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Patients' return-to-work expectancy relates to their beliefs about their physician's opinion regarding return to work volition and ability

Authors Claréus B, Renström EA

Received 3 July 2018

Accepted for publication 24 October 2018

Published 15 January 2019 Volume 2019:12 Pages 353—362


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Michael A Überall

Benjamin Claréus,1 Emma A Renström2

1Department of Psychology, Lund University, Lund, Sweden; 2Department of Psychology, Gothenburg University, Gothenburg, Sweden

Purpose: This study investigates the relationship between sick-listed patients’ return to work (RTW) expectancy and how they perceive that their physicians evaluate their ability and volition for RTW.
Methods: Hierarchical logistic regression controlling for sociodemographic factors and pain characteristics was carried out on cross-sectional data from 205 participants (mean age= 47.24±9.66 years, 83.9% women). They were currently on full-time sick leave with a total duration of 10 years or less and represented various diagnosed and undiagnosed pain conditions.
Results: A positive expectation for RTW within a year was significantly associated with the belief that the physician favorably evaluated one’s ability (OR= 1.44, 95% CI= 1.13–1.83) and volition (OR= 1.42, 95% CI= 1.11–1.83) to RTW. This held even when other variables significantly associated with RTW expectancy were accounted for. Beyond beliefs, only age made a significant contribution in our final model (OR= 0.94, 95% CI= 0.90–0.98).
Conclusion: The results indicate that patients’ beliefs regarding their physician’s opinion about their ability and volition for RTW influence their own RTW expectancy. Rehabilitation might be facilitated if health care professionals address and affirm patients’ ability and volition for RTW, regardless of patients’ pain characteristics or if the total duration of their sick leave is <10 years. As other studies have found that RTW expectancy is one of the strongest predictors for actual RTW, future research should test the effect of beliefs about physicians’ opinions on actual RTW rates.

Keywords: rehabilitation, pain, outcome expectations, general practice, RTW

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