Journal of Occupational Rehabilitation最新文献

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Positive Gains in Job Crafting Behavior, Self-Efficacy, and Work Performance Among U.S. Workers with Disabilities Who Participated in a Job Crafting Intervention. 美国残障工人参与工作制作干预的工作制作行为、自我效能和工作表现的正面收益。
IF 2.7 3区 医学
Journal of Occupational Rehabilitation Pub Date : 2026-10-05 DOI: 10.1007/s10926-026-10454-z
Vidya Sundar, Debra L Brucker
{"title":"Positive Gains in Job Crafting Behavior, Self-Efficacy, and Work Performance Among U.S. Workers with Disabilities Who Participated in a Job Crafting Intervention.","authors":"Vidya Sundar, Debra L Brucker","doi":"10.1007/s10926-026-10454-z","DOIUrl":"https://doi.org/10.1007/s10926-026-10454-z","url":null,"abstract":"<p><strong>Purpose: </strong>We aimed to test whether a 6-week job crafting intervention would increase the use of job crafting behaviors and improve self-efficacy, work engagement, and work performance for workers who have mild cognitive or physical limitations.</p><p><strong>Methods: </strong>We enrolled 75 workers with mild cognitive or physical disabilities in a 6-week job crafting intervention in 2020-2021. All participants received the intervention. We supplemented an existing workbook approach to job crafting with brief remote (phone or web-based) coaching to help workers identify actionable and measurable goals and to track their progress in meeting those goals. Over a period of six weeks, weekly online check-ins measured changes in self-efficacy, work engagement, and work performance from baseline. We used paired t-tests to test for changes in job crafting behaviors from pre-intervention to Week 6. We used fixed-effects models to test for statistically significant changes in self-efficacy, work engagement, and work performance that were measured weekly over the intervention period, controlling for work limitations and goal attainment.</p><p><strong>Results: </strong>We found statistically significant improvements in job crafting behaviors (t=2.694, p=.005), self-efficacy (p<.01), and work performance (p<.01) but did not find statistically significant changes in work engagement.</p><p><strong>Conclusion: </strong>Overall, these results suggest that job crafting interventions hold promise for helping workers with limitations to perform at higher levels in the workplace.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116754","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}
引用次数: 0
From Participant to Passenger: Workers' Experiences of Recovery During a Workers' Compensation Claim. 从参与者到乘客:工人赔偿索赔期间的恢复经验。
IF 2.7 3区 医学
Journal of Occupational Rehabilitation Pub Date : 2026-10-05 DOI: 10.1007/s10926-026-10457-w
Elizabeth Pritchard, Samineh Sanatkar, Libby Callaway, Grainne Cruickshank, Jason Thompson, Branislava Godic, Genevieve Grant, Ellen MacEachen, Alex Collie
{"title":"From Participant to Passenger: Workers' Experiences of Recovery During a Workers' Compensation Claim.","authors":"Elizabeth Pritchard, Samineh Sanatkar, Libby Callaway, Grainne Cruickshank, Jason Thompson, Branislava Godic, Genevieve Grant, Ellen MacEachen, Alex Collie","doi":"10.1007/s10926-026-10457-w","DOIUrl":"https://doi.org/10.1007/s10926-026-10457-w","url":null,"abstract":"<p><strong>Background: </strong>Social insurance systems provide essential financial support to cover living expenses and medical treatment needs during times of work incapacity. However, many ill and injured workers experience the administrative processes involved in accessing these systems as difficult to navigate, which can stifle recovery and slow return to work. The present study centres workers' lived experiences to better understand facilitators and barriers to recovery, and to identify solutions grounded in workers' perspectives.</p><p><strong>Methods: </strong>Twenty Australian workers with work-related injuries, health, and mental health conditions completed an online interview between February and August 2024. Thematic analysis was used to interpret and group participant responses.</p><p><strong>Results: </strong>Three themes describing recovery experiences emerged, whereby each theme described a facilitator and a barrier subtheme. Additionally, four solution themes emerged, emphasising the importance of shifting systems towards including workers in decision-making steps, increasing transparency and ease of claim processing, and reducing financial strain.</p><p><strong>Conclusions: </strong>Findings are discussed in light of Administrative Burden Theory (ABT). ABT introduces concepts of learning, compliance, and psychological costs that ill and injured workers bear while engaging with social insurance systems. ABT proposes that these costs are not equally distributed, often disadvantaging those with fewer resources or support networks. We argue that ABT provides a useful framework through which to understand ill and injured workers' experiences with workers' compensation, and that it provides mechanisms to explain workers' suggested solutions.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116730","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}
引用次数: 0
Explainable Prediction of Prolonged Work Disability After Occupational Injury and Disease: Temporal Validation and Sex-Specific Performance. 职业伤害和疾病后长期工作残疾的可解释预测:时间验证和性别特异性表现。
IF 2.7 3区 医学
Journal of Occupational Rehabilitation Pub Date : 2026-09-25 DOI: 10.1007/s10926-026-10456-x
Natalia Fernández Laviada, Antonio Cubero Atienza, Raúl Aguilar Elena, Agustín Sánchez-Toledo Ledesma
{"title":"Explainable Prediction of Prolonged Work Disability After Occupational Injury and Disease: Temporal Validation and Sex-Specific Performance.","authors":"Natalia Fernández Laviada, Antonio Cubero Atienza, Raúl Aguilar Elena, Agustín Sánchez-Toledo Ledesma","doi":"10.1007/s10926-026-10456-x","DOIUrl":"https://doi.org/10.1007/s10926-026-10456-x","url":null,"abstract":"<p><strong>Purpose: </strong>To compare explainable models for predicting prolonged work absence after occupational injury or disease and assess temporal calibration and sex-specific performance.</p><p><strong>Methods: </strong>We analysed 182,051 closed work-absence episodes recorded in Spain during 2022-2025. Prolonged absence was defined as ≥101 days. Penalised logistic regression, Random Forest, XGBoost and LightGBM were fitted on 2022-2023, selected in 2024 and refitted on 2022-2024. The previously examined 2025 cohort was reevaluated without using it for fitting or selection. Discrimination, calibration, Brier score and operating characteristics were assessed, with 2,000 paired episode bootstrap resamples. Additional analyses considered sex, alternative duration thresholds and nonlinear age and tenure; SHAP described predictor contributions.</p><p><strong>Results: </strong>The 2025 cohort included 45,773 episodes and 3,756 outcomes (8.2%). LightGBM had the highest ROC-AUC (0.829; 95% CI 0.823-0.836), logistic regression the highest PR-AUC (0.389; 0.373-0.406), and Random Forest the lowest Brier score (0.063). XGBoost had the highest F1-score (0.342). Sex contrasts did not establish equivalence. Injury description, body region, accident mechanism, age and tenure were the leading XGBoost SHAP contributors. Selection of closed episodes limited interpretation, particularly at 365 days.</p><p><strong>Conclusion: </strong>No machine-learning model was uniformly superior to penalised logistic regression. Calibration, operational trade-offs, external validation and prospective impact evaluation remain important before implementation; availability of predictors at notification must also be verified.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065238","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}
引用次数: 0
The Association Between Pre-injury Occupation Type and Post-burn Employment Outcomes. 损伤前职业类型与烧伤后就业结果的关系。
IF 2.7 3区 医学
Journal of Occupational Rehabilitation Pub Date : 2026-09-24 DOI: 10.1007/s10926-026-10455-y
K L Chacon, C A Westerman, L J Shepler, K A McMullen, N Mistry, G J Carrougher, N S Gibran, B T Stewart, K Kowalske, C M Ryan, J C Schneider
{"title":"The Association Between Pre-injury Occupation Type and Post-burn Employment Outcomes.","authors":"K L Chacon, C A Westerman, L J Shepler, K A McMullen, N Mistry, G J Carrougher, N S Gibran, B T Stewart, K Kowalske, C M Ryan, J C Schneider","doi":"10.1007/s10926-026-10455-y","DOIUrl":"https://doi.org/10.1007/s10926-026-10455-y","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the relationship between burn survivors' pre-injury occupation and the likelihood of successful return to employment in the post-rehab setting.</p><p><strong>Methods: </strong>Participants in the Burn Model Systems database were designated as Labor or Non-labor employees based on their self-reported occupation pre-injury. The groups were compared across a variety of demographic and clinical variables using descriptive statistics. Logistic regression models were used to examine employment status at 12 months, and a Cox proportional hazards model was used to examine time to return to work. Sankey diagrams examined patterns in career change between the two groups.</p><p><strong>Results: </strong>Burn survivors working in Labor occupations prior to injury differed from Non-labor counterparts across several sociodemographic and injury-related characteristics, including lower education levels, higher rates of employment-related injuries, and different insurance coverage patterns. In the a priori logistic regression model, Labor Group status was associated with lower odds of employment at 12 months (OR=0.44, 95% CI 0.22-0.90, p=0.024). However, this association was no longer statistically significant in a post hoc sensitivity analysis additionally adjusting for education and insurance status (OR=0.47, 95% CI 0.20-1.08, p=0.076). In the Cox proportional hazards model, participants in Labor occupations experienced a significantly slower return to work than those in Non-labor occupations (HR=0.51, 95% CI 0.31-0.82, p=0.005).</p><p><strong>Conclusion: </strong>These findings underscore the importance of providing tailored support to burn survivors seeking to resume employment and demonstrate that the relationship between pre-injury occupation and workforce reintegration may differ depending on the employment outcome examined. While the association between Labor Group status and employment at 12 months was attenuated after accounting for education and insurance, Labor Group status remained significantly associated with a slower return to work. Pre-injury occupation, together with socioeconomic and structural factors, may therefore be important to consider when developing initiatives to support workforce reintegration following burn injury.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041407","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}
引用次数: 0
Economic Evaluation of an Indicated Prevention Strategy Focused on Future Long-Term Sickness Absence. 以未来长期疾病缺席为重点的指示性预防策略的经济评价。
IF 2.7 3区 医学
Journal of Occupational Rehabilitation Pub Date : 2026-09-23 DOI: 10.1007/s10926-026-10444-1
Sophie Klasen, Ludovic G P M van Amelsvoort, IJmert Kant, Nicole W H Jansen, Silvia M A A Evers
{"title":"Economic Evaluation of an Indicated Prevention Strategy Focused on Future Long-Term Sickness Absence.","authors":"Sophie Klasen, Ludovic G P M van Amelsvoort, IJmert Kant, Nicole W H Jansen, Silvia M A A Evers","doi":"10.1007/s10926-026-10444-1","DOIUrl":"https://doi.org/10.1007/s10926-026-10444-1","url":null,"abstract":"<p><strong>Purpose: </strong>An indicated prevention strategy (IPS) targeting long-term sickness absence risk showed its effectiveness in a randomized controlled trial (RCT). To compare its costs and benefits with other preventive strategies within occupational health, an economic evaluation is essential.</p><p><strong>Methods: </strong>An economic evaluation was conducted from the employer, healthcare, and societal perspectives. RCT data was used regarding the IPS efficacy, with additional collected data, covering 12 months of follow-up. The intervention group received an early intervention (n=132), and the care-as-usual group received care upon request (n=131). Self-perceived health was used as effect measure; costs encompassed: intervention, healthcare, patient and family, and productivity costs (absenteeism). The cost price year for the study was 2020. Different types of sensitivity analysis were conducted.</p><p><strong>Results: </strong>At 12 months of follow-up, the intervention group showed greater effects and higher costs, indicating positive incremental cost-effectiveness ratios (ICERs) of €39.19 and €39.77 per point improvement of self-perceived health, seen from the societal and healthcare perspective. Using the employer perspective, the ICER for the IPS was dominant (preferred) to the control, with (€-3.92) per point improvement of self-perceived health, indicating greater effects and lower costs, related to the net savings for the employer due to reduced sickness absence.</p><p><strong>Conclusion: </strong>The economic evaluation showed that the IPS had an economic benefit over the care as usual, as seen from the employer's perspective. In addition, this approach indicates a way towards a balanced comparison of preventive interventions, which is to prioritize the most relevant preventive actions.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031467","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}
引用次数: 0
Correction: Are There Differences in Return-to-Work Experiences for Workers Who Acquired COVID-19 at Work Compared to Workers Who Sustained a Non-COVID-19 Work-Related Injury or Illness? 更正:与遭受非COVID-19工伤或疾病的工人相比,在工作中感染COVID-19的工人重返工作岗位的经历是否存在差异?
IF 2.7 3区 医学
Journal of Occupational Rehabilitation Pub Date : 2026-09-22 DOI: 10.1007/s10926-026-10453-0
Peter Smith, Colette Severin, Victoria Nadalin, Nancy Carnide, Arif Jetha, Mieke Koehoorn, Cheryl E Peters, Cameron Mustard
{"title":"Correction: Are There Differences in Return-to-Work Experiences for Workers Who Acquired COVID-19 at Work Compared to Workers Who Sustained a Non-COVID-19 Work-Related Injury or Illness?","authors":"Peter Smith, Colette Severin, Victoria Nadalin, Nancy Carnide, Arif Jetha, Mieke Koehoorn, Cheryl E Peters, Cameron Mustard","doi":"10.1007/s10926-026-10453-0","DOIUrl":"https://doi.org/10.1007/s10926-026-10453-0","url":null,"abstract":"","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018230","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}
引用次数: 0
Mental Healthcare Professionals' Own Mental Health Disclosure to their Supervisor: Investigating Barriers and Facilitators, Experiences, and Needs. 心理保健专业人员对其主管的心理健康披露:调查障碍和促进因素、经验和需求。
IF 2.7 3区 医学
Journal of Occupational Rehabilitation Pub Date : 2026-09-17 DOI: 10.1007/s10926-026-10451-2
Naomi de Leng, Margot Joosen, Dorien Kooij, Marjan Bakker, Anneloes van den Broek, Arno van Dam, Ilja Bongers, Koen Grootens, Laurian Hafkemeijer, Evelien Brouwers
{"title":"Mental Healthcare Professionals' Own Mental Health Disclosure to their Supervisor: Investigating Barriers and Facilitators, Experiences, and Needs.","authors":"Naomi de Leng, Margot Joosen, Dorien Kooij, Marjan Bakker, Anneloes van den Broek, Arno van Dam, Ilja Bongers, Koen Grootens, Laurian Hafkemeijer, Evelien Brouwers","doi":"10.1007/s10926-026-10451-2","DOIUrl":"https://doi.org/10.1007/s10926-026-10451-2","url":null,"abstract":"<p><strong>Purpose: </strong>For mental healthcare professionals (MHPs) with mental health issues and illness (MHI), disclosure to a supervisor at work can be a dilemma: it may facilitate support but also involves risks of stigma and discrimination. This study examined barriers and facilitators, experiences, and needs regarding disclosure of MHI to supervisors among MHPs, and compared disclosers and non-disclosers.</p><p><strong>Methods: </strong>A cross-sectional online questionnaire was completed by 298 MHPs with MHI working in five Dutch community mental healthcare centers. Descriptive analyses summarized disclosure decisions, barriers and facilitators, experiences, and needs. Differences between disclosers and non-disclosers were examined using chi-square tests with Monte Carlo significance testing and one-way ANOVAs.</p><p><strong>Results: </strong>Two-thirds of participants disclosed their MHI to their supervisor. There were no differences in demographics, work position, or perceived experience (positive/negative) between disclosers and non-disclosers. Both disclosers and non-disclosers reported fears of stigmatization and discrimination, a preference for self-reliance, and difficulties discussing MHI. 70% of disclosers reported that they had no other choice but to disclose. Most disclosers also reported that their MHI affected occupational functioning, they needed workplace accommodations and that their supervisor took MHI seriously. The most frequently reported need for future disclosure was a supervisor with an understanding for MHI.</p><p><strong>Conclusion: </strong>The decision to (non-)disclose was strongly shaped by fears of stigma, discrimination, preferences for self-reliance, but also the perceived necessity to disclose. Supervisors play a key role in creating an environment where MHPs feel safe to disclose, which can contribute to MHPs' sustainable employability and well-being at work.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992137","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}
引用次数: 0
Economic Evaluations of Physical Exercise at Work: A Scoping Review. 工作中体育锻炼的经济评价:范围综述。
IF 2.7 3区 医学
Journal of Occupational Rehabilitation Pub Date : 2026-09-15 DOI: 10.1007/s10926-026-10450-3
Juan Andres Pozzi, Louise Fleng Sandal, Brent D Leininger, Morgan Young, Eric J Roseen, Tina Dalager, Mette Jensen Stochkendahl
{"title":"Economic Evaluations of Physical Exercise at Work: A Scoping Review.","authors":"Juan Andres Pozzi, Louise Fleng Sandal, Brent D Leininger, Morgan Young, Eric J Roseen, Tina Dalager, Mette Jensen Stochkendahl","doi":"10.1007/s10926-026-10450-3","DOIUrl":"https://doi.org/10.1007/s10926-026-10450-3","url":null,"abstract":"<p><strong>Purpose: </strong>Despite the well-established positive benefits of physical activity and the recognised consequences of physical inactivity, evidence on its cost and cost-effectiveness remains inconclusive. This scoping review aims to descriptively summarise studies on economic evaluations of workplace physical exercise interventions from both employers and societal perspectives.</p><p><strong>Methods: </strong>This review was conducted following the JBI and PRISMA-ScR guidelines. We included studies assessing economic evaluations of workplace physical exercise programmes from PubMed, EMBASE, Scopus, Medline, EBSCO, EconLit, The Tufts Medical Center Cost-Effectiveness Analysis Registry, and the NHS Economic Evaluation Database from January 2000 to March 2025. Screening, selection, and data extraction were independently performed by two researchers. Extracted data included study characteristics, population, intervention type, economic evaluation approach, outcomes, and main findings. Results are presented using summary tables along with narrative synthesis.</p><p><strong>Results: </strong>The search resulted in 5,007 unique records, of which we included 13 studies published between 2012 and 2025. Of these, most (n = 9) were randomised controlled trials. Occupational settings included sedentary and physically demanding jobs. Interventions included multicomponent programmes (n = 6) combining physical exercise with education, ergonomics, or nutritional guidance, and single-component programmes (n = 7) centred on strength training, stretching, and aerobic activities. Evaluations were conducted from multiple perspectives, reporting various health-related, work-related, and economic outcomes, including productivity, absenteeism, sickness absence, and compensation claims.</p><p><strong>Conclusion: </strong>This review highlights substantial heterogeneity in the economic evaluations of workplace physical exercise interventions, regarding populations, interventions, methods, outcomes, and results. More high-quality research following standardised methodological guidance is needed to support future implementation and decision-making.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978368","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}
引用次数: 0
The Impact of Oncological Treatments on Return to Work, Work Ability, and Sickness Absence in Breast Cancer Survivors: A Systematic Review. 肿瘤治疗对乳腺癌幸存者重返工作岗位、工作能力和病假缺勤的影响:一项系统综述。
IF 2.7 3区 医学
Journal of Occupational Rehabilitation Pub Date : 2026-09-12 DOI: 10.1007/s10926-026-10447-y
Lorenzo Rodríguez-Riesco, Paloma Gil-Olarte, Paula Ruiz-González, Tânia Brandão, Lucía Morales-Sánchez, Rocío Guil
{"title":"The Impact of Oncological Treatments on Return to Work, Work Ability, and Sickness Absence in Breast Cancer Survivors: A Systematic Review.","authors":"Lorenzo Rodríguez-Riesco, Paloma Gil-Olarte, Paula Ruiz-González, Tânia Brandão, Lucía Morales-Sánchez, Rocío Guil","doi":"10.1007/s10926-026-10447-y","DOIUrl":"https://doi.org/10.1007/s10926-026-10447-y","url":null,"abstract":"<p><strong>Purpose: </strong>Returning to work and maintaining an adequate ability to work serve as key indicators of quality of life, psychological well-being and psychosocial adjustment. Therefore, this study aims to analyze the impact of breast cancer treatments on return to work (RTW), work ability (WA), and sick leave (SL) among breast cancer survivors.</p><p><strong>Methods: </strong>A systematic review was conducted according to the PRISMA guidelines. The sample consisted of 26 studies published between 2016 and 2025, including prospective multicenter cohorts and national registries from fifteen countries across four continents, with more than 25,000 participants. A methodological quality assessment and a narrative synthesis were performed to synthesize the results.</p><p><strong>Results: </strong>Chemotherapy is the most consistent predictor of prolonged SL, delayed RTW, and significantly reduced WA. Radical surgery and axillary lymph node dissection (ALND) are associated with a significantly delayed RTW due to physical sequelae. While outcomes showed strong relationship with clinical factors, certain psychosocial variables such as depression, anxiety, and low self-efficacy seemed to act as important secondary factors that can further complicate the process.</p><p><strong>Conclusion: </strong>The findings suggest that more invasive or aggressive treatments (chemotherapy, ALND, and radical surgery) were associated with poorer outcomes on RTW, WA, and SL. Furthermore, the clinical recovery associated with treatment completion did not necessarily equate to a functional recovery in WA that facilitated a successful RTW. Thus, it is necessary to explore in depth the impact of cancer treatments on WA, alongside psychosocial variables, to design multidisciplinary interventions that enable sustainable occupational reintegration.</p><p><strong>Registration: </strong>PROSPERO 2026 (CRD420261322638).</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148957058","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}
引用次数: 0
A Survey of Australian Healthcare Practitioners' Perspectives on Goal Setting in Occupational Rehabilitation. 澳大利亚医疗保健从业人员对职业康复目标设定的看法调查。
IF 2.7 3区 医学
Journal of Occupational Rehabilitation Pub Date : 2026-09-11 DOI: 10.1007/s10926-026-10446-z
Grace Redden, Christopher J Stevens, Jodie Cochrane Wilkie, Syeda Farah Zahir, Christian Swann
{"title":"A Survey of Australian Healthcare Practitioners' Perspectives on Goal Setting in Occupational Rehabilitation.","authors":"Grace Redden, Christopher J Stevens, Jodie Cochrane Wilkie, Syeda Farah Zahir, Christian Swann","doi":"10.1007/s10926-026-10446-z","DOIUrl":"https://doi.org/10.1007/s10926-026-10446-z","url":null,"abstract":"<p><strong>Introduction: </strong>Nearly half a million Australians experience workplace injury or illness each year, and return-to-work rates have declined, particularly for psychological conditions. Practitioners use goal setting to structure return-to-work planning and are directed by national guidance to set SMART (Specific, Measurable, Achievable, Realistic, Time-bound) goals. How practitioners apply these criteria across different injuries and illnesses is not well understood. This study examined practitioners' perspectives on goal setting in workers' compensation rehabilitation in Australia, with a focus on SMART goals.</p><p><strong>Methods: </strong>A cross-sectional online survey of Australian healthcare practitioners who treated physical conditions, psychological conditions, or both, was conducted. Quantitative data were analysed using descriptive statistics and chi-squared tests, and open-text responses were analysed using content analysis.</p><p><strong>Results: </strong>154 practitioners across 12 professions completed the survey. Goal setting was considered highly or extremely important (71.4%) and used with most clients (74.0%), although nearly a third of practitioners (36.6%) did not name the client amongst those who set the goals. The majority of participants were familiar with SMART goals (87.5%), used them confidently (88.7%), and considered them best practice (75.7%), with open-text responses indicating participants valued their structure and clarity. Over a quarter of responses exploring challenges with SMART goals identified concerns when using SMART for clients with psychological injuries, describing rigid timeframes and measurability elements as counterproductive. Respondents also identified the need for clinical flexibility in complex cases, whilst noting that documentation and stakeholder expectations reinforced the use of SMART goals. Perspectives were largely consistent across professions and injury types.</p><p><strong>Conclusion: </strong>Practitioners generally endorsed SMART goals but raised concerns about their applicability for clients with psychological injuries, the group with the lowest return-to-work rates in Australia. Further work is needed to determine how goal setting in workers' compensation rehabilitation can accommodate these clinical needs.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148957004","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}
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