Cited by 78Medical Practices and RehabilitationMusculoskeletal pain and rehabilitationWorkplace Health and Well-being

A Participatory Return-to-Work Intervention for Temporary Agency Workers and Unemployed Workers Sick-Listed Due to Musculoskeletal Disorders: Results of a Randomized Controlled Trial

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Vermeulen, Sylvia J., Anema, Johannes R., Schellart, Antonius J. M., Knol, Dirk L., van Mechelen, Willem, van der Beek, Allard J.·2011·Journal of Occupational Rehabilitation

Abstract

INTRODUCTION: Within the labour force workers without an employment contract represent a vulnerable group. In most cases, when sick-listed, these workers have no workplace/employer to return to. Therefore, the aim of this study was to evaluate the effectiveness on return-to-work of a participatory return-to-work program compared to usual care for unemployed workers and temporary agency workers, sick-listed due to musculoskeletal disorders. METHODS: The workers, sick-listed for 2-8 weeks due to musculoskeletal disorders, were randomly allocated to the participatory return-to-work program (n = 79) or to usual care (n = 84). The new program is a stepwise procedure aimed at making a consensus-based return-to-work plan, with the possibility of a temporary (therapeutic) workplace. Outcomes were measured at baseline, 3, 6, 9 and 12 months. The primary outcome measure was time to sustainable first return-to-work. Secondary outcome measures were duration of sickness benefit, functional status, pain intensity, and perceived health. RESULTS: The median duration until sustainable first return-to-work was 161 days in the intervention group, compared to 299 days in the usual care group. The new return-to-work program resulted in a non-significant delay in RTW during the first 90 days, followed by a significant advantage in RTW rate after 90 days (hazard ratio of 2.24 [95% confidence interval 1.28-3.94] P = 0.005). No significant differences were found for the measured secondary outcomes. CONCLUSIONS: The newly developed participatory return-to-work program seems to be a promising intervention to facilitate work resumption and reduce work disability among temporary agency workers and unemployed workers, sick-listed due to musculoskeletal disorders.

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Authors
Vermeulen, S. J., Anema, J. R., Schellart, A. J. M., Knol, D. L., van Mechelen, W., & van der Beek, A. J.
Affiliations
  • University Medical Center Groningen (NL)
  • Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
Corresponding author
Anema, Johannes R.
Venue
Journal of Occupational Rehabilitation
Published
2011-02-19
Volume
21
Issue
3
Pages
313-324
ISSN
  • 1053-0487 (ISSN-L)
  • 1573-3688
OpenAlex
W2121271519
Cited by
78
References
42
Citations by year
2026: 4 · 2025: 5 · 2024: 5 · 2023: 2 · 2022: 4 · 2021: 3 · 2020: 6 · 2019: 3 · 2018: 12 · 2017: 5 · 2016: 6 · 2015: 7 · 2014: 7 · 2013: 2 · 2012: 5
FWCI
12.53
Type
journal article
Language
en
Open access
Licence
cc-by-nc
Locations
  • Journal of Occupational Rehabilitation (publishedVersion, cc-by-nc)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • Pure Amsterdam UMC (publishedVersion, other-oa)
  • Pure Amsterdam UMC (publishedVersion)
  • Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion, other-oa)
  • VU Research Portal (publishedVersion, other-oa)
  • Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
  • Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam) (submittedVersion)
Funders
National Center for Advancing Translational Sciences (L30 TR001047)
Topics
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
Keywords
return to work, temporary agency workers, unemployed workers, sick-listed workers, musculoskeletal disorders, participatory intervention, return-to-work planning, work disability, functional status, pain intensity
MeSH terms
Adult, Employment, Female, Humans, Male, Middle Aged, Musculoskeletal Diseases, Netherlands, Occupational Health Services, Patient Participation, Referral and Consultation, Time Factors, Work Capacity Evaluation, Program Evaluation, Proportional Hazards Models, Treatment Outcome, Sick Leave, Kaplan-Meier Estimate

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