Does participation in interdisciplinary work rehabilitation programme influence return to work obstacles and predictive factors?

Objective: The study aims to explore factors of workplace injury and chronic illnesses patients in a return to work program which are associated with return to work outcomes.Design: A retrospective cohort study. Setting: Return to Work Department, Social Security Organisation, Malaysia. Method: All participants of the Return to Work Rehabilitation Program who were absent from work due to workplace injury and chronic illnesses between January 2008 and December 2013 with no other history of injury were included. The main outcome of the study was the number in days from day one of injury prior to return of gainful employment. Hierarchical multiple regression methods were used to determine the identified factors that influence the return to work outcome.Results: An initial study with data from January 2008 and December 2011 of cases with occupational injury showed 66% (n = 1,552) of the participants had returned to work. The average number of days to return to work was 201 days. Hierarchical multiple regression analysis identified duration of referral to the Return to Work rehabilitation program, monthly salary, Whole Person Impairment ratings, DASS 21 anxiety and DASS 21 stress scale as factors that influenced return to work, explaining 32% of the variance. However a continuous for the remaining cases such as cases with chronic illnesses will be included in the final results of this study.Conclusion: Currently, a total of 66% participants had returned to employment after occupational injury. It is essential to understand the complex pathway from the point of injury and illnesses until returning to work in order to develop more effective return to work practices.

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Into work, through tailored paths: a two-year follow-up of the return-to-work rehabilitation and re-employment project

International Journal of Rehabilitation Research ◽

10.1097/00004356-200212000-00009 ◽

2002 ◽

Vol 25 (4) ◽

pp. 313-330 ◽

Cited By ~ 10

Author(s):

PIRJO JUVONEN-POSTI ◽

TAPANI KALLANRANTA ◽

SIRKKA-LIISA EKSYM?? ◽

KEIJO PIIRAINEN ◽

SIRKKA KEIN??NEN-KIUKAANNIEMI

Keyword(s):

Return To Work ◽

Work Rehabilitation

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Return-to-work success despite conflicts: an exploration of decision-making during a work rehabilitation program

Disability and Rehabilitation ◽

10.1080/09638288.2017.1400592 ◽

2017 ◽

Vol 41 (5) ◽

pp. 523-533 ◽

Cited By ~ 1

Author(s):

Marie-Michelle Gouin ◽

Marie-France Coutu ◽

Marie-José Durand

Keyword(s):

Decision Making ◽

Return To Work ◽

Rehabilitation Program ◽

Work Rehabilitation

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Acceptance and commitment therapy (ACT) predictive factors of return to work after depression

European Psychiatry ◽

10.1016/j.eurpsy.2016.01.1475 ◽

2016 ◽

Vol 33 (S1) ◽

pp. S408-S408

Author(s):

S. Darbeda ◽

J.C. Seznec

Keyword(s):

Sick Leave ◽

Return To Work ◽

Predictive Factors ◽

Experiential Avoidance ◽

Depressive Syndrome ◽

Third Wave ◽

Multicentric Study ◽

Acceptance And Commitment ◽

Competing Interest ◽

Acceptance Therapy

IntroductionProlonged sick leaves are a major risk to quit the world of work and depression is the leading cause of disability in France. New therapies from the third wave of CBT as the Commitment and Acceptance Therapy (ACT) may be interesting to promote the return to work (RTW).ObjectivesTo assess predictive factors of return to work after depression.MethodsThis is a descriptive, prospective and multicentric study. The recruitment of investigating doctors was conducted by the publication of an advertisement in a French journal of occupational medicine. Each investigator recruited patients during reinstatement medical examination after a prolonged sick leave for depressive syndrome. Sociodemographic, occupational, medical and psychological factors (particularly in connection with the ACT) was assessed at baseline and 3 months later.ResultsThirty-one patients were initially included in the study, but 2 were lost to follow up at 3 months and 29 were analyzed. Twenty three patients RTW at 3 months. Those who RTW were less anxious (P = 0.023), less depressed (P = 0.021), had a better impression of improvement (P = 0.0066) and had a lower score of experiential avoidance (P = 0.0025).ConclusionsThe ACT, through its action on the reduction of experiential avoidance, and the definitions of new life values could allow a faster RTW after a sick leave for depressive syndrome.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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