Development and validation of the multiple sclerosis questionnaire for the evaluation of job difficulties (MSQ-Job)

Raggi, Alberto; Giovannetti, Ambra Mara; Schiavolin, Silvia; Brambilla, Laura; Brenna, Greta; Cortese, Francesca; Covelli, Venusia; Frangiamore, Rita; Moscatelli, Marco; Ponzio, Michela; Clerici, Valentina Torri; Zaratin, Paola; Mantegazza, Renato; Leonardi, Matilde

doi:10.1111/ane.12387

Cited by 13 publications

(16 citation statements)

References 27 publications

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“…The main indicators of the survey were defined after conducting a careful review of the literature that investigated work issue in MS patients9, 10, 17 ) . Consequently, according to the aims of the present study, we developed a structured questionnaire in order to obtain valuable information regarding the OP individual demographics and professional characteristics, the health surveillance system and the evaluation of fitness for work in MS workers and, finally, the OP training and updating needs on MS. A preliminary version of the questionnaire was pilot-tested with a small sample (n=40) of OPs for length, content, clarity and comprehensibility of each item, face validity and acceptance by the interviewees.…”

Section: Methodsmentioning

confidence: 99%

“…For example, it was estimated that in Europe the total economic costs of MS amount to 14.6 million €/yr with the highest costs per subjects (26,974 €/yr) among the main brain disorders8 ) . This significant economic burden is mainly related to the young age of MS onset (symptoms first appear between ages 20 and 50) and to its unemployment rates8, 10 ) .…”

Section: Introductionmentioning

confidence: 99%

“…In this regard, it is noteworthy to point out that the most important social consequence of MS is the reduced employability due to the compromised ability to perform occupational functions and tasks10 ) . In fact, several studies have investigated the relationship between MS and employment status trying to highlight the elements or symptoms that most negatively impact on employability.…”

Section: Introductionmentioning

confidence: 99%

“…The main factors associated with unemployment and difficulties related to the fitness for work are cognitive disorders, depression, anxiety, pain, fatigue and type of employment11,12,13,14,15,16,17 ) . With regard to the factors and/or disease manifestations that most frequently were associated with difficulties in performing working tasks (that consequently raise problems in issuing a fitness for work judgment without limitations or prescriptions) they included, progressive disease course, increasing age, physical disability, higher levels of pain and fatigue, depression, anxiety and cognitive impairments/disorders10,11,12,13,14, 17,18,19,20,21,22,23,24,25 ) .…”

Section: Introductionmentioning

confidence: 99%

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Improving the job-retention strategies in multiple sclerosis workers: the role of occupational physicians

et al. 2019

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Several studies evaluated whether a person with multiple sclerosis is employed or not and investigated the main symptoms that hinder the job performance. However, despite occupational physicians are fundamental in managing disabled subjects, there is a serious lack of data regarding their role in improving employability of these workers. In this regard, we assessed occupational physicians’ professional activity and training/updating needs in order to identify and develop management tools, operative procedures and training programs helpful to support and implement adequate job-retention strategies. Four hundred three Italian occupational physicians compiled a self-administered questionnaire to evaluate individual demographics, health surveillance system, fitness for work and training needs. Our findings confirmed the suitability to adopt environmental adjustments at workplace (particularly referring to the ergonomics of workstation, the typology of occupational risk factors and the working time) to accommodate individual’s needs in order to improve working ability among multiple sclerosis workers. Moreover, training events discussing operational guidelines and standardized instruments and/or methodologies to adequately manage the disable workers should be fostered. Therefore, in this regard, occupational physicians could play a key role but they need more high-quality training especially concerning the different tools that are currently available to assess the work issues in multiple sclerosis patients.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Improving the job-retention strategies in multiple sclerosis workers: the role of occupational physicians

et al. 2019

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“…Foram planejadas três formas de aplicação para esse instrumento: autoaplicação, aplicação por entrevistador (presencial ou por telefone) ou aplicação a um proxy 42 . Cabe ressaltar que o WHODAS 2.0 já passou por processos de validação em diversos países e suas propriedades psicométricas foram avaliadas para pessoas com esclerose múltipla 43 , doenças crônicas 44 , osteoartrite 45 , câncer de mama 46 , hospitalizadas por trauma 47 , entre outros.…”

Section: World Health Disability Assessment Scheduleunclassified

Aferição de funcionalidade em inquéritos de saúde no Brasil: discussão sobre instrumentos baseados na Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF)

Castro

Castaneda

Araujo³

et al. 2016

Rev. bras. epidemiol.

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Multiple Sclerosis Questionnaire for Job Difficulties (MSQ-Job): definition of the cut-off score

Schiavolin¹,

Giovannetti²,

Leonardi³

et al. 2016

Neurol Sci

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Multiple Sclerosis (MS) mainly affects people of working age. The Multiple Sclerosis Questionnaire for Job Difficulties (MSQ-Job) was designed to measure difficulties in work-related tasks. Our aim is to define cut-off score of MSQ-Job to identify potential critical situations that might require specific attention. A sample of patients with MS completed the MSQ-Job, WHODAS 2.0 and MSQOL-54 respectively for work difficulties, disability and health-related quality of life (HRQoL) evaluation. K-means Cluster Analysis was used to divide the sample in three groups on the basis of HRQoL and disability. ANOVA test was performed to compare the response pattern between these groups. The cut-off score was defined using the receiver operating characteristic (ROC) curve analyses for MSQ-Job total and count of MSQ-Job items scores ≥3: a score value corresponding to the maximum of the sensitivity-to-specificity ratio was chosen as the cut-off. Out of 180 patients enrolled, twenty were clustered in the higher severity group. The area under the ROC curve was 0.845 for the MSQ-Job total and 0.859 for the count of MSQ-Job items scores ≥3 while the cut-off score was 15.8 for MSQ-Job total and 8 for count of items scored ≥3. We recommend the use of MSQ-Job with this calculation as cut-off for identifying critical situations, e.g. in vocational rehabilitation services, where work-related difficulties have a significant impact in terms of lower quality of life and higher disability.

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Development and validation of the multiple sclerosis questionnaire for the evaluation of job difficulties (MSQ-Job)

Abstract: The MSQ-Job jointly measures the impact of respondents' symptoms and workplace features on work activities and enables to assess the effects of clinical and occupational interventions and better describe the impact of MS indirect costs.

Cited by 13 publications

References 27 publications

Improving the job-retention strategies in multiple sclerosis workers: the role of occupational physicians

Improving the job-retention strategies in multiple sclerosis workers: the role of occupational physicians

Aferição de funcionalidade em inquéritos de saúde no Brasil: discussão sobre instrumentos baseados na Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF)

Multiple Sclerosis Questionnaire for Job Difficulties (MSQ-Job): definition of the cut-off score

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