Document Detail

The Readiness for Return-To-Work (RRTW) scale: development and validation of a self-report staging scale in lost-time claimants with musculoskeletal disorders.
MedLine Citation:
PMID:  17701326     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: We report on the development and validation of a 22-item scale assessing stage of readiness for return-to-work, the Readiness for Return-to-Work (RRTW) scale. METHODS: Lost-time claimants (n = 632) completed a telephone survey one month after a work-related musculoskeletal injury. Exploratory and confirmatory factor analyses of readiness items were conducted with two separate samples, and concurrent validity was examined. RESULTS: For workers not working, 60% of the variance was explained by four factors--(1) Precontemplation, (2) Contemplation (3) Prepared for Action-Self-evaluative and (4) Prepared for Action-Behavioral. For those working, 58% of the variance was explained by two factors--(1) Uncertain Maintenance and (2) Proactive Maintenance. Confirmatory factor analyses had satisfactory fit indices to confirm the initial model. Concurrent validity of the scale was supported: relationships of readiness with depressive symptoms, fear-avoidance, pain, and general health, were generally in the hypothesized direction. CONCLUSIONS: Psychometric properties of the newly developed instrument suggest that the application of the Readiness for Change model to return-to-work is relevant to work disability research. The instrument may facilitate the offer of stage-specific services tailored to injured workers' needs, and be used for evaluation of return-to-work interventions.
Renée-Louise Franche; Marc Corbière; Hyunmi Lee; F Curtis Breslin; C Gail Hepburn
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Publication Detail:
Type:  Journal Article; Validation Studies     Date:  2007-08-15
Journal Detail:
Title:  Journal of occupational rehabilitation     Volume:  17     ISSN:  1053-0487     ISO Abbreviation:  J Occup Rehabil     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-08-29     Completed Date:  2007-12-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9202814     Medline TA:  J Occup Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  450-72     Citation Subset:  IM    
Institute for Work & Health, 481 University Avenue, 8th Floor, Toronto, ON, Canada, M4G 2E9.
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MeSH Terms
Decision Making
Interviews as Topic
Musculoskeletal Diseases / rehabilitation*
Occupational Diseases / rehabilitation*
Patient Participation*
Prospective Studies
Self Concept
Sick Leave
Work Capacity Evaluation*
Workers' Compensation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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