abstract: 'Objective: To determine time of return to work (TRTW) in relation to

  multivariable predictors among male manual workers after hand injury

  (HI) over a 12-month follow-up.

  Design: A cohort study with baseline medical information, functional

  evaluation, and 3-, 6-, 9-, and 12-month follow-up telephone interviews.

  Setting: Seven physical rehabilitation community occupational therapy

  clinics.

  Participants: Participants (N=178) with acute HI aged 22-65. Two

  participants were lost to follow-up.

  Intervention: Not applicable.

  Main Outcome Measure: The dependent variable was TRTW. The independent

  variables originated from 4 domains: personal factors, environmental

  factors, body function and structure, and activity limitation and

  participation restriction. The proportion of return to work (RTW) at

  each time point was calculated. Multiple Cox regressions established a

  predictive model for TRTW.

  Results: At the end of the study, 75.3\% participants returned to work.

  The median TRTW was 94 days. In the final model, only compensation

  factors and education contributed significantly to overall RTW, but when

  separate analyses were performed, decreased level of self-efficacy,

  higher workplace demands, level of pain, level of emotional response to

  trauma, reduced physical capability of the hand, and higher level of

  disability were significantly associated with delayed TRTW.

  Conclusions: TRTW was determined by the physical capability of the hand,

  pain, and psychosocial factors, but it was also affected by legal

  factors. Participants who did not return to work during the first 9

  months are at risk for long-term disability. Developing treatment

  programs for those who are at risk for not returning to work, taking

  into consideration these factors, is recommended. (C) 2018 by the

  American Congress of Rehabilitation Medicine'
affiliation: 'Marom, BS (Corresponding Author), Clalit Hlth Serv, Occupat Therapy
  Unit, 1 Hachashmonaim St, IL-1426401 Tiberias, Israel.

  Marom, Batia S., Univ Haifa, Sch Publ Hlth, Clalit Hlth Serv, Occupat Therapy Unit,
  Haifa, Israel.

  Ratzon, Navah Z., Tel Aviv Univ, Dept Occupat Therapy, Sackler Fac Med, Tel Aviv,
  Israel.

  Carel, Rafael S., Univ Haifa, Sch Publ Hlth, Haifa, Israel.

  Sharabi, Moshe, Max Stern Yezreel Valley Coll, Sociol \& Anthropol Dept, Yezreel
  Valley, Israel.'
author: Marom, Batia S. and Ratzon, Navah Z. and Carel, Rafael S. and Sharabi, Moshe
author-email: batiamarom2@clalit.org.il
author_list:
- family: Marom
  given: Batia S.
- family: Ratzon
  given: Navah Z.
- family: Carel
  given: Rafael S.
- family: Sharabi
  given: Moshe
da: '2023-09-28'
doi: 10.1016/j.apmr.2018.07.429
eissn: 1532-821X
files: []
issn: 0003-9993
journal: ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
keywords: 'Hand; Injuries; International Classification of Functioning; Disability

  and Health; Rehabilitation; Return to work'
keywords-plus: 'TRAUMATIC BRAIN-INJURY; EMPLOYMENT OUTCOMES; PAIN; DISABILITY;

  COMPENSATION; HEALTH; TIME; VALIDATION; SURGERY; IMPACT'
language: English
month: MAR
number: '3'
number-of-cited-references: '49'
orcid-numbers: Sharabi, Moshe/0000-0001-8570-8769
pages: 422-432
papis_id: f4dd97c21e80d80ce13c822f030056b3
ref: Marom2019returntoworkbarriers
times-cited: '23'
title: 'Return-to-Work Barriers Among Manual Workers After Hand Injuries: 1-Year Follow-up
  Cohort Study'
type: article
unique-id: WOS:000460198500004
usage-count-last-180-days: '0'
usage-count-since-2013: '6'
volume: '100'
web-of-science-categories: Rehabilitation; Sport Sciences
year: '2019'