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Updated: Mar 16, 2026

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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
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Testing the "Work Ability House" Model in hospital workers.
Maria Carmen Martinez1, Maria do Rosário Dias de Oliveira Latorre2, Frida Marina Fischer1
1Departamento de Saúde Ambiental, Faculdade de Saúde Pública, Universidade de São Paulo - São Paulo (SP), Brasil.
Summary
The Work Ability House model
Area of Science:
- Occupational Health
- Workforce Management
- Psychology
Background:
- Work ability is crucial for employee well-being and organizational productivity.
- Understanding the multifactorial determinants of work ability is essential for effective management.
- The Work Ability House model offers a framework for assessing these determinants.
Purpose of the Study:
- To validate the hierarchical structure of the Work Ability House model.
- To identify factors influencing work ability in hospital workers.
- To assess the model's utility in managing work ability.
Main Methods:
- A cohort study involving 599 hospital workers in São Paulo (2009-2011).
- Utilized questionnaires covering sociodemographics, lifestyle, working conditions, and validated scales (Job Stress Scale, Effort-Reward Imbalance, WAI).
- Hierarchical logistic regression analysis to determine factors associated with work ability.
Main Results:
- Younger age (<30 years) showed a trend towards impaired work ability (p=0.20).
- Absence of work injuries (p=0.029), lower educational level (p=0.008), overcommitment (p<0.001), effort-reward imbalance (p=0.009), and high job demands (p=0.040) were associated with reduced work ability.
- Sociodemographic, health, professional competence, values, and work dimensions were significant predictors.
Conclusions:
- The study confirmed the proposed dimensions of the Work Ability House model.
- The model is a valid representation of a multidimensional construct.
- The Work Ability House model can be effectively utilized for managing work ability in occupational settings.
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