Trajectories and predictors of return to work after traumatic limb injury - a 2-year follow-up study

Wen Hsuan Hou, Ching Fan Sheu, Huey Wen Liang, Ching Lin Hsieh, Yen Lee, Hung Yi Chuang, Yan Tzong Cheng

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Objectives This study aims to explore the trajectories of return to work (RTW) and examine the predictors of different trajectories among workers following traumatic limb injury. Methods A total of 804 participants were recruited during hospital admission for a 2-year prospective study. The RTW outcome was repeatedly assessed at 1, 3, 6, 12, 18, and 24 months after the injury. A group-based trajectory model (GBTM) was employed to identify trajectories of RTW among the participants. Comparisons of group characteristics of different trajectories were performed based on a multinomial logistic regression. Results GBTM identified three distinct trajectories of RTW: (i) fast RTW consisted of workers with early and stable RTW status from the first month after the injury; (ii) average RTW consisted of workers who achieved and remained at a stable RTW status within 6 months; and (iii) slow RTW consisted of workers who had slow and unsustainable RTW status within the 2-year follow-up period. The estimated proportions were 21.5%, 50.7%, and 27.8%, respectively. Workers with slow and unsustainable RTW after injury were found to be older, married, less educated, employed as repair personnel/operators/laborers, seriously injured, and depressed; they were also found to feel more disturbance in daily life, have lower self-efficacy, and believe they experience a poorer quality of life. Conclusion Following traumatic limb injury, individual workers showed three distinct RTW trajectories, each of which was associated with different categories of biopsychosocial factors. An understanding of how different factors contribute to increasing the likelihood of RTW for injured workers in each trajectory group should aid policy-making in worker-oriented vocational rehabilitation programs.

Original languageEnglish
Pages (from-to)456-466
Number of pages11
JournalScandinavian Journal of Work, Environment and Health
Volume38
Issue number5
DOIs
Publication statusPublished - Sep 2012
Externally publishedYes

Fingerprint

Return to Work
Extremities
Wounds and Injuries
Vocational Rehabilitation
Policy Making
Self Efficacy

Keywords

  • Disability
  • Health
  • International classification of functioning
  • Taiwan
  • Vocational rehabilitation

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Trajectories and predictors of return to work after traumatic limb injury - a 2-year follow-up study. / Hou, Wen Hsuan; Sheu, Ching Fan; Liang, Huey Wen; Hsieh, Ching Lin; Lee, Yen; Chuang, Hung Yi; Cheng, Yan Tzong.

In: Scandinavian Journal of Work, Environment and Health, Vol. 38, No. 5, 09.2012, p. 456-466.

Research output: Contribution to journalArticle

Hou, Wen Hsuan ; Sheu, Ching Fan ; Liang, Huey Wen ; Hsieh, Ching Lin ; Lee, Yen ; Chuang, Hung Yi ; Cheng, Yan Tzong. / Trajectories and predictors of return to work after traumatic limb injury - a 2-year follow-up study. In: Scandinavian Journal of Work, Environment and Health. 2012 ; Vol. 38, No. 5. pp. 456-466.
@article{d3100a210e724680af3949f33258c797,
title = "Trajectories and predictors of return to work after traumatic limb injury - a 2-year follow-up study",
abstract = "Objectives This study aims to explore the trajectories of return to work (RTW) and examine the predictors of different trajectories among workers following traumatic limb injury. Methods A total of 804 participants were recruited during hospital admission for a 2-year prospective study. The RTW outcome was repeatedly assessed at 1, 3, 6, 12, 18, and 24 months after the injury. A group-based trajectory model (GBTM) was employed to identify trajectories of RTW among the participants. Comparisons of group characteristics of different trajectories were performed based on a multinomial logistic regression. Results GBTM identified three distinct trajectories of RTW: (i) fast RTW consisted of workers with early and stable RTW status from the first month after the injury; (ii) average RTW consisted of workers who achieved and remained at a stable RTW status within 6 months; and (iii) slow RTW consisted of workers who had slow and unsustainable RTW status within the 2-year follow-up period. The estimated proportions were 21.5{\%}, 50.7{\%}, and 27.8{\%}, respectively. Workers with slow and unsustainable RTW after injury were found to be older, married, less educated, employed as repair personnel/operators/laborers, seriously injured, and depressed; they were also found to feel more disturbance in daily life, have lower self-efficacy, and believe they experience a poorer quality of life. Conclusion Following traumatic limb injury, individual workers showed three distinct RTW trajectories, each of which was associated with different categories of biopsychosocial factors. An understanding of how different factors contribute to increasing the likelihood of RTW for injured workers in each trajectory group should aid policy-making in worker-oriented vocational rehabilitation programs.",
keywords = "Disability, Health, International classification of functioning, Taiwan, Vocational rehabilitation",
author = "Hou, {Wen Hsuan} and Sheu, {Ching Fan} and Liang, {Huey Wen} and Hsieh, {Ching Lin} and Yen Lee and Chuang, {Hung Yi} and Cheng, {Yan Tzong}",
year = "2012",
month = "9",
doi = "10.5271/sjweh.3287",
language = "English",
volume = "38",
pages = "456--466",
journal = "Scandinavian Journal of Work, Environment and Health",
issn = "0355-3140",
publisher = "Finnish Institute of Occupational Health",
number = "5",

}

TY - JOUR

T1 - Trajectories and predictors of return to work after traumatic limb injury - a 2-year follow-up study

AU - Hou, Wen Hsuan

AU - Sheu, Ching Fan

AU - Liang, Huey Wen

AU - Hsieh, Ching Lin

AU - Lee, Yen

AU - Chuang, Hung Yi

AU - Cheng, Yan Tzong

PY - 2012/9

Y1 - 2012/9

N2 - Objectives This study aims to explore the trajectories of return to work (RTW) and examine the predictors of different trajectories among workers following traumatic limb injury. Methods A total of 804 participants were recruited during hospital admission for a 2-year prospective study. The RTW outcome was repeatedly assessed at 1, 3, 6, 12, 18, and 24 months after the injury. A group-based trajectory model (GBTM) was employed to identify trajectories of RTW among the participants. Comparisons of group characteristics of different trajectories were performed based on a multinomial logistic regression. Results GBTM identified three distinct trajectories of RTW: (i) fast RTW consisted of workers with early and stable RTW status from the first month after the injury; (ii) average RTW consisted of workers who achieved and remained at a stable RTW status within 6 months; and (iii) slow RTW consisted of workers who had slow and unsustainable RTW status within the 2-year follow-up period. The estimated proportions were 21.5%, 50.7%, and 27.8%, respectively. Workers with slow and unsustainable RTW after injury were found to be older, married, less educated, employed as repair personnel/operators/laborers, seriously injured, and depressed; they were also found to feel more disturbance in daily life, have lower self-efficacy, and believe they experience a poorer quality of life. Conclusion Following traumatic limb injury, individual workers showed three distinct RTW trajectories, each of which was associated with different categories of biopsychosocial factors. An understanding of how different factors contribute to increasing the likelihood of RTW for injured workers in each trajectory group should aid policy-making in worker-oriented vocational rehabilitation programs.

AB - Objectives This study aims to explore the trajectories of return to work (RTW) and examine the predictors of different trajectories among workers following traumatic limb injury. Methods A total of 804 participants were recruited during hospital admission for a 2-year prospective study. The RTW outcome was repeatedly assessed at 1, 3, 6, 12, 18, and 24 months after the injury. A group-based trajectory model (GBTM) was employed to identify trajectories of RTW among the participants. Comparisons of group characteristics of different trajectories were performed based on a multinomial logistic regression. Results GBTM identified three distinct trajectories of RTW: (i) fast RTW consisted of workers with early and stable RTW status from the first month after the injury; (ii) average RTW consisted of workers who achieved and remained at a stable RTW status within 6 months; and (iii) slow RTW consisted of workers who had slow and unsustainable RTW status within the 2-year follow-up period. The estimated proportions were 21.5%, 50.7%, and 27.8%, respectively. Workers with slow and unsustainable RTW after injury were found to be older, married, less educated, employed as repair personnel/operators/laborers, seriously injured, and depressed; they were also found to feel more disturbance in daily life, have lower self-efficacy, and believe they experience a poorer quality of life. Conclusion Following traumatic limb injury, individual workers showed three distinct RTW trajectories, each of which was associated with different categories of biopsychosocial factors. An understanding of how different factors contribute to increasing the likelihood of RTW for injured workers in each trajectory group should aid policy-making in worker-oriented vocational rehabilitation programs.

KW - Disability

KW - Health

KW - International classification of functioning

KW - Taiwan

KW - Vocational rehabilitation

UR - http://www.scopus.com/inward/record.url?scp=84865841250&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84865841250&partnerID=8YFLogxK

U2 - 10.5271/sjweh.3287

DO - 10.5271/sjweh.3287

M3 - Article

C2 - 22388635

AN - SCOPUS:84865841250

VL - 38

SP - 456

EP - 466

JO - Scandinavian Journal of Work, Environment and Health

JF - Scandinavian Journal of Work, Environment and Health

SN - 0355-3140

IS - 5

ER -