2023-09-28 14:46:10 +00:00
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abstract: 'Objective: To determine time of return to work (TRTW) in relation to
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multivariable predictors among male manual workers after hand injury
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(HI) over a 12-month follow-up.
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Design: A cohort study with baseline medical information, functional
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evaluation, and 3-, 6-, 9-, and 12-month follow-up telephone interviews.
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Setting: Seven physical rehabilitation community occupational therapy
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clinics.
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Participants: Participants (N=178) with acute HI aged 22-65. Two
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participants were lost to follow-up.
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Intervention: Not applicable.
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Main Outcome Measure: The dependent variable was TRTW. The independent
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variables originated from 4 domains: personal factors, environmental
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factors, body function and structure, and activity limitation and
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participation restriction. The proportion of return to work (RTW) at
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each time point was calculated. Multiple Cox regressions established a
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predictive model for TRTW.
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Results: At the end of the study, 75.3\% participants returned to work.
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The median TRTW was 94 days. In the final model, only compensation
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factors and education contributed significantly to overall RTW, but when
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separate analyses were performed, decreased level of self-efficacy,
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higher workplace demands, level of pain, level of emotional response to
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trauma, reduced physical capability of the hand, and higher level of
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disability were significantly associated with delayed TRTW.
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Conclusions: TRTW was determined by the physical capability of the hand,
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pain, and psychosocial factors, but it was also affected by legal
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factors. Participants who did not return to work during the first 9
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months are at risk for long-term disability. Developing treatment
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programs for those who are at risk for not returning to work, taking
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into consideration these factors, is recommended. (C) 2018 by the
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American Congress of Rehabilitation Medicine'
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affiliation: 'Marom, BS (Corresponding Author), Clalit Hlth Serv, Occupat Therapy
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Unit, 1 Hachashmonaim St, IL-1426401 Tiberias, Israel.
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Marom, Batia S., Univ Haifa, Sch Publ Hlth, Clalit Hlth Serv, Occupat Therapy Unit,
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Haifa, Israel.
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Ratzon, Navah Z., Tel Aviv Univ, Dept Occupat Therapy, Sackler Fac Med, Tel Aviv,
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Israel.
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Carel, Rafael S., Univ Haifa, Sch Publ Hlth, Haifa, Israel.
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Sharabi, Moshe, Max Stern Yezreel Valley Coll, Sociol \& Anthropol Dept, Yezreel
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Valley, Israel.'
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author: Marom, Batia S. and Ratzon, Navah Z. and Carel, Rafael S. and Sharabi, Moshe
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author-email: batiamarom2@clalit.org.il
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author_list:
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- family: Marom
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given: Batia S.
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- family: Ratzon
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given: Navah Z.
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- family: Carel
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given: Rafael S.
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- family: Sharabi
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given: Moshe
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da: '2023-09-28'
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doi: 10.1016/j.apmr.2018.07.429
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eissn: 1532-821X
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files: []
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issn: 0003-9993
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journal: ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
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keywords: 'Hand; Injuries; International Classification of Functioning; Disability
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and Health; Rehabilitation; Return to work'
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keywords-plus: 'TRAUMATIC BRAIN-INJURY; EMPLOYMENT OUTCOMES; PAIN; DISABILITY;
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COMPENSATION; HEALTH; TIME; VALIDATION; SURGERY; IMPACT'
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language: English
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month: MAR
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number: '3'
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number-of-cited-references: '49'
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orcid-numbers: Sharabi, Moshe/0000-0001-8570-8769
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pages: 422-432
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papis_id: f4dd97c21e80d80ce13c822f030056b3
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ref: Marom2019returntoworkbarriers
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times-cited: '23'
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title: 'Return-to-Work Barriers Among Manual Workers After Hand Injuries: 1-Year Follow-up
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Cohort Study'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000460198500004
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usage-count-last-180-days: '0'
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usage-count-since-2013: '6'
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volume: '100'
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web-of-science-categories: Rehabilitation; Sport Sciences
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year: '2019'
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