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

Weerdesteijn, Kristel H. N.; Schaafsma, Frederieke; Bonefaas-Groenewoud, Karin; Heymans, Martijn W.; Beek, Allard J. van der; Anema, Johannes R.

doi:10.1186/s12889-020-09203-5

Cited by 9 publications

(3 citation statements)

References 43 publications

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“…In addition to the economic cost, being out of the workplace due to disability has major psychosocial costs for the individual, causing reduced social capital, sense of purpose, quality of life, and standard of living 5,6 . Return to work—referring to a return to paid employment in the form of a previous job, a previous job in modified form, or a new job, including either part-time or full-time work 7 following illness or injury—is an important factor in reducing these economic, social, and personal consequences 8 . Indeed, returning to work can “enhance recovery, self-esteem, confidence, social identity and overall quality of life.” 9 (p.953) Its importance is such that the need to promote vocational rehabilitation (which has been defined as a process where those disadvantaged by illness or disability are enabled to access, maintain, or return to employment or other useful occupation) 2 is enshrined in the United Nations Convention on the Rights of Persons with Disabilities 10 .…”

Section: Introductionmentioning

confidence: 99%

Return to work for adults following stroke: a scoping review of interventions, factors, barriers, and facilitators

Coutts

Cooper

2023

JBI Evidence Synthesis

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Introduction: Difficulties in returning to work can significantly impact individuals following a stroke (eg, their sense of purpose and self-esteem), not only financially, but also as they adjust to the change in their situation. Such difficulties may arise from communication disorders as well as physical impairments. Previous reviews on return to work post-stroke have focused on specific aspects, such as interventions, or barriers and facilitators, but have not provided a comprehensive map of the field. Further, no systematic or scoping reviews to date have focused on literature addressing return to work for people with communication disorders post-stroke.Inclusion criteria: This review considered literature that reported on interventions, barriers, and facilitators for return to work for adults (aged 16 years or older) following an ischemic or hemorrhagic stroke. Records focusing on transient ischemic attacks or acquired brain injury were excluded, as were those in which a comorbidity or disability (eg, learning disability, dementia, respiratory disorder) had a significant impact on the individual's ability to work. Methods: This review followed the JBI scoping review methodology. Primary research of any type, systematic and non-systematic reviews, and gray literature from developed countries written in English from 2010 to the present day were identified from 7 databases, 2 gray literature repositories, JBI Evidence Synthesis, and an internet search. Records were screened for relevance to the review topic by 2 independent reviewers, and data relevant to the review questions were extracted. Findings were presented as narrative supported by tables.Results: Of the 106 sources included, 61 addressed demographic-based, socioeconomic-based, impairment-based, or recovery-based factors related to return to work. One of these 61 sources, a narrative review, focused on communication disorders. Thirty-eight sources explored barriers and facilitators for return to work from different stakeholders' perspectives; 3 of these 38 sources, including 2 qualitative studies and 1 narrative review, focused on post-stroke communication disorders. Eleven sources focused on interventions, including 7 studies (reported across 9 sources) that developed or tested return-to-work interventions. Of these primary studies, 1 randomized controlled trial and 1 retrospective cohort study were identified. The remaining intervention studies were case studies or case series. None of these intervention studies addressed communication disorders.Conclusions: While there has been extensive research on factors, barriers, and facilitators for return to work poststroke, there is a lack of research on interventions supporting return to work. There is also a significant gap in the evidence base on returning to work with a post-stroke communication disorder, highlighting the need for further research in this important area.

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Section: Introductionmentioning

confidence: 99%

Return to work for adults following stroke: a scoping review of interventions, factors, barriers, and facilitators

Coutts

Cooper

2023

JBI Evidence Synthesis

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“…Most research on workers with SHC has focused on identifying which workers are at increased risk of sickness absence, and on finding ways for absent workers to return to work [ 7 , 8 , 9 ]. This research has revealed that psychosocial and work-related factors in particular, such as mental distress, self-perceived disability, self-efficacy and expectations, social support, work demands, and compensation status, are associated with sickness absence and possibilities for returning to work [ 7 , 8 , 9 ]. Many researchers have argued that modification of these factors may help to prevent sickness absence and to support full return to work [ 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Prognostic Factors for Staying at Work for Partially Sick-Listed Workers with Subjective Health Complaints: A Prospective Cohort Study.

Weerdesteijn

Schaafsma

Bonefaas-Groenewoud

et al. 2020

IJERPH

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Examination of prognostic factors for staying at work for long-term sick-listed workers with subjective health complaints (SHC) who partially work in a paid job, and to evaluate whether these factors are comparable with those of workers with other disorders. We used data of 86 partially sick-listed workers with SHC (57 females, 29 males, mean age 47.1 years) and 433 with other disorders (227 females, 206 males, mean age 50.9 years), from an existing prospective cohort study consisting of 2593 workers aged 18–65 years and registered as sick-listed with different health complaints or disorders for at least 84 weeks in the database of the Dutch Social Security Institute. We performed univariable logistic regression analyses (p ≤ 0.157) for all independent variables with the dependent variable staying at work for the workers with SHC. We then performed multivariable logistic regression analyses with forward selection (p ≤ 0.157) and combined the remaining factors in a final, multivariable model (p ≤ 0.05), which we also used for logistic regression analysis in the workers with other disorders. The following factors were significant prognostic factors for staying at work for workers with SHC: full work disability benefits (odds ratio (OR) 0.07, 95% confidence interval (95% CI) 0.01–0.64), good mental health (OR 1.08, 95% CI 1.02–1.14), positive expectations for staying at work (OR 6.49, 95% CI 2.00–21.09), previous absenteeism for the same health complaint (OR 0.31, 95% CI 0.10–0.96) and good coping strategies (OR 1.13, 95% CI 1.04–1.23). For workers with other disorders, full work disability benefits, good mental health and positive expectations for staying at work were also prognostic factors for staying at work. Individual and policy factors seem to be important for staying at work of sick-listed workers with SHC and those with other disorders alike, but several biopsychosocial factors are particularly important for workers with SHC.

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“…Better func tional recovery is associated with work participation after stroke (11), critical illness (12) and with inflammatory joint conditions (13). However, additional factors, such as coping, expectation of recovery, and duration of absence, have also been found to predict work participation (14)(15)(16)(17).…”

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confidence: 99%

Effect of sense of coherence on long-term work participation among rehabilitation patients: a longitudinal study

Berget,

Moen,

Hustoft

et al. 2023

JRM

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Objective: To investigate the causal effect of sense of coherence on long-term work participation after rehabilitation, including stratification by age and diagnoses. Design: Longitudinal cohort study. Participants: Patients aged ≤ 60 years, employed and accepted for somatic interprofessional rehabilitation in 2015 (n = 192). Methods: Patients reported sense of coherence before rehabilitation in 2015 and mental and physical functioning in 2016. Register data were used to measure work participation during 2018 and days working without social security benefits during 2016–18. Regression models were used to explore the total effect of sense of coherence and the possible mediation of functioning. Results are reported as odds ratios (95% confidence intervals). Results: During 2018, 77% of the total study cohort participated in work activities. The subgroup with musculoskeletal diagnoses had the fewest days of working without social security benefits. A causal relationship was found between sense of coherence and long-term work participation. Some of the effect of sense of coherence was mediated by mental functioning. The total effect of sense of coherence was strongest for patients with musculo-skeletal diagnoses (work participation: 1.11 (1.05, 1.17), days working without social security benefits: 1.05 (0.01, 109)). Conclusion: Improving coping resources may be beneficial to facilitate long-term work participation after injury or illness, especially for individuals with musculoskeletal diagnoses.

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

Cited by 9 publications

References 43 publications

Return to work for adults following stroke: a scoping review of interventions, factors, barriers, and facilitators

Return to work for adults following stroke: a scoping review of interventions, factors, barriers, and facilitators

Prognostic Factors for Staying at Work for Partially Sick-Listed Workers with Subjective Health Complaints: A Prospective Cohort Study.

Effect of sense of coherence on long-term work participation among rehabilitation patients: a longitudinal study

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