The Effectiveness of an Early Active Intervention Program for Workers With Soft-Tissue Injuries

Sinclair, Sandra; Hogg‐Johnson, Sheilah; Mondloch, Michael V.; Shields, Susanne

doi:10.1097/00007632-199712150-00015

Cited by 109 publications

(59 citation statements)

References 34 publications

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“…23 The subscale used here with altered time frames has been used in previous research. 14 15 Other measures of recovery Three other measures of recovery were compared with patterns of pain intensity. Disability was measured by using the RolandMorris Disability (R-M Disability) Questionnaire.…”

Section: Methodsmentioning

confidence: 99%

The recovery patterns of back pain among workers with compensated occupational back injuries

2007

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Objectives: To investigate the longitudinal patterns of recovery among workers with compensated occupational back injuries. Methods: A longitudinal cohort study, with one-year follow-up via structured telephone interviews, among respondents off work because of ''new'' back injuries. Self-reported pain intensity was recorded at baseline and at four follow-up time points over the course of one year. Workers who answered the questionnaire on at least three occasions (n = 678) were classified into clusters according to their patterns of pain intensity over time using a two-step cluster analysis. Results: Four pain recovery patterns were identified: workers with high levels of pain intensity showing no improvement over time (43%); those experiencing recovery in the first four months with no further improvement or possibly even some deterioration, in the second half year (33%); those experiencing a slow consistent recovery but still with considerable back pain at the end of the follow-up (12%); and those quickly progressing to low level of pain or resolution (12%). Trajectories of average Roland-Morris Disability scores and SF-36 Role of Physical scores for above clusters mapped consistently with the corresponding patterns in pain. However, individuals with fluctuating, recurrent pain patterns showed the shortest cumulative duration on 100% benefit and the earliest return-to-work among other clusters. Conclusions: Four clinically sensible patterns were identified in this cohort of injured workers, suggesting inter-individual differences in back pain recovery. The results confirm that recurrent or chronic back pain is a typical condition in respondents with new back injuries. Pain intensity and disability scores are good measures of recovery of back pain at the individual level. After initial return-to-work, or cessation of benefits, administrative measures of percentage of respondents back at work, or no longer on benefits, may not accurately reflect an individual's condition of back pain.

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Section: Methodsmentioning

confidence: 99%

The recovery patterns of back pain among workers with compensated occupational back injuries

2007

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“…Early access to physiotherapy has also been found to reduce an injured worker's reported level of pain (Bekkering et al, 2005 ;Cooper et al , 1996;Shaw et al, 2006;Tate et al, 1999) and perceptions of control and self-efficacy over their injury (Shaw et al, 2006;Schonstein et al, 2003;Sinclair et al, 1997). Injured employees usually expect treatment providers to present them with an explanation about the cause of their pain, advice on symptom management, and sickness certification that legitimizes their feelings of pain (Staal et al 2005).…”

Section: Physiotherapists As An Early Intervention Providermentioning

confidence: 99%

“…Additionally, other researchers noted that there were no significant differences observed in the length oftime an injured employee remained away from work, or in terms of the length of time that it took their claim to close, when individuals were referred for early treatment or RECOVER as an Early Intervention Model programs (Shaw et al , 2006;Lemstra & Ol szynski , 2004;Sinclair et al, 1997). There has been little success with clinical-based intervention programs, especially when they occur outside of and with no communication to the workplace.…”

Section: Physiotherapists As An Early Intervention Providermentioning

confidence: 99%

“…Research has shown that the provision of early referrals to appropriate treatment interventions could help to produce favorable employee occupational outcomes. Benefits are associated with an injured worker' s improved ability to physically function post-injury, self-manage their reported pain levels, and increase their perceptions of self-efficacy and control over their injury (Bekkering et al , 2005 ;Cooper et al, 1996;Schonstein et al , 2003;Shaw et al , 2006;Sinclair et al , 1997;Tate et al, 1999). Workers could also greatly reduce their risks of experiencing significant physical, emotional, and financial losses, prolonged disability, and chronic pain (Cooper et al , 1996;Franche et al, 2007).…”

Section: Rate Of Satisfaction Findings Participants and Non-participantsmentioning

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%

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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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Chronic Pain in Injured Workers

2008

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The Effectiveness of an Early Active Intervention Program for Workers With Soft-Tissue Injuries

Abstract: There was no advantage from the program compared with usual care on the outcomes measured-a finding consistent with recent studies that examined the longer-term effectiveness of other interventions in the first few weeks of back pain symptoms.

Cited by 109 publications

References 34 publications

The recovery patterns of back pain among workers with compensated occupational back injuries

The recovery patterns of back pain among workers with compensated occupational back injuries

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

Chronic Pain in Injured Workers

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