Skip to main content
Top
Published in: BMC Public Health 1/2012

Open Access 01-12-2012 | Research article

Identifying factors relevant in the assessment of return-to-work efforts in employees on long-term sickness absence due to chronic low back pain: a focus group study

Authors: Anna Muijzer, Jan H Geertzen, Wout E de Boer, Johan W Groothoff, Sandra Brouwer

Published in: BMC Public Health | Issue 1/2012

Login to get access

Abstract

Background

Efforts undertaken during the return to work (RTW) process need to be sufficient to prevent unnecessary applications for disability benefits. The purpose of this study was to identify factors relevant to RTW Effort Sufficiency (RTW-ES) in cases of sick-listed employees with chronic low back pain (CLBP).

Methods

Using focus groups consisting of Labor Experts (LE's) working at the Dutch Social Insurance Institute, arguments and underlying grounds relevant to the assessment of RTW-ES were investigated. Factors were collected and categorized using the International Classification of Functioning, Disability and Health (ICF model).

Results

Two focus groups yielded 19 factors, of which 12 are categorized in the ICF model under activities (e.g. functional capacity) and in the personal (e.g. age, tenure) and environmental domain (e.g. employer-employee relationship). The remaining 7 factors are categorized under intervention, job accommodation and measures.

Conclusions

This focus group study shows that 19 factors may be relevant to RTW-ES in sick-listed employees with CLBP. Providing these results to professionals assessing RTW-ES might contribute to a more transparent and systematic approach. Considering the importance of the quality of the RTW process, optimizing the RTW-ES assessment is essential.
Appendix
Available only for authorised users
Literature
1.
go back to reference Kuijer W, Brouwer S, Schiphorst Preuper HR, Groothoff JW, Geertzen JH, Dijkstra PU: Work status and chronic low back pain: exploring the International Classification of Functioning, Disability and Health. Disabil Rehabil. 2006, 28 (6): 379-388. 10.1080/09638280500287635.CrossRefPubMed Kuijer W, Brouwer S, Schiphorst Preuper HR, Groothoff JW, Geertzen JH, Dijkstra PU: Work status and chronic low back pain: exploring the International Classification of Functioning, Disability and Health. Disabil Rehabil. 2006, 28 (6): 379-388. 10.1080/09638280500287635.CrossRefPubMed
2.
go back to reference Andersson GB: Epidemiological features of chronic low-back pain. Lancet. 1999, 354 (9178): 581-585. 10.1016/S0140-6736(99)01312-4.CrossRefPubMed Andersson GB: Epidemiological features of chronic low-back pain. Lancet. 1999, 354 (9178): 581-585. 10.1016/S0140-6736(99)01312-4.CrossRefPubMed
3.
go back to reference Lambeek LC, van Tulder MW, Swinkels IC, Koppes LL, Anema JR, van Mechelen W: The trend in total cost of back pain in The Netherlands in the period 2002 to 2007. Spine (Phila Pa 1976). 2011, 36 (13): 1050-1058. 10.1097/BRS.0b013e3181e70488.CrossRef Lambeek LC, van Tulder MW, Swinkels IC, Koppes LL, Anema JR, van Mechelen W: The trend in total cost of back pain in The Netherlands in the period 2002 to 2007. Spine (Phila Pa 1976). 2011, 36 (13): 1050-1058. 10.1097/BRS.0b013e3181e70488.CrossRef
4.
go back to reference Muijzer A, Groothoff JW, Geertzen JH, Brouwer S: Influence of Efforts of Employer and Employee on Return-to-Work Process and Outcomes. J Occup Rehabil. 2011, 21 (4): 513-519. 10.1007/s10926-011-9293-5.CrossRefPubMedPubMedCentral Muijzer A, Groothoff JW, Geertzen JH, Brouwer S: Influence of Efforts of Employer and Employee on Return-to-Work Process and Outcomes. J Occup Rehabil. 2011, 21 (4): 513-519. 10.1007/s10926-011-9293-5.CrossRefPubMedPubMedCentral
5.
go back to reference Wasiak R, Pransky GS, Atlas SJ: Who's in charge? Challenges in evaluating quality of primary care treatment for low back pain. J Eval Clin Pract. 2008, 14 (6): 961-968. 10.1111/j.1365-2753.2007.00890.x.CrossRefPubMed Wasiak R, Pransky GS, Atlas SJ: Who's in charge? Challenges in evaluating quality of primary care treatment for low back pain. J Eval Clin Pract. 2008, 14 (6): 961-968. 10.1111/j.1365-2753.2007.00890.x.CrossRefPubMed
6.
go back to reference Shaw WS, Linton SJ, Pransky G: Reducing sickness absence from work due to low back pain: how well do intervention strategies match modifiable risk factors?. J Occup Rehabil. 2006, 16 (4): 591-605. 10.1007/s10926-006-9061-0.CrossRefPubMed Shaw WS, Linton SJ, Pransky G: Reducing sickness absence from work due to low back pain: how well do intervention strategies match modifiable risk factors?. J Occup Rehabil. 2006, 16 (4): 591-605. 10.1007/s10926-006-9061-0.CrossRefPubMed
7.
go back to reference Krause N, Dasinger LK, Deegan LJ, Rudolph L, Brand RJ: Psychosocial job factors and return-to-work after compensated low back injury: a disability phase-specific analysis. Am J Ind Med. 2001, 40 (4): 374-392. 10.1002/ajim.1112.CrossRefPubMed Krause N, Dasinger LK, Deegan LJ, Rudolph L, Brand RJ: Psychosocial job factors and return-to-work after compensated low back injury: a disability phase-specific analysis. Am J Ind Med. 2001, 40 (4): 374-392. 10.1002/ajim.1112.CrossRefPubMed
8.
go back to reference Muijzer A, Groothoff JW, de Boer WE, Geertzen JH, Brouwer S: The assessment of efforts to return to work in the European Union. Eur J Public Health. 2010, 20 (6): 689-694. 10.1093/eurpub/ckp244.CrossRefPubMed Muijzer A, Groothoff JW, de Boer WE, Geertzen JH, Brouwer S: The assessment of efforts to return to work in the European Union. Eur J Public Health. 2010, 20 (6): 689-694. 10.1093/eurpub/ckp244.CrossRefPubMed
9.
go back to reference Post M, Krol B, Groothoff JW: Work-related determinants of return to work of employees on long-term sickness absence. Disabil Rehabil. 2005, 27 (9): 481-488. 10.1080/09638280400018601.CrossRefPubMed Post M, Krol B, Groothoff JW: Work-related determinants of return to work of employees on long-term sickness absence. Disabil Rehabil. 2005, 27 (9): 481-488. 10.1080/09638280400018601.CrossRefPubMed
10.
go back to reference Gardner BT, Pransky G, Shaw WS, Nha Hong Q, Loisel P: Researcher perspectives on competencies of return-to-work coordinators. Disabil Rehabil. 2010, 32 (1): 72-78. 10.3109/09638280903195278.CrossRefPubMed Gardner BT, Pransky G, Shaw WS, Nha Hong Q, Loisel P: Researcher perspectives on competencies of return-to-work coordinators. Disabil Rehabil. 2010, 32 (1): 72-78. 10.3109/09638280903195278.CrossRefPubMed
11.
go back to reference Uitvoeringsinstituut Werknemersverzekeringen [Dutch Social Insurance Institute]: Beleidsregels beoordelingskader poortwachter [Guidelines for assessment framework gatekeeper act]. Staatscourant. 2002, 236: 15- Uitvoeringsinstituut Werknemersverzekeringen [Dutch Social Insurance Institute]: Beleidsregels beoordelingskader poortwachter [Guidelines for assessment framework gatekeeper act]. Staatscourant. 2002, 236: 15-
13.
go back to reference Innes E, Straker L: Reliability of work-related assessments. Work. 1999, 13 (2): 107-124.PubMed Innes E, Straker L: Reliability of work-related assessments. Work. 1999, 13 (2): 107-124.PubMed
14.
go back to reference Gouttebarge V, Wind H, Kuijer PP, Frings-Dresen MH: Reliability and validity of Functional Capacity Evaluation methods: a systematic review with reference to Blankenship system, Ergos work simulator, Ergo-Kit and Isernhagen work system. Int Arch Occup Environ Health. 2004, 77 (8): 527-537. 10.1007/s00420-004-0549-7.CrossRefPubMed Gouttebarge V, Wind H, Kuijer PP, Frings-Dresen MH: Reliability and validity of Functional Capacity Evaluation methods: a systematic review with reference to Blankenship system, Ergos work simulator, Ergo-Kit and Isernhagen work system. Int Arch Occup Environ Health. 2004, 77 (8): 527-537. 10.1007/s00420-004-0549-7.CrossRefPubMed
15.
go back to reference Wasiak R, Young AE, Roessler RT, McPherson KM, van Poppel MN, Anema JR: Measuring return to work. J Occup Rehabil. 2007, 17 (4): 766-781. 10.1007/s10926-007-9101-4.CrossRefPubMed Wasiak R, Young AE, Roessler RT, McPherson KM, van Poppel MN, Anema JR: Measuring return to work. J Occup Rehabil. 2007, 17 (4): 766-781. 10.1007/s10926-007-9101-4.CrossRefPubMed
16.
go back to reference Shaw WS, Huang YH: Concerns and expectations about returning to work with low back pain: identifying themes from focus groups and semi-structured interviews. Disabil Rehabil. 2005, 27 (21): 1269-1281. 10.1080/09638280500076269.CrossRefPubMed Shaw WS, Huang YH: Concerns and expectations about returning to work with low back pain: identifying themes from focus groups and semi-structured interviews. Disabil Rehabil. 2005, 27 (21): 1269-1281. 10.1080/09638280500076269.CrossRefPubMed
17.
go back to reference World Health Organization: International Classification of Functioning, Disability and Health. 2001, Geneva: World Health Organization World Health Organization: International Classification of Functioning, Disability and Health. 2001, Geneva: World Health Organization
18.
go back to reference Morgan D: Focus groups as qualitative research. 1988, Los Angeles: Sage Publications Morgan D: Focus groups as qualitative research. 1988, Los Angeles: Sage Publications
19.
go back to reference de Boer W, Donceel P, Brage S, Rus M, Willems J: Medico-legal reasoning in disability assessment: a focus group and validation study. BMC Public Health. 2008, 8: 335-10.1186/1471-2458-8-335.CrossRefPubMedPubMedCentral de Boer W, Donceel P, Brage S, Rus M, Willems J: Medico-legal reasoning in disability assessment: a focus group and validation study. BMC Public Health. 2008, 8: 335-10.1186/1471-2458-8-335.CrossRefPubMedPubMedCentral
20.
go back to reference Krueger RA, Casey MA: Focus groups: a practical guide for applied research. 2009, Los Angeles: Sage Publications, 4 Krueger RA, Casey MA: Focus groups: a practical guide for applied research. 2009, Los Angeles: Sage Publications, 4
21.
go back to reference Tong A, Sainsbury P, Craig J: Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007, 19 (6): 349-357. 10.1093/intqhc/mzm042.CrossRefPubMed Tong A, Sainsbury P, Craig J: Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007, 19 (6): 349-357. 10.1093/intqhc/mzm042.CrossRefPubMed
22.
go back to reference Agan J, Koch LC, Rumrill PDJ: The use of focus groups in rehabilitation research. Work. 2008, 31 (2): 259-269.PubMed Agan J, Koch LC, Rumrill PDJ: The use of focus groups in rehabilitation research. Work. 2008, 31 (2): 259-269.PubMed
23.
go back to reference Toulmin SE: The Pattern of an Argument: Data and Warrants. The Uses of Argument (updated edition). 2003, Anonymous Cambridge: Cambridge University Press, 89-94.CrossRef Toulmin SE: The Pattern of an Argument: Data and Warrants. The Uses of Argument (updated edition). 2003, Anonymous Cambridge: Cambridge University Press, 89-94.CrossRef
25.
go back to reference Bandura A: Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977, 84 (2): 191-215.CrossRefPubMed Bandura A: Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977, 84 (2): 191-215.CrossRefPubMed
26.
go back to reference Brouwer S, Krol B, Reneman MF, Bultmann U, Franche RL, van der Klink JJ, Groothoff JW: Behavioral determinants as predictors of return to work after long-term sickness absence: an application of the theory of planned behavior. J Occup Rehabil. 2009, 19 (2): 166-174. 10.1007/s10926-009-9172-5.CrossRefPubMed Brouwer S, Krol B, Reneman MF, Bultmann U, Franche RL, van der Klink JJ, Groothoff JW: Behavioral determinants as predictors of return to work after long-term sickness absence: an application of the theory of planned behavior. J Occup Rehabil. 2009, 19 (2): 166-174. 10.1007/s10926-009-9172-5.CrossRefPubMed
27.
go back to reference Schultz IZ, Crook J, Meloche GR, Berkowitz J, Milner R, Zuberbier OA, Meloche W: Psychosocial factors predictive of occupational low back disability: towards development of a return-to-work model. Pain. 2004, 107 (1-2): 77-85. 10.1016/j.pain.2003.09.019.CrossRefPubMed Schultz IZ, Crook J, Meloche GR, Berkowitz J, Milner R, Zuberbier OA, Meloche W: Psychosocial factors predictive of occupational low back disability: towards development of a return-to-work model. Pain. 2004, 107 (1-2): 77-85. 10.1016/j.pain.2003.09.019.CrossRefPubMed
28.
go back to reference Durand MJ, Loisel P: Therapeutic Return to Work: Rehabilitation in the workplace. Work. 2001, 17 (1): 57-63.PubMed Durand MJ, Loisel P: Therapeutic Return to Work: Rehabilitation in the workplace. Work. 2001, 17 (1): 57-63.PubMed
29.
go back to reference Loisel P, Abenhaim L, Durand P, Esdaile JM, Suissa S, Gosselin L, Simard R, Turcotte J, Lemaire J: A population-based, randomized clinical trial on back pain management. Spine (Phila Pa 1976). 1997, 22 (24): 2911-2918. 10.1097/00007632-199712150-00014.CrossRef Loisel P, Abenhaim L, Durand P, Esdaile JM, Suissa S, Gosselin L, Simard R, Turcotte J, Lemaire J: A population-based, randomized clinical trial on back pain management. Spine (Phila Pa 1976). 1997, 22 (24): 2911-2918. 10.1097/00007632-199712150-00014.CrossRef
30.
go back to reference Fransen M, Woodward M, Norton R, Coggan C, Dawe M, Sheridan N: Risk factors associated with the transition from acute to chronic occupational back pain. Spine (Phila Pa 1976). 2002, 27 (1): 92-98. 10.1097/00007632-200201010-00022.CrossRef Fransen M, Woodward M, Norton R, Coggan C, Dawe M, Sheridan N: Risk factors associated with the transition from acute to chronic occupational back pain. Spine (Phila Pa 1976). 2002, 27 (1): 92-98. 10.1097/00007632-200201010-00022.CrossRef
Metadata
Title
Identifying factors relevant in the assessment of return-to-work efforts in employees on long-term sickness absence due to chronic low back pain: a focus group study
Authors
Anna Muijzer
Jan H Geertzen
Wout E de Boer
Johan W Groothoff
Sandra Brouwer
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2012
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-12-77

Other articles of this Issue 1/2012

BMC Public Health 1/2012 Go to the issue