A Systematic Search and Review of Questionnaires Measuring Individual psychosocial Factors Predicting Return to Work After Musculoskeletal and Common Mental Disorders.
Andrea Gragnano, Patrizia Villotti, Christian Larivière and 2 others
PMID 33355911WHAT IT FOUND
Three psychosocial factors predict return to work after musculoskeletal or mental disorders.
Self-efficacy is a strong predictor for both. Expectations predict well for musculoskeletal issues, while work ability is less reliable for mental disorders. Several validated questionnaires exist to measure these factors.
Key findings
01RTW self-efficacy was a strong predictor of return to work for both musculoskeletal and common mental disorders.
02RTW expectations strongly predicted return to work after musculoskeletal disorders but only moderately after common mental disorders.
03Work ability strongly predicted return to work after musculoskeletal disorders but was only a limited predictor after common mental disorders.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
The review did not perform a meta-analysis of effect sizes, relying instead on a 'best-evidence synthesis' which counts significant vs. non-significant findings. This method does not quantify the strength of the prediction. Only prospective cohort studies were included, which excluded cross-sectional data where many psychosocial factors are studied. Many of the identified tools were single-item questions that had not undergone rigorous psychometric validation (such as test-retest reliability). The review focused only on individual psychosocial factors, excluding organizational or workplace factors which also influence RTW.
Declared interests
The paper notes 'Research Support, Non-U.S. Gov't' in the publication types, but no specific conflicts of interest or funding sources are declared in the provided text.
The easy way to misread this
Do not assume that a high score on a work ability questionnaire will accurately predict return to work for a patient with depression or anxiety. The review found work ability to be only a limited predictor for common mental disorders, whereas self-efficacy remained a strong predictor.