Systematic review and tools appraisal of prognostic factors of return to work in workers on sick leave due to musculoskeletal and common mental disorders
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DOI: 10.1371/journal.pone.0307284
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1) population (i.e.; msds or cmds); 2) study design (prospective); 3) modifiable factors; 4) outcomes of interest (i.e.; rtw). studies showing high risk of bias were eliminated. tools used to measure prognostic factors were assessed using psychometric and usability criteria. from the 78 studies that met inclusion criteria; 19 (for msds) and 5 (for cmds) factors reaching moderate or strong evidence were extracted. these factors included work accommodations; rtw expectations; job demands (physical); job demands (psychological); job strain; work ability; rtw self-efficacy; expectations of recovery; locus of control; referred pain (back pain); activities as assessed with disability questionnaires; pain catastrophizing; coping strategies; fears; illness behaviours; mental vitality; a positive health change; sleep quality; and participation. measurement tools ranged from single-item tools to multi-item standardized questionnaires or subscales. the former generally showed low psychometric properties but excellent usability; whereas the later showed good to excellent psychometric properties and variable usability. the rigorous approach to the selection of eligible studies allowed the identification of a relatively small set of prognostic factors; but with a higher level of certainty. for each factor; the present tool assessment allows an informed choice to balance psychometric and usability criteria.;All these keywords.
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