Employability and intention to apply for rehabilitation in people with back pain: A cross-sectional cohort study

Objectives: To analyse the association between self-reported prognosis of employability and health-related measures, and to clarify which determinants influence the intention to apply for medical rehabil-itation. Design: Cross-sectional study of a random sample of German employees. Participants: A...

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Main Authors: David Fauser, Nadine Schmitt, André Golla, Julia-Marie Zimmer, Wilfried Mau, Matthias Bethge
Format: Article
Language:English
Published: Medical Journals Sweden 2020-11-01
Series:Journal of Rehabilitation Medicine
Subjects:
Online Access: https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2767
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author David Fauser
Nadine Schmitt
André Golla
Julia-Marie Zimmer
Wilfried Mau
Matthias Bethge
author_facet David Fauser
Nadine Schmitt
André Golla
Julia-Marie Zimmer
Wilfried Mau
Matthias Bethge
author_sort David Fauser
collection DOAJ
description Objectives: To analyse the association between self-reported prognosis of employability and health-related measures, and to clarify which determinants influence the intention to apply for medical rehabil-itation. Design: Cross-sectional study of a random sample of German employees. Participants: A total of 6,654 participants (58% female) aged 45–59 years with back pain during the last 3 months. Results: Out of a total of 6,654 persons, 4,838 had a positive self-reported prognosis of employability. Persons with positive and negative prognoses clearly differ with regard to health-related measures. Of 1,816 persons who reported a negative prognosis, 26% stated an intention to apply for rehabilitation. Intention was determined mainly by perceived social support from family and friends (odds ratio (OR) 1.87; 95% confidence interval (95% CI) 1.66–2.10), as well as physicians and therapists (OR 1.64; 95% CI 1.41–1.90). Conclusion: A negative self-reported prognosis of employability is associated with self-reported health restrictions that may determine the need for rehabilitation interventions. A considerable proportion of persons with self-reported health restrictions do not plan to use medical rehabilitation. Perceived social support is an important facilitator of intention to apply for rehabilitation. However, this study needs to be replicated in other populations combining self-reported and administrative data.
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spelling doaj.art-d2848f07f49847fa93cc3e8382dc9bb12022-12-22T01:34:12ZengMedical Journals SwedenJournal of Rehabilitation Medicine1650-19771651-20812020-11-015211jrm0012510.2340/16501977-27672729Employability and intention to apply for rehabilitation in people with back pain: A cross-sectional cohort studyDavid Fauser0Nadine SchmittAndré GollaJulia-Marie ZimmerWilfried MauMatthias Bethge Institute for Social Medicine and Epidemiology, University of Lübeck, Lübeck, Germany. E-mail: davidpeter.fauser@uksh.de. Objectives: To analyse the association between self-reported prognosis of employability and health-related measures, and to clarify which determinants influence the intention to apply for medical rehabil-itation. Design: Cross-sectional study of a random sample of German employees. Participants: A total of 6,654 participants (58% female) aged 45–59 years with back pain during the last 3 months. Results: Out of a total of 6,654 persons, 4,838 had a positive self-reported prognosis of employability. Persons with positive and negative prognoses clearly differ with regard to health-related measures. Of 1,816 persons who reported a negative prognosis, 26% stated an intention to apply for rehabilitation. Intention was determined mainly by perceived social support from family and friends (odds ratio (OR) 1.87; 95% confidence interval (95% CI) 1.66–2.10), as well as physicians and therapists (OR 1.64; 95% CI 1.41–1.90). Conclusion: A negative self-reported prognosis of employability is associated with self-reported health restrictions that may determine the need for rehabilitation interventions. A considerable proportion of persons with self-reported health restrictions do not plan to use medical rehabilitation. Perceived social support is an important facilitator of intention to apply for rehabilitation. However, this study needs to be replicated in other populations combining self-reported and administrative data. https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2767 rehabilitation research self-reported prognosis need for rehabilitation intention propensity score back pain.
spellingShingle David Fauser
Nadine Schmitt
André Golla
Julia-Marie Zimmer
Wilfried Mau
Matthias Bethge
Employability and intention to apply for rehabilitation in people with back pain: A cross-sectional cohort study
Journal of Rehabilitation Medicine
rehabilitation research
self-reported prognosis
need for rehabilitation
intention
propensity score
back pain.
title Employability and intention to apply for rehabilitation in people with back pain: A cross-sectional cohort study
title_full Employability and intention to apply for rehabilitation in people with back pain: A cross-sectional cohort study
title_fullStr Employability and intention to apply for rehabilitation in people with back pain: A cross-sectional cohort study
title_full_unstemmed Employability and intention to apply for rehabilitation in people with back pain: A cross-sectional cohort study
title_short Employability and intention to apply for rehabilitation in people with back pain: A cross-sectional cohort study
title_sort employability and intention to apply for rehabilitation in people with back pain a cross sectional cohort study
topic rehabilitation research
self-reported prognosis
need for rehabilitation
intention
propensity score
back pain.
url https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2767
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