Determinants of outcome of vocational rehabilitation

Siggeirsdóttir, Kristín; Brynjolfsdottir, Ragnheidur D.; Haraldsson, Sæmundur Ó.; Vidar, Sigurdur; Gudmundsson, Emanuel Geir; Brynjolfsson, Jon Hjalti; Jónsson, Helgi; Hjaltason, Omar; Gudnason, Vilmundur

doi:10.3233/wor-162436

Cited by 11 publications

(6 citation statements)

References 17 publications

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“…Performance of physical job demands (e.g., lifting, standing, and crouching) corresponds with aspects of RTW, as many job descriptions are based upon ability to complete lifting to varying heights and positions, such as lifting from floor to waist, waist to chest, or chest to overhead. If patients are unable to return to work without restrictions, they could potentially be terminated from their position (depending on local workers' compensation law), which may negatively affect their overall income and quality of life as financial strain appears to create a barrier to RTW [17]. More time away from work can increase overall costs associated with the patient's medical care, and in conjunction, increase the total costs associated with workers' compensation (medical costs, lost productivity, and disability benefits) [18].…”

Section: Introductionmentioning

confidence: 99%

Outcomes of an interdisciplinary work rehabilitation program

Voss

Homa

Singh

et al. 2019

WOR

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BACKGROUND: Work rehabilitation programs were developed to help workers with an injury return to work (RTW). While studies have examined intervention characteristics, prognostic factors, and disability level, there is little or no research examining interdisciplinary interventions, lifting capacity/strength and the level of a patient's RTW status (e.g., not working, new job, or ongoing restrictions) at the time of discharge. OBJECTIVE: To evaluate outcomes (RTW status and lifting capacity/strength changes) of an interdisciplinary work rehabilitation program and examine whether time off work prior to the program and type of injury were related to RTW status and strength changes. METHODS: A retrospective database analysis was conducted with a sample of 495 participants (M age = 44.44 years, SD = 10.13) of which 375 (76%) were male. Participants were workers with injuries who participated in an interdisciplinary work rehabilitation program from 2006 to 2010. RESULTS: A significantly higher number of participants were working at the end of the program than at the beginning (83.9% vs. 31.6%, p < 0.0001). Mean strength was higher at the time of discharge compared to at admission (p < 0.0001). The participants that did not RTW had had significantly more days off work prior to the program (U = 11757, z =-3.152, p = 0.002). The type of injury was not related to strength at the time of discharge. CONCLUSIONS: Findings suggest the interdisciplinary program is associated with positive outcomes and early intervention may be an important factor when treating patients with work-related injuries.

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Section: Introductionmentioning

confidence: 99%

Outcomes of an interdisciplinary work rehabilitation program

Voss

Homa

Singh

et al. 2019

WOR

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“…Many factors affect both the outcome and its length [24] but current advances in CI could be applied to related problems. Furthermore, there are no examples of predictive models that dynamically adapt themselves during the rehabilitation process.…”

Section: Background and Related Workmentioning

confidence: 99%

“…JR was established in 2000 and is one of the largest vocational rehabilitation centres in Iceland [24], [35]. It employs around 40 specialists that work in multiple interdisciplinary teams.…”

Section: Janus Rehabilitation and The Predictormentioning

confidence: 99%

The use of predictive models in dynamic treatment planning

Haraldsson

Brynjolfsdottir

Woodward

et al. 2017

2017 IEEE Symposium on Computers and Communications (ISCC)

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Abstract-With the expanding load on healthcare and consequent strain on budget, the demand for tools to increase efficiency in treatments is rising. The use of prediction models throughout the treatment to identify risk factors might be a solution. In this paper we present a novel implementation of a prediction tool and the first use of a dynamic predictor in vocational rehabilitation practice. The tool is periodically updated and improved with Genetic Improvement of software. The predictor has been in use for 10 months and is evaluated on predictions made during that time by comparing them with actual treatment outcome. The results show that the predictions have been consistently accurate throughout the patients' treatment. After approximately 3 week learning phase, the predictor classified patients with 100% accuracy and precision on previously unseen data. The predictor is currently being successfully used in a complex live system where specialists have used it to make informed decisions.

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“…Janus Rehabilitation (JR) is a medically-based VR centre that was founded in the year 2000 [16], making it one of the oldest and largest VR centres in Iceland. JR offers interdisciplinary VR services that include, amongst other services, access to medical doctors, psychologists, social workers, occupational therapists, physical therapists.…”

Section: Introductionmentioning

confidence: 99%

“…Since its establishment, it has serviced over 1500 patients with various complex mental and physical problems. Every patient receives a personalised approach to their rehabilitation and an interdisciplinary team with a designated coordinator who supports them through their journey [17][18][19][20].…”

Section: Introductionmentioning

confidence: 99%

Identifying characteristics of vocational rehabilitation journeys for patients who retain their success.

Brynjolfsdottir

Haraldsson

Adair

et al. 2023

Preprint

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Vocational Rehabilitation (VR) is a multidisciplinary health and social services process where patients are supported to permanently enter or re-enter the workforce. The aim of this retrospective cohort study spanning the last two decades was to investigate prolonged success after personalised VR and to identify aspects of VR that could be influenced to improve prolonged success. Former patients of an interdisciplinary VR centre in Iceland were surveyed and, using logistic regression, their responses were modelled with respect to socioeconomic information and descriptions of their progression and experience during the VR obtained by rigorous scientific methodology. Several aspects were found that could be influenced to increase the probability of prolonged success. These relate to three main areas; financial security, social skills and mental status as well as the importance of time and support during the transition from VR to work or education. This was independent of age and gender. Personalised VR is a cornerstone of successful VR.

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Determinants of outcome of vocational rehabilitation

Abstract: BACKGROUND: Information regarding the determinants of successful vocational

Cited by 11 publications

References 17 publications

Outcomes of an interdisciplinary work rehabilitation program

Outcomes of an interdisciplinary work rehabilitation program

The use of predictive models in dynamic treatment planning

Identifying characteristics of vocational rehabilitation journeys for patients who retain their success.

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