Management of work disability. resources for vocational rehabilitation

Allaire, Saralynn; Partridge, Alison J.; Andrews, Howard; Liang, Matthew H.

doi:10.1002/art.1780361204

Cited by 22 publications

(11 citation statements)

References 16 publications

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“…to seek a job requiring less physical strength. State vocational rehabilitation services are underutilized by persons with rheumatic disease, despite a superior record of returning persons to employment when used (42)(43)(44).…”

Section: Discussionmentioning

confidence: 99%

Risk factors for early work disability in systemic lupus erythematosus. Results from a Multicenter Study

Partridge¹,

Karlson²,

Daltroy³

et al. 1997

Arthritis & Rheumatism

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Objective. To study the risk factors for early work disability in systemic lupus erythematosus (SLE).Methods. A sample of 159 SLE patients who had been employed at some time since diagnosis was drawn from a multicenter study of outcome in SLE. Disease activity, organ damage, education, income, source of health insurance, and work-related factors were measured in a standardized interview. Work disability was defined by patient self-report of not working because of SLE.The outcome measure was current work status.Seven patients were excluded from the analysis because their choice not to work was unrelated to SLE.Results. An average of 3.4 years after diagnosis, 40% had quit work completely, and job modification was substantial. Univariate analysis (chi-square and t-test) showed that significant predictors of early work disability included having a high school education or less, receiving Medicaid or having no health insurance, having a job which required more physical strength, having ~ ~~

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Section: Discussionmentioning

confidence: 99%

Risk factors for early work disability in systemic lupus erythematosus. Results from a Multicenter Study

Partridge¹,

Karlson²,

Daltroy³

et al. 1997

Arthritis & Rheumatism

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“…Another review of 9 studies of job retention for persons with chronic diseases also reported limited effectiveness of programs focused on work accommodations and self-efficacy (25). Regardless of the benefit of specific VR programs for persons with arthritis, persons with arthritis infrequently use VR services (16,26,27).…”

Section: Introductionmentioning

confidence: 99%

Randomized prospective study of a work place ergonomic intervention for individuals with rheumatoid arthritis and osteoarthritis

Baldwin¹,

Johnstone²,

Ge³

et al. 2012

Arthritis Care & Research

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Objective. To conduct a longitudinal randomized controlled trial comparing a work place ergonomic intervention versus a control (i.e., provision of written educational materials) for persons with rheumatoid arthritis (RA) or osteoarthritis (OA) regarding employment, physical, and symptom outcomes. Methods. Eighty-nine participants (mean age 50.54 years, 87% women, 38% with RA, 62% with OA) were randomized into the intervention or control group. Seventy-five participants completed baseline, 12-month, and 24-month evaluations. Outcome measures included Arthritis Impact Measurement Scales 2 (AIMS2) physical, symptom (i.e., pain), and role scores (i.e., impact of arthritis on employment); Job Satisfaction Survey (JSS); and Brief Symptom Inventory Global Severity Index. The study design was a 2-factor (treatment and time) with repeated measures on 1 factor (time) design used with baseline as a covariate for 12-and 24-month data. Results. Between-group analyses indicated differences at 24 months for the AIMS2 role score (P < 0.03), with the intervention group reporting less arthritis-related impact on their work. Within-group analyses indicated significant improvements for the intervention group in AIMS2 change scores for physical functioning and symptom variables at 12 months (P < 0.04 and P < 0.01, respectively) and 24 months (P < 0.01 and P < 0.01, respectively). Job satisfaction (JSS) decreased at 12 months for both the intervention (P < 0.01) and control groups (P < 0.01), and at 24 months for the control group (P < 0.01).Conclusion. An ergonomic work place intervention (versus a control) is associated with decreased arthritis-related work difficulties over 2 years for individuals with OA and RA, as well as improvements in physical functioning and pain.

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“…The impact of work disability in RA is extensive, affecting all occupations, and potentially leading to lower self-esteem, lower life satisfaction, decreased life adaptation, lower perceived health status, altered family relationships, and fewer social supports (7)(8)(9)(10)(11)(12)(13). Among valued activities in patients with RA, the highest losses over 5 years are in work-related activities (14).…”

Section: Introductionmentioning

confidence: 99%

Adaptations made by rheumatoid arthritis patients to continue working: A pilot study of workplace challenges and successful adaptations

Mancuso

Paget

Charlson

2000

Arthritis & Rheumatism

111

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Objectives. The goals of this pilot study were to use qualitative research techniques in a group of currently employed patients with rheumatoid arthritis (RA) to develop categories of challenges encountered in maintaining employment and categories of successful adaptations made to continue working; and to identify obstacles considered to be persistent threats to continued employment. Methods. Patients were interviewed by telephone with a questionnaire composed of structured-response format and open-ended response format questions focusing on specific challenges and adaptations in the workplace. Results. Of the 22 patients interviewed, 96% were women, mean age was 50 years, 84% were college graduates, and the majority had light physical job demands and high autonomy over their work and hours worked. Patients encountered diverse challenges, such as fatigue, pain, typing, writing , physical requirements, maintaining a pleasant disposition, working overtime, traveling for business , commuting, being on time, not being able to choose rest periods, and environmental issues. Patients also made multiple adaptations to continue working, the most helpful being changing job or altering career path (36%), altering work hours (32%), using more disease-modifying antirheumatic drugs (27%), using car service (23%), sleeping more (18%), and working at home (14%). Patients were not at all confident in their ability to continue working because of RA, and perceived the following persistent threats to continued employment: fatigue (45%), not being able to use hands (45%), not being able to choose rest periods (27%), and commuting problems (18%). In addition, patients confronted psychological stresses, such as dealing with cowork-ers and supervisors and balancing job and personal roles. These challenges and adaptations included unfavorable work-related occurrences, or "negative work-role events." Conclusions. Seemingly successfully employed patients with RA faced multiple challenges and made major adaptations to maintain employment and still perceived their employment to be in jeopardy because of RA. The findings of this study have important implications for screening patients at risk for negative work-role events and for possible work-related and social support interventions aimed at preserving employment.

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Management of work disability. resources for vocational rehabilitation

Cited by 22 publications

References 16 publications

Risk factors for early work disability in systemic lupus erythematosus. Results from a Multicenter Study

Risk factors for early work disability in systemic lupus erythematosus. Results from a Multicenter Study

Randomized prospective study of a work place ergonomic intervention for individuals with rheumatoid arthritis and osteoarthritis

Adaptations made by rheumatoid arthritis patients to continue working: A pilot study of workplace challenges and successful adaptations

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