Workers’ worries, pain, psychosocial factors, and margin of manoeuvre, in relation to outcomes in a return-to-work program: An exploratory study

Marie-France Coutu, Centre for Action in Work Disability Prevention and Rehabilitation (CAPRIT), Université de Sherbrooke – Longueuil Campus, 150 Place Charles-Le Moyne, Longueuil, QC, Canada, Faculty of Medicine and Health Sciences, Université de Sherbrooke – Longueuil Campus, 150 Place Charles-Le Moyne, Longueuil, QC, Canada, Centre de recherche Charles-Le Moyne (CRCLM), Université de Sherbrooke – Longueuil Campus, 150 Place Charles-Le Moyne, Longueuil, QC, Canada
Marie-José Durand, Centre for Action in Work Disability Prevention and Rehabilitation (CAPRIT), Université de Sherbrooke – Longueuil Campus, 150 Place Charles-Le Moyne, Longueuil, QC, Canada, Faculty of Medicine and Health Sciences, Université de Sherbrooke – Longueuil Campus, 150 Place Charles-Le Moyne, Longueuil, QC, Canada, Centre de recherche Charles-Le Moyne (CRCLM), Université de Sherbrooke – Longueuil Campus, 150 Place Charles-Le Moyne, Longueuil, QC, Canada
Fergal O’Hagan, Department of Psychology, Trent University, 1600 West Bank Drive, Peterborough, ON, Canada
Patrick Gosselin, Department of Psychology, Université de Sherbrooke, 2500 Boulevard de l’Université, Sherbrooke, QC, Canada
Iuliana Nastasia, Institut de recherche Robert-Sauvé en Santé et en sécurité du travail (IRSST)Follow
Djamal Berbiche, Faculty of Medicine and Health Sciences, Université de Sherbrooke – Longueuil Campus, 150 Place Charles-Le Moyne, Longueuil, QC, Canada, Centre de recherche Charles-Le Moyne (CRCLM), Université de Sherbrooke – Longueuil Campus, 150 Place Charles-Le Moyne, Longueuil, QC, Canada
Marie-Élise Labrecque, Centre for Action in Work Disability Prevention and Rehabilitation (CAPRIT), Université de Sherbrooke – Longueuil Campus, 150 Place Charles-Le Moyne, Longueuil, QC, Canada, Faculty of Medicine and Health Sciences, Université de Sherbrooke – Longueuil Campus, 150 Place Charles-Le Moyne, Longueuil, QC, Canada, Centre de recherche Charles-Le Moyne (CRCLM), Université de Sherbrooke – Longueuil Campus, 150 Place Charles-Le Moyne, Longueuil, QC, Canada
Sara Pettigrew, Centre for Action in Work Disability Prevention and Rehabilitation (CAPRIT), Université de Sherbrooke – Longueuil Campus, 150 Place Charles-Le Moyne, Longueuil, QC, Canada, Faculty of Medicine and Health Sciences, Université de Sherbrooke – Longueuil Campus, 150 Place Charles-Le Moyne, Longueuil, QC, Canada, Centre de recherche Charles-Le Moyne (CRCLM), Université de Sherbrooke – Longueuil Campus, 150 Place Charles-Le Moyne, Longueuil, QC, Canada
Martine Bordeleau, Elderly, Neurostimulation and Pain Research Group, Research Centre on Aging, 1036 Rue Belvédère Sud, Sherbrooke, QC, Canada, Faculty of Medicine and Health Sciences, Université de Sherbrooke, 2500 Boulevard de l’Université, Sherbrooke, QC, Canada

Type de document

Études primaires

Année de publication

2024

Langue

Anglais

Titre de la revue

Journal of Occupational Rehabilitation

Première page

568

Dernière page

581

Résumé

Purpose: To explore the intensity and variation of workers’ worries, pain, psychosocial factors, and margin of manoeuvre before and after a return-to-work program, and identified the psychosocial factors associated with non-return to work at the end of the rehabilitation program. Methods: A pre-post study design was used. A convenience sample of 80 workers starting a return-to-work program and having a compensated musculoskeletal injury that caused an absence of more than three months from their regular work was recruited. Data were collected at baseline and at the end of the rehabilitation program on the nature of the worries and maintenance factors defined in Dugas’ generalized anxiety and worry model, using validated questionnaires. The margin of manoeuvre was assessed by the treating occupational therapist. A series of descriptive analyses were performed, as well as Generalized Estimating Equations analyses. Results: Workers’ worries were work-related or disability-related 83% of the time at baseline. These worries were essentially based on the situation then occurring at work 90% of the time. For the Generalized Estimating Equations analyses on work status, the final model was significant, explaining 54% of the variance in non-return to work (Pseudo R2 = 0.54; p = 0.0001). Workers were 8.52 times less likely to return to work when the margin of manoeuvre was insufficient, and twice as likely not to return to work in the presence of intense worry. Worries were significantly associated with insufficient margin of manoeuvre. Conclusion: A strong association between workers’ lack of margin of manoeuvre at work and their worries about their return to work, and poor work outcomes, supports the importance of the worker-environment interaction in rehabilitation programs. © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023.

Mots-clés

Réadaptation professionnelle, Vocational rehabilitation, Maintien en emploi, Job maintenance, Aspect psychosocial, Psychosocial aspect, Absentéisme maladie, Sickness absenteeism

Numéro de projet IRSST

2013-0041

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