Debra A Dunstan1, Tanya Covic, Graham A Tyson. 1. Discipline of Psychology, School of Behavioural, Cognitive and Social Sciences, University of New England, Armidale, Australia.
Abstract
OBJECTIVE: This study used a Theory of Planned Behavior (TPB) model to identify the factors influencing the future work expectations and outcomes of employees with a musculoskeletal injury. PARTICIPANTS: Australians with a compensable work injury (N=174), mean age=43.7 years, 53.2% male, 48.3% back injury , and 34.2% unskilled. METHODS: A TPB model of the target behavior 'working, or continuing to work … three months from now' was constructed. A questionnaire measuring the model's components was completed at baseline and three-months follow-up. RESULTS: The model met standard psychometric requirements. Attitude, Subjective Norm and Perceived Behavioral Control explained 76% of the variance in Behavioral Intention (<formula>R^{2}</formula>= 0.76, p< 0.001). Behavioral Intention (the expectation to return to work) explained 51% of the variance in work participation at follow-up (Nagelkerke <formula>R^{2}</formula>=0.51, p< 0.001; sensitivity=86.4%, specificity=71.2%). The strength of key influences on expectations varied according to employment status, but included the availability of modified duties, social aspects of work, the opinion of the treating doctor, co-worker support, pain, and functional limitations. CONCLUSION: The TPG is a useful model and conceptual framework for integrating the biopsychosocial determinantsof return to work (RTW) and identifying the influences on future work expectations and outcomes.
OBJECTIVE: This study used a Theory of Planned Behavior (TPB) model to identify the factors influencing the future work expectations and outcomes of employees with a musculoskeletal injury. PARTICIPANTS: Australians with a compensable work injury (N=174), mean age=43.7 years, 53.2% male, 48.3% back injury , and 34.2% unskilled. METHODS: A TPB model of the target behavior 'working, or continuing to work … three months from now' was constructed. A questionnaire measuring the model's components was completed at baseline and three-months follow-up. RESULTS: The model met standard psychometric requirements. Attitude, Subjective Norm and Perceived Behavioral Control explained 76% of the variance in Behavioral Intention (<formula>R^{2}</formula>= 0.76, p< 0.001). Behavioral Intention (the expectation to return to work) explained 51% of the variance in work participation at follow-up (Nagelkerke <formula>R^{2}</formula>=0.51, p< 0.001; sensitivity=86.4%, specificity=71.2%). The strength of key influences on expectations varied according to employment status, but included the availability of modified duties, social aspects of work, the opinion of the treating doctor, co-worker support, pain, and functional limitations. CONCLUSION: The TPG is a useful model and conceptual framework for integrating the biopsychosocial determinantsof return to work (RTW) and identifying the influences on future work expectations and outcomes.
Entities:
Keywords:
Work disability; co-worker support; modified work
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