Disease-generic factors of work participation of workers with a chronic disease: a systematic review

Vooijs, Marloes; Leensen, M. C. J.; Hoving, Jan L.; Daams, Joost G.; Wind, Haije; Frings‐Dresen, Monique H. W.

doi:10.1007/s00420-015-1025-2

Cited by 54 publications

(54 citation statements)

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“…Various factors influence the process of work participation which is either related to the disease or irrespective of diagnosis. Considering this last category, previous research indicated that work participation is influenced by both personal factors (eg, age, education,31 gender,31 32 prediction of one's own RTW31 33) and work-related factors (eg, heavy manual work,32 perceived control over work situation33). Interventions to enhance work participation should therefore aim to restore the balance between personal abilities and job demands by modifying factors associated with work participation.…”

Section: Discussionmentioning

confidence: 99%

Interventions to enhance work participation of workers with a chronic disease: a systematic review of reviews

et al. 2015

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The aim of this systematic review was to provide an overview of the available effective interventions that enhance work participation of people with a chronic disease, irrespective of their diagnosis. A search was conducted in PubMed, EMBASE, PsycINFO, CINAHL and the Cochrane Library, searching for systematic reviews published between 2004 and February 2015. Systematic reviews were eligible for inclusion if they described an intervention aimed at enhancing work participation and included participants of working age (18-65 years) with a chronic disease. Reviews had to include populations having different chronic diseases. The quality of the included reviews was evaluated using the quality instrument AMSTAR. Results of reviews of medium and high quality were described in this review. The search resulted in 9 reviews, 5 of which were of medium quality. No high quality reviews were retrieved. 1 review reported inconclusive evidence for policy-based return to work initiatives. The 4 other reviews described interventions focused on changes at work, such as changes in work organisation, working conditions and work environment. Of these 4 reviews, 3 reported beneficial effects of the intervention on work participation. Interventions examined in populations having different chronic diseases were mainly focused on changes at work. The majority of the included interventions were reported to be effective in enhancing work participation of people with a chronic disease, indicating that interventions directed at work could be considered for a generic approach in order to enhance work participation in various chronic diseases.

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Section: Discussionmentioning

confidence: 99%

Interventions to enhance work participation of workers with a chronic disease: a systematic review of reviews

et al. 2015

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“…17 Higher educational levels and male gender were associated with more employment. 17 Higher educational levels and male gender were associated with more employment.…”

Section: Predictors For Employment and Limitations At Workmentioning

confidence: 99%

“…7 Higher rates of unemployment, disease-related work absences, and limitations at work have been reported in adults with CHD compared to the general population in The Netherlands, Germany, Denmark, the United Kingdom, and the United States. 17 These findings were associated with older age, female sex, perceived health complaints, and limitations in daily physical activities caused by the disease. [14][15][16] Research in other chronic diseases (eg, rheumatoid arthritis, asthma, chronic obstructive pulmonary disease, diabetes mellitus, and ischemic heart disease) has consistently shown that employment and work ability are negatively influenced by these conditions.…”

Section: Introductionmentioning

confidence: 98%

“…Patients with other chronic diseases are less often employed, work fewer hours when they work and report limitations at work. 17 These findings were associated with older age, female sex, perceived health complaints, and limitations in daily physical activities caused by the disease. 18 It remains unknown whether these contributing factors for work disability are applicable to adults with CHD.…”

Section: Introductionmentioning

confidence: 98%

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Education as important predictor for successful employment in adults with congenital heart disease worldwide

Sluman

Apers

Sluiter

et al. 2019

Congenital Heart Disease

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BackgroundConflicting results have been reported regarding employment status and work ability in adults with congenital heart disease (CHD). Since this is an important determinant for quality of life, we assessed this in a large international adult CHD cohort.MethodsData from 4028 adults with CHD (53% women) from 15 different countries were collected by a uniform survey in the cross‐sectional APPROACH International Study. Predictors for employment and work limitations were studied using general linear mixed models.ResultsMedian age was 32 years (IQR 25‐42) and 94% of patients had at least a high school degree. Overall employment rate was 69%, but varied substantially among countries. Higher education (OR 1.99‐3.69) and having a partner (OR 1.72) were associated with more employment; female sex (OR 0.66, worse NYHA functional class (OR 0.67‐0.13), and a history of congestive heart failure (OR 0.74) were associated with less employment. Limitations at work were reported in 34% and were associated with female sex (OR 1.36), increasing age (OR 1.03 per year), more severe CHD (OR 1.31‐2.10), and a history of congestive heart failure (OR 1.57) or mental disorders (OR 2.26). Only a university degree was associated with fewer limitations at work (OR 0.62).ConclusionsThere are genuine differences in the impact of CHD on employment status in different countries. Although the majority of adult CHD patients are employed, limitations at work are common. Education appears to be the main predictor for successful employment and should therefore be encouraged in patients with CHD.

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“…Research has revealed that sick leave is determined by many different factors (Dekkers-Sánchez et al 2013; World Health Organization 2001). In addition to disease-related and environmental factors, person-related factors such as cognitions and perceptions of employees also play a role in work participation (Dekkers-Sánchez et al 2013; Iles et al 2008; Vooijs et al 2015). Research by Dekkers-Sánchez et al (2013) has revealed that physicians identify person-related factors as important factors for RTW.…”

Section: Introductionmentioning

confidence: 99%

Person-related factors associated with work participation in employees with health problems: a systematic review

Wit

Wind

Hulshof

et al. 2018

Int Arch Occup Environ Health

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PurposeThe objective of this systematic review was to explore and provide systematically assessed information about the association between person-related factors and work participation of people with health problems. The research question was: what is the association between selected person-related factors and work participation of workers with health problems?MethodsA systematic review was carried out in PubMed and PsycINFO to search for original papers published between January 2007 and February 2017. The risk of bias of the studies included was assessed using quality assessment tools from the Joanna Briggs Institute. The quality of evidence was assessed using the GRADE framework for prognostic studies.ResultsIn total, 113 studies were included, all of which addressed the association between person-related factors and work participation. The factors positively associated with work participation were positive expectations regarding recovery or return to work, optimism, self-efficacy, motivation, feelings of control, and perceived health. The factors negatively associated with work participation were fear-avoidance beliefs, perceived work-relatedness of the health problem, and catastrophizing. Different coping strategies had a negative or a positive relationship with work participation.ConclusionsThe results of this review provide more insight into the associations between different cognitions and perceptions and work participation. The results of this study suggest that person-related factors should be considered by occupational- and insurance physicians when they diagnose, evaluate or provide treatment to employees. Further research is required to determine how these physicians could obtain and apply such information and whether its application leads to a better quality of care.Electronic supplementary materialThe online version of this article (10.1007/s00420-018-1308-5) contains supplementary material, which is available to authorized users.

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Disease-generic factors of work participation of workers with a chronic disease: a systematic review

Cited by 54 publications

References 28 publications

Interventions to enhance work participation of workers with a chronic disease: a systematic review of reviews

Interventions to enhance work participation of workers with a chronic disease: a systematic review of reviews

Education as important predictor for successful employment in adults with congenital heart disease worldwide

Person-related factors associated with work participation in employees with health problems: a systematic review

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