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Titre : | Are Performance-Based Functional Assessments Superior to Semistructured Interviews for Enhancing Return-to-Work Outcomes? (2014) |
Auteurs : | Douglas P. Gross ; Alexander K. Asante ; Maxi Miciak |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2014/5, 2014) |
Article en page(s) : | p. 807-815 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Rééducation et réadaptation ; Reprise du travail |
Mots-clés: | Insurance ; disability ; Assurance invalidité ; Outcome and process assessment (health care) ; Évaluation des résultats et des processus en soins de santé ; Return to work ; Workers' compensation ; Indemnisation des accidentés du travail |
Résumé : |
Objective To examine whether use of functional capacity evaluation (FCE) leads to better outcomes for injured workers. Design Cluster randomized controlled trial conducted with analysis at level of claimant. Setting Rehabilitation facility. Participants Participants included claimants (N=203); of these, 103 were tested with FCE. Data were collected on all claimants undergoing RTW assessment at the facility for musculoskeletal conditions. Participants were predominantly employed (59%) men (73%) with chronic musculoskeletal conditions (median duration, 496d). Interventions FCEs are commonly used to identify work abilities and inform return-to-work (RTW) decisions. Therefore, FCE results have important consequences. Clinicians who were trained and experienced in performing FCEs were randomized into 2 groups. One group included 14 clinicians who were trained to conduct a semistructured functional interview; the other group (control group) continued to use standard FCE procedures. Main Outcome Measures Outcomes included RTW recommendations after assessment, functional work level at time of assessment and 1, 3, and 6 months after assessment, and compensation outcomes. Analysis included Mann-Whitney U, chi-square, and t tests. Results All outcomes were similar between groups, and no statistically or clinically significant differences were observed. Mean differences between groups on functional work levels at assessment and follow-up ranged from 0.1 to 0.3 out of 4 (3%8% difference, P>.05). Conclusions Performance-based FCEs did not appear to enhance RTW outcomes beyond information gained from semistructured functional interviewing. Use of functional interviewing has the potential to improve efficiency of RTW assessment without compromising clinical, RTW, or compensation outcomes. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |