Secondary prevention of work disability: community-based psychosocial intervention for musculoskeletal disorders

Sullivan, Michael J. L.; Ward, L. Charles; Tripp, Dean; French, Douglas J.; Adams, Heather; Stanish, William D.

doi:10.1007/s10926-005-5944-7

Cited by 182Musculoskeletal pain and rehabilitationMedical Practices and RehabilitationWorkplace Health and Well-being

Secondary prevention of work disability: community-based psychosocial intervention for musculoskeletal disorders

Sullivan, Michael J. L., Ward, L. Charles, Tripp, Dean, French, Douglas J., Adams, Heather, Stanish, William D.·2005·Journal of Occupational Rehabilitation

DOI 10.1007/s10926-005-5944-7

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Abstract

Introduction One objective of the present research was to examine the degree to which psychological risk factors could be reduced through participation in a community-based psychosocial intervention for work-related musculoskeletal disorders. A second objective was to examine whether psychosocial risk reduction had an effect on the probability of return to work.Methods Participants were 215 Workers Compensation Board claimants with work-related musculoskeletal disorders who had been absent from work for an average of approximately 7 months (M = 28.8 weeks, range = 4-100 weeks) and were referred to a community-based multidisciplinary secondary prevention program in Nova Scotia, Canada.Results In the current sample, 63.7% of participants returned to work within 4 weeks of treatment termination. The percentage reductions in targeted risk factors from pretreatment to posttreatment were as follows: catastrophizing (32%), depression (26%), fear of movement/re-injury (11%), and perceived disability (26%). Logistic regression indicated that elevated pretreatment scores on fear of movement and re-injury (OR = 0.58, 95% CI = 0.35-0.95) and pain severity (OR = 0.64, 95% CI = 0.43-0.96) were associated with a lower probability of return to work. A second logistic regression addressing the relation between risk factor reduction and return to work revealed that only reductions in pain catastrophizing (OR = 0.17, 95% CI = 0.07-0.46) were significant predictors of return to work.Conclusions The results of the present study provide further evidence that risk factor reduction can impact positively on short term return to work outcomes.Significance Outcomes of rehabilitation programs for work disability might be improved by incorporating interventions that specifically target catastrophic thinking. Community-based models of psychosocial intervention might represent a viable approach to the management of work disability associated with musculoskeletal disorders.

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Authors: Sullivan, M. J. L., Ward, L. C., Tripp, D., French, D. J., Adams, H., & Stanish, W. D.
Affiliations: Université de Montréal (CA)
Tuscaloosa VA Medical Center (US)
Queen's University (CA)
Université de Moncton (CA)
Dalhousie University (CA)
Corresponding author: Stanish, William D.
ORCID: Sullivan, Michael J. L.
Tripp, Dean
French, Douglas J.
Adams, Heather
Venue: Journal of Occupational Rehabilitation
Publisher: Springer Science and Business Media LLC
Published: 2005-09
Volume: 15
Issue: 3
Pages: 377-392
ISSN: 1053-0487 (ISSN-L)
1573-3688
DOI: 10.1007/s10926-005-5944-7
OpenAlex: W2101719339
Cited by: 182
References: 62
Citations by year: 2026: 4 · 2025: 5 · 2024: 3 · 2023: 6 · 2022: 5 · 2021: 6 · 2020: 5 · 2019: 4 · 2018: 5 · 2017: 7 · 2016: 8 · 2015: 11 · 2014: 11 · 2013: 17 · 2012: 15
FWCI: 7.21
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
Locations: Journal of Occupational Rehabilitation (publishedVersion)
PubMed (publishedVersion)
Funders: Canadian Institutes of Health Research
Topics: Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
Keywords: work disability, musculoskeletal disorders, secondary prevention, psychosocial interventions, return to work, pain catastrophizing, fear of reinjury, depression, perceived disability, workers' compensation, community-based rehabilitation, psychological risk factors, pain intensity
MeSH terms: Adult, Community Health Services, Depression, Disability Evaluation, Fear, Female, Humans, Male, Middle Aged, Musculoskeletal Diseases, Nova Scotia, Occupational Diseases, Pain, Preventive Health Services, Psychometrics, Rehabilitation, Vocational, Risk Factors, Logistic Models, Treatment Outcome

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Secondary prevention of work disability: community-based psychosocial intervention for musculoskeletal disorders

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