Presentation M P9

M P9 (Poster Presentation):
Stage-matched return to work intervention for injured workers with limb fracture

Presented by: Yanwen Xu

Authors

Xu Yanwen1, Luo Xiaoyuan1, Lu Xunwen1

  1. Department of Occupational Rehabilitation, The Guangdong Provincial Work Injury Rehabilitation Hospital, China

Abstract

Background

Return to work is a complex behavior for injured workers. The stage of change model provides a theoretical structure for those injured workers with respect to their readiness of return to work. However, there is little research reported on stage-matched return to work interventions for injured workers with limb fracture.

Methods

Study 1 is a validation study to test the psychometric properties of Putonghua version of the Lam Assessment of Stages of Employment Readiness (LASER) in mainland China, and to examine how confidence of return to work affect the readiness of return to work. A total of 85 injured workers with limb fracture took part in this study. Their average age is 37.9±9.9 years old. The data obtained is through face to face structured interview. Study 2 is an intervention study to provide stage-matched return to work services for participants according to a developed stage-matched intervention protocol. Social support, cognitive reorganization, behavior technic and functional improvement are the four intervention strategies. The principals in the four stages of return to work are: raising awareness of return to work in pre-contemplation stage; promoting self efficacy toward return to work in contemplation stage; attempting to make a change in preparation stage; and moving on and keeping following up in action stage.

Results

In study 1, the principle component analysis revealed that a four-factor solution which was found consistent with the original version of LASER. Test-retest reliability (ICC) ranged from 0.27-0.89, whereas the internal consistence among these four stages ranged from 0.691-0.796. The result also found that the score in different stages have significant different among the three group of confidence of return to work. The higher confidence of return to work, the more likely at the action stage. In study 2, the study is still on going, the preliminary result we found that participants were prone to be problematic in combining physical, psychosocial and compensation issues. To help sort out and provide assistance in tackling these problems through intervention strategies is crucial.

Conclusions

The structure validity of Putonghua version of LASER was useful for reflecting the readiness of injured workers’ return to work. The stage-matched intervention program seems to be beneficial in injured workers' return to work process, particularly in changing their return to work behavior.

Schedule Details

Monday September 29
12:45 - 13:45 Poster Viewing
Session: RTW interventions