The Demand-Control-Support model as a predictor of return to work.

N Janssen¹, W P M van den Heuvel, A J H M Beurskens

¹Department of Health Organization, Policy and Economics, Faculty of Health Sciences, Maastricht University, PO Box 616, 6200 MD Maastricht, The Netherlands. n.janssen@beoz.unimaas.nl

International Journal of Rehabilitation Research. Internationale Zeitschrift Fur Rehabilitationsforschung. Revue Internationale De Recherches De Readaptation

|February 26, 2003

Summary

High job demands may pressure employees to return to work, often with adjustments. Supervisor support is crucial for a successful return to work without modifications.

Area of Science:

Occupational Health
Psychology
Sociology

Background:

The Demand-Control-Support model explains how job characteristics influence employee health.
Understanding factors affecting return to work is vital for employee well-being and productivity.
Previous research suggests job demands, control, and support impact health complaints.

Purpose of the Study:

To investigate work-related determinants of return to work among employees on sick leave.
To test the hypothesis that high job demands hinder return to work, while control and support facilitate it.

Main Methods:

Study population: Employees sick-listed for 6-8 weeks.
Outcome: Return to work status (not working, return with adjustments, full return) 4 months post-sick leave onset.
Analysis: Logistic regression to test the Demand-Control-Support model's strain hypothesis.

Main Results:

High job demands were least predictive of full return to work but increased likelihood of returning with adjustments.
High skill discretion combined with high job demands predicted return to work with adjustments versus not working.
High supervisor support was the strongest predictor of return to work without adjustments and the weakest predictor of not working.

Conclusions:

Job demands can act as a pressure for return to work, particularly with workplace adjustments.
Supervisor support plays a significant role in facilitating a complete return to work.
The findings support and extend the Demand-Control-Support model in the context of return to work.

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Related Experiment Videos

The Demand-Control-Support model as a predictor of return to work.

Area of Science:

Background:

Purpose of the Study:

Main Methods:

Main Results:

Conclusions:

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