Predicting return to work in a heterogeneous sample of recently injured workers using the brief OMPSQ-SF
Open accessAbstract
Purpose (1) to examine the ability of the Örebro Musculoskeletal Pain Screening Questionnaire-short version (ÖMPSQ-SF) to predict time to return to pre-injury work duties (PID) following a work-related soft tissue injury (regardless of body location); and (2) to examine the appropriateness of 50/100 as a suitable cut-off score for case identification. Methods Injured workers (IW) from six public hospitals in Sydney, Australia, who had taken medically-sanctioned time off work due to their injury, were recruited by insurance case managers within 5-15 days of their injury. Eligible participants (N = 213 in total) were administered the ÖMPSQ-SF over the telephone by the case manager. For objective (1) Cox proportional hazards regression analysis was used to predict days to return to PID using the ÖMPSQ-SF. For objective (2) receiver operator characteristic (ROC) analysis was used to determine the ÖMPSQ-SF total score that optimises sensitivity and specificity in detecting whether or not participants had returned to PID within 2-7 weeks. Results The total ÖMPSQ-SF score significantly predicted number of days to return to PID, such that for every 1-point increase in the total ÖMPSQ-SF score the predicted chance of returning to work reduced by 4% (i.e., hazard ratio = 0.96), p < 0.001. Sensitivity and specificity for the ROC analysis comparing ÖMPSQ-SF total score to return to PID within 2-7 weeks suggested 48 as the optimal cut off (sensitivity = 0.65, specificity = 0.79). Conclusion The results provide strong support for the use of the ÖMPSQ-SF in an applied setting for identifying those IW likely to have delayed RTW when administered within 15 days of the injury. While a score of 48/100 was the optimal cut point for sensitivity and specificity, pragmatically, 50/100 should be acceptable as a cut-off in future studies of this type.
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- Authors
- Nicholas, M. K., Costa, D. S. J., Linton, S. J., Main, C. J., Shaw, W. S., Pearce, R., Gleeson, M., Pinto, R. Z., Blyth, F. M., McCauley, J. H., Maher, C. G., Smeets, R. J. E. M., & McGarity, A.
- Affiliations
- The University of Sydney (AU)
- Örebro University (SE)
- Keele University (GB)
- UConn Health (US)
- UNSW Sydney (AU)
- Maastricht University (NL)
- Corresponding author
- Nicholas, M. K.
- ORCID
- Venue
- Journal of Occupational Rehabilitation
- Published
- 2018-05-23
- Volume
- 29
- Issue
- 2
- Pages
- 295-302
- ISSN
- 1053-0487 (ISSN-L)
- 1573-3688
- OpenAlex
- W2804580063
- Cited by
- 32
- References
- 30
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 6 · 2023: 1 · 2022: 4 · 2021: 2 · 2020: 6 · 2019: 2 · 2018: 1
- FWCI
- 1.77
- Type
- journal article
- Language
- en
- Open access
- Licence
- other-oa
- www.springer.com/tdm (tdm)
- Locations
- Journal of Occupational Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (submittedVersion, other-oa)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, other-oa)
- UNSWorks (University of New South Wales, Sydney, Australia) (submittedVersion, cc-by-nc-nd)
- Funders
- NSW Ministry of Health (AU); EML; icare
- 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
- return to work, injured workers, cut-off values, occupational injuries, case management, sensitivity and specificity
- MeSH terms
- Disability Evaluation, Female, Health Personnel, Humans, Male, Surveys and Questionnaires, Workers' Compensation, Case-Control Studies, Occupational Injuries, Return to Work
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