Psychosocial Aspects of Injured Workers’ Returning to Work (RTW) in Hong Kong

Li‐Tsang, Cecilia W. P.; Chan, Henky H K; Lam, Chow S.; Lo-Hui, Karen Y.L.; Chan, Chi Chiu

doi:10.1007/s10926-007-9075-2

Cited by 16 publications

(12 citation statements)

References 19 publications

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“…Psychosocial problems were linked prospectively to poor RTW outcomes [20,21]. Studies also showed that RTW outcomes were significantly predicted by their readiness for RTW at the baseline according to their score on the Lam's Assessment of Employment Readiness, and their employment readiness was shown to be affected by psychosocial factors such as perceived functioning and bodily pain [22,23]. Three randomized controlled trials had evaluated the effectiveness of psychosocial intervention on worker's RTW [24][25][26], but the results were not very consistent.…”

Section: Discussionmentioning

confidence: 99%

Prediction of Return to Work Outcomes Under an Injured Worker Case Management Program

WenMing¹,

Tang

Luo

et al. 2011

J Occup Rehabil

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Section: Discussionmentioning

confidence: 99%

Prediction of Return to Work Outcomes Under an Injured Worker Case Management Program

WenMing¹,

Tang

Luo

et al. 2011

J Occup Rehabil

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“…However, these elements are also unable to be controlled with patients between the last day of treatment and the FCE. The use of asymptomatic subjects was necessary to determine the physical ability to reproduce dynamic lifting maximums without the influence of physical pain or psychosocial factors that exist in injured workers ( Gross & Battié, 2005 ; Li-Tsang, Chan, Lam, Lo-Hui, & Chan, 2007 ).…”

Section: Implications For Case Management Practicementioning

confidence: 99%

Decision-Making Data

Swift

Townsend

Edwards

et al. 2018

Professional Case Management

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Purpose:The purpose of this study was to explore the difference in maximal lifting capability between 2 modes of lifting (traditional crate and XRTS Lever Arm) over multiple days. The differences in absolute strength values were compared with existing criteria for sincere effort during distraction-based lifting. In addition, rate of perceived exertion (RPE) is presented for the 2 modes of lifting on each day.Primary Practice Setting:Workers' compensation.Methodology and Sample:Forty-four subjects between the ages of 20 and 44 years participated in this study. Investigators established 1 repetition maximum (RM) for each subject performing the crate lift. Subjects were randomly assigned 5 weights ranging from 10% to 100% of their determined 1RM and asked to give their rating of perceived exertion after each lift. The same procedure was repeated 2–5 days later using the XRTS Lever Arm. Paired t tests and Spearman's correlation coefficient were used for data analysis. Alpha was set at less than .05.Results:There was a statistically significant difference (p < .04) between maximal lift values for the 2 lifting modes. The percent difference between the modes of lifting was 10.5% ± 6.4%. In addition, there was a positive correlation between the RPE on the 2 modes of lifting (p = .87).Implications for Case Management Practice:A functional capacity evaluation (FCE) is typically ordered after the completion of physical rehabilitation and before releasing a patient to full or modified duty. In addition to assessing the ability to function within normal job demands, an assessment of effort by the participant typically takes place during an FCE. Case managers and physicians are presented with information, allowing them to make comparisons between functional lifting abilities displayed during treatment sessions and the FCE. These comparisons may often take place with the subpoena of medical records and may be discussed during the deposition or trial process. If an FCE takes place at a different facility than the physical therapy or work conditioning treatment, 2 different modes of lifting may take place based on the equipment within each facility. The results of this study indicate that the 2 modes of lifting on separate days meet established criteria for lift comparison testing during FCEs.

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“…In 2005, RTW has been conceptualized as a continuum of events from being ''off work'', ''re-entry'', ''retention'', and ''advancement'' [26]. Different studies have also emphasized the importance of psychosocial factors, looking at individual motivation and behavior for RTW to gauge intervention [20,27,28].…”

Section: Model Considerations For Defining Vrmentioning

confidence: 99%

A Conceptual Definition of Vocational Rehabilitation Based on the ICF: Building a Shared Global Model

et al. 2011

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Background The International Classification of Functioning, Disability and Health (ICF) is a conceptual framework and classification system by the World Health Organization (WHO) to understand functioning. The objective of this discussion paper is to offer a conceptual definition for vocational rehabilitation (VR) based on the ICF. Method We presented the ICF as a model for application in VR and the rationale for the integration of the ICF. We also briefly reviewed other work disability models. Results Five essential elements of foci were found towards a conceptual definition of VR: an engagement or re-engagement to work, along a work continuum, involved health conditions or events leading to work disability, patient-centered and evidence-based, and is multi-professional or multidisciplinary.Conclusions VR refers to a multi-professional approach that is provided to individuals of working age with health-related impairments, limitations, or restrictions with work functioning and whose primary aim is to optimize work participation. We propose that the ICF and VR interface be explored further using empirical and qualitative works and encouraging stakeholders' participation.

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Psychosocial Aspects of Injured Workers’ Returning to Work (RTW) in Hong Kong

Abstract: From this study, the injured workers' employment readiness appeared to associate with their RTW outcomes. Further studies would be needed to find out how the employment readiness of injured workers could be enhanced.

Cited by 16 publications

References 19 publications

Prediction of Return to Work Outcomes Under an Injured Worker Case Management Program

Prediction of Return to Work Outcomes Under an Injured Worker Case Management Program

Decision-Making Data

A Conceptual Definition of Vocational Rehabilitation Based on the ICF: Building a Shared Global Model

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