Skip to main content
Top
Published in: Journal of Occupational Rehabilitation 4/2006

01-12-2006 | Original Paper

The effect of a “training on work readiness” program for workers with musculoskeletal injuries: A randomized control trial (RCT) study

Authors: Edward J. Q. Li, Cecilia W. P. Li-Tsang, C. S. Lam, Karen Y. L. Hui, Chetwyn C. H. Chan

Published in: Journal of Occupational Rehabilitation | Issue 4/2006

Login to get access

Abstract

Background: This is a clinical randomized trail (RCT) to investigate the effects of a three-week training program on work readiness designed for musculoskeletal injured workers with long-term sick leave who had difficulties resuming their work role. The program was planned to help injured workers overcome the psychological and psychosocial problems and to facilitate their Work Readiness on Return to Work (RTW) based on the Employment readiness model. Methodology: A total of 64 injured workers were recruited and randomly assigned into the training (T) and control (C) groups. Observations were blinded between service providers and evaluators. A three-week intensive training on work readiness program was given to the T group while subjects in the C group were given advice on job placement by social workers in a community work health center. The training program was comprised of individual vocational counseling and group therapy using cognitive behavioral approach to alleviate symptoms of stress, pain and anxiety. The Chinese Lam Assessment of Stages of Employment Readiness (C-LASER), the Chinese State Trait and Anxiety Inventory (C-STAI) and the Short form of Health Survey (SF-36) were used to evaluate all subjects’ psychological health status and behavioral changes on job readiness before and after the intervention. Results: Subjects in the T group showed significant improvement in their work readiness (p < 0.05), level of anxiety (p < 0.05) and their self perception of health status measured by SF-36 (p < 0.02) when compared with subjects in the C group. Control of chronic pain, negative motivation, and anxiety level were some of the key behavioral changes found from the study. Conclusion: The TWR program appeared to improve injured workers’ motivation and employment readiness. Further study on the employment outcomes of subjects is recommended.
Literature
1.
go back to reference Punnett L, Wegman DH. Work-related musculoskeletal disorders: the epidemiologic evidence and the debate. J Electromyogr Kinesiol 2004;14:13–23.CrossRefPubMed Punnett L, Wegman DH. Work-related musculoskeletal disorders: the epidemiologic evidence and the debate. J Electromyogr Kinesiol 2004;14:13–23.CrossRefPubMed
2.
go back to reference National Research Council and Institute of Medicine. Musculoskeletal Disorders and the Workplace: Low Back and Upper Extremities. Washington, DC: National Academy Press; 2001. National Research Council and Institute of Medicine. Musculoskeletal Disorders and the Workplace: Low Back and Upper Extremities. Washington, DC: National Academy Press; 2001.
3.
go back to reference Baldwin ML. Reducing the costs of work-related musculoskeletal disorders: targeting strategies to chronic disability cases. J Electromyogr Kinesiol 2004;14:33–41.CrossRefPubMed Baldwin ML. Reducing the costs of work-related musculoskeletal disorders: targeting strategies to chronic disability cases. J Electromyogr Kinesiol 2004;14:33–41.CrossRefPubMed
4.
go back to reference Labour Department. Labour Department Annual Report. Hong Kong: HKSAR; 2003. Labour Department. Labour Department Annual Report. Hong Kong: HKSAR; 2003.
5.
go back to reference Baker P, Goodman G, Ekelman B, Bonder B. The effectiveness of a comprehensive work hardening program as measured by lifting capacity, pain scales, and depression scores. Work 2005;24:21–31.PubMed Baker P, Goodman G, Ekelman B, Bonder B. The effectiveness of a comprehensive work hardening program as measured by lifting capacity, pain scales, and depression scores. Work 2005;24:21–31.PubMed
6.
7.
go back to reference Waddell G. Biopsychosocial analysis of low back pain. Clin Rheumatol 1992;6:523–57. Waddell G. Biopsychosocial analysis of low back pain. Clin Rheumatol 1992;6:523–57.
8.
go back to reference Feuerstein M, Burrell LM, Miller VI, Lincoln A, Huang GD, Berger R. Clinical management of carpal tunnel syndrome: A 12-year review of outcomes. Am J Ind Med 1999;35:232–45.CrossRefPubMed Feuerstein M, Burrell LM, Miller VI, Lincoln A, Huang GD, Berger R. Clinical management of carpal tunnel syndrome: A 12-year review of outcomes. Am J Ind Med 1999;35:232–45.CrossRefPubMed
9.
go back to reference Watson PJ, Booker CK, Moores L, Main CJ. Returning the chronically unemployed with low back pain to employment. Eur J Pain 2004;8:359–69.CrossRefPubMed Watson PJ, Booker CK, Moores L, Main CJ. Returning the chronically unemployed with low back pain to employment. Eur J Pain 2004;8:359–69.CrossRefPubMed
10.
go back to reference Nachemson AL, Spengler DM, Fisher LD, et al. A prospective study of work perceptions and psychosocial factors affecting the report of back injury. Spine 1991;16:1–6.CrossRefPubMed Nachemson AL, Spengler DM, Fisher LD, et al. A prospective study of work perceptions and psychosocial factors affecting the report of back injury. Spine 1991;16:1–6.CrossRefPubMed
11.
go back to reference Adams JH, Williams ACC. What affects return to work for graduates of a pain management program with chronic upper limb pain? J Occup Rehabil 2003;13:91–106.CrossRefPubMed Adams JH, Williams ACC. What affects return to work for graduates of a pain management program with chronic upper limb pain? J Occup Rehabil 2003;13:91–106.CrossRefPubMed
12.
go back to reference Franche RL, 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;12:233–56.CrossRefPubMed Franche RL, 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;12:233–56.CrossRefPubMed
13.
go back to reference Berglind H, Gerner U. Motivation and return to work among the long-term sicklisted: an action theory perspective. Disabil Rehabil 2002;24:719–26.CrossRefPubMed Berglind H, Gerner U. Motivation and return to work among the long-term sicklisted: an action theory perspective. Disabil Rehabil 2002;24:719–26.CrossRefPubMed
14.
go back to reference Cheng JKC, Li-Tsang WPC. A comparison of self-perceived physical and psycho-social worker profiles of people with direct work injury, chronic low back pain, and cumulative trauma. Work 2005;25:315–23.PubMed Cheng JKC, Li-Tsang WPC. A comparison of self-perceived physical and psycho-social worker profiles of people with direct work injury, chronic low back pain, and cumulative trauma. Work 2005;25:315–23.PubMed
15.
go back to reference Tulder MW, Ostelo R, Vlaeyen JWS, Linton SJ, Morley SJ, Assendelft WJJ. Behavioral treatment for chronic low back pain, a systematic review within the framework of the Cochrane back review group. Spine 2000;26:270–81.CrossRef Tulder MW, Ostelo R, Vlaeyen JWS, Linton SJ, Morley SJ, Assendelft WJJ. Behavioral treatment for chronic low back pain, a systematic review within the framework of the Cochrane back review group. Spine 2000;26:270–81.CrossRef
16.
go back to reference Marhold C, Linton SJ, Melin L. A cognitive-behavioral return-to-work program: Effects on pain patients with a history of long-term versus short-term sick leave. Pain 2001;91:155–63.CrossRefPubMed Marhold C, Linton SJ, Melin L. A cognitive-behavioral return-to-work program: Effects on pain patients with a history of long-term versus short-term sick leave. Pain 2001;91:155–63.CrossRefPubMed
17.
go back to reference Oleske DM, Anderson GBJ, Lavender SA, Hahn JJ. Association between recovery outcomes for work-related low back disorders and personal, family, and work factors. Spine 2000;25:1259–65.CrossRefPubMed Oleske DM, Anderson GBJ, Lavender SA, Hahn JJ. Association between recovery outcomes for work-related low back disorders and personal, family, and work factors. Spine 2000;25:1259–65.CrossRefPubMed
18.
go back to reference Burton AK, Battie MC, Main CJ. The relative importance of biomechanical and psychosocial factors in low back injuries. In: Karwowski W, Marras WS, eds. Occupational Ergonomics Handbook. Boca Raton, Fla.: CRC Press; 1999:1127–38. Burton AK, Battie MC, Main CJ. The relative importance of biomechanical and psychosocial factors in low back injuries. In: Karwowski W, Marras WS, eds. Occupational Ergonomics Handbook. Boca Raton, Fla.: CRC Press; 1999:1127–38.
19.
go back to reference Prochaska J, DiClemente C, Norcross J. In search of how people change: applications to addictive behaviors. Am Psychol 1992;47:1102–14.CrossRefPubMed Prochaska J, DiClemente C, Norcross J. In search of how people change: applications to addictive behaviors. Am Psychol 1992;47:1102–14.CrossRefPubMed
20.
go back to reference John C, Prochaska J. Using the Stages of Change. Harv Ment Health Lett 2002;5:5–8. John C, Prochaska J. Using the Stages of Change. Harv Ment Health Lett 2002;5:5–8.
21.
go back to reference Adams JH, Williams AC. What affects return to work for graduates of a pain management program with chronic upper limb pain? J Occup Rehabil 2003;13:97–106.CrossRef Adams JH, Williams AC. What affects return to work for graduates of a pain management program with chronic upper limb pain? J Occup Rehabil 2003;13:97–106.CrossRef
22.
go back to reference Jensen MP, Romano JM, Turner JA, Good AB, Wald LH. Patient beliefs predict patient functioning: further support for a cognitive-behavioral model of chronic pain. Pain 1999;81:95–104.CrossRefPubMed Jensen MP, Romano JM, Turner JA, Good AB, Wald LH. Patient beliefs predict patient functioning: further support for a cognitive-behavioral model of chronic pain. Pain 1999;81:95–104.CrossRefPubMed
23.
go back to reference Chan CHC, Li-Tsang WPC, Hung LK, Lam CWP. A standardized clinical series for work-related lateral epicondylitis. J Occup Rehabil 2000;10:143–52.CrossRef Chan CHC, Li-Tsang WPC, Hung LK, Lam CWP. A standardized clinical series for work-related lateral epicondylitis. J Occup Rehabil 2000;10:143–52.CrossRef
24.
go back to reference Cheung YL, Molassiotis A, Chang AM. A pilot study on the effect of progressive muscle relaxation training of patients after stoma surgery. Eur J Cancer Care 2001;10:107–14.CrossRef Cheung YL, Molassiotis A, Chang AM. A pilot study on the effect of progressive muscle relaxation training of patients after stoma surgery. Eur J Cancer Care 2001;10:107–14.CrossRef
25.
go back to reference Tsoi MM, Ho E, Mak KC. Becoming pregnant again after still birth or the birth of a handicapped child. In: Dennerstein L, Fraser I, eds. Hormones and Behavior. Netherlands: Elsevier Science; 1986:310–16. Tsoi MM, Ho E, Mak KC. Becoming pregnant again after still birth or the birth of a handicapped child. In: Dennerstein L, Fraser I, eds. Hormones and Behavior. Netherlands: Elsevier Science; 1986:310–16.
26.
go back to reference Shek DT. Reliability and factorial structure of the Chinese version of the State-Trait Anxiety Questionnaire. J Psychopathology Behav Assess 1988;10:303–17.CrossRef Shek DT. Reliability and factorial structure of the Chinese version of the State-Trait Anxiety Questionnaire. J Psychopathology Behav Assess 1988;10:303–17.CrossRef
27.
go back to reference Flores S, Gatchel RJ, Polatin PB. Objectification of functional improvement after nonoperative care. Spine 1997;22:1622–33.CrossRefPubMed Flores S, Gatchel RJ, Polatin PB. Objectification of functional improvement after nonoperative care. Spine 1997;22:1622–33.CrossRefPubMed
29.
go back to reference Atroshi1 I, Anderson IH, Gummesson C, Leden I, Odenbring S, Ornstein E. Primary care patients with musculoskeletal pain value of health-status and sense-of-coherence measures in predicting long-term work disability. Scand J Rheumatol 2002;31:239–44.CrossRef Atroshi1 I, Anderson IH, Gummesson C, Leden I, Odenbring S, Ornstein E. Primary care patients with musculoskeletal pain value of health-status and sense-of-coherence measures in predicting long-term work disability. Scand J Rheumatol 2002;31:239–44.CrossRef
30.
go back to reference Gatchel RJ, Polatin PB, Mayer TG, Robinson R, Dersh J. Use of the SF-36 health status survey with a chronically disabled back pain population: strengths and limitations. J Occup Rehabil 1998;8:237–46.CrossRef Gatchel RJ, Polatin PB, Mayer TG, Robinson R, Dersh J. Use of the SF-36 health status survey with a chronically disabled back pain population: strengths and limitations. J Occup Rehabil 1998;8:237–46.CrossRef
31.
go back to reference Gatchel RJ, Mayer T, Dersh J, Robinson R, Polatin P. The association of the SF-36 health status survey with 1-year socioeconomic outcomes in a chronically disabled spinal disorder population. Spine 1999;24:2162–70.CrossRefPubMed Gatchel RJ, Mayer T, Dersh J, Robinson R, Polatin P. The association of the SF-36 health status survey with 1-year socioeconomic outcomes in a chronically disabled spinal disorder population. Spine 1999;24:2162–70.CrossRefPubMed
32.
go back to reference Tufescu TV, Buckley R. Age, gender, work capability, and worker's compensation in patients with displaced intraarticular calcaneal fractures. J Orthop Trauma 2001;15:75–279.CrossRef Tufescu TV, Buckley R. Age, gender, work capability, and worker's compensation in patients with displaced intraarticular calcaneal fractures. J Orthop Trauma 2001;15:75–279.CrossRef
33.
go back to reference Feuerstein M. A multidisciplinary approach to the prevention, evaluation, and management of work disability. J Occup Rehabil 1991;1:5–12.CrossRef Feuerstein M. A multidisciplinary approach to the prevention, evaluation, and management of work disability. J Occup Rehabil 1991;1:5–12.CrossRef
34.
go back to reference Vlaeyen JWS, Linton SJ. Fear-avoidance and its consequences in chronic musculoskeletal pain: A state of the art. Pain 2000;85:317–32.CrossRefPubMed Vlaeyen JWS, Linton SJ. Fear-avoidance and its consequences in chronic musculoskeletal pain: A state of the art. Pain 2000;85:317–32.CrossRefPubMed
35.
go back to reference Calfas KJ, Long BJ, Sallis JF, Wooten WJ, Pratt M, Patrick K. A controlled trial of physical counseling to promote the adoption of physical activity. Prev Med 1996;26:225–33.CrossRef Calfas KJ, Long BJ, Sallis JF, Wooten WJ, Pratt M, Patrick K. A controlled trial of physical counseling to promote the adoption of physical activity. Prev Med 1996;26:225–33.CrossRef
36.
go back to reference Bock BC, Marcus BH, Pinto BM. Maintenance of physical activity following an individualized motivationally tailored intervention. Ann Behav Med 2001;23:79–87.CrossRefPubMed Bock BC, Marcus BH, Pinto BM. Maintenance of physical activity following an individualized motivationally tailored intervention. Ann Behav Med 2001;23:79–87.CrossRefPubMed
37.
go back to reference Allaire SH, Niu J, LaValley MP. Employment and satisfaction outcomes from a job retention intervention delivered to persons with chronic diseases. Rehabil Couns Bull 2005;48:100–9. Allaire SH, Niu J, LaValley MP. Employment and satisfaction outcomes from a job retention intervention delivered to persons with chronic diseases. Rehabil Couns Bull 2005;48:100–9.
38.
go back to reference Turk DC, Meichenbaum DH, Genest M. Pain and Behavioral Medicine: Theory, Research, and Clinical Guide. New York: Guilford; 1983. Turk DC, Meichenbaum DH, Genest M. Pain and Behavioral Medicine: Theory, Research, and Clinical Guide. New York: Guilford; 1983.
39.
go back to reference Linton SJ, Anderson T. Can chronic disability be prevented? A randomized trial of a cognitive-behavioral intervention and two forms of information for patients with spinal pain. Spine 2000;25:2825–31.CrossRefPubMed Linton SJ, Anderson T. Can chronic disability be prevented? A randomized trial of a cognitive-behavioral intervention and two forms of information for patients with spinal pain. Spine 2000;25:2825–31.CrossRefPubMed
40.
go back to reference LeFort SM, Donald KG, Rowat KM, Jeans ME. Randomized controlled trial of a community-based psycho education program for the self-management of chronic pain. Pain 1998;74:297–306.CrossRefPubMed LeFort SM, Donald KG, Rowat KM, Jeans ME. Randomized controlled trial of a community-based psycho education program for the self-management of chronic pain. Pain 1998;74:297–306.CrossRefPubMed
41.
go back to reference Arutaa T, Malinchoc M, Offord KP, Colligan RC. Status of patients with chronic pain 13 years after treatment in a pain management center. Pain 1998;74:199–204.CrossRef Arutaa T, Malinchoc M, Offord KP, Colligan RC. Status of patients with chronic pain 13 years after treatment in a pain management center. Pain 1998;74:199–204.CrossRef
Metadata
Title
The effect of a “training on work readiness” program for workers with musculoskeletal injuries: A randomized control trial (RCT) study
Authors
Edward J. Q. Li
Cecilia W. P. Li-Tsang
C. S. Lam
Karen Y. L. Hui
Chetwyn C. H. Chan
Publication date
01-12-2006
Published in
Journal of Occupational Rehabilitation / Issue 4/2006
Print ISSN: 1053-0487
Electronic ISSN: 1573-3688
DOI
https://doi.org/10.1007/s10926-006-9034-3

Other articles of this Issue 4/2006

Journal of Occupational Rehabilitation 4/2006 Go to the issue