Recovery expectations can be assessed with single-item measures: findings of a systematic review and meta-analysis on the role of recovery expectations on return-to-work outcomes after musculoskeletal pain conditions

Carriere, Junie S.; Pimentel, Stephania Donayre; Bou-Saba, Sabine; Boehme, Blake; Berbiche, Djamal; Coutu, Marie‐France; Durand, Marie-José

doi:10.1097/j.pain.0000000000002789

Cited by 7 publications

(15 citation statements)

References 117 publications

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“…Although return to work expectations and self-assessed workability are considered important predictors of return to work outcomes for people with musculoskeletal conditions,31 32 our findings suggest that they are also important treatment mechanisms which should be specifically targeted by vocational rehabilitation programmes. To our knowledge, this is the first study to investigate how vocational interventions reduce sickness absence days using mediation analysis in individuals with musculoskeletal conditions.…”

Section: Discussionmentioning

confidence: 77%

Mechanisms of vocational interventions for return to work from musculoskeletal conditions: a mediation analysis of the MI-NAV trial

et al. 2023

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ObjectivesTo investigate whether and to what extent, return to work (RTW) expectancy and workability mediate the effect of two vocational interventions on reducing sickness absence in workers on sick leave from a musculoskeletal condition.MethodsThis is a preplanned mediation analysis of a three-arm parallel randomised controlled trial which included 514 employed working adults with musculoskeletal conditions on sick leave for at least 50% of their contracted work hours for ≥7 weeks. Participants were randomly allocated (1:1:1) to one of three treatment arms; usual case management (UC) (n=174), UC plus motivational interviewing (MI) (n=170) and UC plus a stratified vocational advice intervention (SVAI) (n=170). The primary outcome was the number of sickness absence days over 6 months from randomisation. Hypothesised mediators included RTW expectancy and workability assessed 12 weeks after randomisation.ResultsThe mediated effect of the MI arm compared with UC on sickness absence days through RTW expectancy was −4.98 days (−8.89 to −1.04), and workability was −3.17 days (−8.55 to 2.32). The mediated effect of the SVAI arm compared with UC on sickness absence days through RTW expectancy was −4.39 days (−7.60 to −1.47), and workability was −3.21 days (−7.90 to 1.50). The mediated effects for workability were not statistically significant.ConclusionsOur study provides new evidence for the mechanisms of vocational interventions to reduce sickness absence related to sick leave due to musculoskeletal conditions. Changing an individual’s expectation that RTW is likely may result in meaningful reductions in sickness absence days.Trial registration numberNCT03871712.

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Section: Discussionmentioning

confidence: 77%

Mechanisms of vocational interventions for return to work from musculoskeletal conditions: a mediation analysis of the MI-NAV trial

et al. 2023

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“…in individuals with low back pain due to an occupational injury. Single-item measures of recovery expectations provide a brief, low cost, low burden tool that can quickly identify individuals who are twice as likely to be off work following an injury [8]. In addition to increasing confidence in research using single-item measures of recovery expectations, these results meet the needs of clinicians who are assessing multiple predictors of pain and disability when time and resources are limited.…”

Section: Discussionmentioning

confidence: 98%

“…Findings have been consistent in showing that less positive, or more negative recovery expectations are strong predictors of who will and who will not return to work following a debilitating musculoskeletal injury [19; 21; 22]. In this area of research, the term 'recovery expectations' has been used to characterize employment-relevant predictions of injured individuals [8]. Research on the role of expectations on return to work following debilitating injury has proceeded in the relative absence of a guiding conceptual framework.…”

Section: Prom: Recovery Expectationsmentioning

confidence: 95%

“…According to the authors, none of the studies using single-item measures reported their validity or reliability. Interestingly, the authors compared the predictive utility of single-item and multi-item recovery expectation measures on return-to-work outcomes in individuals with musculoskeletal pain conditions [8]. The results revealed no significant differences in the predictive value of single-item and multi-item measures of recovery expectations on return-towork outcomes.…”

Section: Introductionmentioning

confidence: 98%

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Psychometric properties of single-item measure of recovery expectations in rehabilitation research and practice

Carrière,

Montemurro,

Sullivan

2024

Preprint

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Purpose: The present research aims to evaluate the construct validity and test-retest reliability of a single-item measure of recovery expectations in individuals with low back pain due to an occupational injury. Methods: A single-item measure of recovery expectations (“What is the probability that you will return to work?”) was administered to 58 work-disabled individuals with low back pain. All participants were enrolled in a physical therapy program aimed at return to work and participated in a 2-hour single-session pain management course. At baseline, participants completed measures of demographics, recovery expectations and pain-related psychological variables (pain catastrophizing, perceived injustice, depressive symptoms and anxiety symptoms). Four weeks after the initial assessment, participants completed the same measures. Analyses examined the construct validity and test-retest reliability of a single-item measure of recovery expectations following the COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN). Results: Findings demonstrate high construct validity and high test-retest reliability. This study represents a step towards practice-based evidence by providing a brief, low-burden, low-cost measure of recovery expectations that can be seamlessly integrated into clinical workflow and research protocols. Conclusions: A single-item measure demonstrated good psychometric properties for measuring recovery expectations in individuals with low back pain due to an occupational injury

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“…They include not only the duration of physical recovery, but also parameters such as postoperative pain intensity, hospitalization length, and the timeframe for a patient's return to routine activities. 8 , 9 A quicker recovery not only improves the patient's experience but also reduces the societal and financial burdens associated with a protracted convalescence. And despite the fact that laparoscopic surgery is frequently promoted for its rapid recovery advantage, empirical evidence is required to support such claims in comparison to traditional OS.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic vs. open surgery: A comparative analysis of wound infection rates and recovery outcomes

Shi

2023

International Wound Journal

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As medical technology continues to evolve, it becomes crucial to distinguish the outcomes of traditional versus modern surgical techniques. This was a retrospective cohort study, conducted to compare the wound infection rates and recovery outcomes between laparoscopic and open surgery (OS) in 180 patients. Participants were divided into laparoscopic (n = 105) and OS (n = 75) groups. Comprehensive data, including demographics, surgical details, and postoperative outcomes, were extracted. Wound infection rates, as measured by Wound Asepsis Score, were prioritized alongside recovery indicators such as duration of hospital stay and postoperative pain. The laparoscopic group had a mean operative time of 57.19 minutes, while the OS group required 85.10 ± 15.18 minutes (p < 0.05). Laparoscopic surgeries resulted in an average blood loss of 120.76 ± 13.3 mL compared to 170.01 ± 17.19 mL for OS (p < 0.05). The laparoscopic group had significantly reduced (p < 0.05) average hospital stays (2.1 ± 1.1 days) than the OS group (4.4 ± 2.1 days). Although the laparoscopic group had lower incidence of surgical site infection (4.76%) than the OS group (9.33%), this difference was not statistically significant (p > 0.05). On postoperative days 1, 3, and 7, the Visual Analog Scale assessment of pain in the laparoscopic group revealed significantly reduced pain (p < 0.05). Laparoscopic surgery appeared to offer distinct advantages over conventional open surgery, especially in terms of operative durations, recovery rates, and postoperative pain management. This study highlighted the potential of laparoscopic approaches for specific surgical interventions, as well as the importance of patient‐specific surgical strategy decision‐making.

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Recovery expectations can be assessed with single-item measures: findings of a systematic review and meta-analysis on the role of recovery expectations on return-to-work outcomes after musculoskeletal pain conditions

Abstract: Supplemental Digital Content is Available in the Text.

Cited by 7 publications

References 117 publications

Mechanisms of vocational interventions for return to work from musculoskeletal conditions: a mediation analysis of the MI-NAV trial

Mechanisms of vocational interventions for return to work from musculoskeletal conditions: a mediation analysis of the MI-NAV trial

Psychometric properties of single-item measure of recovery expectations in rehabilitation research and practice

Laparoscopic vs. open surgery: A comparative analysis of wound infection rates and recovery outcomes

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