Lai Hon Sun, Szeto Grace Py, Chan Chetwyn Ch
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University; Total Rehabilitation Management (Hong Kong) Limited.
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University.
Risk Manag Healthc Policy. 2017 Feb 7;10:7-16. doi: 10.2147/RMHP.S119479. eCollection 2017.
When a worker is injured at work, he has to face a tough decision-making process about when and how to return to work (RTW). This study tests how the prospect theory can be applied to influence the injured workers' perceptions about this important choice. One hundred forty-one injured workers were presented with wage- and pain-related information in four different message framing (negatively or positively) and precision (smaller or larger number) conditions. After exposure to the specific combination of this wage and pain information, the participants were asked to express intentions to RTW in terms of perceived chance, confidence, and anticipated sick leave duration. When asked to predict their RTW outcome, 101 participants (72.3%) responded favorably, whereas only 40 (27.7%) indicated an expectation for staying on sick leave. The present results did not show significant differences in the participants' responses to the positively and negatively framed information about wage and pain. However, it was noted that the control group that was presented with positive framing for both "wage" and "pain" information showed higher scores in expectation and confidence for RTW, whereas the Ambivalent Group that had both negative messages showed lower scores. Seventy-nine participants who had ≥60% perceived improvement in condition were selected for further analysis, and those who were presented with "wage loss" information rated significantly higher perceived chance of RTW than those in the "pain gain" group. More in-depth investigation is warranted on this topic, with a larger sample of injured workers to investigate the effects of message framing on the decision-making process about RTW.
当一名工人在工作中受伤时，他必须面对一个艰难的决策过程，即何时以及如何重返工作岗位（RTW）。本研究测试了前景理论如何应用于影响受伤工人对这一重要选择的认知。141名受伤工人在四种不同的信息框架（消极或积极）和精准度（较小或较大数字）条件下，被呈现了与工资和疼痛相关的信息。在接触到这种工资和疼痛信息的特定组合后，参与者被要求根据感知到的可能性、信心和预期病假时长来表达重返工作岗位的意向。当被要求预测他们重返工作岗位的结果时，101名参与者（72.3%）给出了积极回应，而只有40名（27.7%）表示期望继续休病假。目前的结果并未显示参与者对关于工资和疼痛的积极和消极框架信息的反应存在显著差异。然而，值得注意的是，同时收到“工资”和“疼痛”信息积极框架的对照组在重返工作岗位的期望和信心方面得分更高，而同时收到两条消极信息的矛盾组得分更低。79名病情改善感知率≥60%的参与者被选作进一步分析，收到“工资损失”信息的参与者对重返工作岗位的感知可能性评分显著高于“疼痛减轻”组的参与者。对于这个主题，有必要进行更深入的调查，以更大样本的受伤工人来研究信息框架对重返工作岗位决策过程的影响。
