Irene Øyeflaten1, Inger Johanne Midtgarden2, Silje Maeland3, Hege R Eriksen4, Liv Heide Magnussen5. 1. The National Centre for Occupational Rehabilitation - a National Advisory Unit, Norway Uni Health, Uni Research, Norway irene.oyeflaten@air.no. 2. The National Centre for Occupational Rehabilitation - a National Advisory Unit, Norway. 3. Uni Health, Uni Research, Norway Department of Occupational Therapy, Physiotherapy and Radiography, Bergen University College, Norway. 4. Uni Health, Uni Research, Norway Hemil, Research Centre for Health Promotion, University of Bergen, Norway. 5. Uni Health, Uni Research, Norway Department of Occupational Therapy, Physiotherapy and Radiography, Bergen University College, Norway Department of Global Public Health and Primary Care, University of Bergen, Norway.
Abstract
AIM: The aim of this study was to explore how functional ability, coping and health were related to work and benefit status three years after participating in a four-week inpatient interdisciplinary occupational rehabilitation program. METHODS: The cohort consisted of 338 individuals (75% females, mean age 51 years (SD=8.6)) who three years earlier had participated in a comprehensive inpatient interdisciplinary occupational rehabilitation program, due to long-term sick leave. The participants answered standardised questionnaires about subjective health complaints, functional ability, coping, and current work and benefit status. The relationships between these variables were analysed using logistic regression analyses. RESULTS: At the time of the survey, 59% of the participants worked at least 50% of a full working day. Twenty-five percent received at least 50% disability pension and 16% received other benefits. Poor functional ability (OR 4.8; CI 3.0-7.6), poor general health (OR 3.8; CI 2.3-6.1), high level of subjective health complaints (OR 3.3; CI 2.1-5.2), low coping (OR 2.8; CI 1.7-4.4), poor physical fitness (OR 2.8; CI 1.7-4.6) and poor sleep quality (OR 2.4; CI 1.5-3.7) were associated with receiving allowances. In a fully adjusted model, only poor functional ability and low coping were associated with receiving allowances three years after occupational rehabilitation. CONCLUSIONS: Functional ability and coping were the variables most strongly associated with not having returned to work. More attention should therefore be paid to enhance these factors in occupational rehabilitation programs. Part-time work may be a feasible way to integrate individuals with reduced workability in working life, if the alternative is complete absence from work.
AIM: The aim of this study was to explore how functional ability, coping and health were related to work and benefit status three years after participating in a four-week inpatient interdisciplinary occupational rehabilitation program. METHODS: The cohort consisted of 338 individuals (75% females, mean age 51 years (SD=8.6)) who three years earlier had participated in a comprehensive inpatient interdisciplinary occupational rehabilitation program, due to long-term sick leave. The participants answered standardised questionnaires about subjective health complaints, functional ability, coping, and current work and benefit status. The relationships between these variables were analysed using logistic regression analyses. RESULTS: At the time of the survey, 59% of the participants worked at least 50% of a full working day. Twenty-five percent received at least 50% disability pension and 16% received other benefits. Poor functional ability (OR 4.8; CI 3.0-7.6), poor general health (OR 3.8; CI 2.3-6.1), high level of subjective health complaints (OR 3.3; CI 2.1-5.2), low coping (OR 2.8; CI 1.7-4.4), poor physical fitness (OR 2.8; CI 1.7-4.6) and poor sleep quality (OR 2.4; CI 1.5-3.7) were associated with receiving allowances. In a fully adjusted model, only poor functional ability and low coping were associated with receiving allowances three years after occupational rehabilitation. CONCLUSIONS: Functional ability and coping were the variables most strongly associated with not having returned to work. More attention should therefore be paid to enhance these factors in occupational rehabilitation programs. Part-time work may be a feasible way to integrate individuals with reduced workability in working life, if the alternative is complete absence from work.
Authors: Sophie H Klasen; Ludovic Gpm van Amelsvoort; Nicole Wh Jansen; Jos Jm Slangen; Gladys Tjin A Ton; IJmert Kant Journal: Scand J Work Environ Health Date: 2021-01-07 Impact factor: 5.024