Department of Behaviour Sciences and Learning, Linköping University, Linköping, Sweden. E-mail:
J Rehabil Med. 2021 Apr 1;53(4):jrm00177. doi: 10.2340/16501977-2798.
The activity ability assessment is a Swedish method for assessing general work ability, based on self-reports combined with an examination by specially trained physicians, and, if needed, extended assessments by occupational therapists, physiotherapists and/or psychologists. The aim of this study was to analyse the predictive validity of the activity ability assessment in relation to future sick leave.
Analysis of assessments in 300 case files, in relation to register data on sick leave.
People on sick leave (n =300, 32% men, 68% women; mean age 48 years; assessment at mean sick leave day 249).
Univariate and multivariate statistics.
Self-rated work ability was the only factor with predictive value related to future sick leave. Physicians' evaluations lacked predictive value, except where the person had a limitation in vision, hearing or speech that was predictive of future decisions by the Social Insurance Agency. No sex differences were identified.
The predictive value of the activity ability assessment for future sick leave is limited, and self-rated work ability is more accurate compared with an extensive insurance medical assessment. Self-rated work ability may be more holistic compared with insurance medicine assessments, which may be overly focused on individual factors. A practical implication of this is that the inclusion of contextual factors in assessment procedures needs to be improved.
活动能力评估是一种瑞典方法，用于评估一般工作能力，基于自我报告，并结合经过专门培训的医生进行检查，如果需要，还可以由职业治疗师、物理治疗师和/或心理学家进行扩展评估。本研究的目的是分析活动能力评估与未来病假之间的预测效度。
对 300 份病例档案中的评估进行分析，与关于病假的登记数据相关。
病假人员（n=300，32%为男性，68%为女性；平均年龄 48 岁；评估时平均病假天数为 249 天）。
单变量和多变量统计。
自我评估的工作能力是唯一与未来病假相关的具有预测价值的因素。医生的评估缺乏预测价值，但在视力、听力或言语方面存在限制的人，可能会对社会保险局未来的决策产生影响。未发现性别差异。
活动能力评估对未来病假的预测价值有限，与广泛的保险医疗评估相比，自我评估的工作能力更准确。自我评估的工作能力可能比保险医学评估更全面，后者可能过于关注个体因素。这一结果的实际意义是，需要改进评估程序中对情境因素的纳入。
