Methodological Issues in Work Disability Prevention Research

Hogg‐Johnson, Sheilah; MacEachen, Ellen

doi:10.1007/978-1-4614-6214-9_9

Cited by 3 publications

(2 citation statements)

References 127 publications

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“…Their targets are to produce services and goods and to survive economically, which may not easily match with research purposes. 56 57 It is essential that workplaces approve of the intervention study and perceive that they will gain benefits from participating in it. 57 The current unstable economic situation may affect turnover of workers in the enterprises and also physicians in the OHSs, as well as activity in seeking treatment and in implementation of work modifications.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of temporary work modifications on disability related to musculoskeletal pain or depressive symptoms—study protocol for a controlled trial

et al. 2015

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IntroductionPrevious research suggests that work with a suitable workload may promote health and work retention in people with disability. This study will examine whether temporary work modifications at the early stage of work disability are effective in enhancing return to work (RTW) or staying at work among workers with musculoskeletal or depressive symptoms.Methods and analysisA single-centre controlled trial with modified stepped wedge design will be carried out in eight enterprises and their occupational health services (OHSs) in nine cities in Finland. Patients seeking medical advice due to musculoskeletal pain (≥4 on a scale from 0–10) or depressive symptoms (≥1 positive response to 2 screening questions) and fulfilling other inclusion criteria are eligible. The study involves an educational intervention among occupational physicians to enhance the initiation of work modifications. Primary outcomes are sustained RTW (≥4 weeks at work without a new sickness absence (SA)) and the total number of SA days during a 12-month follow-up. Secondary outcomes are intensity of musculoskeletal pain (scale 0–10), pain interference with work or sleep (scale 0–10) and severity of depressive symptoms (Patient Health Questionnaire, PHQ-9), inquired via online questionnaires at baseline and 3, 6, 9 and 12 months after recruitment. Information on SA days will be collected from the medical records of the OHSs over 12 months, before and after recruitment.The findings will give new information about the possibilities of training physicians to initiate work modifications and their effects on RTW in employees with work disability due to musculoskeletal pain or depressive symptoms.Ethics and disseminationThe Coordinating Ethics Committee of Hospital District of Helsinki and Uusimaa has granted approval for this study. The results will be published in peer-reviewed journals.Trial registration numberISRCTN74743666.

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Section: Discussionmentioning

confidence: 99%

Efficacy of temporary work modifications on disability related to musculoskeletal pain or depressive symptoms—study protocol for a controlled trial

et al. 2015

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“…The fi ndings also demonstrate the benefi t of combining qualitative and quantitative data in investigations of claimant experiences. 57 One in fi ve respondents disagreed that the CO answered questions and made decisions about their claim within a reasonable time. The deeper insight provided by the open-text responses highlighted the multiple dimensions of delay claimants encountered, from accessing required services as and when they were needed, to the consequences of delayed payment and broader concern about claim duration.…”

Section: A Diversity In Claimant Experiences Amentioning

confidence: 99%