Durand Marie-José, Loisel Patrick, Hong Quan Nha, Charpentier Nicole
Department of Community Health Sciences, Université de Sherbrooke, Sherbrooke, Quebec, Canada.
J Occup Rehabil. 2002 Sep;12(3):191-204. doi: 10.1023/a:1016846712499.
Recent evidence has demonstrated that disability from musculoskeletal disorders is a multifactorial problem that is not only due to workers' characteristics but also closely related to environmental factors, such as the workplace, the health care system, the compensation system, and the interactions among all stakeholders regarding the disability problem. The Work Disability Diagnosis Interview (WoDDI) was developed following a systematic method in order to help clinicians detect possible disability prognostic factors in subacute or chronic musculoskeletal pain patients. A structured literature review, followed by expert input and a second round of revisions after 4-year's usage led to the current version. The WoDDI is composed of open-ended questions on physical, psychosocial, occupational, and administrative factors, collated into an interview form used at the first encounter with the disabled worker. It enables clinicians to develop a rehabilitation plan and focus on disability resolution in patients absent from work due to a musculoskeletal disorder. Initial application demonstrated a high prevalence of sociodemographic, work-related, and psychosocial factors that may contribute to prolonged work absence.
最近的证据表明，肌肉骨骼疾病导致的残疾是一个多因素问题，不仅与工人的特征有关，还与环境因素密切相关，如工作场所、医疗保健系统、补偿系统，以及所有利益相关者在残疾问题上的相互作用。工作残疾诊断访谈（WoDDI）是按照系统方法开发的，旨在帮助临床医生在亚急性或慢性肌肉骨骼疼痛患者中检测可能的残疾预后因素。经过结构化文献综述，随后专家参与，并在使用4年后进行第二轮修订，形成了当前版本。WoDDI由关于身体、心理社会、职业和管理因素的开放式问题组成，整理成首次与残疾工人接触时使用的访谈表格。它使临床医生能够制定康复计划，并专注于因肌肉骨骼疾病而缺勤的患者的残疾解决。初步应用表明，社会人口统计学、工作相关和心理社会因素的高患病率可能导致长期缺勤。
