Limits...
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.

Muijzer A, Geertzen JH, de Boer WE, Groothoff JW, Brouwer S - BMC Public Health (2012)

Bottom Line: Efforts undertaken during the return to work (RTW) process need to be sufficient to prevent unnecessary applications for disability benefits.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.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Health Sciences, Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands. a.muijzer@umcg.nl

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.

Show MeSH

Related in: MedlinePlus

Overview of procedure to make factors relevant to Return-to-work Effort Sufficiency explicit by means of focus groups.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3307027&req=5

Figure 1: Overview of procedure to make factors relevant to Return-to-work Effort Sufficiency explicit by means of focus groups.

Mentions: The focus groups consisted of LE's working at the SII in the Netherlands, We aimed at bringing together two focus groups of 5-8 LE's. A minimum of five LE's in each group is necessary to ensure response diversity, and a maximum of eight LE's to facilitate discussion later in the focus group process. A total of 32 LE's were contacted by SII staff members, 16 from SII's in the northern region, 16 from SII in the central region of the Netherlands. LE's were selected by the staff members for their expertise in the assessment of RTW-ES, and to include members of all SII offices of the region. If they agreed, the researcher (AM) contacted them and explained the study, and asked for their participation. Each focus group had two meetings, where two cases of RTW-ES were introduced. Both focus groups assessed a different case. The results from the second focus group were used to confirm and add to the findings of the first focus group. The procedure will be described in detail below (see also Figure 1).


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.

Muijzer A, Geertzen JH, de Boer WE, Groothoff JW, Brouwer S - BMC Public Health (2012)

Overview of procedure to make factors relevant to Return-to-work Effort Sufficiency explicit by means of focus groups.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3307027&req=5

Figure 1: Overview of procedure to make factors relevant to Return-to-work Effort Sufficiency explicit by means of focus groups.
Mentions: The focus groups consisted of LE's working at the SII in the Netherlands, We aimed at bringing together two focus groups of 5-8 LE's. A minimum of five LE's in each group is necessary to ensure response diversity, and a maximum of eight LE's to facilitate discussion later in the focus group process. A total of 32 LE's were contacted by SII staff members, 16 from SII's in the northern region, 16 from SII in the central region of the Netherlands. LE's were selected by the staff members for their expertise in the assessment of RTW-ES, and to include members of all SII offices of the region. If they agreed, the researcher (AM) contacted them and explained the study, and asked for their participation. Each focus group had two meetings, where two cases of RTW-ES were introduced. Both focus groups assessed a different case. The results from the second focus group were used to confirm and add to the findings of the first focus group. The procedure will be described in detail below (see also Figure 1).

Bottom Line: Efforts undertaken during the return to work (RTW) process need to be sufficient to prevent unnecessary applications for disability benefits.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.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Health Sciences, Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands. a.muijzer@umcg.nl

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.

Show MeSH
Related in: MedlinePlus