Expert consensus on facilitators and barriers to return-to-work following surgery for non-traumatic upper extremity conditions: a Delphi study

Peters, S. E., Johnston, V., Ross, M. and Coppieters, M. W. (2017) Expert consensus on facilitators and barriers to return-to-work following surgery for non-traumatic upper extremity conditions: a Delphi study. Journal of Hand Surgery: European Volume, 42 2: 127-136. doi:10.1177/1753193416669263


Author Peters, S. E.
Johnston, V.
Ross, M.
Coppieters, M. W.
Title Expert consensus on facilitators and barriers to return-to-work following surgery for non-traumatic upper extremity conditions: a Delphi study
Journal name Journal of Hand Surgery: European Volume   Check publisher's open access policy
ISSN 1753-1934
2043-6289
Publication date 2017-01-01
Sub-type Article (original research)
DOI 10.1177/1753193416669263
Open Access Status Not yet assessed
Volume 42
Issue 2
Start page 127
End page 136
Total pages 10
Place of publication London, United Kingdom
Publisher Sage Publications
Language eng
Formatted abstract
This Delphi study aimed to reach consensus on important facilitators and barriers for return-to-work following surgery for non-traumatic upper extremity conditions. In Round 1, experts (n = 42) listed 134 factors, which were appraised in Rounds 2 and 3. Consensus (⩾85% agreement) was achieved for 13 facilitators (high motivation to return-to-work; high self-efficacy for return-to-work and recovery; availability of modified/alternative duties; flexible return-to-work arrangements; positive coping skills; limited heavy work exertion; supportive return-to-work policies; supportive supervisor/management; no catastrophic thinking; no fear avoidance to return-to-work; no fear avoidance to pain/activity; return to meaningful work duties; high job satisfaction) and six barriers (mood disorder diagnosis; pain/symptoms at more than one musculoskeletal site; heavy upper extremity exertions at work; lack of flexible return-to-work arrangements; lack of support from supervisor/management; high level of pain catastrophizing). Future prognostic studies are required to validate these biopsychosocial factors to further improve return-to-work outcomes.
Keyword Hand
Work disability
Sickness absence
Prognostic Factors
Wrist
Shoulder
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

 
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Created: Fri, 23 Sep 2016, 23:40:52 EST by Dr Venerina Johnston on behalf of School of Health & Rehabilitation Sciences