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Early patient screening and intervention to address individual-level occupational factors (“Blue Flags”) in back disability

Shaw, W.S., van der Wndt, D.A., Main, Chris J., Loisel, P and Linton, S (2009) Early patient screening and intervention to address individual-level occupational factors (“Blue Flags”) in back disability. Journal of Occupational Rehabilitation, 19 (1). pp. 64-80. ISSN 1053-0487

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Abstract

OBJECTIVE: To develop a consensus plan for research and practice to encourage routine clinician screening of occupational factors associated with long-term back disability. METHODS: A 3-day conference workshop including 21 leading researchers and clinicians (the "Decade of the Flags Working Group") was held to review the scientific evidence concerning clinical, occupational, and policy factors in back disability and the development of feasible assessment and intervention strategies. RESULTS: The Working Group identified seven workplace variables to include in early screening by clinicians: physical job demands, ability to modify work, job stress, workplace social support or dysfunction, job satisfaction, expectation for resuming work, and fear of re-injury. Five evaluation criteria for screening methods were established: reliability, predictive performance, feasibility, acceptability, and congruence with plausible interventions. An optimal screening method might include a stepped combination of questionnaire, interview, and worksite visit. Future research directions include improving available assessment methods, adopting simpler and more uniform conceptual frameworks, and tying screening results to plausible interventions. DISCUSSION:There is a clear indication that occupational factors influence back disability, but to expand clinician practices in this area will require that patient screening methods show greater conceptual clarity, feasibility, and linkages to viable options for intervention

Item Type: Article
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Schools: School of Human and Health Sciences
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Depositing User: Kim Burton
Date Deposited: 05 Jan 2010 10:26
Last Modified: 28 Nov 2012 13:36
URI: http://eprints.hud.ac.uk/id/eprint/6692

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