Journal of Occupational Rehabilitation最新文献

{"title":"Test-Retest Reliability, Clinical Usefulness, and Telephone Application of the Work Limitation Questionnaire in Individuals Who Returned to Work After Stroke.","authors":"Janayna Avance, Kênia K P de Menezes, Augusto Boening, Natalia D Pereira, Lucas R Nascimento","doi":"10.1007/s10926-024-10240-9","DOIUrl":"https://doi.org/10.1007/s10926-024-10240-9","url":null,"abstract":"<p><strong>Purposes: </strong>To measure the test-retest reliability and the clinical usefulness of the Work Limitation Questionnaire, and to compare the in-person with the telephone application.</p><p><strong>Methods: </strong>Cross-sectional, exploratory study. The Work Limitation Questionnaire was answered three times: twice in person, to measure test-retest reliability and clinical usefulness, and once, by telephone, to measure the validity of the telephone application.</p><p><strong>Results: </strong>Fifty-six individuals (32 men) with mild to moderate disabilities after stroke were included. Test-retest reliability was very high (ICC 0.96; 95% CI 0.94 to 0.98; p < 0.01), the clinical usefulness was high (9 out of 12 points), and the correlation between in-person and telephone applications was high (ρ = 0.7; 95% CI 0.5 to 0.9; p < 0.01). The average productivity loss was 4% (SD 5, min-max 0 to 15%).</p><p><strong>Conclusions: </strong>The Work Limitation Questionnaire showed adequate test-retest reliability and clinical usefulness in individuals with stroke. The telephone application produced comparable results to in-person applications. The participants reported low productivity loss, which may be related to the mild impairments of the included sample.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378438","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":"Workplace Accommodations and the Labor Force Status of Persons with Disabilities.","authors":"Christoph Schimmele, Sung-Hee Jeon, Rubab Arim","doi":"10.1007/s10926-024-10239-2","DOIUrl":"https://doi.org/10.1007/s10926-024-10239-2","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of the study is to examine the role of unmet needs for workplace accommodations (WPA) in the labor force status of persons with disabilities (PWD) aged 25-64 years.</p><p><strong>Methods: </strong>The study used data from the 2017 Canadian Survey on Disability and multinomial logistic regressions to estimate the predicted probabilities of employment, unemployment, detachment from the labor force, and retirement. Product terms were used to examine if the association between unmet needs for WPA and these employment outcomes depended on severity of disability and age group.</p><p><strong>Results: </strong>The findings show that the probability of employment was far lower for PWD with unmet needs for WPA than it was for their counterparts without unmet needs, after controlling for disability-related and sociodemographic characteristics. While having more severe disabilities associated with a lower employment rate, this occurred in the context of unmet needs for WPA, as there was no difference between persons with milder and more severe disabilities without unmet needs. Unmet needs for WPA had age-specific consequences and were associated with a higher probability of unemployment and detachment from the labor force among PWDs aged 25-34 years and a higher probability of retirement among PWD aged 55-64 years.</p><p><strong>Conclusion: </strong>Unmet needs for WPA are a barrier to the employment chances of many PWD and eliminating these unmet needs could increase their inclusion in the labor force.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367004","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 Era of Technology in Healthcare-An Evaluation of Telerehabilitation on Client Outcomes: A Systematic Review and Meta-analysis.","authors":"Sharan Jaswal, Joyce Lo, Aaron Howe, Yifan Hao, Shangkai Zhu, Gobika Sithamparanathan, Behdin Nowrouzi-Kia","doi":"10.1007/s10926-024-10237-4","DOIUrl":"https://doi.org/10.1007/s10926-024-10237-4","url":null,"abstract":"<p><strong>Purpose: </strong>This systematic review and meta-analysis aimed to synthesize the evidence and examine the effect of telerehabilitation interventions compared to face-to-face rehabilitation interventions on physical functioning, mental health, and pain reduction among employed individuals, 18 years old and older.</p><p><strong>Methods: </strong>Following the Preferred Reporting Items of Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a comprehensive search syntax was created and inputted into Ovid Medline, APA PsycINFO, Ovid Embase, CINAHL, and Scopus. Critical appraisal of the included studies was conducted by two researchers to assess the risk of bias. A meta-analysis was completed for the randomized controlled trials and GRADE was used to determine the certainty of the evidence.</p><p><strong>Results: </strong>A total of 16 out of 4319 articles were included in this review. This systematic review and meta-analysis found no significant differences between telerehabilitation interventions for physical functioning, mental health, and pain reduction outcomes compared to traditional rehabilitation interventions.</p><p><strong>Conclusion: </strong>The study findings indicate that telerehabilitation is less effective than in-person care for occupational therapy and physical therapy services. Future research may look at addressing the limitations of the current study to produce more conclusive results, such as exploring the length of the intervention, knowledge and confidence of intervention application, and follow-ups.</p><p><strong>Systematic review registration: </strong>This systematic review has been registered with PROSPERO under registration number CRD42022297849 on April 8th, 2022.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142337010","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":"Psychological Service Utilization and its Impact on Return to Work in Vocational Retraining Centers: A Cohort Study","authors":"Jan Mathis Elling, Christian Hetzel, Anna Maren Koch, Gabriela Sewz, David Bühne","doi":"10.1007/s10926-024-10238-3","DOIUrl":"https://doi.org/10.1007/s10926-024-10238-3","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>Vocational retraining centers in Germany provide retraining for adults who are unable to continue their previous occupation due to health conditions. In addition to education and training, the centers provide support services, including the psychological service that assists rehabilitees in maintaining or regaining their mental stability. This study investigated which socio-demographic, health-related, and rehabilitation-related factors are associated with return to work (RTW) and examined the use of the psychological service and its association with RTW.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>Data consisted of administrative data and service records routinely collected at one vocational retraining center. A total of 1187 individuals who began vocational retraining between 2016 and 2018 were analyzed. Logistic models predicting RTW and including interaction terms were used.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Several factors were associated with RTW (Nagelkerke's Pseudo-<i>R</i>² = 0.173), including socio-demographic factors, e.g., age (OR 0.96, 95% CI [0.93, 0.98]), health-related factors, e.g., number of diagnoses (OR 0.85, 95% CI [0.77, 0.93]), and rehabilitation-related factors, e.g., discontinuation of training (OR 0.24, 95% CI [0.15, 0.38]). The proportion of women, rehabilitees attending boarding school, and rehabilitees pursuing a career in the commercial and administrative sector was higher among frequent users of the psychological service compared to non/occasional users. The proportion of rehabilitees diagnosed with ICD F was also higher among frequent users, as was the number of diagnoses. Moreover, an interaction was found between absence and psychological service utilization on RTW.</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>The analysis of routinely collected data in a vocational retraining center is suitable to investigate individual-level factors associated with RTW. The interaction suggests a compensatory effect, i.e., that frequent use of the psychological service mitigates the negative effect of absence on RTW.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142258371","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":"Correction: Tensions of Low-Back Pain and Lifting; Bridging Clinical Low-Back Pain and Occupational Lifting Guidelines.","authors":"Michiel F Reneman, Pieter Coenen, P Paul F M Kuijer, Jaap H van Dieën, Andreas Holtermann, Chinonso Nwamaka Igwesi-Chidobe, Romy Parker, Roland Reezigt, Mette J Stochkendahl, Morten Hoegh","doi":"10.1007/s10926-024-10230-x","DOIUrl":"https://doi.org/10.1007/s10926-024-10230-x","url":null,"abstract":"","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298788","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":"Disclosure Decisions of Workers Living with a Chronic Health Condition Causing Disability at Work: Are Decisions to Disclose to Co-workers and Supervisors Different?","authors":"Gemma Woticky, Arif Jetha, Emile Tompa, Monique A. M. Gignac","doi":"10.1007/s10926-024-10235-6","DOIUrl":"https://doi.org/10.1007/s10926-024-10235-6","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>Individuals living with chronic physical or mental health/cognitive conditions must make decisions that are sometimes difficult about whether to disclose health information at work. This research investigated workers’ decisions to not to disclose any information at work, disclosure to a supervisor only, co-workers only, or to both a supervisor and co-workers. It also examined personal, health, and work factors associated with disclosure to different groups compared to not disclosing information.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>Employed workers with a physical or mental health/cognitive condition were recruited for a cross-sectional survey from a national panel of Canadians. Respondents were asked about disclosure decisions, demographics, health, working experience, work context, and work perceptions. Multinomial logistic regressions examined predictors of disclosure.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>There were 882 respondents (57.9% women). Most had disclosed to both co-workers and supervisors (44.2%) with 23.6% disclosing to co-workers only and 7% to a supervisor only. Age, health variability, and number of accommodations used were significant predictors of disclosure for all groups. Job disruptions were associated with disclosure to supervisors only and pain and comfort sharing were associated with co-worker disclosure.</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>The findings highlight that disclosure to co-workers is common despite being an overlooked group in workplace disclosure research. Although many similar factors predicted disclosure to different groups, further research on workplace environments and culture would be useful in efforts to enhance workplace support.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142188740","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":"Rehabilitating Workers Aged 55 and Over: Professionals’ Perspectives and Solutions","authors":"Marie-José Durand, Marie-France Coutu, Alexandra Lecours, Guillaume Léonard, Valérie Lederer, Iuliana Nastasia, Junie Carrière, Marie-Andrée Paquette","doi":"10.1007/s10926-024-10236-5","DOIUrl":"https://doi.org/10.1007/s10926-024-10236-5","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>Work disability affects a growing number of workers aged 55 and over (W55 +). While rehabilitation programs have demonstrated efficacy for workers with an average age of 42, they often have not been designed to meet unique needs of aging workers. This study aimed to describe the difficulties encountered by work rehabilitation professionals and explore their solutions for improving services offered to W55 + .</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>This study used a simple descriptive design with purposive sampling. Occupational therapists, physical therapists, and psychologists were mainly recruited in private clinics. An interview guide based on the Work Disability Paradigm was piloted and used with the participants. Qualitative interviews were conducted with work rehabilitation professionals and then transcribed. A thematic analysis was performed.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>The sample consisted of fifteen participants (average age 38 years) with near equal representation across genders and disciplines. Difficulties were identified in relation to the (1) characteristics of W55 + , (2) work environment, (3) compensation system, and (4) communication among stakeholders. Five solutions were proposed to improve the services offered: provide healthcare professionals with access to tools and training, implement communication mechanisms, integrate a return-to-work coordinator, develop a joint action plan for managing W55 + , and implement an integrative prevention approach in workplaces.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>Our results represent a first step in mapping various stakeholders’ needs to ensure better support for W55 + with work disabilities. These results delineate a roadmap for future research that should expand upon these stakeholders’ perspectives to provide a more comprehensive description of their needs and potential solutions.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142188742","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":"Does Knee Arthroplasty Have a Beneficial Effect on Return to Work in Patients with Knee Osteoarthritis who Receive Long-Term Disability Benefits in the Netherlands?","authors":"Titi J. Cheng, Karen Nieuwenhuijsen, P. Paul F. M. Kuijer","doi":"10.1007/s10926-024-10234-7","DOIUrl":"https://doi.org/10.1007/s10926-024-10234-7","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>Optimal timing of knee arthroplasty (KA) is complex: operating at a younger age increases life time risk of revision, while delay results in an increased risk of job loss. This study evaluates whether disability benefits recipients due to knee osteoarthritis have an increased odds of returning to work (RTW) following KA.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>A retrospective cohort study was performed among long-term disability benefits recipients due to knee osteoarthritis using data of the Dutch Employee Insurance Agency. Logistic regression assessed whether recipients with KA had a higher odds of RTW in 10 years following start of disability benefits, compared to those without KA.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>A total of 159 participants were included. During 10-year follow up, 42% had received KA and 37% had returned to work. No association was observed between KA and RTW (OR 1.39, 95% CI 0.62–3.12). Prognostic factors for RTW were being the main breadwinner (OR 7.93, 95% CI 2.95–21.32) and classification as 100% work disability (OR 0.20, 95% CI 0.09–0.45).</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>KA has no beneficial effect on RTW among patients with knee osteoarthritis granted long-term disability in the Netherlands. For RTW, KA is probably best performed within the two years of paid sick leave before long-term disability is assessed in the Netherlands.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142188743","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":"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":"https://doi.org/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":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Work-Integrating Care in Current Practice: A Scoping Review.","authors":"Lana Kluit, Coen A M van Bennekom, Annechien Beumer, Maayke A Sluman, Angela G E M de Boer, Astrid de Wind","doi":"10.1007/s10926-023-10143-1","DOIUrl":"10.1007/s10926-023-10143-1","url":null,"abstract":"<p><strong>Purpose: </strong>Clinical work-integrating care (CWIC) refers to paying attention to work participation in a clinical setting. Working patients may benefit from CWIC. The purpose of this study is to explore the extent and nature to which medical specialists provide CWIC and what policies and guidelines oblige or recommend specialists to do.</p><p><strong>Methods: </strong>A scoping review was conducted. The databases MEDLINE, EMBASE, Psychinfo, CINAHL, and Web of Science were searched for studies on the extent and nature of CWIC and supplemented by gray literature on policies and guidelines. Six main categories were defined a priori. Applying a meta-aggregative approach, subcategories were subsequently defined using qualitative data. Next, quantitative findings were integrated into these subcategories. A separate narrative of policies and guidelines using the same main categories was constructed.</p><p><strong>Results: </strong>In total, 70 studies and 55 gray literature documents were included. The main findings per category were as follows: (1) collecting data on the occupation of patients varied widely; (2) most specialists did not routinely discuss work, but recent studies showed an increasing tendency to do so, which corresponds to recent policies and guidelines; (3) work-related advice ranged from general advice to patient-physician collaboration about work-related decisions; (4) CWIC was driven by legislation in many countries; (5) specialists sometimes collaborated in multidisciplinary teams to provide CWIC; and (6) medical guidelines regarding CWIC were generally not available.</p><p><strong>Conclusion: </strong>Medical specialists provide a wide variety of CWIC ranging from assessing a patient's occupation to extensive collaboration with patients and other professionals to support work participation. Lack of medical guidelines could explain the variety of these practices.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11364593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107592461","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}