Abstract
Background Worker productivity outcome is essential in examining the rehabilitation of workers with arthritis and other musculoskeletal conditions. There is great variation in the contents of worker productivity questionnaires. The International Classification of Functioning Disability and Health (ICF) offers the possibility to serve as a reference to describe and compare the contents of these questionnaires. Methods A literature review identified published self-report worker productivity questionnaires. All meaningful concepts were identified and linked to the corresponding ICF category according to established rules. Results Eighteen questionnaires were identified which contained a total of 519 meaningful concepts and which were linked to 64 unique 2nd level ICF categories. All questionnaires addressed Activities and Participation, thirteen (72%) addressed Body Functions, seven (39%) addressed Environmental Factors, seven (39%) addressed Personal Factors and only one questionnaire (6%) for Body Structures component. Overall, Work Role Functioning (WRF) questionnaire addressed the most number of different categories while Quantity and Quality method contained only one ICF category. The Rheumatoid Arthritis-Work Instability Scale had the highest number of categories for Body Functions, the Work Activity Limitations Scale and WRF had the most number of categories for Activities and Participation. The Health and Labour Questionnaire had the highest number of categories referring to unpaid work participation. The Health and Work Questionnaire was the only that included contextualization of both Environmental and Personal Factors. Conclusion Self-report worker productivity questionnaires differed largely in their contents. This content analysis study could guide us in selecting an appropriate questionnaire for a specific study question.
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References
World Health Organization. The burden of musculoskeletal conditions at the start of the new millenium. WHO Technical Report Series 919; 2002.
Woolf AD, Akesson K. Can we reduce the burden of musculoskeletal conditions? The European action towards better musculoskeletal health. Best Pract Res Clin Rheumatol. 2007;21:1–3.
Australian Institute of Health and Welfare 2005. Arthritis and musculoskeletal conditions in Australia. AIHW Cat. No. PHE67; 2005.
United States Joint and Bone Decade. The burden of musculoskeletal diseases in the United States. Rosemont: American Academy of Orthopedic Surgeons; 2008. p. 1–19.
Maetzel A, Li LC, Pencharz J, Tomlinson G, Bombardier C, Community Hypertension and Arthritis Project Study Team. The economic burden associated with osteoarthritis, rheumatoid arthritis, and hypertension: a comparative study. Ann Rheum Dis. 2004;63:395–401.
Badley EM, Wang PP. The contribution of arthritis and arthritis disability to nonparticipation in the labor force: a Canadian example. J Rheumatol. 2001;28:1077–82.
Zirkzee EJ, Sneep AC, de Buck PD, Allaart CF, Peeters AJ, Ronday HK, et al. Sick leave and work disability in patients with early arthritis. Clin Rheumatol. 2008;27:11–9.
Upmark M, Borg K, Alexanderson K. Gender differences in experiencing negative encounters with healthcare: a study of long-term sickness absentees. Scand J Public Health. 2007;35:577–84.
van der Klink JJ, Blonk RW, Schene AH, van Dijk FJ. Reducing long term sickness absence by an activating intervention in adjustment disorders: a cluster randomised controlled design. Occup Environ Med. 2003;60:429–37.
Bultmann U, Sherson D, Olsen J, Hansen CL, Lund T, Kilsgaard J. Coordinated and tailored work rehabilitation: a randomized controlled trial with economic evaluation undertaken with workers on sick leave due to musculoskeletal disorders. J Occup Rehabil. 2009;19:81–93.
Bogefeldt J, Grunnesjo MI, Svardsudd K, Blomberg S. Sick leave reductions from a comprehensive manual therapy programme for low back pain: the Gotland low back pain study. Clin Rehabil. 2008;22:529–41.
Boles M, Pelletier B, Lynch W. The relationship between health risks and work productivity. J Occup Environ Med. 2004;46:737–45.
Escorpizo R, Bombardier C, Boonen A, Hazes JM, Lacaille D, Strand V, et al. Worker productivity outcome measures in arthritis. J Rheumatol. 2007;34:1372–80.
Kessler RC, Barber C, Beck A, Berglund P, Cleary PD, McKenas D, et al. The World Health Organization Health and Work Performance Questionnaire (HPQ). J Occup Environ Med. 2003;45:156–74.
Loeppke R, Taitel M, Richling D, Parry T, Kessler RC, Hymel P, et al. Health and productivity as a business strategy. J Occup Environ Med. 2007;49:712–21.
Roelen CA, van der Pol TR, Koopmans PC, Groothoff JW. Identifying workers at risk of sickness absence by questionnaire. Occup Med (Lond). 2006;56:442–6.
Wang PS, Simon GE, Avorn J, Azocar F, Ludman EJ, McCulloch J, et al. Telephone screening, outreach, and care management for depressed workers and impact on clinical and work productivity outcomes: a randomized controlled trial. JAMA. 2007;298:1401–11.
Reilly MC, Zbrozek AS, Dukes EM. The validity and reproducibility of a work productivity and activity impairment instrument. Pharmacoeconomics. 1993;4:353–65.
Gilworth G, Chamberlain MA, Harvey A, Woodhouse A, Smith J, Smyth MG, et al. Development of a work instability scale for rheumatoid arthritis. Arthritis Rheum. 2003;49:349–54.
Shikiar R, Halpern MT, Rentz AM, Khan ZM. Development of the Health and Work Questionnaire (HWQ): an instrument for assessing workplace productivity in relation to worker health. Work. 2004;22:219–29.
Osterhaus JT, Gutterman DL, Plachetka JR. Healthcare resource and lost labour costs of migraine headache in the US. Pharmacoeconomics. 1992;2:67–76.
Lerner D, Amick BC 3rd, Rogers WH, Malspeis S, Bungay K, Cynn D. The work limitations questionnaire. Med Care. 2001;39:72–85.
Altshuler L, Mintz J, Leight K. The life functioning questionnaire (LFQ): a brief, gender-neutral scale assessing functional outcome. Psychiatry Res. 2002;112:161–82.
Boers M, Brooks P, Strand CV, Tugwell P. The OMERACT filter for outcome measures in rheumatology. J Rheumatol. 1998;25:198–9.
World Health Organization. International classification of functioning, disability, and health: ICF. Geneva: WHO; 2001.
Brockow T, Cieza A, Kuhlow H, Sigl T, Franke T, Harder M, et al. Identifying the concepts contained in outcome measures of clinical trials on musculoskeletal disorders and chronic widespread pain using the international classification of functioning, disability and health as a reference. J Rehabil Med. 2004;44(Suppl):30–6.
Sigl T, Cieza A, Brockow T, Chatterji S, Kostanjsek N, Stucki G. Content comparison of low back pain-specific measures based on the international classification of functioning, disability and health (ICF). Clin J Pain. 2006;22:147–53.
Stamm T, Geyh S, Cieza A, Machold K, Kollerits B, Kloppenburg M, et al. Measuring functioning in patients with hand osteoarthritis—content comparison of questionnaires based on the international classification of functioning, disability and health (ICF). Rheumatology (Oxford). 2006;45:1534–41.
Cieza A, Geyh S, Chatterji S, Kostanjsek N, Ustun B, Stucki G. ICF linking rules: an update based on lessons learned. J Rehabil Med. 2005;37:212–8.
Cieza A, Brockow T, Ewert T, Amman E, Kollerits B, Chatterji S, et al. Linking health-status measurements to the international classification of functioning, disability and health. J Rehabil Med. 2002;34:205–10.
Geyh S, Kurt T, Brockow T, Cieza A, Ewert T, Omar Z, et al. Identifying the concepts contained in outcome measures of clinical trials on stroke using the international classification of functioning, disability and health as a reference. J Rehabil Med. 2004;44(Suppl):56–62.
Cohen J. A coefficient of agreement for nominal scales. Educ Psychol Meas. 1960;20:37–46.
Efron B. The jackknife, the bootstrap and other resampling plans. Philadelphia: Society for industrial and applied mathematics; 1982.
Vierkant RA. A SAS macro for calculating bootstrapped confidence intervals about a Kappa coefficient [homepage on the Internet]. Available from: http://www2.sas.com/proceedings/sugi22/STATS/PAPER295.PDF.
Endicott J, Nee J. Endicott work productivity scale (EWPS): a new measure to assess treatment effects. Psychopharmacol Bull. 1997;33:13–6.
van Roijen L, Essink-Bot ML, Koopmanschap MA, Bonsel G, Rutten FF. Labor and health status in economic evaluation of health care. The health and labor questionnaire. Int J Technol Assess Health Care. 1996;12:405–15.
Kumar RN, Hass SL, Li JZ, Nickens DJ, Daenzer CL, Wathen LK. Validation of the health-related productivity questionnaire diary (HRPQ-D) on a sample of patients with infectious mononucleosis: results from a phase 1 multicenter clinical trial. J Occup Environ Med. 2003;45:899–907.
Koopmanschap M, Meerding WJ, Evers S, Severens J, Burdorf A, Brouwer W. Productivity and disease questionnaire-PRODISQ versie 2.1 (in Dutch). 2004.
Koopman C, Pelletier KR, Murray JF, Sharda CE, Berger ML, Turpin RS, et al. Stanford presenteeism scale: health status and employee productivity. J Occup Environ Med. 2002;44:14–20.
Turpin RS, Ozminkowski RJ, Sharda CE, Collins JJ, Berger ML, Billotti GM, et al. Reliability and validity of the Stanford presenteeism scale. J Occup Environ Med. 2004;46:1123–33.
Gignac MA, Badley EM, Lacaille D, Cott CC, Adam P, Anis AH. Managing arthritis and employment: making arthritis-related work changes as a means of adaptation. Arthritis Rheum. 2004;51:909–16.
Beaton DE, Kennedy CA. Beyond return to work: testing a measure of at-work disability in workers with musculoskeletal pain. Qual Life Res. 2005;14:1869–79.
Burton WN, Chen CY, Conti DJ, Pransky G, Edington DW. Caregiving for ill dependents and its association with employee health risks and productivity. J Occup Environ Med. 2004;46:1048–56.
Goetzel RZ, Ozminkowski RJ, Long SR. Development and reliability analysis of the work productivity short inventory (WPSI) instrument measuring employee health and productivity. J Occup Environ Med. 2003;45:743–62.
Amick BC 3rd, Lerner D, Rogers WH, Rooney T, Katz JN. A review of health-related work outcome measures and their uses, and recommended measures. Spine. 2000;25:3152–60.
van den Heuvel SG, Heinrich J, Jans MP, van der Beek AJ, Bongers PM. The effect of physical activity in leisure time on neck and upper limb symptoms. Prev Med. 2005;41:260–7.
van den Heuvel SG, Ijmker S, Blatter BM, de Korte EM. Loss of productivity due to neck/shoulder symptoms and hand/arm symptoms: results from the PROMO-study. J Occup Rehabil. 2007;17:370–82.
Dreinhöfer K, Stucki G, Ewert T, Huber E, Ebenbichler G, Gutenbrunner C, et al. ICF core sets for osteoarthritis. J Rehabil Med. 2004;36(Suppl):75–80.
Stucki G, Cieza A, Geyh S, Battistella L, Lloyd J, Symmons D, et al. ICF core sets for rheumatoid arthritis. J Rehabil Med. 2004;36(Suppl):87–93.
Acknowledgments
We would like to thank the ICF Research Branch for the kind support, Edda Amman who assisted in the linking process, and Barbara Kollerits who provided statistical support and also assisted in linking. Special thanks to OMERACT, collaborators of this study, questionnaire developers and their support staff, and Brittany Norton for providing assistance in preparing the manuscript.
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Escorpizo, R., Cieza, A., Beaton, D. et al. Content Comparison of Worker Productivity Questionnaires in Arthritis and Musculoskeletal Conditions Using the International Classification of Functioning, Disability, and Health Framework. J Occup Rehabil 19, 382–397 (2009). https://doi.org/10.1007/s10926-009-9193-0
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DOI: https://doi.org/10.1007/s10926-009-9193-0