Journal of Occupational Rehabilitation最新文献

{"title":"Return on Investment of the Back At Work After Surgery (BAAS) Care Pathway Compared to Care-as-Usual in Knee Arthroplasty.","authors":"Daniël O Strijbos, A Carlien Straat, Geert van der Sluis, Wim F C van Houtert, Johanna M van Dongen, Tim Boymans, P Paul F M Kuijer, Michiel F Reneman","doi":"10.1007/s10926-025-10328-w","DOIUrl":"https://doi.org/10.1007/s10926-025-10328-w","url":null,"abstract":"<p><strong>Purpose: </strong>The Back At work After Surgery (BAAS) care pathway integrates medical and occupational care to enhance return to work (RTW) after knee arthroplasty (KA). BAAS has shown effectiveness in improving RTW outcomes, but its economic impact is unknown. This study evaluates the costs and return on investment (ROI) of BAAS compared with care-as-usual.</p><p><strong>Methods: </strong>This multicenter, prospective cohort study involved 270 employed patients having KA, comparing the BAAS pathway (n = 137) to care-as-usual (ACTIVE trial, n = 133). The ROI was evaluated from societal and employer's perspectives. Productivity (absenteeism and presenteeism) and healthcare (primary and secondary) costs were assessed using cost questionnaires administered at 3, 6, 9, and 12 months post-surgery. Propensity score matching and multiple imputation addressed non-randomization and missing data, respectively. ROI was calculated by dividing the netto benefits-defined as reductions in productivity and healthcare costs, or productivity costs alone minus costs of the BAAS intervention-by the intervention costs multiplied by 100%.</p><p><strong>Results: </strong>Propensity score-matched analyses included 102 patients per cohort. The total netto benefits from employers and societal perspective were of €4,493 and €4,982, respectively. Intervention costs were €845/patient. This resulted in a ROI of 590% (95% CI 67-1112%) and 532% (95% CI 27-1037%) from the societal and employer's perspective, respectively, per Euro invested.</p><p><strong>Conclusions: </strong>The BAAS care pathway demonstrates a favorable economic impact through significant 12 month downstream reductions in absenteeism and healthcare costs, and a positive ROI from both the societal and employer perspective.</p><p><strong>Trail registration: </strong>This study was retrospectively registered at clinicaltrails.gov ( https://clinicaltrials.gov/ct2/show/NCT05690347 , date of first registration: 19-01-2023).</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effectiveness of the Back At work After Surgery (BAAS) Work-Integrated Care Pathway on Return to Work for Patients Receiving Knee Arthroplasty: A Study of Three Comparative Cohorts in the Netherlands.","authors":"Daniël O Strijbos, Geert van der Sluis, Wim F C van Houtert, A Carlien Straat, Yvonne van Zaanen, Carolien M Kooijman, Igor van den Brand, Stephan E de Groot, Michiel F Reneman, Tim Boymans, P Paul F M Kuijer","doi":"10.1007/s10926-025-10331-1","DOIUrl":"https://doi.org/10.1007/s10926-025-10331-1","url":null,"abstract":"<p><strong>Purpose: </strong>Considering the increase in the demand from working age patients seeking knee arthroplasty (KA) and the low return-to-work (RTW) rates, optimization of care for patients getting KA with a focus on RTW is essential. We evaluated a work-integrated care pathway-Back At work After Surgery (BAAS)-aimed at improving RTW compared with care-as-usual in the Netherlands.</p><p><strong>Methods: </strong>In this multicenter study of three comparative cohorts, working patients who had primary KA were included. Patients in two Dutch hospitals (BAAS cohort) received integrated medical and occupational care, including structured pre- and postoperative consultations, goal setting, activity tracking, and interdisciplinary team meetings with both medical and occupational health professionals. Two independent control cohorts with comparable patient inclusion criteria (Expect TO work and ACTIVE) from 15 hospitals/clinics received care-as-usual. The primary outcomes were the time to first day of RTW and time to full RTW within 12 months. Inverse Probability of Treatment Weighting was used with known prognostic factors as covariates to account for possible differences in baseline characteristics.</p><p><strong>Results: </strong>A total of 457 patients were included (BAAS n = 145; Expect TO work n = 179; ACTIVE n = 133). The median time to first day of RTW was 16-25 days shorter in the BAAS cohort (27 days) compared to Expect TO work (52 days; hazard ratio [HR] 2.7; 95% confidence interval [CI]:2.1-3.4) and ACTIVE cohort (43 days; HR:1.95; CI:1.5-2.6). At three months, 90% of BAAS patients had started RTW versus 63% and 77% in the control cohorts. BAAS patients also achieved full RTW earlier, with a median time reduced by 27 days compared to the ACTIVE cohort (HR:1.4; CI:1.1-1.8). The odds of full RTW at 12 months were higher in the BAAS cohort compared to Expect TO work, namely odds ratio (OR) 5.0 (CI:1.3-18.5) and ACTIVE OR 9.3 (CI:2.5-34.8).</p><p><strong>Conclusion: </strong>The BAAS work-integrated care pathway was more effective than care-as-usual in improving RTW after KA in the Netherlands.</p><p><strong>Trail registration: </strong>This study was retrospectively registered at clinicaltrails.gov ( https://clinicaltrials.gov/ct2/show/NCT05690347 , date of first registration: 19-01-2023).</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Constituents of Trust in the Context of Return to Work Following a Work Disability: A Scoping Review and a Thematic Analysis.","authors":"Hermann B T Tegninko, Marie-Michelle Gouin","doi":"10.1007/s10926-025-10327-x","DOIUrl":"https://doi.org/10.1007/s10926-025-10327-x","url":null,"abstract":"<p><strong>Purpose: </strong>Trust is key to a successful return to work following a work disability. Its constituents, which have been widely documented in social and management sciences research, are not addressed in return to work (RTW) research. This study therefore aims to portray the constituents of trust that have been documented in the context of RTW following an absence due to musculoskeletal disorder or a common mental disorder.</p><p><strong>Method: </strong>A scoping review was performed using Joanna Briggs Institute methodology and the PRISMA extension for scoping review guidelines. Studies were extracted from six databases using keywords like trust, RTW/disability, and musculoskeletal/common mental disorders. Study selection and analysis were conducted in Covidence by two reviewers independently. An Excel framework served to record the constituents of trust (i.e., antecedents, attributes, and consequences) identified in accordance with a thematic analysis approach.</p><p><strong>Results: </strong>From the 2795 references extracted, 30 studies were selected, 73% of which were published in the Last 10 years. All three constituents were documented, mainly in the dyadic relationship between the worker returning to work and other stakeholders. Yet, some known antecedents of trust remain underexplored and new consequences emerge. Support also appears to be both an antecedent and a consequence, which encourages reflection on the possibility of trust reciprocity.</p><p><strong>Conclusion: </strong>While the constituents of trust involved in RTW were documented, they should be tested empirically, and some constituents and relationships need further exploration. Recommendations to improve trust between stakeholders are proposed.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mapping the Landscape of Work Rehabilitation Education in Physiotherapy Programs: Findings from a Cross-Sectional Survey in Quebec.","authors":"Christian Longtin, Quan Nha Hong, Fatima Amari, Lesley Singer, Lynn Cooper, André Bussières, Junie S Carrière, Michaël Bertrand-Charette, Kadija Perreault, Anne Hudon, Timothy H Wideman","doi":"10.1007/s10926-025-10325-z","DOIUrl":"https://doi.org/10.1007/s10926-025-10325-z","url":null,"abstract":"<p><strong>Purpose: </strong>Physiotherapists play a central role in the rehabilitation of individuals with work-related musculoskeletal disorders. Yet, it is currently unclear how entry-level training prepares them to manage work disability. This study aimed to (1) identify a set of work rehabilitation competencies, (2) examine how these competencies are integrated into entry-level physiotherapy training programs in Quebec, Canada, and (3) assess educators' perceptions of the adequacy of work rehabilitation education.</p><p><strong>Methods: </strong>A five-step consensus-building process with engaged partners and a literature review served to identify the competencies. Subsequently, educators from all Quebec physiotherapy programs completed a cross-sectional survey containing closed- and open-ended questions. The survey documented the integration of general and competency-specific work rehabilitation content and educators' ratings of students' preparedness for entry-to-practice for each competency. Quantitative data were analyzed descriptively, and open-text responses were analyzed using qualitative metasummary.</p><p><strong>Results: </strong>Seven work rehabilitation competencies were identified and used to structure the survey. The median time dedicated to work rehabilitation education was 5.5 h (range 1-21.5). Programs partially integrated the competencies, using mostly didactic learning strategies. Coverage of key topics for each competency and relevance to work rehabilitation varied considerably across programs. Educators reported low student preparedness for competencies requiring work-focused knowledge and skills and varying comfort with teaching this content.</p><p><strong>Conclusion: </strong>This study highlights critical gaps in physiotherapy education related to work rehabilitation and provides a benchmark for how key competencies are addressed in Quebec programs. These findings offer a foundation for improving work rehabilitation training for physiotherapists.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Receiving Return-To-Work Coordination at Swedish Primary Healthcare Clinics: A Register-Based Study Among People on Sickness Absence.","authors":"Erik Berglund, Emilie Friberg, Veronica Svärd","doi":"10.1007/s10926-025-10330-2","DOIUrl":"https://doi.org/10.1007/s10926-025-10330-2","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigates factors associated with receiving return-to-work (RTW) coordination within primary healthcare and the association between received RTW coordination and the amount of sickness absence (SA) days.</p><p><strong>Methods: </strong>This register study included 13019 people who had SA at some time between March 2019 and February 2020 and visited a primary healthcare clinic that employed a RTW coordinator. Logistic regressions were used to investigate received RTW coordination. Negative binomial regressions were used to analyse the amount of SA days in the ten-month follow-up period.</p><p><strong>Results: </strong>Associations were found between receiving RTW coordination and being a woman, being 30-49 years old, and having higher educational attainment, more healthcare contacts, more SA days, and a musculoskeletal or mental diagnosis. In the following ten-month period, mean SA were 71.3 days among people receiving RTW coordination and 76.1 days for those who had not. However, the adjusted analyses did not show association between RTW coordination in primary healthcare and the amount of SA days in the following ten-month period.</p><p><strong>Conclusion: </strong>RTW coordination seems to be directed towards some groups of people with a higher risk of long-term SA, but not all, which raises the question of whether or not more people on SA would have benefited from RTW coordination as well. This would likely mean that more finely calibrated ways of identifying people at risk of long-term SA are needed. The reduction in SA days for those who had received RTW coordination needs to be confirmed in further studies.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Staying at Work with Musculoskeletal Pain in a Physically Demanding Job: A Qualitative Exploration of Workers' and Managers' Perspectives.","authors":"Mette Jensen Stochkendahl, Charlotte Brøgger Bond, Jan Hartvigsen","doi":"10.1007/s10926-025-10329-9","DOIUrl":"https://doi.org/10.1007/s10926-025-10329-9","url":null,"abstract":"<p><strong>Purpose: </strong>Staying at work despite recurrent or persistent musculoskeletal (MSK) pain offers mental and physical health benefits in addition to financial security for workers. This study explores worker and manager experiences and perspectives on stay-at-work practices to nuance our understanding of what drives successful or unsuccessful practices.</p><p><strong>Methods: </strong>We conducted a vignette-based qualitative exploration of workplace practices of managers and workers from three medium-sized workplaces with physically demanding jobs. Data collection included five focus group interviews and two workshops. Data were analysed using reflexive thematic analysis inductively and deductively.</p><p><strong>Results: </strong>We identified three themes relating to workplace cultures (Theme 1. Pain is an accepted part of working life), conflicting perceptions of responsibility in managing health impact on stay-at-work practices (Theme 2. Stay-at-work responsibilities and practices), and the importance of trusting communication and the precarious balance between support and pressure to stay at work within the workplace (Theme 3. En route to dismissal).</p><p><strong>Conclusion: </strong>The identified themes describe helpful and unhelpful beliefs and practices involving individual workers, their co-workers and managers. Shared and unshared cultural norms, understandings of what MSK pain is and means, and perceptions of responsibility drive stay-at-work practices, with trust being an important factor for the precarious balance between workplace support and pressure to stay at work.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Return to Work Trajectories of Swedish Employees on Sick-Leave Due to Common Mental Disorders.","authors":"Anna Toropova, Elisabeth Björk Brämberg, Gunnar Bergström","doi":"10.1007/s10926-024-10216-9","DOIUrl":"10.1007/s10926-024-10216-9","url":null,"abstract":"<p><strong>Objectives: </strong>Recent research has emphasized that return to work (RTW) is a dynamic, gradual and often uneven process with a great degree of individual variation. This study aimed to identify RTW trajectories of Swedish employees on sick-leave due to common mental disorders (CMDs). The second aim was to explore which demographic, employment, health-related and work environment characteristics predicted RTW trajectory membership.</p><p><strong>Methods: </strong>Data comes from two 2-armed cluster-randomized controlled trials (RCT) with a 12-month follow-up. A participative problem-solving intervention aimed to reduce sick-leave was compared to care as usual (CAU) involving any kind of work-directed interventions. Participants on sick-leave due to CMDs at baseline (N = 197) formed the study sample. Latent growth mixture modeling and logistic regression were the main analytical approaches.</p><p><strong>Results: </strong>Five distinct RTW trajectories of Swedish employees were identified: Early RTW (N = 65), Delayed RTW (N = 50), Late RTW (N = 39), Struggling RTW (N = 21) and No RTW (N = 22). RTW trajectories differed consistently with regard to previous sick-leave duration and social support at work. More unique predictors of RTW trajectories included gender, rewards at work, work performance impairment due to health problems, home-to-work interference and stress-related exhaustion disorder.</p><p><strong>Conclusion: </strong>The study may have important clinical implications for identifying patients belonging to a particular RTW trajectory. Knowledge on the modifiable work environment factors that differentiated between the RTW trajectories could be useful for designing effective workplace interventions, tailored to particular needs of employees with CMDs. However, in a first step, the results need to be replicated.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"479-490"},"PeriodicalIF":2.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12361341/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141440978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interpersonal Processes in the Duration of Sick Leave of Workers with Chronic Diseases: A Dyadic Analysis.","authors":"Haitze J de Vries, Nicole C Snippen, Corné A M Roelen, Mariët Hagedoorn, Sandra Brouwer","doi":"10.1007/s10926-024-10233-8","DOIUrl":"10.1007/s10926-024-10233-8","url":null,"abstract":"<p><strong>Purpose: </strong>Although there is increasing awareness that significant others' perceptions and behavior can affect health outcomes, the role of interpersonal processes between sick-listed workers and significant others in sick leave and return to work (RTW) has hardly been studied. This study aims to examine the associations between illness perceptions, RTW expectations, and behaviors of significant others (engagement, buffering and overprotection) with sick leave duration within dyads of sick-listed workers with chronic diseases and their significant others.</p><p><strong>Methods: </strong>We used survey data linked with sick leave registry data of 90 dyads. Pearson correlations were used to study the interdependence within dyads. Multiple linear regression analyses were conducted to examine associations between survey data of both dyad members and sick leave duration.</p><p><strong>Results: </strong>We found moderate to strong correlations between workers and significant others, indicating interdependence within dyads regarding illness perceptions, RTW expectations and perceived significant other behaviors. Dyad members' illness perceptions (R² = .204, p = .001) and RTW expectations (R² = .326, p =  < .001) were associated with sick leave duration, explaining respectively 12.3% and 24.5% of the variance. We found no associations between sick leave duration and active engagement, protective buffering and overprotection.</p><p><strong>Conclusions: </strong>This study indicates that negative illness perceptions and RTW expectations of both workers and their significant others are associated with a longer sick leave duration. Considering the interdependence within dyads, involving significant others when intervening on maladaptive illness perceptions and RTW expectations may be more effective than solely focusing on the worker's perceptions and expectations.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"654-664"},"PeriodicalIF":2.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12361268/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142120924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Return to Work Following Hip or Knee Arthroplasty: A One-Year Prospective Cohort Study in Participants with Direct Referral from Hospital to Occupational Health Care Services.","authors":"Pauliina Kangas, Satu Soini, Konsta Pamilo, Visa Kervinen, Marja-Liisa Kinnunen","doi":"10.1007/s10926-024-10218-7","DOIUrl":"10.1007/s10926-024-10218-7","url":null,"abstract":"<p><strong>Purpose: </strong>In a new Finnish Coordinated Return to Work (CRTW) model, patients are referred to occupational health care after hip or knee arthroplasty. This study evaluated the CRTW model's effect on return to work (RTW), activities used in occupational health care and in the workplace, and the patient- and work-related factors affecting early RTW.</p><p><strong>Methods: </strong>209 participants with occupational health care service underwent primary hip (THA) or total/unicondylar knee (KJA) arthroplasty and completed self-reported questionnaires after arthroplasty and at time of RTW. Factors affecting RTW, and the roles of occupational health care and the workplace in RTW were evaluated. Time to RTW was determined as days between the arthroplasty and RTW.</p><p><strong>Results: </strong>Mean time to RTW was 69 days after THA and 87 days after KJA. For easing RTW, work arrangements were made for 56% of the participants. The most utilized adjustments of work were enabling remote work and arranging limitations in work tasks. Participants with earlier RTW had lower physical workload, higher professional status and motivation to work, less pre-arthroplasty sick leave, and more positive personal expectations about the time to RTW compared to participants with later RTW (p < 0.001 for all). The linear regression and dominance analyses showed participants' own expectations and pre-arthroplasty sick leave as the strongest factors affecting time to RTW.</p><p><strong>Conclusions: </strong>The CRTW model seems to shorten time to RTW after THA and KJA. Occupational health care and workplace play important roles in supporting RTW. Patients' own expectations should be noted when giving pre-arthroplasty information.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"505-519"},"PeriodicalIF":2.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12361289/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Related to the Recurrence of Sickness Absence Due to Common Mental Health Disorders: A Systematic Review.","authors":"Lydia In't Hout, Suzanne G M van Hees, Emma Vossen, Shirley Oomens, Dike van de Mheen, Roland W B Blonk","doi":"10.1007/s10926-024-10224-9","DOIUrl":"10.1007/s10926-024-10224-9","url":null,"abstract":"<p><strong>Purpose: </strong>Employees who experience sickness absence (SA) due to common mental disorders (CMD) are at increased risk of recurrent sickness absence (RSA). This systematic literature review examines the factors at different levels in the work and non-work context that increase or decrease the likelihood of RSA due to CMD. The resulting knowledge enables more accurate identification of employees at risk of RSA.</p><p><strong>Methods: </strong>We conducted a search in June 2023 using the following databases: PubMed, PsycInfo, Web of Science, Cumulative Index to Nursing & Allied Health Literature (Cinahl), Embase and Business Source Ultimate (BSU). Inclusion criteria were as follows: (self-)employees, CMD, related factors, RSA. The quality of the studies was assessed using the Mixed Methods Appraisal Tool (MMAT). The Individual, Group, Leader, Organisation and Overarching/social context (IGLOO) model were used to cluster the found factors and these factors were graded by evidence grading.</p><p><strong>Results: </strong>Nineteen quantitative and one qualitative studies of mainly high and some moderate quality were included in this review. A total of 78 factors were found. These factors were grouped according to the IGLOO levels and merged in 17 key factors. After evidence grading, we found that mainly low socioeconomic status (SES) and the type of previous SA (short-term SA and SA due to CMD) are predictors of an increased risk of RSA.</p><p><strong>Conclusions: </strong>Having a low SES and previous experience of SA (short term, or due to CMD) are factors that predict the chance of RSA, implying the need for prolonged support from occupational health professionals after the employee has returned to work.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"435-449"},"PeriodicalIF":2.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12361277/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}