umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Sjukskrivnas resurser och hinder för återgång i arbete: viktiga faktorer för tidig bedömning
Umeå University, Faculty of Medicine, Community Medicine and Rehabilitation, Occupational Therapy.
2005 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aim of this thesis was to identify factors that early in a sick leave period could illuminate people’s resources and obstacles for returning to work; factors that could predict need for professional support in the sick leave process leading to a positive outcome for the individual.

This thesis consists of four studies. The studied population was living in a rural part of a northern county in Sweden, and had been on sick leave for 28 days irrespective of diagnosis. The participants have been followed for five years with different investigation methods and subgroups of participants. The thesis was initiated by sending a questionnaire to the participants; the responses were compared to groups of healthy controls. The aim was to find predictors of the likelihood of a return to work that can be identified early in a sick leave period. The main focus was on individual mental resources (Study I). The next phase involved studies of sick leave statistics obtained from the Swedish Social Insurance Office, for the study population two years before and two years after the start of the research project. The material from the sick leave statistics was analysed together with responses from the questionnaire study with Partial Least Square (PLS). This was done to search for connections between the participants and factors of concern for sick leave and returning to work in different subgroups (Study II). In-depth interviews also were conducted to explore what the participants experienced as important in their sick leave process as they progressed back to work, or to long term sick leave or disability pension (Study III). Another study investigated client files in the Swedish Social Insurance Office to describe what information that was possible to find: in terms of medical and vocational rehabilitation including assessments, predictors for the outcome of the sick leave process, and the quality of the information in the files (Study IV).

The findings showed significantly lower life satisfaction and psychosocial resources in the study-group compared to the healthy controls. The PLS analysis showed that it was the impact of multiple factors that influenced the study group, and the PLS analysis could help with early prediction of the outcome. Important factors were: personal belief in an ability to work in the future, number of sick leave days in the past, diagnosis, self-evaluated symptoms, life satisfaction and sense of coherence, length of education and sector of employment, and many different consequences in daily life caused by activity limitations. The interview study confirmed these results and added the following important resources: confirmation and support, structural and contextual factors, and participation in the sick leave process. Ideal-types were crystallized that can be identified in the early phases of the sick leave process. The client file study showed that some information was possible to find but a majority of the wanted information was limited why an improvement on the quality of documentation is suggested to give better basis for the files.

Place, publisher, year, edition, pages
Umeå: Samhällsmedicin och rehabilitering , 2005. , 92 p.
Series
Umeå University medical dissertations, ISSN 0346-6612 ; 979
Keyword [en]
Sick leave, work re-entry, disability pension, psychosocial factors, lived experiences, human occupations
Research subject
Social Medicine
Identifiers
URN: urn:nbn:se:umu:diva-591ISBN: 91-7305-929-3 (print)OAI: oai:DiVA.org:umu-591DiVA: diva2:143891
Public defence
2005-09-23, Aulan, Vårdvetarhuset, Umeå, 10:00 (English)
Opponent
Available from: 2005-09-20 Created: 2005-09-20 Last updated: 2009-11-13Bibliographically approved
List of papers
1. Significant resources needed for return to work after sick leave
Open this publication in new window or tab >>Significant resources needed for return to work after sick leave
2005 (English)In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 25, no 3, 231-240 p.Article in journal (Refereed) Published
Abstract [en]

There are increasing numbers of people on long-term sick leave, especially with stress-related ill health and musculoskeletal disorders. The main purpose of this study is to, early on in the sick leave, find predictors of individual resources for a return to work. The study group consists of women and men on sick leave compared with reference groups of healthy persons. A questionnaire was used regarding diagnosis given on the doctor's certificate, self-reported symptoms, residential area, education, and kind of work. It also contained open questions about consequences in daily life and beliefs about future. Checklists concerning life satisfaction, sense of coherence, locus of control, coping resources and sick leave information over a four-year period have been used. Significant differences between the study group and the reference groups were found, relating to sense of coherence, locus of control, life satisfaction and coping resources. More than half of the study group were still on sick leave at a two-year follow-up. Important predictive factors turned out to be: previous sick leave, own belief about future and self-reported symptoms.

Identifiers
urn:nbn:se:umu:diva-7509 (URN)16179772 (PubMedID)
Available from: 2008-01-10 Created: 2008-01-10 Last updated: 2017-12-14Bibliographically approved
2. Factors relevant to a return to work: a multivariate approach
Open this publication in new window or tab >>Factors relevant to a return to work: a multivariate approach
2006 (English)In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 26, no 2, 179-190 p.Article in journal (Refereed) Published
Abstract [en]

This paper contributes to the understanding of the factors that are significant for returning to work, and identifies factors that might be used early on in a period of sick leave to discern whether people are likely to work again. In the design, the multivariate Partial Least Squares (PLS) of Latent Structures method was used to analyse information from a questionnaire containing socio-demographic items, and information on symptoms, consequences on daily life, expectations and psychosocial factors. Data about the incidence of sickness over a four-year period was included. 121 adults aged 18-64 years on sick leave participated, irrespective of their diagnoses. A reliable prediction of a return to work required the combination of many factors: individual psychosocial instruments are not useful when considered in isolation. The strongest predictive factors for a return to work concern the individuals' expectations, the number of days of sick leave taken in the past, somatic disorders, and a high level of life satisfaction and sense of coherence. Many factors influence the outcome for people on sick leave: PLS analysis demonstrated that a multivariate approach using this method could predict the long-term outcome early on in a period of sick leave.

Keyword
Sick leave, Return to work programs, Employment reentry, Vocational rehabilitation, Vocational Rehabilitation Services, Psychosocial factors
Identifiers
urn:nbn:se:umu:diva-7511 (URN)16477110 (PubMedID)
Available from: 2008-01-10 Created: 2008-01-10 Last updated: 2017-12-14Bibliographically approved
3. Experiences within the process of sick leave.
Open this publication in new window or tab >>Experiences within the process of sick leave.
2006 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 13, no 3, 170-182 p.Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to explore what individuals who have been on sick leave experienced as important in the process of returning to work, moving to long-term sick leave, or receiving a disability pension. Grounded Theory was used for interpreting interviews with 15 people who had been on sick leave four years previously. In the results four ideal types were crystallized which are presented in the form of vignettes. The ideal types were discussed focusing on occupational life using the Model of Human Occupation and the theories of Sense of Coherence and Status Passage. The study provided a deeper understanding of people's experiences during the process of their sick leave. Valuable predictors for re-entry into work or disability retirement were: individual mental resources; clear or unclear diagnosis; how long had been spent in the sick-leave process; and personal belief in an ability to work in the future. The interventions and support given by professionals and the social environment, the balance and sense of coherence in life, and participation in the sick leave process were also important. The idealtypes found could be helpful to professionals working in this field in deepening their understanding of the clients.

Keyword
Disabled Persons/*psychology/rehabilitation, Female, Humans, Interviews, Male, Models; Psychological, Occupational Therapy/psychology, Sick Leave, Sweden, Unemployment/*psychology
Identifiers
urn:nbn:se:umu:diva-14129 (URN)10.1080/11038120500363634 (DOI)17042465 (PubMedID)
Available from: 2007-05-23 Created: 2007-05-23 Last updated: 2017-12-14Bibliographically approved
4. Sick leave processes as revealed in client files
Open this publication in new window or tab >>Sick leave processes as revealed in client files
Manuscript (Other academic)
Identifiers
urn:nbn:se:umu:diva-4684 (URN)
Available from: 2005-09-20 Created: 2005-09-20 Last updated: 2010-01-13Bibliographically approved

Open Access in DiVA

fulltext(768 kB)3789 downloads
File information
File name FULLTEXT01.pdfFile size 768 kBChecksum SHA-1
8912b4e6bcb84eac1f22b8d6b0ab9dc8a1b4c47fd6f8852dc81a403d01881655be5d8691
Type fulltextMimetype application/pdf

By organisation
Occupational Therapy

Search outside of DiVA

GoogleGoogle Scholar
Total: 3789 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

isbn
urn-nbn

Altmetric score

isbn
urn-nbn
Total: 3041 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf