Gender Differences in Personal and Work-Related Determinants of Return-to-Work Following Long-Term Disability: A 5-Year Cohort Study

2012 ◽  
Vol 22 (4) ◽  
pp. 522-531 ◽  
Author(s):  
Valérie Lederer ◽  
Michèle Rivard ◽  
Samia Djemaa Mechakra-Tahiri
Keyword(s):  
Gender Differences ◽  
Cohort Study ◽  
Return To Work ◽  
Work Related

scholarly journals Acute and long-term clinical, neuropsychological and return-to-work sequelae following electrical injury: a retrospective cohort study

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e025990 ◽  
Author(s):  
Nada Radulovic ◽  
Stephanie A Mason ◽  
Sarah Rehou ◽  
Matthew Godleski ◽  
Marc G Jeschke
Keyword(s):  
Cohort Study ◽  
Return To Work ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Low Voltage ◽  
Post Traumatic Stress ◽  
Long Term Outcomes ◽  
Work Related ◽  
Sleep Difficulties

ObjectiveTo determine acute and long-term clinical, neuropsychological, and return-to-work (RTW) effects of electrical injuries (EIs). This study aims to further contrast sequelae between low-voltage and high-voltage injuries (LVIs and HVIs). We hypothesise that all EIs will result in substantial adverse effects during both phases of management, with HVIs contributing to greater rates of sequelae.DesignRetrospective cohort study evaluating EI admissions between 1998 and 2015.SettingProvincial burn centre and rehabilitation hospital specialising in EI management.ParticipantsAll EI admissions were reviewed for acute clinical outcomes (n=207). For long-term outcomes, rehabilitation patients, who were referred from the burn centre (n=63) or other burn units across the province (n=65), were screened for inclusion. Six patients were excluded due to pre-existing psychiatric conditions. This cohort (n=122) was assessed for long-term outcomes. Median time to first and last follow-up were 201 (68–766) and 980 (391–1409) days, respectively.Outcome measuresAcute and long-term clinical, neuropsychological and RTW sequelae.ResultsAcute clinical complications included infections (14%) and amputations (13%). HVIs resulted in greater rates of these complications, including compartment syndrome (16% vs 4%, p=0.007) and rhabdomyolysis (12% vs 0%, p<0.001). Rates of acute neuropsychological sequelae were similar between voltage groups. Long-term outcomes were dominated by insomnia (68%), anxiety (62%), post-traumatic stress disorder (33%) and major depressive disorder (25%). Sleep difficulties (67%) were common following HVIs, while the LVI group most frequently experienced sleep difficulties (70%) and anxiety (70%). Ninety work-related EIs were available for RTW analysis. Sixty-one per cent returned to their preinjury employment and 19% were unable to return to any form of work. RTW rates were similar when compared between voltage groups.ConclusionsThis is the first investigation to determine acute and long-term patient outcomes post-EI as a continuum. Findings highlight substantial rates of neuropsychological and social sequelae, regardless of voltage. Specialised and individualised early interventions, including screening for mental health concerns, are imperative to improvingoutcomes of EI patients.

Use of Motivational Interviewing to Improve Return-to-work and Work-related Outcomes: A Review

2014 ◽  
Vol 20 (1) ◽  
pp. 38-49 ◽  
Author(s):  
Kathryn M. Page ◽  
Irina Tchernitskaia
Keyword(s):  
Literature Review ◽  
Return To Work ◽  
Motivational Interviewing ◽  
Work Disability ◽  
Clinical Settings ◽  
Negative Effects ◽  
Work Related ◽  
Health Behaviour Change ◽  
Behavioural Factors

Work-based return-to-work (RTW) interventions can help to reduce the duration and cost of work disability, and in turn, prevent the negative effects of long-term sickness absence. However, there are a number of complex cognitive, affective and behavioural factors that can impact an individual's confidence, motivation and willingness to RTW that need to be addressed to facilitate effective outcomes. This literature review investigates evidence for the use of motivational interviewing (MI) for improving return-to-work (RTW) and employment outcomes. Whilst evidence for the efficacy of MI in clinical settings to motivate health behaviour change is strong, more research is needed to determine whether MI can be usefully applied to improve RTW and other work-related outcomes.

Effectiveness of a Workplace Reintegration Facilitator Training Program on Mental Health Literacy and Workplace Attitudes of Public Safety Personnel: A Pilot Study (Preprint)

2021 ◽  
Author(s):  
Chelsea Jones ◽  
Lorraine Smith-MacDonald ◽  
Ashley Pike ◽  
Katherine S. Bright ◽  
Suzette Bremault-Phillips
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Return To Work ◽  
Critical Incident ◽  
Public Safety ◽  
Health Attitudes ◽  
Facilitator Training ◽  
Public Safety Personnel ◽  
Safety Personnel

BACKGROUND The demands and stressful nature of police work, unpredictability of the calls, and exposure to traumatic events in the line of duty can contribute to the development of operational stress injuries (OSIs) in Public Safety Personnel (PSP). Those impacted by work-related injuries can find themselves needing both time off work and support reintegrating back into the workforce. Work reintegration programs have been introduced in PSP organizations to support those who aim to return-to-work. One such peer-led workplace reintegration program (RP) was created in 2009 by members of the Edmonton Police Service (EPS). The primary goal of the EPSRP is to assist PSP return to work as soon as possible following a critical incident, illness, or injury, while diminishing the potential for long-term psychological injury. The EPSRP is delivered by peers through three interrelated components: 1) Reintegration Program Facilitator Training (RPFT) Program; 2) a short-term Critical Incident RP; and 3) a long-term RP. There is a dire need for research that incorporate strong study designs to determine long-term effectiveness of these components. The purpose of this quasi-experimental pre/post pilot cohort study is to evaluate the effectiveness of the EPS RPFT course at influencing mental health knowledge and attitudes of RPFT attendees. OBJECTIVE This pre/post cohort study collected data via two questionnaires from RPFT participants (N=60). METHODS This pre/post cohort study collected data via two questionnaires from RPFT participants (N=60). Descriptive, parametric, and non-parametric statistics were utilized to compare pre and post RPFT results as well as analyzing results by gender and profession. RESULTS Statistically significant changes were observed in pre/post questionnaire scores in the domains of mental health attitudes and knowledge. CONCLUSIONS The RPFT may facilitate positive changes in mental health attitudes, knowledge, and stigma among PSP.

scholarly journals Predicting return to work after long-term sickness absence with subjective health complaints: a prospective cohort study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Kristel H. N. Weerdesteijn ◽  
Frederieke Schaafsma ◽  
Karin Bonefaas-Groenewoud ◽  
Martijn Heymans ◽  
Allard Van der Beek ◽  
...  
Keyword(s):  
Cohort Study ◽  
Return To Work ◽  
Sickness Absence ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Subjective Health ◽  
Health Complaints ◽  
Subjective Health Complaints

Key Push and Pull Factors Affecting Return to Work Identified by Patients With Long-Term Pain and General Practitioners in Sweden

2019 ◽  
Vol 29 (11) ◽  
pp. 1581-1594 ◽  
Author(s):  
Tove Lundberg ◽  
Stina Melander
Keyword(s):  
Return To Work ◽  
General Practitioners ◽  
Thematic Analysis ◽  
Health Professionals ◽  
Factors Affecting ◽  
Individual Motivation ◽  
Push And Pull Factors ◽  
Work Related ◽  
Push And Pull

Research shows that working is positive for people with long-term pain but that work-related support from health professionals is inadequate. One explanation for this inadequacy is that patients and providers differ in terms of perspectives on motivation to work. In this article, we compare factors that 31 patients and 15 general practitioners consider important to promote return to work for people with long-term pain. We analyzed the interviews with thematic analysis and a motivational push and pull framework to cover different motivational factors, societal and individual, that might push or pull patients from or toward work. Providers said that a difference between working and nonworking patients is their level of individual motivation, while the patients’ stories showed that the main difference was the physical (non)ability to push themselves to work. We suggest that work-related support can be improved by addressing such differences in clinical practice.

Sign in / Sign up

Export Citation Format

Share Document