiners...
A workplace intervention for sick-listed employees with distress: results of a randomised controlled trial
Objectives To evaluate the effectiveness of a participatory workplace intervention compared with usual care for sick-listed employees with distress, with regard to return to work (RTW) within the 12-month follow-up. Methods Employees with distress and sick-listed for 2–8 weeks were randomised to a workplace intervention (n=73) or to usual care (n=72). The participatory workplace intervention is a stepwise process involving the sick-listed employee and their supervisor, aimed at reducing obstacles for RTW by reaching consensus about an action plan for RTW. Outcome variables were lasting RTW...

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