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Published in:

01-03-2018

Psychosocial Factors Impacting Workplace Injury Rehabilitation: Evaluation of a Concise Screening Tool

Authors: Sareen McLinton, Sarven Savia McLinton, Martin van der Linden

Published in: Journal of Occupational Rehabilitation | Issue 1/2018

Abstract

Purpose To determine whether the delayed recovery often observed in simple musculoskeletal injuries occurring at work is related to poor workplace and home social support. Method A four question psychosocial screening tool called the “How are you coping gauge?” (HCG) was developed. This tool was implemented as part of the initial assessment for all new musculoskeletal workplace injuries. Participants were excluded if they did not meet the strict criteria used to classify a musculoskeletal injury as simple. The HCG score was then compared to the participant’s number of days until return to full capacity (DTFC). It was hypothesised that those workers indicating a poorer level of workplace and home support would take longer time to return to full capacity. Results A sample of 254 participants (316 excluded) were included in analysis. Significant correlation (p < 0.001) was observed between HCG scores for self-reported work and home support and DTFC thereby confirming the hypothesis. Path analysis found workplace support to be a significant moderate-to-strong predictor of DTFC (−0.46). Conclusion A correlation was observed between delayed workplace injury recovery and poor perceived workplace social support. The HCG may be an effective tool for identifying these factors in musculoskeletal workplace injuries of a minor pathophysiological nature. There may be merit in tailoring injury rehabilitation towards addressing psychosocial factors early in the injury recovery process to assist with a more expedient return to full work capacity following simple acute musculoskeletal injury.

Bailey TS, Dollard MF, McLinton SS, Richards, PAM. Psychosocial safety climate, psychosocial and physical factors in the aetiology of musculoskeletal disorder symptoms and workplace injury compensation claims. Work Stress. 2015;29(2):190–211.CrossRef

Heymans MW, de Vet HCW, Knol DL, Bongers PM, Koes BW, Mechelen WV. Workers’ beliefs and expectations affect return to work over 12 months. J Occup Rehabil. 2006;16(4):685–695.CrossRefPubMed

Dunstan DA, Covic T, Tyson GA. What leads to the expectation to return to work? insights from a theory of planned behavior (TPB) model of future work outcomes. Work. 2013;46(1):25–37.PubMed

Cole DC, Mondloch MV, Hogg-Johnson S. Listening to injured workers: how recovery expectations predict outcomes—a prospective study. Can Med Assoc J. 2002;166(6):749–754.

Godges JJ, Anger MA, Zimmerman G, Delitto A. Effects of education on return-to-work status for people with fear-avoidance beliefs and acute low back pain. Phys Ther. 2008;88(2):231–239.CrossRefPubMed

Lysaght RM, Larmour-Trode S. An exploration of social support as a factor in the return-to-work process. Work. 2008;30(3):255–266.PubMed

Hoogendoorn WE, van Poppel MN, Bongers PM, Koes BW, Bouter LM. Systematic review of psychosocial factors at work and private life as risk factors for back pain. Spine. 2000;25(16):2114–2125.CrossRefPubMed

Crisco JJ, Jokl P, Heinen GT, Connell MD, Panjabi MM. A muscle contusion injury model: biomechanics, physiology, and histology. Am J Sport Med. 1994;22(5):702–710.CrossRef

Askling C, Saartok T, Thorstensson A. Type of acute hamstring strain affects flexibility, strength, and time to return to pre-injury level. Brit J Sport Med. 2006;40(1):40–44.CrossRef

10.

Sullivan M, Feuerstein M, Gatchel R, Linton S, Pransky G. Integrating psychosocial and behavioral interventions to achieve optimal rehabilitation outcomes. J Occup Rehabil. 2005;15(4):475–489.CrossRefPubMed

11.

Schultz IZ, Crook J, Berkowitz J, Milner R, Meloche GR. Predicting return to work after low back injury using the psychosocial risk for occupational disability instrument: a validation study. J Occup Rehabil. 2005;15(11):365–376.CrossRefPubMed

12.

Nicholas MK, Linton SJ, Watson PJ, Main CJ. Early identification and management of psychological risk factors (“yellow flags”) in patients with low back pain: a reappraisal. Phys Ther. 2011;91(5):1–17.

13.

Wall C, Ogloff JP, Morrissey S. The psychology of injured workers: health and cost of vocational rehabilitation. J Occup Rehabil. 2006;16(4):513–528.CrossRefPubMed

14.

Grimmer-Somers K, Vipond N, Kumar S, Hall G. A review and critique of assessment instruments for patients with persistent pain. Journal of pain research. 2009;2(2):21–47.CrossRefPubMedPubMedCentral

15.

Jette DU, Halbert J, Iverson C, Micheli E, Shah P. Use of standardized outcome measures in physical therapist practice: perceptions and applications. Phys Ther. 2009;89(2):125–135.CrossRefPubMed

16.

WorkSafe Victoria. Clinical framework for the delivery of health services. Melbourne: WorkSafe Victoria; 2012. p. 24.

17.

Linton SJ, Halldén K. Can we screen for problematic back pain? A screening questionnaire for predicting outcome in acute and subacute back pain. Clin J Pain. 1998;14(3):209–215.CrossRefPubMed

18.

Dunstan DA, Covic T, Tyson GA, Lennie IG. Does the Örebro Musculoskeletal Pain Questionnaire predict outcomes following a work-related compensable injury? Int J Rehabil Res. 2005;28(4):369–370.CrossRefPubMed

19.

Arnetz BB, Sjögren B, Rydéhn B, Meisel R. Early workplace intervention for employees with musculoskeletal-related absenteeism: a prospective controlled intervention study. J Occup Environ Med. 2003;45(5):499–506.CrossRefPubMed

20.

Franche RL, Severin CN, Hogg-Johnson S, Côté P, Vidmar M, Lee H. The impact of early workplace-based return-to-work strategies on work absence duration: a 6-month longitudinal study following an occupational musculoskeletal injury. J Occup Environ Med. 2007;49(9):960–974.CrossRefPubMed

21.

Linton SJ, Nicholas M, MacDonald S. Development of a short form of the Örebro Musculoskeletal Pain Screening Questionnaire. SPINE. 2011;36(22):1891–1895.CrossRefPubMed

22.

Duncan EA, Murray J. The barriers and facilitators to routine outcome measurement by allied health professionals in practice: a systematic review. BMC Health Serv Res. 2012;12(1):96.CrossRefPubMedPubMedCentral

23.

Järvinen TAH, Järvinen TLN, Kääriäinen M, Kalimo H, Järvinen M. Muscle injuries: biology and treatment. Am J Sport Med. 2005;33(5):745–764.CrossRef

24.

Shain M, Kramer DM. Health promotion in the workplace: framing the concept; reviewing the evidence. Occup Environ Med. 2004;61(7):643–648.CrossRefPubMedPubMedCentral

25.

MacEachen E, Kosny A, Ferrier S, Chambers L. The “toxic dose” of system problems: why some injured workers don’t return to work as expected. J Occup Rehabil. 2010;20(3):349–366.CrossRefPubMed

26.

Hockings RL, McAuley JH, Maher CG. A systematic review of the predictive ability of the Orebro Musculoskeletal Pain Questionnaire. SPINE. 2008;33(15):E494–E500.CrossRefPubMed

27.

Minden P. The importance of words: suggesting comfort rather than pain. Holist Nurs Pract. 2005;19(6):267–271.CrossRefPubMed

28.

Eck J, Richter M, Straube T, Miltner WHR, Weiss T. Affective brain regions are activated during the processing of pain-related words in migraine patients. PAIN. 2011;152(5):1104–1113.CrossRefPubMed

29.

Richter M, Eck J, Straube T, Litner WHR, Weiss T. Do words hurt? Brain activation during the processing of pain-related words. PAIN. 2010;148(2):198–205.CrossRefPubMed

30.

Hertling D, Kessler RM. Management of common musculoskeletal disorders: physical therapy principles and methods. 4th ed. Maryland: Lippincott Williams & Wilkins; 2006.

31.

Dahlgren LA, Mohammed HO, Nixon AJ. Temporal expression of growth factors and matrix molecules in healing tendon lesions. J Orthopaed Res. 2005;23(1):84–92.CrossRef

32.

Sharma P, Maffulli N. Basic biology of tendon injury and healing. Surg. 2005;3(5):309–316.

33.

Schultz G, Mozingo D, Romanelli M, Claxton K. Wound healing and TIME; new concepts and scientific applications. Wound Repair Regen. 2005;13(s4):S1–S11.CrossRefPubMed

34.

Velnar T, Bailey T, Smrkolj V. The wound healing process: an overview of the cellular and molecular mechanisms. J Int Med Res. 2009;37(5):1528–1542.CrossRefPubMed

35.

Woolf CJ. Central sensitization: Implications for the diagnosis and treatment of pain. Pain. 2011;152(3 Suppl):S2–S15.CrossRefPubMed

36.

Zatzick D, Jurkovich GJ, Rivara FP, Wang J, Fan MY, Joesch J, Mackenzie E. A national US study of posttraumatic stress disorder, depression, and work and functional outcomes after hospitalization for traumatic injury. Ann Surg. 2008;248(3):429–423.PubMed

37.

Safe Work Australia. Australian workers’ compensation statistics 2012-13. Canberra: Safe Work Australia; 2013.

38.

Arbuckle JL. IBM SPSS AMOS 21 user’s guide. Armonk: IBM Corporation; 2012.

39.

Cohen J. Statistical power for the behavioral sciences. 2nd ed. Hillsdale: Erlbaum; 1998.

40.

Taris TW, Kompier M. Challenges in longitudinal designs in occupational health psychology. Scand J Work Environ Health 2003;29(1):1–4.CrossRefPubMed

41.

Karademas EC. Self-efficacy, social support and well-being: the mediating role of optimism. Pers Indiv Differ. 2006;40(6):1281–1290.CrossRef

42.

Return to Work Act 2014 (SA).

43.

ReturnToWorkSA. Physiotherapy fee schedule and policy. Adelaide (AU): ReturnToWorkSA; 2016. p. 26.

44.

Smith GS, Huang YH, Ho M, Chen PY. The relationship between safety climate and injury rates across industries: the need to adjust for injury hazards. Accid Anal Prev. 2006;38(3):556–562.CrossRefPubMed

45.

Gillen M, Yen IH, Trupin L, Swig L, Rugulies R, Mullen K, Font A, Burian D, Ryan G, Janowitz I. The association of socioeconomic status and psychosocial and physical workplace factors with musculoskeletal injury in hospital workers. Am J Ind Med. 2007;50(4):245–260.CrossRefPubMed

46.

Franche R-L, Krause N. Readiness for return to work following injury or illness: conceptualizing the interpersonal impact of health care, workplace, and insurance factors. J Occup Rehabil. 2002;12(4):233–256.CrossRefPubMed

47.

Shamian J, O’Brien-Pallas L, Thomson D, Alksnis C, Steven Kerr M. Nurse absenteeism, stress and workplace injury: what are the contributing factors and what can/should be done about it? Int J Sociol Soc Policy. 2003;23(8/9):81–103.CrossRef

48.

Rogers E, Wiatrowksi WJ. Injuries, illnesses, and fatalities among older workers. Mon Labor Rev. 2005;128(10):24–30.

49.

Hermes GL, Rosenthal L, Montag A, McClintock MK. Social isolation and the inflammatory response: sex differences in the enduring effects of a prior stressor. Am J Physiol Regul Integr Comp Physiol. 2006;290(2):R273–R82.CrossRefPubMed

50.

Detillion CE, Craft TKS, Glasper ER, Prendergast BJ, DeVries AC. Social facilitation of wound healing. Psychoneuroendocrino. 2004;29(8):1004–1011.CrossRef

51.

Onwuegbuzie AJ, Leech NL. Enhancing the interpretation of significant findings: the role of mixed methods research. The Qualitative Report. 2004;9(4):770–792.

52.

Johnson RB, Onwuegbuzie AJ. Mixed methods research: a research paradigm whose time has come. Educational researcher. 2004;33(7):14–26.CrossRef

53.

Kirsh B, Slack T, King CA. The nature and impact of stigma towards injured workers. J Occup Rehabil. 2012;22(2):143–154.CrossRefPubMed

54.

Beardwood BA, Kirsh B, Clark NJ. Victims twice over: perceptions and experiences of injured workers. Qual Health Res. 2005;15(1):30–48.CrossRefPubMed

55.

Soklaridis S, Ammendolia C, Cassidy D. Looking upstream to understand low back pain and return to work: psychosocial factors as the product of system issues. Soc Sci Med. 2010;71(9):1557–1566.CrossRefPubMed

56.

Chan ANW. Social support for improved work integration: perspectives from Canadian social purpose enterprises. Soc Enterp J. 2015;11(1):47–68.CrossRef

Title: Psychosocial Factors Impacting Workplace Injury Rehabilitation: Evaluation of a Concise Screening Tool
Authors: Sareen McLinton
Sarven Savia McLinton
Martin van der Linden
Publication date: 01-03-2018
Publisher: Springer US
Published in: Journal of Occupational Rehabilitation / Issue 1/2018
Print ISSN: 1053-0487
Electronic ISSN: 1573-3688
DOI: https://doi.org/10.1007/s10926-017-9701-6

At a glance: The STEP trials

Springer Medicine

Psychosocial Factors Impacting Workplace Injury Rehabilitation: Evaluation of a Concise Screening Tool

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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