The effect of recalled previous work environment on return to work after a rehabilitation program including vocational aspects for trauma patients.
BACKGROUND
The aim of the present study was to assess the association between remembered previous work place environment and return to work (RTW) after hospitalisation in a rehabilitation hospital.


METHODS
A cohort of 291 orthopedic trauma patients discharged from hospital between 15 December 2004 and 31 December 2005 was included in a study addressing quality of life and work-related questions. Remembered previous work environment was measured by Karasek's 31-item Job Content Questionnaire (JCQ), given to the patients during hospitalisation. Post-hospitalisation work status was assessed 3 months, 1, and 2 years after discharge, using a questionnaire sent to the ex-patients. Logistic regression models were used to test the role of four JCQ variables on RTW at each time point while controlling for relevant confounders.


RESULTS
Subjects perceiving a higher physical demand were less likely to return to work 1 year after hospital discharge. Social support at work was positively associated with RTW at all time points. A high job strain appeared to be positively associated with RTW 1 year after rehabilitation, with limitations due to large confidence intervals.


CONCLUSIONS
Perceptions of previous work environment may influence the probability of RTW. In a rehabilitation setting, efforts should be made to assess those perceptions and, if needed, interventions to modify them should be applied.
Ballabeni
Pierluigi
P
Clinique romande de réadaptation suvaCare, Case postale 352, Avenue Grand-Champsec 90, CH-1951 Sion, Switzerland. pierluigi.ballabeni@crr-suva.ch
Burrus
Cyrille
C
Luthi
François
F
Gobelet
Charles
C
Dériaz
Olivier
O
D000328:Adult; D004651:Employment; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D016015:Logistic Models; D008297:Male; D011939:Mental Recall; D008875:Middle Aged; D016017:Odds Ratio; D010351:Patient Discharge / Q000706:statistics & numerical data; D010465:Perception; D011446:Prospective Studies; D011594:Psychometrics; D011788:Quality of Life; D012050:Rehabilitation, Vocational / Q000523:psychology* / Q000706:statistics & numerical data; D018582:Sick Leave; D012944:Social Support; D011795:Surveys and Questionnaires; D013557:Switzerland; D016896:Treatment Outcome; D017132:Workplace / Q000523:psychology*; D014947:Wounds and Injuries / Q000534:rehabilitation*