The Worker Role Interview—Preliminary Data on the Predictive Validity of Return to Work of Clients After an Insurance Medicine Investigation

Ekbladh, Elin; Haglund, Lena; Thorell, Lars‐Håkan

doi:10.1023/b:joor.0000018329.79751.09

Cited by 40 publications

(29 citation statements)

References 3 publications

(2 reference statements)

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“…In general, there is a lack of such methods, and this applies also within the area of physiotherapy. Occupational therapists have developed different types of work ability assessment methods (Ekbladh, Haglund, and Thorell, 2004;Sandqvist, 2007) based on the Model of Human Occupation (Kielhofner, 2002). These methods can also be used by other health care professionals, such as PTs.…”

Section: Professional Prerequisites For Pt Engagement In Work Abilitymentioning

confidence: 99%

Work ability: Concept and assessment from a physiotherapeutic perspective. An interview study

Stigmar¹,

Ekdahl²,

Grahn³

2011

Physiotherapy Theory and Practice

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The aim of this study was to ascertain experiences and perceptions among physiotherapists (PTs) in Sweden regarding the concept of work ability as well as their perspectives of their professional role in work ability assessments. We conducted an in-depth interview study with four male and twelve female physiotherapists working in the field of occupational health care, orthopaedics, primary health care or rehabilitation. Qualitative content analysis was applied to the data. Work ability was perceived as the ability to perform work tasks as requested. Having the potential to adjust at work and to allocate resources, having an attachment to the workplace and time factors were vital. The physiotherapists were striving for a well-defined role within a multiprofessional team, where work ability assessments were performed in a real work environment. The PTs experienced contradictory roles in relation to the patient but believed they could contribute with valuable material for assessments; this professional help was not always requested. It was noted that there was a need for experience and further education to enable PTs to further engage in work ability assessments. It is important to improve collaboration and to further discuss the work ability concept from the viewpoints of different professionals.

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Section: Professional Prerequisites For Pt Engagement In Work Abilitymentioning

confidence: 99%

Work ability: Concept and assessment from a physiotherapeutic perspective. An interview study

Stigmar¹,

Ekdahl²,

Grahn³

2011

Physiotherapy Theory and Practice

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“…A Swedish study reported that five of the 17 WRI items have ''tentative'' predictive validity for return to work (29). This study followed a group of clients who attended an insurance medicine investigation center.…”

Section: The Worker Role Interviewmentioning

confidence: 99%

Worker Role Interview: Testing the psychometric properties of the Icelandic version

Fenger

Kramer

2007

Scandinavian Journal of Occupational Therapy

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In Iceland, the worker role is one of the most enacted and valued roles, but the national disability rate is increasing and is often associated with the loss of the worker role. Resources in work rehabilitation in Iceland are disjointed, and the Ministry of Health and Social Security is calling for more focused and effective services in the field of work rehabilitation. One step towards reaching the goal of more effective services is having a reliable and theory-based assessment tool available to clinicians. The Worker Role Interview (WRI) is a psychometrically sound assessment tool based on the Model of Human Occupation. WRI assesses the psychosocial and environmental factors influencing injured and disabled workers' ability to return to work. This article examines the psychometric properties of the Icelandic version of the WRI (WRI-IS) in order to determine whether therapists can use the instrument in a consistent and dependable manner. Fourteen Icelandic occupational therapists completed the WRI-IS with 146 clients who intended to return to work. Eleven of the interviewed clients were videotaped and rated by more than one therapist. Total ratings were 249. A many-faceted Rasch measurement (MFRM) approach was used to analyze the WRI-IS. Fifteen of the 17 WRI-IS items showed acceptable fit to the measurement model, and the items represented a meaningful continuum of psychosocial ability to return to work. The 14 therapists and over 95% of the clients showed acceptable fit to the model. The results indicate that the WRI-IS can generate reliable and valid measures of a client's psychosocial ability to return to work.

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“…However, results showed that diagnosis and treatment were much stronger predictors of return-to-work than cancer-related symptoms such as fatigue, depressive symptoms or cognitive problems. In addition, recent empirical studies have indicated the importance of patients' expectations of recovery as good predictors of return-to-work and rehabilitation independent of diagnosis and treatment (Ekbladh et al, 2004;. Studies in other disorders have also shown that a patient's own assessment of work ability (Reiso et al, 2003), expectation of job success (Ekbladh et al, 2004) and work recovery expectations (Hogg-Johnson and Cole, 2003;Nieuwenhuijsen et al, 2006;Turner et al, 2006) do predict return-to-work.…”

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confidence: 99%

Work ability and return-to-work in cancer patients

et al. 2008

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The extent to which self-assessed work ability collected during treatment can predict return-to-work in cancer patients is unknown. In this prospective study, we consecutively included employed cancer patients who underwent treatment with curative intent at 6 months following the first day of sick leave. Work ability data (scores 0 -10), clinical and sociodemographic data were collected at 6 months, while return-to-work was measured at 6, 12 and 18 months. Most of the 195 patients had been diagnosed with breast cancer (26%), cancer of the female genitals (22%) or genitourological cancer (22%). Mean current work ability scores improved significantly over time from 4.6 at 6 months to 6.3 and 6.7 at 12 and 18 months, respectively. Patients with haematological cancers and those who received chemotherapy showed the lowest work ability scores, while patients with cancer of urogenital tract or with gastrointestinal cancer had the highest scores. Work ability at 6 months strongly predicted return-to-work at 18 months, after correction for the influence of age and treatment (hazard ratio ¼ 1.37, CI 1.27 -1.48). We conclude that self-assessed work ability is an important factor in the return-to-work process of cancer patients independent of age and clinical factors.

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The Worker Role Interview—Preliminary Data on the Predictive Validity of Return to Work of Clients After an Insurance Medicine Investigation

Cited by 40 publications

References 3 publications

Work ability: Concept and assessment from a physiotherapeutic perspective. An interview study

Work ability: Concept and assessment from a physiotherapeutic perspective. An interview study

Worker Role Interview: Testing the psychometric properties of the Icelandic version

Work ability and return-to-work in cancer patients

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