Journal of Occupational Rehabilitation最新文献

{"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}

{"title":"Organizational Practices for the Inclusion of People with Disabilities. A Scoping Review.","authors":"Rik van Berkel, Eric Breit","doi":"10.1007/s10926-024-10228-5","DOIUrl":"10.1007/s10926-024-10228-5","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the scoping review presented in this article is to map the state-of-the-art and development of empirical research of organizational practices designed to include people with disabilities. It contributes to debates on demand-side approaches in promoting the labour-market participation of people with disabilities.</p><p><strong>Methods: </strong>A literature search took place in PsychINFO, Web of Science, Sociological Abstracts and Sociological Index. Articles included empirical studies published between 2000 and 2023.</p><p><strong>Results: </strong>The search resulted in 10,535 unique articles of which 146 were included in the review. Organizational inclusion practices have received increasing attention in academic journals in a variety of research fields. In terms of content two groups of studies can be distinguished: hiring studies and studies focusing on organizational practices aimed at employees with disabilities. Hiring studies include studies analysing relationships between a large range of factors and actual hiring or intention to hire as well as studies of a more exploratory nature. Studies focusing on employees with disabilities look at outcomes of specific organizational practices; the conditions promoting their implementation; or explore practices in organizations employing people with disabilities.</p><p><strong>Discussion: </strong>Based on the findings of the review three suggestions for future research are discussed: (i) internationally comparative studies; (ii) specific attention to small and medium sized enterprises in studies of inclusion; (iii) systematic reviews as follow-ups to scoping reviews.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"469-478"},"PeriodicalIF":2.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12361267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856798","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":"The Job Demands and Accommodation Planning Tool (JDAPT): A Nine-Month Evaluation of Use, Changes in Self-efficacy, Presenteeism, and Absenteeism in Workers with Chronic and Episodic Disabilities.","authors":"Monique A M Gignac, Julie Bowring, Lahmea Navaratnerajah, Ron Saunders, Arif Jetha, Aaron Thompson, William S Shaw, Renee-Louise Franche, Dwayne Van Eerd, Emma Irvin, Emile Tompa, Joy C Macdermid, Peter M Smith","doi":"10.1007/s10926-024-10231-w","DOIUrl":"10.1007/s10926-024-10231-w","url":null,"abstract":"<p><strong>Purpose: </strong>Enhancing workplace communication and support processes to enable individuals living with disabilities to sustain employment and return to work is a priority for workers, employers, and community stakeholders. The objective of this study was to evaluate a new resource that addresses support challenges, the Job Demands and Accommodation Planning Tool (JDAPT), and assess its use, relevance, and outcomes over a nine-month follow-up period.</p><p><strong>Methods: </strong>Workers with physical and mental health/cognitive conditions causing limitations at work were recruited using purposive sampling. Online surveys were administered at baseline (prior to using the JDAPT), and at three and nine months post-baseline. Information was collected on demographics (e.g., age, gender) and work characteristics (e.g., job sector, organization size). Outcomes included assessing JDAPT use and relevance, and changes in self-efficacy, work productivity difficulties, employment concerns, difficulties with job demands, and absenteeism.</p><p><strong>Results: </strong>Baseline participants were 269 workers (66% women; mean age 41 years) of whom 188 (69.9%) completed all three waves of data collection. Many workers reported using JDAPT strategies at and outside of work, and held positive perceptions of the tool's usability, relevance, and helpfulness. There were significant improvements (Time 1-2; Time 1-3) in self-efficacy, perceived work productivity, and absenteeism with moderate to large effect sizes in self-efficacy and productivity (0.46 to 0.78). Findings were consistent across gender, age, health condition, and work context variables.</p><p><strong>Conclusions: </strong>The JDAPT can enhance support provision and provide greater transparency and consistency to workplace disability practices, which is critical to creating more inclusive and accessible employment opportunities.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"625-640"},"PeriodicalIF":2.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12360972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141907949","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":"Cost-Effectiveness of a Multi-faceted Workplace Intervention to Reduce Musculoskeletal Pain in Nursing Staff: A Cluster-Randomized Controlled Trial (INTEVAL_Spain).","authors":"Mercè Soler-Font, Ignacio Aznar-Lou, Josué Almansa, Pilar Peña, Michael Silva-Peñaherrera, Consol Serra, José Maria Ramada","doi":"10.1007/s10926-024-10227-6","DOIUrl":"10.1007/s10926-024-10227-6","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the cost-effectiveness of a multifaceted workplace intervention to reduce musculoskeletal pain (MSP) in nursing staff.</p><p><strong>Methods: </strong>The study was a 1-year cluster-randomized controlled trial. The intervention combined participatory ergonomics, health promotion, and case management. The control group received usual care. Societal and health system perspectives were used. Costs included direct health and indirect costs. The effects were MSP and quality-adjusted life years (QALYs). MSP was measured using the Standardized Nordic Questionnaire at baseline and 6- and 12-month follow-up. QALYs were measured using the EuroQol-5D-3L at 6- and 12-month follow-up. Incremental costs and QALYs were modelled using generalized linear models. MSP was analysed through generalized logistic models. Incremental cost-effectiveness ratios (ICERs) were calculated, and cost-effectiveness planes and acceptability curves were constructed.</p><p><strong>Results: </strong>Total mean costs per person were €614 and €216 for the intervention and control group, respectively, with a societal perspective. The intervention mean cost was €38/person. From the societal perspective, the ICER showed that overall additional €68 (€9 from a health system perspective) were required to achieve 1-extra-percentage-point reduction of MSP. ICERs were €34 from the societal and €4 from the health system perspectives for neck, shoulders and upper back pain; €53 and €7 for low back; €179 and €23 for hands; €39 and €5 for legs; €115 and €14 for the knees; €36 and €5 for feet For MSP in the elbows. For participants with pain in the elbow, and for QALYs, the ICER showed that the intervention group was dominated by the control group.</p><p><strong>Conclusion: </strong>This intervention was not cost-effective in terms of QALYs. However, in terms of MSP, with a willingness to pay of €100, the probability of the intervention being cost-effective was around 90%. Further studies incorporating our recommendations are needed to confirm these findings.</p><p><strong>Study registration: </strong>ISRCTN15780649, retrospectively registered.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"602-614"},"PeriodicalIF":2.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12360981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890486","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":"Musculoskeletal Health and Work: Development and Internal-External Cross-Validation of a Model to Predict Risk of Work Absence and Presenteeism in People Seeking Primary Healthcare.","authors":"Lucinda Archer, George Peat, Kym I E Snell, Jonathan C Hill, Kate M Dunn, Nadine E Foster, Annette Bishop, Danielle van der Windt, Gwenllian Wynne-Jones","doi":"10.1007/s10926-024-10223-w","DOIUrl":"10.1007/s10926-024-10223-w","url":null,"abstract":"<p><strong>Purpose: </strong>To develop and validate prediction models for the risk of future work absence and level of presenteeism, in adults seeking primary healthcare with musculoskeletal disorders (MSD).</p><p><strong>Methods: </strong>Six studies from the West-Midlands/Northwest regions of England, recruiting adults consulting primary care with MSD were included for model development and internal-external cross-validation (IECV). The primary outcome was any work absence within 6 months of their consultation. Secondary outcomes included 6-month presenteeism and 12-month work absence. Ten candidate predictors were included: age; sex; multisite pain; baseline pain score; pain duration; job type; anxiety/depression; comorbidities; absence in the previous 6 months; and baseline presenteeism.</p><p><strong>Results: </strong>For the 6-month absence model, 2179 participants (215 absences) were available across five studies. Calibration was promising, although varied across studies, with a pooled calibration slope of 0.93 (95% CI: 0.41-1.46) on IECV. On average, the model discriminated well between those with work absence within 6 months, and those without (IECV-pooled C-statistic 0.76, 95% CI: 0.66-0.86). The 6-month presenteeism model, while well calibrated on average, showed some individual-level variation in predictive accuracy, and the 12-month absence model was poorly calibrated due to the small available size for model development.</p><p><strong>Conclusions: </strong>The developed models predict 6-month work absence and presenteeism with reasonable accuracy, on average, in adults consulting with MSD. The model to predict 12-month absence was poorly calibrated and is not yet ready for use in practice. This information may support shared decision-making and targeting occupational health interventions at those with a higher risk of absence or presenteeism in the 6 months following consultation. Further external validation is needed before the models' use can be recommended or their impact on patients can be fully assessed.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"578-591"},"PeriodicalIF":2.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12360984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141499240","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}