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Associations Between the Readiness for Return to Work Scale and Return to Work: A Prospective Study.

Lene Aasdahl¹, Kristine Pape², Chris Jensen^2,3

¹Department of Public Health and General Practice, Faculty of Medicine, NTNU, Norwegian University of Science and Technology, Postboks 8905 MTFS, 7491, Trondheim, Norway. lene.aasdahl@ntnu.no.

Journal of Occupational Rehabilitation

|March 17, 2017

Summary

The Readiness for Return to Work scale showed some association with return to work outcomes. However, a simple question about sick leave expectations was a better predictor of work outcomes than the scale itself.

Keywords:

Mental health Musculoskeletal diseases Rehabilitation Scale Sick leave

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Area of Science:

Occupational Health
Rehabilitation Medicine
Psychometrics

Background:

Assessing an individual's readiness for return to work (RTW) is crucial in occupational rehabilitation.
The Readiness for RTW scale aims to measure this preparedness, but its clinical utility requires validation.

Purpose of the Study:

To evaluate the effectiveness of the Readiness for RTW scale in individuals undergoing occupational rehabilitation.
To determine the association between the scale's dimensions and successful RTW.
To compare the scale's predictive power against a simple question on sick leave duration expectations.

Main Methods:

Prospective cohort study with a 9-month follow-up period.
Analysis of data from participants in two randomized clinical trials.
Linear and logistic regression models were used to assess associations, adjusting for covariates.

Main Results:

For unemployed individuals, specific 'Prepared for action' dimensions correlated with higher RTW probability and more workdays.
For employed individuals, the 'Uncertain maintenance' dimension was linked to lower RTW probability and fewer workdays.
Readiness for RTW scale models explained less variance in work outcomes compared to a single expectation question.

Conclusions:

While three dimensions of the Readiness for RTW scale showed association with RTW, the scale has notable weaknesses.
The current stage allocation method within the scale is not recommended for clinical practice.
A simple question on sick leave expectations appears more effective in predicting RTW outcomes.