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Predicting return to work after low back injury using the Psychosocial Risk for Occupational Disability Instrument: a

I Z Schultz1, J Crook, J Berkowitz

  • 1Department of Educational and Counselling Psychology, and Special Education, University of British Columbia, Vancouver, British Columbia, Canada. ischultz@telus.net

Journal of Occupational Rehabilitation
|August 27, 2005
PubMed
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The Psychosocial Risk-for-Disability Instrument accurately predicts return to work (RTW) for injured workers. This tool aids in assessing outcomes for low back pain in workers' compensation cases.

Area of Science:

  • Occupational health
  • Psychosocial factors in disability
  • Workers' compensation research

Background:

  • Assessing psychosocial risk is crucial for predicting disability outcomes.
  • Previous validation exists for a multimethod instrument.
  • This study focuses on a subacute low back pain sample within workers' compensation.

Purpose of the Study:

  • To determine the predictive validity of the Psychosocial Risk-for-Disability Instrument.
  • To evaluate the instrument's utility in the workers' compensation setting.
  • To assess return to work predictions in subacute low back pain patients.

Main Methods:

  • A cohort longitudinal study design was employed.
  • 111 workers with low back pain, off work for 4-6 weeks, completed the questionnaire.

Related Experiment Videos

  • Return to work status was tracked at three months for 100 workers.

    • Main Results:

    • A predictive model included Expectations of Recovery, SF-36 Vitality, SF-36 Mental Health, and Waddell Symptoms.
    • The model achieved 79% correct classification of return to work.
    • High specificity (89% for RTW) and sensitivity (61% for NRTW) were observed, with an ROC curve of 84%.

    Conclusions:

    • The Psychosocial Risk-for-Disability Instrument demonstrates predictive validity.
    • The instrument is practical for predicting return to work in subacute low back injuries within workers' compensation.