Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Department of Health, Medicine and Caring Sciences, Linköping University, Norrköping, Sweden.
Work. 2021;70(1):109-124. doi: 10.3233/WOR-213558.
Studies of the social validity of work ability evaluations are rare, although the concept can provide valuable information about the acceptability, comprehensibility and importance of procedures.
The aim of this study was to explore clients' perceptions of social validity of work ability evaluations and the following official decisions concerning sickness benefits within the Swedish sickness insurance system.
This was a longitudinal qualitative study based on interviews with 30 clients on sick leave, analyzed through deductive content analysis.
Clients' understanding of the evaluation was dependent on whether the specific tests were perceived as clearly related to the clients' situation and what information they received. For a fair description of their work ability, clients state that the strict structure in the evaluation is not relevant to everyone.
The work ability evaluations indicate low acceptability due to lack of individual adaptation, the comprehensibility varied depending on the applicability of the evaluation and information provided, while the dimension 'importance' indicated as higher degree of social validity. The official decision about sickness benefits however was considered unrelated to the evaluation results, lacking solid arguments and sometimes contradictory to other stakeholders' recommendations indicating poor social validity.
尽管工作能力评估的社会有效性研究很少，但该概念可以提供有关程序的可接受性、可理解性和重要性的有价值信息。
本研究旨在探讨客户对工作能力评估的社会有效性的看法，以及瑞典社会保险系统中与病假津贴有关的以下官方决定。
这是一项基于对 30 名休病假的客户进行访谈的纵向定性研究，通过演绎内容分析进行分析。
客户对评估的理解取决于特定测试是否被认为与客户的情况明显相关，以及他们收到了哪些信息。为了公平描述他们的工作能力，客户表示评估中的严格结构并非对每个人都适用。
工作能力评估由于缺乏个性化适应而导致可接受性较低，可理解性取决于评估的适用性和提供的信息，而“重要性”这一方面则显示出较高的社会有效性。然而，病假津贴的官方决定被认为与评估结果无关，缺乏确凿的论据，有时与其他利益相关者的建议相矛盾，表明社会有效性较差。
