Patients&amp;#39; return-to-work expectancy relates to their beliefs about their physician&amp;#39;s opinion regarding return to work volition and ability

Claréus, Benjamin; Renström, Emma

doi:10.2147/jpr.s179061

Cited by 10 publications

(5 citation statements)

References 41 publications

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“…We found an association between beliefs about returning to the same work within 6 months and RTW. Our finding is consistent with an earlier study among women on sick leave showing that a positive expectation/belief regarding RTW within a year was associated with the ability to work and volition that facilitated RTW [ 18 ]. In addition, negative recovery beliefs have been found to be a risk factor for NRTW (i.e., sustained long-term sick leave) among individuals with non-specific chronic MSP [ 60 ].…”

Section: Discussionsupporting

confidence: 93%

“…Several potential factors related to RTW among individuals with MSP have been studied previously. For example, psychological factors such as recovery beliefs, anxiety, depression, locus of control, and health-related quality of life have been shown to be associated with RTW among people with MSP [18][19][20][21]. Studies have also shown that RTW may be affected by painrelated behaviors such as pain intensity and fear-avoidance beliefs, and work-related factors such as job stress and job satisfaction [21,22].…”

Section: Introductionmentioning

confidence: 99%

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Predictors of return to work among women with long-term neck/shoulder and/or back pain: A 1-year prospective study

2021

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Background Sick leave due to musculoskeletal pain, particularly in the neck/shoulders and back, is one of the major public health problems in Western countries such as Sweden. The aim of this study was to identify predictors of return to work (RTW) among women on sick leave due to long-term neck/shoulder and/or back pain. Methods This was a prospective cohort study with a 1-year follow-up. The study participants were recruited from a local Swedish Social Insurance Agency register and had all been on sick leave for ≥ 1 month due to long-term (≥ 3 months) neck/shoulder and/or back pain. Data on predictors and outcome were collected using a self-administered questionnaire. A total of 208 women aged 23–64 years were included at baseline, and 141 responded at the 1-year follow-up. Cluster analyses were performed to identify one predictor from each cluster for use in the regression model. Results At the 1-year follow-up, 94 of the 141 women had RTW and 47 had not. Women who engaged in more coping through increasing behavioral activities (OR: 1.14, 95% CI: 1.03–1.25) and those who more strongly believed they would return to the same work within 6 months (OR: 1.22, 95% CI: 1.10–1.37) had an increased probability of RTW. Receiving more social support outside work (OR: 0.50, 95% CI: 0.28–0.92) decreased the odds of RTW at the 1-year follow-up. Conclusions Behavioral activities, beliefs about returning to the same work, and social support outside work were predictors of RTW at the 1-year follow-up. Healthcare professionals should consider these predictors in their efforts to prevent prolonged sick leave and to promote RTW in this population.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Predictors of return to work among women with long-term neck/shoulder and/or back pain: A 1-year prospective study

2021

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“… 67 , 73 , 101 In a study of sick-listed individuals, Claréus et al (2019) demonstrated that positive (high) recovery expectations were significantly influenced by favourable beliefs about their physician's opinion regarding their ability and volition to return to work. 17 Conversely, physical therapists have described the difficulties relating to working with individuals who do not share their beliefs or attitudes towards pain and rehabilitation, particularly individuals with “passive” attitudes. 56 In this case, clinicians report finding working with these individuals demanding, because these patients, from their perspective, are more difficult to communicate with and empower.…”

Section: Discussionmentioning

confidence: 99%

Recovery expectations can be assessed with single-item measures: findings of a systematic review and meta-analysis on the role of recovery expectations on return-to-work outcomes after musculoskeletal pain conditions

Carriere¹,

Pimentel²,

Bou-Saba³

et al. 2022

Pain

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“…Open access prominent determinant of return to work time, or other return to work outcomes, for musculoskeletal or mental health conditions. [27][28][29] The role of expectations on outcomes, including the expected and actual timing for return to work and driving after hand and wrist surgery, requires further exploration, particularly because expectations are a potentially modifiable characteristic which could be influenced by the advice provided by clinicians preoperatively.…”

Section: Discussionmentioning

confidence: 99%

Sickness absence after carpal tunnel release: a multicentre prospective cohort study

et al. 2021

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ObjectivesTo describe when patients return to different types of work after elective carpal tunnel release (CTR) surgery and identify the factors associated with the duration of sickness absence.DesignMulticentre prospective observational cohort study.Setting and participantsParticipants were recruited preoperatively from 16 UK centres and clinical, occupational and demographic information were collected. Participants completed a weekly diary and questionnaires at four and 12 weeks postoperatively.OutcomesThe main outcome was duration of work absence from date of surgery to date of first return to work.Results254 participants were enrolled in the study and 201 provided the follow-up data. Median duration of sickness absence was 20 days (range 1–99). Earlier return to work was associated with having surgery in primary care and a self-reported work role involving more than 4 hours of daily computer use. Being female and entitlement to more than a month of paid sick leave were both associated with longer work absences. The duration of work absence was strongly associated with the expected duration of leave, as reported by participants before surgery. Earlier return to work was not associated with poorer clinical outcomes reported 12 weeks after CTR.ConclusionsThere was wide variation in the duration of work absence after CTR across all occupational categories. A combination of occupational, demographic and clinical factors was associated with the duration of work absence, illustrating the complexity of return to work decision making. However, preoperative expectations were strongly associated with the actual duration of leave. We found no evidence that earlier return to work was harmful. Clear, consistent advice from clinicians preoperatively setting expectations of a prompt return to work could reduce unnecessary sickness absence after CTR. To enable this, clinicians need evidence-informed guidance about appropriate timescales for the safe return to different types of work.

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Patients' return-to-work expectancy relates to their beliefs about their physician's opinion regarding return to work volition and ability

Cited by 10 publications

References 41 publications

Predictors of return to work among women with long-term neck/shoulder and/or back pain: A 1-year prospective study

Predictors of return to work among women with long-term neck/shoulder and/or back pain: A 1-year prospective study

Recovery expectations can be assessed with single-item measures: findings of a systematic review and meta-analysis on the role of recovery expectations on return-to-work outcomes after musculoskeletal pain conditions

Sickness absence after carpal tunnel release: a multicentre prospective cohort study

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