Workers' beliefs and expectations affect return to work over 12 months

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

BACKGROUND: Successful management of workers on sick leave due to low back pain depends on the identification by the occupational physician of modifiable prognostic factors in the early phase of sick-leave. The prognostic value of factors which influence the course of low back pain and return to work in occupational health care is unclear.

METHODS: Secondary data analysis in a cohort of 299 workers on sick leave between 3 and 6 weeks due to low back pain was applied. We investigated the association of a broad set of prognostic indicators related to characteristics of worker, job, low back pain and psychosocial issues on return to work lasting at least 4 weeks (lasting-RTW) and minimally 1 day of first return to work (first-RTW). Relationships were studied using Cox regression analysis and covered a follow-up period of 12 months. The explained variation of the models was also calculated.

RESULTS: The median time to return to work using lasting-RTW and first-RTW was 76 and 71 days respectively. In addition to individual analysis of potential predictive factors a backward selection procedure resulted in the following multivariable model: self-predicted timing of return to work, pain intensity, job satisfaction, social support, pain radiation, expectations of treatment succes of the occupational physician. Similar results were found for first-RTW. The explained variance of the multivariate model of lasting-RTW was 18%.

CONCLUSIONS: Factors concerning the expectations and beliefs of the worker affected the RTW process. Knowledge of these factors by the occupational physician in the early phase of low back pain and sick-leave may contribute to solutions to promote return to work.

Original languageEnglish
Pages (from-to)685-95
Number of pages11
JournalJournal of Occupational Rehabilitation
Volume16
Issue number4
DOIs
Publication statusPublished - Dec 2006

Cite this

@article{61c6f5ba8d5842a19b7cfe2e7af20b45,
title = "Workers' beliefs and expectations affect return to work over 12 months",
abstract = "BACKGROUND: Successful management of workers on sick leave due to low back pain depends on the identification by the occupational physician of modifiable prognostic factors in the early phase of sick-leave. The prognostic value of factors which influence the course of low back pain and return to work in occupational health care is unclear.METHODS: Secondary data analysis in a cohort of 299 workers on sick leave between 3 and 6 weeks due to low back pain was applied. We investigated the association of a broad set of prognostic indicators related to characteristics of worker, job, low back pain and psychosocial issues on return to work lasting at least 4 weeks (lasting-RTW) and minimally 1 day of first return to work (first-RTW). Relationships were studied using Cox regression analysis and covered a follow-up period of 12 months. The explained variation of the models was also calculated.RESULTS: The median time to return to work using lasting-RTW and first-RTW was 76 and 71 days respectively. In addition to individual analysis of potential predictive factors a backward selection procedure resulted in the following multivariable model: self-predicted timing of return to work, pain intensity, job satisfaction, social support, pain radiation, expectations of treatment succes of the occupational physician. Similar results were found for first-RTW. The explained variance of the multivariate model of lasting-RTW was 18{\%}.CONCLUSIONS: Factors concerning the expectations and beliefs of the worker affected the RTW process. Knowledge of these factors by the occupational physician in the early phase of low back pain and sick-leave may contribute to solutions to promote return to work.",
keywords = "Adolescent, Adult, Aged, Attitude, Female, Humans, Low Back Pain/diagnosis, Male, Middle Aged, Netherlands, Occupational Diseases/diagnosis, Occupational Therapy, Prognosis, Proportional Hazards Models, Recovery of Function, Sick Leave",
author = "Heymans, {Martijn W} and {de Vet}, {Henrica C W} and Knol, {Dirk L} and Bongers, {Paulien M} and Koes, {Bart W} and {van Mechelen}, Willem",
year = "2006",
month = "12",
doi = "10.1007/s10926-006-9058-8",
language = "English",
volume = "16",
pages = "685--95",
journal = "Journal of Occupational Rehabilitation",
issn = "1053-0487",
publisher = "Springer New York",
number = "4",

}

Workers' beliefs and expectations affect return to work over 12 months. / Heymans, Martijn W; de Vet, Henrica C W; Knol, Dirk L; Bongers, Paulien M; Koes, Bart W; van Mechelen, Willem.

In: Journal of Occupational Rehabilitation, Vol. 16, No. 4, 12.2006, p. 685-95.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Workers' beliefs and expectations affect return to work over 12 months

AU - Heymans, Martijn W

AU - de Vet, Henrica C W

AU - Knol, Dirk L

AU - Bongers, Paulien M

AU - Koes, Bart W

AU - van Mechelen, Willem

PY - 2006/12

Y1 - 2006/12

N2 - BACKGROUND: Successful management of workers on sick leave due to low back pain depends on the identification by the occupational physician of modifiable prognostic factors in the early phase of sick-leave. The prognostic value of factors which influence the course of low back pain and return to work in occupational health care is unclear.METHODS: Secondary data analysis in a cohort of 299 workers on sick leave between 3 and 6 weeks due to low back pain was applied. We investigated the association of a broad set of prognostic indicators related to characteristics of worker, job, low back pain and psychosocial issues on return to work lasting at least 4 weeks (lasting-RTW) and minimally 1 day of first return to work (first-RTW). Relationships were studied using Cox regression analysis and covered a follow-up period of 12 months. The explained variation of the models was also calculated.RESULTS: The median time to return to work using lasting-RTW and first-RTW was 76 and 71 days respectively. In addition to individual analysis of potential predictive factors a backward selection procedure resulted in the following multivariable model: self-predicted timing of return to work, pain intensity, job satisfaction, social support, pain radiation, expectations of treatment succes of the occupational physician. Similar results were found for first-RTW. The explained variance of the multivariate model of lasting-RTW was 18%.CONCLUSIONS: Factors concerning the expectations and beliefs of the worker affected the RTW process. Knowledge of these factors by the occupational physician in the early phase of low back pain and sick-leave may contribute to solutions to promote return to work.

AB - BACKGROUND: Successful management of workers on sick leave due to low back pain depends on the identification by the occupational physician of modifiable prognostic factors in the early phase of sick-leave. The prognostic value of factors which influence the course of low back pain and return to work in occupational health care is unclear.METHODS: Secondary data analysis in a cohort of 299 workers on sick leave between 3 and 6 weeks due to low back pain was applied. We investigated the association of a broad set of prognostic indicators related to characteristics of worker, job, low back pain and psychosocial issues on return to work lasting at least 4 weeks (lasting-RTW) and minimally 1 day of first return to work (first-RTW). Relationships were studied using Cox regression analysis and covered a follow-up period of 12 months. The explained variation of the models was also calculated.RESULTS: The median time to return to work using lasting-RTW and first-RTW was 76 and 71 days respectively. In addition to individual analysis of potential predictive factors a backward selection procedure resulted in the following multivariable model: self-predicted timing of return to work, pain intensity, job satisfaction, social support, pain radiation, expectations of treatment succes of the occupational physician. Similar results were found for first-RTW. The explained variance of the multivariate model of lasting-RTW was 18%.CONCLUSIONS: Factors concerning the expectations and beliefs of the worker affected the RTW process. Knowledge of these factors by the occupational physician in the early phase of low back pain and sick-leave may contribute to solutions to promote return to work.

KW - Adolescent

KW - Adult

KW - Aged

KW - Attitude

KW - Female

KW - Humans

KW - Low Back Pain/diagnosis

KW - Male

KW - Middle Aged

KW - Netherlands

KW - Occupational Diseases/diagnosis

KW - Occupational Therapy

KW - Prognosis

KW - Proportional Hazards Models

KW - Recovery of Function

KW - Sick Leave

U2 - 10.1007/s10926-006-9058-8

DO - 10.1007/s10926-006-9058-8

M3 - Article

VL - 16

SP - 685

EP - 695

JO - Journal of Occupational Rehabilitation

JF - Journal of Occupational Rehabilitation

SN - 1053-0487

IS - 4

ER -