Affiliations: Doctoral Program in Rehabilitation Science, Elborn
College, University of Western Ontario, London, ON, Canada | School of Occupational Therapy, Elborn College,
University of Western Ontario, London, ON, Canada
Note: [] Address for correspondence: Rhysa Leyshon, Doctoral Program in
Rehabilitation Science, Elborn College, University of Western Ontario, 1337
Corley Dr., London, ON, N6G 4L4, Canada. Tel.: +1 519 661 2111, x. 88979; Fax:
+1 519 850 2469; E-mail: rleyshon@uwo.ca
Abstract: Objective: Currently no standard or universal outcome measure for
return to work (RTW) programs exists making the evaluation and comparison of
such programs difficult. RTW outcomes are often measured using nominal scales
based on administrative data but these fail to take the perspectives of workers
and other stakeholders into consideration. In order to gain that perspective
this study was conducted to identify what outcomes are of interest and
importance to RTW stakeholders. RTW stakeholders identified indicators of
successful RTW in order to develop a conceptual framework of successful RTW. Participants: A total of 24 RTW stakeholders participated, representing
both RTW consumers and providers from Southwestern Ontario. Method: This study used a mixed-method integrated form of concept mapping, which
qualitatively generates and interprets data, and quantitatively analyzes data
using multidimensional scaling and hierarchical cluster analysis. Results: Participants generated 48 statements, which were subsequently
clustered into the following six concepts; worker performance, worker job
satisfaction, human rights, worker well-being, seamless RTW process through
collaborative communication, and satisfaction of stakeholders other than
workers. Conclusions: The results reflect the perspectives of
stakeholders and suggest that RTW outcome measures are needed that not only
evaluate all aspects of the worker's life, but the RTW process as well. Aside
from confirming the inadequacy of nominal, administrative type outcomes, these
findings imply that the actual RTW process is intimately tied to outcome.
Implications and relevance are discussed for planning RTW programs and towards
developing a RTW outcome tool.
Keywords: Return to work, conceptual framework, concept mapping, program planning and evaluation
