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Villotti P, Kordsmeyer AC, Roy JS, Corbière M, Negrini A, Larivière C. Systematic review and tools appraisal of prognostic factors of return to work in workers on sick leave due to musculoskeletal and common mental disorders. PLoS One 2024; 19:e0307284. [PMID: 39018306 PMCID: PMC11253986 DOI: 10.1371/journal.pone.0307284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2023] [Accepted: 07/03/2024] [Indexed: 07/19/2024] Open
Abstract
With the overall objective of providing implication for clinical and research practices regarding the identification and measurement of modifiable predicting factors for return to work (RTW) in people with musculoskeletal disorders (MSDs) and common mental disorders (CMDs), this study 1) systematically examined and synthetized the research evidence available in the literature on the topic, and 2) critically evaluated the tools used to measure each identified factor. A systematic search of prognostic studies was conducted, considering four groups of keywords: 1) population (i.e., MSDs or CMDs), 2) study design (prospective), 3) modifiable factors, 4) outcomes of interest (i.e., RTW). Studies showing high risk of bias were eliminated. Tools used to measure prognostic factors were assessed using psychometric and usability criteria. From the 78 studies that met inclusion criteria, 19 (for MSDs) and 5 (for CMDs) factors reaching moderate or strong evidence were extracted. These factors included work accommodations, RTW expectations, job demands (physical), job demands (psychological), job strain, work ability, RTW self-efficacy, expectations of recovery, locus of control, referred pain (back pain), activities as assessed with disability questionnaires, pain catastrophizing, coping strategies, fears, illness behaviours, mental vitality, a positive health change, sleep quality, and participation. Measurement tools ranged from single-item tools to multi-item standardized questionnaires or subscales. The former generally showed low psychometric properties but excellent usability, whereas the later showed good to excellent psychometric properties and variable usability. The rigorous approach to the selection of eligible studies allowed the identification of a relatively small set of prognostic factors, but with a higher level of certainty. For each factor, the present tool assessment allows an informed choice to balance psychometric and usability criteria.
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Affiliation(s)
- Patrizia Villotti
- Department of Education and Pedagogy–Career Counseling, Université du Québec à Montréal, Montréal, Canada
- Centre de recherche de l’Institut universitaire en santé mentale de Montréal, Montréal, Canada
| | - Ann-Christin Kordsmeyer
- Institute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany
| | - Jean-Sébastien Roy
- School of Rehabilitation Sciences, Faculty of Medicine, Université Laval, Quebec City, Canada
- Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec, Rehabilitation Institute, Quebec City, Canada
| | - Marc Corbière
- Department of Education and Pedagogy–Career Counseling, Université du Québec à Montréal, Montréal, Canada
- Centre de recherche de l’Institut universitaire en santé mentale de Montréal, Montréal, Canada
| | - Alessia Negrini
- Institut de recherche Robert-Sauvé en santé et en sécurité du travail, Montréal, Canada
| | - Christian Larivière
- Institut de recherche Robert-Sauvé en santé et en sécurité du travail, Montréal, Canada
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de Wind A, Donker-Cools BHPM, Jansen L, Luymes CH, van der Burg-Vermeulen SJ, Oomens S, Anema JR, Schaafsma FG. Development of the core of an ICF-based instrument for the assessment of work capacity and guidance in return to work of employees on sick leave: a multidisciplinary modified Delphi study. BMC Public Health 2022; 22:2449. [PMID: 36578011 PMCID: PMC9795420 DOI: 10.1186/s12889-022-14653-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2022] [Accepted: 11/16/2022] [Indexed: 12/30/2022] Open
Abstract
BACKGROUND Several occupational health disciplines are involved in return to work guidance, implying that good interdisciplinary collaboration is important. A shared conceptual framework and a common language for the assessment of work capacity and guidance in return to work is expected to be at the benefit of appropriate and sustainable employability of sick employees. The International Classification of Functioning, Disability and Health (ICF) can be considered a shared conceptual framework and is also promising in terms of a common language. The purpose of the current study is to reach multidisciplinary consensus among occupational health professionals on the content of an ICF-based instrument for the assessment of work capacity and guidance in return to work. METHODS To obtain multidisciplinary consensus we conducted a modified Delphi study among twelve occupational health experts, including four occupational physicians, four insurance physicians and four labour experts. The study included two e-mail rounds and two virtual meetings. In the consecutive rounds the experts assessed ICF items as well as a list of non-ICF-based work-related environmental factors on their relevance for the assessment of the work capacity and guidance in return to work together with their interpretability. RESULTS The four consecutive Delphi rounds resulted in 20 items that are minimally needed for the assessment of the work capacity and return to work possibilities of employees on sick leave. The final list included six items on personal functioning, seven items on social functioning and seven items on physical functioning. CONCLUSIONS This set of items forms the core of an ICF-based instrument, which is expected to facilitate interdisciplinary and intradisciplinary communication because of the use of a shared conceptual framework. As such, it should be of help in the guidance in return to work of employees on sick leave and contribute to appropriate and sustainable employability.
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Affiliation(s)
- Astrid de Wind
- grid.509540.d0000 0004 6880 3010Amsterdam UMC location University of Amsterdam, Public and Occupational Health, Amsterdam, the Netherlands ,grid.16872.3a0000 0004 0435 165XAmsterdam Public Health research institute, Societal Participation and Health, Amsterdam, the Netherlands
| | - Birgit H. P. M. Donker-Cools
- grid.509540.d0000 0004 6880 3010Amsterdam UMC location University of Amsterdam, Public and Occupational Health, Amsterdam, the Netherlands ,grid.16872.3a0000 0004 0435 165XAmsterdam Public Health research institute, Societal Participation and Health, Amsterdam, the Netherlands ,Research Center for Insurance Medicine, Amsterdam, The Netherlands
| | - Lyanne Jansen
- grid.509540.d0000 0004 6880 3010Amsterdam UMC location University of Amsterdam, Public and Occupational Health, Amsterdam, the Netherlands ,grid.16872.3a0000 0004 0435 165XAmsterdam Public Health research institute, Societal Participation and Health, Amsterdam, the Netherlands ,Research Center for Insurance Medicine, Amsterdam, The Netherlands
| | - Clare H. Luymes
- grid.509540.d0000 0004 6880 3010Amsterdam UMC location University of Amsterdam, Public and Occupational Health, Amsterdam, the Netherlands ,grid.16872.3a0000 0004 0435 165XAmsterdam Public Health research institute, Societal Participation and Health, Amsterdam, the Netherlands ,Research Center for Insurance Medicine, Amsterdam, The Netherlands
| | - Sylvia J. van der Burg-Vermeulen
- grid.509540.d0000 0004 6880 3010Amsterdam UMC location University of Amsterdam, Public and Occupational Health, Amsterdam, the Netherlands ,grid.16872.3a0000 0004 0435 165XAmsterdam Public Health research institute, Societal Participation and Health, Amsterdam, the Netherlands
| | - Shirley Oomens
- grid.450078.e0000 0000 8809 2093HAN University of Applied Sciences, Occupation and health research group, Arnhem, the Netherlands ,grid.10417.330000 0004 0444 9382Radboudumc, Department of Primary and Community Care, Nijmegen School of Occupational Health, Nijmegen, the Netherlands
| | - Johannes R. Anema
- grid.16872.3a0000 0004 0435 165XAmsterdam Public Health research institute, Societal Participation and Health, Amsterdam, the Netherlands ,Research Center for Insurance Medicine, Amsterdam, The Netherlands ,grid.509540.d0000 0004 6880 3010Amsterdam UMC location Vrije Universiteit Amsterdam, Public and Occupational Health, Amsterdam, the Netherlands
| | - Frederieke G. Schaafsma
- grid.509540.d0000 0004 6880 3010Amsterdam UMC location University of Amsterdam, Public and Occupational Health, Amsterdam, the Netherlands ,grid.16872.3a0000 0004 0435 165XAmsterdam Public Health research institute, Societal Participation and Health, Amsterdam, the Netherlands ,Research Center for Insurance Medicine, Amsterdam, The Netherlands
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de Wit M, Zijlstra HP, Hulshof CTJ, van der Burg-Vermeulen SJ, de Boer AGEM. The effect of the Progressive Goal Attainment Program on cognitions, perceptions, and work participation of workers with chronic health problems: study protocol for a randomized controlled trial. Trials 2022; 23:765. [PMID: 36085067 PMCID: PMC9463759 DOI: 10.1186/s13063-022-06698-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Accepted: 08/27/2022] [Indexed: 11/26/2022] Open
Abstract
Background Cognitions and perceptions of workers with chronic health problems, such as catastrophizing thoughts and fear-avoidance beliefs, can negatively influence work participation. The Progressive Goal Attainment Program (PGAP) is an intervention developed in Canada with the aim of decreasing limiting cognitions and perceptions and increasing work participation. The objective of this protocol article is to describe the design of a randomized controlled superiority trial to study whether PGAP is effective in decreasing limiting cognitions and perceptions and increasing workability and work participation of workers with chronic health problems in the Netherlands. Methods This study is a randomized controlled superiority trial with two (parallel) groups, in which workers on sick leave are randomly assigned to an intervention group (PGAP intervention) or to a waiting-list control group (care as usual). The PGAP intervention consists of a maximum of 10 weekly individual sessions provided by a trained PGAP professional in which the worker learns about staying active, planning activities, and setting goals. Participants in this risk-targeted behavioral activation intervention also learn to be more aware of their cognitions and perceptions and learn about solution-focused problem-solving skills in challenging situations. The primary outcome is the degree of catastrophizing. Secondary outcomes are other personal cognitions and perceptions (e.g., expectations regarding return to work, self-efficacy), health symptoms (e.g., fatigue, depression), work participation (e.g., sick leave status, work hours), and other work-related outcomes (e.g., workability, quality of working life). Discussion Although PGAP shows positive effects in Canada, we do not know whether this intervention is effective in the Netherlands. This study is the first randomized controlled trial to test the effect of PGAP on limiting cognitions and perceptions and on work participation of workers with chronic health problems in the Netherlands. If PGAP is effective it could be implemented in the Netherlands in order to stimulate workability and work participation of workers. Trial registration The protocol of this study is registered in the Netherlands Trial Register (NL9832) in October 2021. Supplementary Information The online version contains supplementary material available at 10.1186/s13063-022-06698-8.
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Affiliation(s)
- Mariska de Wit
- Amsterdam UMC location University of Amsterdam, Public and Occupational Health, Coronel Institute of Occupational Health, Meibergdreef 9, Amsterdam, The Netherlands. .,Amsterdam Public Health Research Institute, Societal Participation & Health, Amsterdam, The Netherlands.
| | | | - Carel T J Hulshof
- Amsterdam UMC location University of Amsterdam, Public and Occupational Health, Coronel Institute of Occupational Health, Meibergdreef 9, Amsterdam, The Netherlands.,Amsterdam Public Health Research Institute, Societal Participation & Health, Amsterdam, The Netherlands
| | - Sylvia J van der Burg-Vermeulen
- Amsterdam UMC location University of Amsterdam, Public and Occupational Health, Coronel Institute of Occupational Health, Meibergdreef 9, Amsterdam, The Netherlands.,Amsterdam Public Health Research Institute, Societal Participation & Health, Amsterdam, The Netherlands
| | - Angela G E M de Boer
- Amsterdam UMC location University of Amsterdam, Public and Occupational Health, Coronel Institute of Occupational Health, Meibergdreef 9, Amsterdam, The Netherlands.,Amsterdam Public Health Research Institute, Societal Participation & Health, Amsterdam, The Netherlands
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de Wit M, Horreh B, Hulshof CTJ, Wind H, de Boer AGEM. Effects of a training program for occupational health professionals on the cognitions and perceptions of workers: a randomized controlled trial. Int Arch Occup Environ Health 2022; 95:1059-1066. [PMID: 35024908 PMCID: PMC9203404 DOI: 10.1007/s00420-021-01823-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2021] [Accepted: 11/30/2021] [Indexed: 11/05/2022]
Abstract
PURPOSE To evaluate the effects of a training program for occupational health professionals (OHPs) on their ability to identify the cognitions and perceptions of workers with a chronic disease that may hinder work participation, and on their ability to recommend evidence-based interventions aimed at the identified cognitions and perceptions. METHODS A randomized controlled trial was conducted in which OHPs were randomly assigned to a training program on the cognitions and perceptions of workers with a chronic disease (n = 29) or to a control group that did not receive training (n = 30). Participants received home assignments in which they had to identify the cognitions and perceptions of workers in video vignettes and had to indicate which interventions they would recommend to foster work participation. A generalized linear model repeated measures ANOVA was conducted to study the effects of the training program. RESULTS The results of the analyses showed an increase in the ability to identify the cognitions and perceptions of workers of OHPs who received the training compared to the control group (p < 0.001). The results also showed an increased ability to recommend evidence-based interventions aimed at these cognitions and perceptions (p < 0.001) as a result of participation in the training. CONCLUSION The training program helps OHPs to identify cognitions and perceptions and to recommend evidence-based interventions. This can support them in their activities to increase the work participation of workers with a chronic disease.
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Affiliation(s)
- Mariska de Wit
- Amsterdam UMC, Department of Public and Occupational Health, University of Amsterdam, Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, PO Box 22700, 1100 DE, Amsterdam, The Netherlands.
| | - Bedra Horreh
- Amsterdam UMC, Department of Public and Occupational Health, University of Amsterdam, Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, PO Box 22700, 1100 DE, Amsterdam, The Netherlands
| | - Carel T J Hulshof
- Amsterdam UMC, Department of Public and Occupational Health, University of Amsterdam, Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, PO Box 22700, 1100 DE, Amsterdam, The Netherlands
| | - Haije Wind
- Amsterdam UMC, Department of Public and Occupational Health, University of Amsterdam, Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, PO Box 22700, 1100 DE, Amsterdam, The Netherlands
| | - Angela G E M de Boer
- Amsterdam UMC, Department of Public and Occupational Health, University of Amsterdam, Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, PO Box 22700, 1100 DE, Amsterdam, The Netherlands
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de Wit M, Zipfel N, Horreh B, Hulshof CTJ, Wind H, de Boer AGEM. Training on involving cognitions and perceptions in the occupational health management and work disability assessment of workers: development and evaluation. BMC MEDICAL EDUCATION 2022; 22:20. [PMID: 34996425 PMCID: PMC8740490 DOI: 10.1186/s12909-021-03084-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/19/2021] [Accepted: 12/17/2021] [Indexed: 06/14/2023]
Abstract
BACKGROUND In order to improve work participation of workers with a chronic disease, it is important for occupational health professionals (OHPs) to focus on those factors that can influence work participation. Cognitions and perceptions, such as recovery expectations and self-efficacy, are examples of these factors that can influence work participation. However, no training program is available for OHPs on how to involve cognitions and perceptions during their practice. Therefore, the aim of this study was to develop a training program for OHPs on how to involve cognitions and perceptions in the occupational health management and work disability assessment of workers with a chronic disease. In addition, to evaluate the OHPs' satisfaction with the training and the feasibility of the training and learned skills. METHODS The training program was developed using information from previously conducted studies regarding cognitions and perceptions in relation to work participation. Satisfaction with the training by OHPs was evaluated by means of a questionnaire. A smaller group of OHPs were interviewed three to six months after the training to evaluate the feasibility of the training and learned skills. RESULTS The 4.5-h training program consisted of four parts concerning: 1) cognitions and perceptions associated with work participation, 2) how to obtain information on them, 3) the course of the conversation on these factors, and 4) intervening on these factors. Eight training sessions were conducted with 57 OHPs, of whom 54 evaluated the training. Participants were very satisfied (score 8.5 on a scale from 1 to 10). The eleven interviewed participants were more aware of cognitions and perceptions during consultations and perceived the training to be feasible. However, not all participants had applied the acquired skills in their practice, partially because of a lack of time. CONCLUSIONS OHPs are very satisfied with the training program and perceive it to be feasible. The training increases awareness of important cognitions and perceptions and may possibly help to increase work participation of workers with a chronic disease.
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Affiliation(s)
- Mariska de Wit
- Department of Public and Occupational Health, Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, PO Box 22700, 1100 DE, Amsterdam, The Netherlands.
| | - Nina Zipfel
- Department of Public and Occupational Health, Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, PO Box 22700, 1100 DE, Amsterdam, The Netherlands
| | - Bedra Horreh
- Department of Public and Occupational Health, Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, PO Box 22700, 1100 DE, Amsterdam, The Netherlands
| | - Carel T J Hulshof
- Department of Public and Occupational Health, Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, PO Box 22700, 1100 DE, Amsterdam, The Netherlands
| | - Haije Wind
- Department of Public and Occupational Health, Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, PO Box 22700, 1100 DE, Amsterdam, The Netherlands
| | - Angela G E M de Boer
- Department of Public and Occupational Health, Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, PO Box 22700, 1100 DE, Amsterdam, The Netherlands
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Zipfel N, Horreh B, Hulshof CTJ, Suman A, de Boer AGEM, van der Burg-Vermeulen SJ. Determinants for the implementation of person-centered tools for workers with chronic health conditions: a mixed-method study using the Tailored Implementation for Chronic Diseases checklist. BMC Public Health 2021; 21:1091. [PMID: 34098911 PMCID: PMC8183322 DOI: 10.1186/s12889-021-11047-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2021] [Accepted: 05/06/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The aim was to identify the most important determinants of practice for the implementation of person-centered tools which enhance work participation for patients with chronic health conditions. METHODS A mixed-method study was conducted consisting of semi-structured interviews, a focus group and a survey. Various stakeholders were involved including (representatives of) workers with chronic health conditions, insurance physicians, occupational physicians, other healthcare professionals, researchers, employers, and policymakers. The semi-structured interviews were performed to identify implementation determinants, followed by a focus group to validate resulting determinants. To conclude, a survey was conducted to select the most important implementation determinants through prioritization by ranking the order of importance. The Tailored Implementation of Chronic Diseases checklist (TICD) was used as concept-driven coding frame for the qualitative analysis of the interviews and focus group. The self-developed survey was based on the domains of the TICD. The survey was analyzed by frequency count of first ranking of determinants per and between domains of the TICD. RESULTS Various stakeholders participated (N = 27) in the interviews and focus group. The qualitative data retrieved yielded a list of determinants with additional in-depth themes according to the TICD. For the selection of the most important determinants, a survey with 101 respondents was conducted, consisting of occupational physicians, insurance physicians and workers with a chronic health condition. From the seven domains of the TICD, respondents emphasized the importance of taking into account the needs and factors associated with workers with a chronic health condition as this determinant ranked highest. Taking into account the individual needs and wishes of workers was mentioned to enable successful implementation, whereas stress of the workers was indicated to impede implementation. Other important determinants included 'being able to work with the tools' in terms of time and usability or 'cognitions, beliefs and attitudes of occupational and insurance physicians' to be able to use the tools. CONCLUSION This study identified the most important determinants from the perspective of various stakeholders involved in the implementation of client-centered tools in occupational health for workers with chronic health conditions. Furthermore, by prioritizing the most important determinants, targeted implementation strategies can be developed.
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Affiliation(s)
- N Zipfel
- Department of Public and Occupational Health, Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Amsterdam University Medical Centers, University of Amsterdam, PO Box 22700, 1100, DE, Amsterdam, The Netherlands.
| | - B Horreh
- Department of Public and Occupational Health, Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Amsterdam University Medical Centers, University of Amsterdam, PO Box 22700, 1100, DE, Amsterdam, The Netherlands
| | - C T J Hulshof
- Department of Public and Occupational Health, Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Amsterdam University Medical Centers, University of Amsterdam, PO Box 22700, 1100, DE, Amsterdam, The Netherlands
| | - A Suman
- Department of Public and Occupational Health, Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Amsterdam University Medical Centers, University of Amsterdam, PO Box 22700, 1100, DE, Amsterdam, The Netherlands
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands
| | - A G E M de Boer
- Department of Public and Occupational Health, Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Amsterdam University Medical Centers, University of Amsterdam, PO Box 22700, 1100, DE, Amsterdam, The Netherlands
| | - S J van der Burg-Vermeulen
- Department of Public and Occupational Health, Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Amsterdam University Medical Centers, University of Amsterdam, PO Box 22700, 1100, DE, Amsterdam, The Netherlands
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