Determinants of sustainable work participation after spinal cord injury in The Netherlands

Renée van Dinter; Anouk L C Veenhuysen; Ellen H Roels; Charlotte C M van Laake-Geelen; Ellen M Maas; Ilse J W van Nes; Rutger Osterthun; Janneke M Stolwijk-Swuste; Marcel W M Post; Michiel F Reneman

doi:10.1080/09638288.2024.2433665

Determinants of sustainable work participation after spinal cord injury in The Netherlands

Renée van Dinter^*, Anouk L C Veenhuysen, Ellen H Roels, Charlotte C M van Laake-Geelen, Ellen M Maas, Ilse J W van Nes, Rutger Osterthun, Janneke M Stolwijk-Swuste, Marcel W M Post, Michiel F Reneman

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

PURPOSE: Work participation of persons with spinal cord injury (SCI) is lower compared to the overall Dutch population, with determinants largely unknown.

AIM: To identify the determinants of sustainable work participation for persons with SCI.

METHODS: A cross-sectional multicenter study was conducted in eight Dutch rehabilitation centers. Persons with first inpatient rehabilitation, discharged between 2015 and 2022, and a work participation goal were invited to complete a survey. Statistical analyses compared groups based on having paid work (yes/no), work functioning (good/lower), past sick leave (occasional/frequent), and expected sick leave (occasional/frequent). Variables that significantly differed were added in logistic regression analyses, and goodness of fit of the model was estimated using Nagelkerke pseudo R-square.

RESULTS: In total, 175 persons responded (69.7% male, 51.1 ± 12.8 years, time since injury 4.2 ± 2.7 years). The paid work model accounted for 24.5% of the variance (p < .001). The work functioning model accounted for 48.1% (p < .001), with work ability as a significant contributor. The model for past sick leave accounted for 23.5% (p = .009). The model for expected sick leave accounted for 36.4% (p < .001), with work ability as a significant contributor.

CONCLUSIONS: Lower self-reported work ability was associated with a higher chance of lower work functioning and expected frequent sick leave.Implications for rehabilitationA lower self-reported workability was associated with a higher chance of lower work functioning and expected frequent sick leave for the next year.The Work Ability Index - Single Item (WAS) can be considered for use in the clinical setting to assess work functioning and sick leave expected in the next year.A low WAS value should be discussed with the patient, and if needed with the vocational rehabilitation team and/or the employer to enable adequate intervention(s).

Original language	English
Pages (from-to)	1-7
Number of pages	7
Journal	Disability and Rehabilitation
DOIs	https://doi.org/10.1080/09638288.2024.2433665
Publication status	E-pub ahead of print - 30 Nov 2024

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10.1080/09638288.2024.2433665Licence: CC BY-NC-ND

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van Dinter, R., Veenhuysen, A. L. C., Roels, E. H., van Laake-Geelen, C. C. M., Maas, E. M., van Nes, I. J. W., Osterthun, R., Stolwijk-Swuste, J. M., Post, M. W. M., & Reneman, M. F. (2024). Determinants of sustainable work participation after spinal cord injury in The Netherlands. Disability and Rehabilitation, 1-7. Advance online publication. https://doi.org/10.1080/09638288.2024.2433665

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title = "Determinants of sustainable work participation after spinal cord injury in The Netherlands",

abstract = "PURPOSE: Work participation of persons with spinal cord injury (SCI) is lower compared to the overall Dutch population, with determinants largely unknown.AIM: To identify the determinants of sustainable work participation for persons with SCI.METHODS: A cross-sectional multicenter study was conducted in eight Dutch rehabilitation centers. Persons with first inpatient rehabilitation, discharged between 2015 and 2022, and a work participation goal were invited to complete a survey. Statistical analyses compared groups based on having paid work (yes/no), work functioning (good/lower), past sick leave (occasional/frequent), and expected sick leave (occasional/frequent). Variables that significantly differed were added in logistic regression analyses, and goodness of fit of the model was estimated using Nagelkerke pseudo R-square.RESULTS: In total, 175 persons responded (69.7% male, 51.1 ± 12.8 years, time since injury 4.2 ± 2.7 years). The paid work model accounted for 24.5% of the variance (p < .001). The work functioning model accounted for 48.1% (p < .001), with work ability as a significant contributor. The model for past sick leave accounted for 23.5% (p = .009). The model for expected sick leave accounted for 36.4% (p < .001), with work ability as a significant contributor.CONCLUSIONS: Lower self-reported work ability was associated with a higher chance of lower work functioning and expected frequent sick leave.Implications for rehabilitationA lower self-reported workability was associated with a higher chance of lower work functioning and expected frequent sick leave for the next year.The Work Ability Index - Single Item (WAS) can be considered for use in the clinical setting to assess work functioning and sick leave expected in the next year.A low WAS value should be discussed with the patient, and if needed with the vocational rehabilitation team and/or the employer to enable adequate intervention(s).",

author = "{van Dinter}, Ren{\'e}e and Veenhuysen, {Anouk L C} and Roels, {Ellen H} and {van Laake-Geelen}, {Charlotte C M} and Maas, {Ellen M} and {van Nes}, {Ilse J W} and Rutger Osterthun and Stolwijk-Swuste, {Janneke M} and Post, {Marcel W M} and Reneman, {Michiel F}",

year = "2024",

month = nov,

day = "30",

doi = "10.1080/09638288.2024.2433665",

language = "English",

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TY - JOUR

T1 - Determinants of sustainable work participation after spinal cord injury in The Netherlands

AU - van Dinter, Renée

AU - Veenhuysen, Anouk L C

AU - Roels, Ellen H

AU - van Laake-Geelen, Charlotte C M

AU - Maas, Ellen M

AU - van Nes, Ilse J W

AU - Osterthun, Rutger

AU - Stolwijk-Swuste, Janneke M

AU - Post, Marcel W M

AU - Reneman, Michiel F

PY - 2024/11/30

Y1 - 2024/11/30

N2 - PURPOSE: Work participation of persons with spinal cord injury (SCI) is lower compared to the overall Dutch population, with determinants largely unknown.AIM: To identify the determinants of sustainable work participation for persons with SCI.METHODS: A cross-sectional multicenter study was conducted in eight Dutch rehabilitation centers. Persons with first inpatient rehabilitation, discharged between 2015 and 2022, and a work participation goal were invited to complete a survey. Statistical analyses compared groups based on having paid work (yes/no), work functioning (good/lower), past sick leave (occasional/frequent), and expected sick leave (occasional/frequent). Variables that significantly differed were added in logistic regression analyses, and goodness of fit of the model was estimated using Nagelkerke pseudo R-square.RESULTS: In total, 175 persons responded (69.7% male, 51.1 ± 12.8 years, time since injury 4.2 ± 2.7 years). The paid work model accounted for 24.5% of the variance (p < .001). The work functioning model accounted for 48.1% (p < .001), with work ability as a significant contributor. The model for past sick leave accounted for 23.5% (p = .009). The model for expected sick leave accounted for 36.4% (p < .001), with work ability as a significant contributor.CONCLUSIONS: Lower self-reported work ability was associated with a higher chance of lower work functioning and expected frequent sick leave.Implications for rehabilitationA lower self-reported workability was associated with a higher chance of lower work functioning and expected frequent sick leave for the next year.The Work Ability Index - Single Item (WAS) can be considered for use in the clinical setting to assess work functioning and sick leave expected in the next year.A low WAS value should be discussed with the patient, and if needed with the vocational rehabilitation team and/or the employer to enable adequate intervention(s).

AB - PURPOSE: Work participation of persons with spinal cord injury (SCI) is lower compared to the overall Dutch population, with determinants largely unknown.AIM: To identify the determinants of sustainable work participation for persons with SCI.METHODS: A cross-sectional multicenter study was conducted in eight Dutch rehabilitation centers. Persons with first inpatient rehabilitation, discharged between 2015 and 2022, and a work participation goal were invited to complete a survey. Statistical analyses compared groups based on having paid work (yes/no), work functioning (good/lower), past sick leave (occasional/frequent), and expected sick leave (occasional/frequent). Variables that significantly differed were added in logistic regression analyses, and goodness of fit of the model was estimated using Nagelkerke pseudo R-square.RESULTS: In total, 175 persons responded (69.7% male, 51.1 ± 12.8 years, time since injury 4.2 ± 2.7 years). The paid work model accounted for 24.5% of the variance (p < .001). The work functioning model accounted for 48.1% (p < .001), with work ability as a significant contributor. The model for past sick leave accounted for 23.5% (p = .009). The model for expected sick leave accounted for 36.4% (p < .001), with work ability as a significant contributor.CONCLUSIONS: Lower self-reported work ability was associated with a higher chance of lower work functioning and expected frequent sick leave.Implications for rehabilitationA lower self-reported workability was associated with a higher chance of lower work functioning and expected frequent sick leave for the next year.The Work Ability Index - Single Item (WAS) can be considered for use in the clinical setting to assess work functioning and sick leave expected in the next year.A low WAS value should be discussed with the patient, and if needed with the vocational rehabilitation team and/or the employer to enable adequate intervention(s).

U2 - 10.1080/09638288.2024.2433665

DO - 10.1080/09638288.2024.2433665

M3 - Article

C2 - 39615033

SN - 0963-8288

SP - 1

EP - 7

JO - Disability and Rehabilitation

JF - Disability and Rehabilitation

ER -

Determinants of sustainable work participation after spinal cord injury in The Netherlands

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