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Identifying return-to-work trajectories using sequence analysis in a cohort of workers with work-related musculoskeletal disorders
Objectives: This study aimed to identify return-to-work (RTW) trajectories among workers with work-related musculoskeletal disorders (MSD) and examine the associations between different MSD and these RTW trajectories. Methods: We used administrative workers' compensation data to identify accepted MSD lost-time claims with an injury date between 2010–2012 in British Columbia, Canada. Cox regression analyses were used to investigate differences in time to RTW between MSD. Validated day-to-day calendar measures of four RTW states (sickness absence, modified RTW, RTW, and non-RTW) were grouped...
Examining the Relationship Between Productivity Loss Trajectories and Work Disability Outcomes Using the Panel Study of Income Dynamics
Objective: To identify trajectories of productivity loss and examine the relationship between the trajectories and work disability outcomes. Methods: Latent class growth analysis of productivity loss was estimated for the ages of 25 to 44 years in the Panel Study of Income Dynamics (N = 4960). Differences among the trajectories for work disability outcomes for the ages of 25 to 64 years were estimated using logistic regression and analysis of variance. Results: A five-group trajectory model was identified with a no-risk, low-risk, high-risk, early-onset increasing risk, and late-onset increasing...
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...
The trajectory of chronic pain: Can a community-based exercise/education program soften the ride?
(accès restreint) The entire primary care record of six patients attending a community-based education/exercise self-management program for chronic noncancer pain (YMCA Pain Exercise/Education Program [Y-PEP]) was reviewed. Medical visits, consultations and hospital admissions were coded as related or unrelated to their pain diagnoses. Mood disruption, financial concerns, conflicts with employers/insurers, analgesic doses, medication side effects and major life events were also recorded. The 'chronic pain trajectory' resembled a roller coaster with increased health care visits at...
Ethics and the compensation of immigrant workers for work-related injuries and illnesses
Journal of Immigrant and Minority Health, Volume 1, Number 5, 707-714 This paper examines the compensation process for work-related injuries and illnesses by assessing the trajectories of a sample of immigrant and non-immigrant workers (n = 104) in Montreal. Workers were interviewed to analyze the complexity associated with the compensation process. Experts specialized in compensation issues assessed the difficulty of the interviewees' compensation process. Immigrant workers faced greater difficulties with medical, legal, and administrative issues than non-immigrants did. While immigrant workers'...
Workers' perspectives on low back pain recurrence: "It comes and goes and comes and goes, but it's always there"
Although various measures of low back pain (LBP) recurrence have been proposed, none have been tested to determine if they are consistent with what those with LBP perceive a "recurrence" to be. To further the understanding of LBP recurrence and how to measure it, we examined how individuals with a history of LBP describe their back pain experiences. A qualitative approach was chosen and six mixed-gender focus groups were conducted. Discussions were facilitated by two researchers and structured around predetermined questions. All four authors were involved in the data analysis and thematic...
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...
Determining work outcomes in mild to moderate stroke survivors
Objective: To assess the work outcomes of individuals who have a mild to moderate stroke. Participants: Individuals who (1) experienced a mild to moderate stroke as determined by the National Institutes of Health Stroke Scale (NIHSS) scores (range 0–16); (2) were working full time prior to their stroke; and (3) were between the ages of 30–65. Methods: Participants were contacted and provided verbal consent to complete the Occupational Outcome Questionnaire (OOQ) over the telephone at 6 months post-stroke to determine their work outcomes. Results: Of the 98 participants recruited for...
What Concerns Workers with Low Back Pain? Findings of a Qualitative Study of Patients Referred for Rehabilitation
Health and workplace strategies to address work loss and sickness absence due to low back pain are urgently required. A better understanding of the experiences of those struggling to stay at work with back pain may help clinicians and employers with their treatment and management approaches. Methods A qualitative approach using thematic analysis was used. Individual semi-structured interviews were conducted with a convenience sample of 25 low back pain patients who had been referred for multidisciplinary back pain rehabilitation. All were in employment and concerned about their ability to work...
Resilience in the face of coping with a severe physical injury
A study of trajectories of adjustment in a rehabilitation setting Objective: Despite the popularity of the concept of resilience, little research has been conducted on populations in physical rehabilitation settings. Our purpose was to identify three trajectories of psychological adjustment to an acquired severe physical injury characterized by resilience, recovery, or distress in a longitudinal design. Participants: Eighty inpatients with a severe injury at a rehabilitation hospital. The participants had spinal cord injury or multiple traumas. Design: Classification into the three trajectories...

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