Management of occupational back pain: the Sherbrooke model. Results of a pilot and feasibility study.

Loisel, Patrick; Durand, Pierre; Abenhaim, Lucien; Gosselin, Lise; Simard, Robert; Turcotte, Jean; Esdaile, John M.

doi:10.1136/oem.51.9.597

Cited by 113 publications

(74 citation statements)

References 25 publications

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“…Using self-reported measures, Wåhlin et al [20] found that a combination of self-reported clinical and workplace interventions was associated with increased prevalence of RTW within three months, compared with clinical interventions only. These results are in line with the results of the Sherbrook study for sick-listed individuals with musculoskeletal disorders [21], where a combination of clinical and workplace interventions was most effective. This was further supported in a meta-synthesis of qualitative research [22].…”

Section: Predictors Of Return To Work (Rtw)supporting

confidence: 87%

Early and Late Return to Work After Sick Leave: Predictors in a Cohort of Sick-Listed Individuals with Common Mental Disorders

et al. 2015

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Objectives: The study aims to identify individual and workplace factors associated with early return to work [RTW] -defined as within 3 months -and factors associated with later RTW -between 3 and 12 months after being sick-listed -in a cohort of newly sick-listed individuals with common mental disorders.Methods: In a prospective cohort study, a cross-sectional analysis was performed on baseline measures of patients granted sick leave due to common mental disorders. A total of 533 newly sicklisted individuals fulfilled the inclusion criteria and agreed to participate. A baseline questionnaire was sent by post within three weeks of their first day of certified medical sickness; 354 (66%) responded. Those who were unemployed were excluded, resulting in a study population of 319 individuals. Sick leave was recorded for each individual from the Social Insurance Office during one year. Analyses were made with multiple Cox regression analyses.Results: Early RTW was associated with lower education, better work ability at baseline, positive expectations of treatment and low perceived interactional justice with the supervisor. RTW after three months was associated with a need to reduce demands at work, and turnover intentions.Conclusions: Early RTW among sick-listed individuals with common mental disorders seems to be associated with the individual's need to secure her/his employment situation, whereas later RTW is associated with variables reflecting dissatisfaction with work conditions. No health measures were associated with RTW. The study highlights the importance of considering not only health and functioning, but also workplace conditions and relations at the workplace in implementing RTW interventions.

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Section: Predictors Of Return To Work (Rtw)supporting

confidence: 87%

Early and Late Return to Work After Sick Leave: Predictors in a Cohort of Sick-Listed Individuals with Common Mental Disorders

et al. 2015

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“…Physical workload and problems related to workplace design were often reported as obstacles in the LBP studies, whereas most of the obstacles for RTW in the present study concerned mental workload and stress. Communication obstacles were often found for employees with distress, but these were not reported for LBP [15,29]. With regard to the type of solutions for RTW, work design and organization were popular in this study, which is comparable with the results of LBP studies [15].…”

Section: Comparison With Other Studiessupporting

confidence: 80%

“…Obstacles for RTW mentioned by sick-listed employees with distress and their supervisors differ from the obstacles for RTW reported in LBP studies [15,29]. Physical workload and problems related to workplace design were often reported as obstacles in the LBP studies, whereas most of the obstacles for RTW in the present study concerned mental workload and stress.…”

Section: Comparison With Other Studiescontrasting

confidence: 54%

A Participatory Workplace Intervention for Employees With Distress and Lost Time: A Feasibility Evaluation Within a Randomized Controlled Trial

et al. 2009

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Introduction Little is known about feasibility and acceptability of return to work (RTW) interventions for mental health problems. RTW for mental health problems is more complicated than for musculoskeletal problems due to stigmatization at the workplace. A participatory workplace intervention was developed in which an employee and supervisor identify and prioritize obstacles and solutions for RTW guided by a RTW coordinator. This paper is a feasibility study of this innovative intervention for employees with distress. The aims of this study were to describe the reach and extent of implementation of the workplace intervention, the satisfaction and expectations of all stakeholders, and the intention to use the workplace intervention in the future. Methods Eligible for this study were employees who had been on sick leave from regular work for 2-8 weeks with distress. Data were collected from the employees, their supervisors, RTW coordinators, and occupational physicians by means of standardized matrices and questionnaires at baseline and 3 months follow-up. Reach, implementation, satisfaction, expectations, and maintenance regarding the workplace intervention were described. Results Of the 56 employees with distress eligible to receive the workplace intervention, 40 employees, their supervisors and RTW coordinators actually participated in the intervention. They identified 151 obstacles for RTW mostly related to job design, communication, mental workload and person-related stress factors. The 281 consensus-based solutions identified were mostly related to job design, communication and training. Of those solutions, 72% was realized at the evaluation with the employee and supervisor. Overall, employees, supervisors and occupational health professionals were satisfied with the workplace intervention and occupational health professionals rated it with a 7.1. Timeinvestment was the only barrier for implementation reported by the occupational health professionals. Conclusions The results of this study indicate a high feasibility for a broad implementation of a participatory workplace intervention for employees with distress and lost time, and their supervisors.

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“…Appropriate management of these injuries should focus on providing supportive resources such as physiotherapy in conjunction with modified work or transitional duties programs (Badi i et al, 2006;Cooper et al, 1996;Davis et al, 2004;Dawson, 2009;Franche et al, , 2007Harder & Scott 2005;Loisel et al, 1994Loisel et al, , 1997Staal et al , 2005 ;Tate et al , 1999). The purpose of this study was to determine the effectiveness of the RECOVER pilot in its expanded roll out state.…”

Section: Discussionmentioning

confidence: 99%

“…The belief was that if provided with the appropriate resources, prompt claim adjudication, and employer support and re-engagement, individuals would likely recover from their injuries and return to work sooner. The immediate offer and employee acceptance of early treatment interventions could also assist with improving functional status and decreasing injury duration for workers with an acute, soft-tissue injury (Badi i et al, 2006;Bekkering et al, 2005 ;Cooper et al, 1996;Davis et al , 2004;Dawson, 2009;Franche et al , , 2007Harder & Scott, 2005;Kosney et al, 2006;Loisel et al , 1994Loisel et al , , 1997Shaw et al , 2006;Sinclair et al , 1997;Staal et al, 2005;Tate et al , 1999).…”

Section: Recover As An Early Fntervention Modelmentioning

confidence: 99%

Evaluating the RECOVER model as an effective early intervention progam [sic]

Nasu¹

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This project report is part of an overall evaluation of the RECOVER pilot expansion.RECOVER is an example of an employer-driven early intervention initiative that relied on the development of collaborative working relationships between Fraser Health, WorkSafeBC, and community physiotherapy providers. The pilot' s aim was to minimize lengthy delays to appropriate treatment, and to keep the injured workers connected to the workplace during their time of recovery. In this report, a population of eligible Fraser Health employees who experienced an acute, musculoskeletal injury while completing their duties at work (n=l27) was compared in terms ofthis population group's sample of eligible employees who voluntarily chose to accept the employer' s offer to participate in the pilot (n=82) versus those who voluntarily declined the employer's offer, even though they were eligible for participation (n=45). Variables for comparison included the employees' age, occupational group, work status, and WSBC SOL office managing their file. Qualitative instruments were also used to obtain mean satisfaction values from pilot participants and RECOVER service providers. Findings from this mixed-methods evaluation indicated that as of four months post-pilot expansion, RECOVER demonstrated that it was an effective way of delivering early intervention services to injured employees with an acute, workrelated musculoskeletal injury. This was observed through a high rate of voluntary employee acceptance for pilot participation, and through high mean satisfaction values received from RECOVER participants and service providers.II

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Management of occupational back pain: the Sherbrooke model. Results of a pilot and feasibility study.

Cited by 113 publications

References 25 publications

Early and Late Return to Work After Sick Leave: Predictors in a Cohort of Sick-Listed Individuals with Common Mental Disorders

Early and Late Return to Work After Sick Leave: Predictors in a Cohort of Sick-Listed Individuals with Common Mental Disorders

A Participatory Workplace Intervention for Employees With Distress and Lost Time: A Feasibility Evaluation Within a Randomized Controlled Trial

Evaluating the RECOVER model as an effective early intervention progam [sic]

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