Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Centre for Clinical Research Dalarna, Uppsala University, Falun, Sweden.
Disabil Rehabil. 2019 Dec;41(25):3061-3070. doi: 10.1080/09638288.2018.1490462. Epub 2018 Jul 24.
The purpose of this study was to investigate associations between motivation for return to work and actual return to work, or increased employability among people on long-term sick leave. Data by responses to questionnaires was collected from 227 people on long-term sick leave (mean = 7.9 years) due to pain syndrome or mild to moderate mental health conditions who had participated in a vocational rehabilitation intervention. The participants' motivation for return to work was measured at baseline. At 12-month follow-up, change in the type of reimbursement between baseline and at present was assessed and used to categorise outcomes as: "decreased work and employability", "unchanged", "increased employability", and "increased work". Associations between baseline motivation and return to work outcome were analysed using logistic and multinomial regression models. Motivation for return to work at baseline was associated with return to work or increased employability at 12-month follow-up in the logistic regression model adjusting for potential confounders (OR 2.44, 95% CI 1.25-4.78). The results suggest that motivation for return to work at baseline was associated with actual chances of return to work or increased employability in people on long-term sick leave due to pain syndrome or mild to moderate mental health conditions. Implication for rehabilitationHigh motivation for return to work seems to increase the chances of actual return to work or increased employability in people on sick leave due to pain syndrome or mild to moderate mental health conditions.The potential impact of motivation for return to work is suggested to be highlighted in vocational rehabilitation.Rehabilitation professionals are recommended to recognise and take into consideration the patient's stated motivation for return to work.Rehabilitation professionals should be aware of that the patient's motivation for return to work might have an impact on the outcome of vocational rehabilitation.
本研究旨在探讨长期病假人员（因疼痛综合征或轻度至中度心理健康问题而请病假，平均病假时长为 7.9 年）的工作动机与实际工作返回或就业能力提高之间的关联。通过问卷调查收集了 227 名长期病假人员的数据，这些人参加了职业康复干预。参与者的工作动机在基线时进行了测量。在 12 个月的随访中，评估了基线和当前之间报销类型的变化，并将结果分类为“工作和就业能力下降”、“不变”、“就业能力提高”和“工作增加”。使用逻辑回归和多项逻辑回归模型分析了基线工作动机与工作返回结果之间的关联。在调整潜在混杂因素后，逻辑回归模型显示基线工作动机与 12 个月随访时的工作返回或就业能力提高有关（OR 2.44，95%CI 1.25-4.78）。结果表明，基线时的工作动机与疼痛综合征或轻度至中度心理健康问题导致的长期病假人员实际工作返回或就业能力提高的机会有关。对康复的启示高工作动机似乎增加了因疼痛综合征或轻度至中度心理健康问题而请病假的人员实际返回工作或提高就业能力的机会。建议在职业康复中突出工作动机的潜在影响。建议康复专业人员识别并考虑患者对返回工作的动机。康复专业人员应该意识到，患者的工作动机可能会对职业康复的结果产生影响。
