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Open Access 27-03-2023

The Job Leeway Scale: Initial Evaluation of a Self-report Measure of Health-Related Flexibility and Latitude at Work

Authors: William S. Shaw, Alicia G. Dugan, Alyssa K. McGonagle, Michael K. Nicholas, Torill H. Tveito

Published in: Journal of Occupational Rehabilitation | Issue 3/2023

Abstract

Purpose Evidence suggests that workers manage health-related challenges at work, in part, by using available leeway to perform work differently. The purpose of this study was to evaluate the reliability and validity of the Job Leeway Scale (JLS), a new 18-item self-report questionnaire designed to assess worker perceptions of available flexibility and latitude to manage health-related challenges at work. Methods Workers seeking assistance for workplace difficulties due to chronic medical conditions (n = 119, 83% female, median age = 49) completed the JLS along with other workplace and health measures. Construct validity was assessed using exploratory factor analysis (EFA), and concurrent validity was assessed by associations with related measures. Results Mean item scores ranged from 2.13 to 4.16 within a possible range of 0–6. The EFA supported three underlying factors: organizational leeway (9 items), task leeway (6 items), and staffing leeway (3 items). Internal consistency (alpha) ranged from 0.78 to 0.91 for subscale scores and 0.94 for the total score. The JLS showed moderate correlations with other work outcome measures including work fatigue, self-efficacy, engagement, and productivity. Conclusion The JLS is a promising new measure with initial support for its reliability and validity to assess worker beliefs of available flexibility to manage health symptoms at work, and this construct may have organizational implications for worker support and accommodation.

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World Health Organization. World report on disability. Geneva: World Health Organization; 2011.

Organisation for Economic Co-operation and Development (OECD). Sickness, disability and work: breaking the barriers: a synthesis of findings across OECD countries. Paris: OECD Publishing; 2010.

Laditka JN, Laditka SB. Work disability in the United States, 1968–2015: prevalence, duration, recovery, and trends. SSM Popul Health. 2017;4:126–134.PubMedPubMedCentralCrossRef

Pransky GS, Fassier JB, Besen E, Blanck P, Ekberg K, Feuerstein M, et al. Sustaining work participation across the life course. J Occup Rehabil. 2016;26(4):465–479.PubMedPubMedCentralCrossRef

de Vroome EM, Uegaki K, van der Ploeg CP, Treutlein DB, Steenbeek R, de Weerd M, et al. Burden of sickness absence due to chronic disease in the dutch workforce from 2007 to 2011. J Occup Rehabil. 2015;25(4):675–684.PubMedCrossRef

Tveito TH, Shaw WS, Huang YH, Nicholas M, Wagner G. Managing pain in the workplace: a focus group study of challenges, strategies and what matters most to workers with low back pain. Disabil Rehabil. 2010;32(24):2035–2045.PubMedCrossRef

Oakman J, Kinsman N, Briggs AM. Working with persistent pain: an exploration of strategies utilised to stay productive at work. J Occup Rehabil. 2017;27(1):4–14.PubMedCrossRef

Richard MC, Durand MJ. Workers age 55 and over working with pain. A descriptive interpretive study. J Occup Rehabil. 2020;30(2):211–220.PubMedCrossRef

Dong S, Geyer P, Hinton T, Chin A. Accommodation request strategies among employees with disabilities: impacts and associated factors. Rehab Counsel Bull. 2020;63(3):168–178.CrossRef

10.

O’Hagan F. Work, organisational practices, and margin of manoeuver during work reintegration. Disabil Rehabil. 2019;41(2):172–181.PubMedCrossRef

11.

de Jong M, de Boer AG, Tamminga SJ, Frings-Dresen MH. Quality of working life issues of employees with a chronic physical disease: a systematic review. J Occup Rehabil. 2015;25(1):182–196.PubMedCrossRef

12.

Jansen J, Boot CRL, Alma MA, Brouwer S. Exploring employer perspectives on their supportive role in accommodating workers with disabilities to promote sustainable RTW: a qualitative study. J Occup Rehabil. 2022;32(1):1–12.PubMedCrossRef

13.

Corbière M, Villotti P, Lecomte T, Bond GR, Lesage A, Goldner EM. Work accommodations and natural supports for maintaining employment. Psychiatr Rehabil J. 2014;37(2):90–98.PubMedCrossRef

14.

Williams-Whitt K, Kristman V, Shaw WS, Soklaridis S, Reguly P. A model of supervisor decision-making in the accommodation of workers with low back pain. J Occup Rehabil. 2016;26(3):366–381.PubMedPubMedCentralCrossRef

15.

Gignac MAM, Bowring J, Jetha A, Beaton DE, Breslin FC, Franche R, et al. Disclosure, privacy and workplace accommodation of episodic disabilities: organizational perspectives on disability communication-support processes to sustain employment. J Occup Rehabil. 2021;31(1):153–165.PubMedCrossRef

16.

Claudon L, Desbrosses K, Gilles MA, Pichené-Houard A, Remy O, Wild P. Temporary leeway: can it help to reduce biomechanical load for older workers performing repetitive light assembly tasks? Appl Ergon. 2020;86:103081.PubMedCrossRef

17.

McDowell C, Fossey E. Workplace accommodations for people with mental illness: a scoping review. J Occup Rehabil. 2015;25(1):197–206.PubMedCrossRef

18.

Lindsay S, Cagliostro E, Carafa G. A systematic review of workplace disclosure and accommodation requests among youth and young adults with disabilities. Disabil Rehabil. 2018;40(25):2971–2986.PubMedCrossRef

19.

Kensbock JM, Boehm SA, Bourovoi K. Is there a downside of job accommodations? An employee perspective on individual change processes. Front Psychol. 2017;8:1536.PubMedPubMedCentralCrossRef

20.

Shaw WS, Besen E, Pransky G, Boot CRL, Nicholas MK, McLellan RK, et al. Manage at work: a randomized, controlled trial of a self-management group intervention to overcome workplace challenges associated with chronic physical health conditions. BMC Public Health. 2014;14:515.PubMedPubMedCentralCrossRef

21.

Shaw WS, McLellan RK, Besen E, Namazi S, Nicholas MK, Dugan AG, et al. A worksite self-management program for workers with chronic health conditions improves worker engagement and retention, but not workplace function. J Occup Rehabil. 2022;32(1):77–86.PubMedCrossRef

22.

Leiter MP, Maslach C. Areas of worklife survey. 5th ed. Menlo Park: Mind Garden; 2000.

23.

Leiter MP, Maslach C. Six areas of worklife: a model of the organizational context of burnout. J Health Hum Serv Adm. 1999;21(4):472–489.PubMed

24.

Maslach C, Leiter MP. Early predictors of job burnout and engagement. J Appl Psychol. 2008;93(3):498–512.PubMedCrossRef

25.

Leiter MP, Maslach C. Areas of worklife survey manual. 5th ed. Menlo Park: Mind Garden; 2011.

26.

Winwood PC, Winefield AH, Dawson D, Lushington K. Development and validation of a scale to measure work-related fatigue and recovery: the occupational fatigue Exhaustion/Recovery scale (OFER). J Occup Environ Med. 2005;47(6):594–606.PubMedCrossRef

27.

Winwood PC, Lushington K, Winefield AH. Further development and validation of the occupational fatigue exhaustion recovery (OFER) scale. J Occup Environ Med. 2006;48(4):381–389.PubMedCrossRef

28.

Shaw WS, Reme SE, Linton SJ, Huang YH, Pransky G. 3rd place, PREMUS best paper competition: development of the return-to-work self-efficacy (RTWSE-19) questionnaire–psychometric properties and predictive validity. Scand J Work Environ Health. 2011;37(2):109–119.PubMedCrossRef

29.

Black O, Keegel T, Sim MR, Collie A, Smith P. The effect of self-efficacy on return-to-work outcomes for workers with psychological or upper-body musculoskeletal injuries: a review of the literature. J Occup Rehabil. 2018;28(1):16–27.PubMedCrossRef

30.

Fisker J, Hjorthøj C, Hellström L, Mundy SS, Rosenberg NG, Eplov LF. Predictors of return to work for people on sick leave with common mental disorders: a systematic review and meta-analysis. Int Arch Occup Environ Health. 2022;95(7):1–13. https://doi.org/10.1007/s00420-021-01827-3.CrossRefPubMed

31.

Lerner D, Amick BC 3rd, Lee JC, Rooney T, Rogers WH, Chang H, et al. Relationship of employee-reported work limitations to work productivity. Med Care. 2003;41(5):649–659.PubMedCrossRef

32.

Lerner D, Chang H, Rogers WH, Benson C, Schein J, Allaire S. A method for imputing the impact of health problems on at-work performance and productivity from available health data. J Occup Environ Med. 2009;51(5):515–524.PubMedCrossRef

33.

Lerner D, Adler DA, Chang H, Berndt ER, Irish JT, Lapitsky L, et al. The clinical and occupational correlates of work productivity loss among employed patients with depression. J Occup Environ Med. 2004;46(6 Suppl):46–S55.CrossRef

34.

Demerouti E, Bakker AB, de Jonge J, Janssen PP, Schaufeli WB. Burnout and engagement at work as a function of demands and control. Scand J Work Environ Health. 2001;27(4):279–286.PubMedCrossRef

35.

Scaufeli WB, Bakker AB, Salonva M. The measurement of work engagement with a short questionnaire: a cross-national study. Educ Psychol Meas. 2006;66(4):701–716.CrossRef

36.

Bakker AB, Demourati E. The job demands-resources model: state of the art. J Managerial Psychol. 2007;22(3):309–328.CrossRef

37.

IBM Corporation. IBM SPSS Statistics for Windows, Version 27.0 (released 2020). Armonk, NY:IBM Corporation.

38.

Loisel P, Buchbinder R, Hazard R, Keller R, Scheel I, van Tulder M, Webster B. Prevention of work disability due to musculoskeletal disorders: the challenge of implementing evidence. J Occup Rehabil. 2005;15(4):507–524.PubMedCrossRef

39.

McGuire C, Kristman VL, Shaw WS, Loisel P, Reguly P, Williams-Whitt K, et al. Supervisors’ perceptions of organizational policies are associated with their likelihood to accommodate back-injured workers. Disabil Rehabil. 2017;39(4):346–353.PubMedCrossRef

40.

McGuire C, Kristman VL, Shaw W, Williams-Whitt K, Reguly P, Soklaridis S. Supervisor autonomy and considerate leadership style are associated with supervisors’ likelihood to accommodate back injured workers. J Occup Rehabil. 2015;25(3):589–598.PubMedPubMedCentralCrossRef

41.

Nelson CC, Shaw WS, Robertson MM. Supervisors and presenteeism: how do supervisors accommodate and support skilled workers with chronic health concerns? Empl Responsibilities Rights J. 2016;28:209–223.CrossRef

42.

Moon NW, Linden MA, Bricout JC, Baker PM. Telework rationale and implementation for people with disabilities: considerations for employer policymaking. Work. 2014;48(1):105–115.PubMedCrossRef

43.

Chung H. Gender, flexibility stigma and the perceived negative consequences of flexibility working in the UK. Soc Indic Res. 2020;151(2):521–545.CrossRef

44.

Valet P, Sauer C, Tolsma J. Preferences for work arrangements: a discrete choice experiment. PLoS ONE. 2021;16(7):e0254483.PubMedPubMedCentralCrossRef

45.

Damman M, Henkens K. Gender differences in perceived workplace flexibility among older workers in the Netherlands: a brief report. J Appl Gerontol. 2020;39(8):915–921.PubMedCrossRef

46.

Moen P, Kelly EL, Fa W, Lee SR, Alameida D, Kossek EE, Buxton OM. Does a flexibility/support organizational initiative improve high-tech employees’ well-being? Evidence from the work, family, and health netework. Am Sociol Rev. 2016;81(1):134–164.CrossRef

47.

Kim J, Henly JR, Golden LM, Lambert SJ. Workplace flexibility and worker well-being by gender. J Marriage Family. 2020;82(3):892–910.CrossRef

48.

Kristman VL, Shaw WS, Boot CRL, Delclos GL, Sullivan MJ, Ehrhart MG, et al. Researching complex and multi-level workplace factors affecting disability and prolonged sickness absence. J Occup Rehabil. 2016;26(4):399–416.PubMedPubMedCentralCrossRef

49.

Cullen KL, Irvin E, Collie A, Clay F, Gensby U, Jennings PA, Hogg-Johnson S, Kristman V, Laberge M, McKenzie D, Newman S, Palagyi A, Ruseckaite R, Sheppard DM, Shourie S, Steenstra I, Va Eerd D, Amick BC 3. Effectiveness of workplace interventions in return-to-work for musculoskeletal, pain-related and mental health conditions: an update of the evidence and messages for practitioners. J Occup Rehabil. 2018;28(1):1–15.PubMedCrossRef

Title: The Job Leeway Scale: Initial Evaluation of a Self-report Measure of Health-Related Flexibility and Latitude at Work
Authors: William S. Shaw
Alicia G. Dugan
Alyssa K. McGonagle
Michael K. Nicholas
Torill H. Tveito
Publication date: 27-03-2023
Publisher: Springer US
Published in: Journal of Occupational Rehabilitation / Issue 3/2023
Print ISSN: 1053-0487
Electronic ISSN: 1573-3688
DOI: https://doi.org/10.1007/s10926-023-10095-6

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The Job Leeway Scale: Initial Evaluation of a Self-report Measure of Health-Related Flexibility and Latitude at Work

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