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Incorporating injured employee outcomes into physical and occupational therapists' practice: a controlled trial of the Worker-Based Outcomes Assessment System.

Authors
Ross-RH; Callas-PW; Sargent-JQ; Amick-BC; Rooney-T
Source
J Occup Rehabil 2006 Dec; 16(4):607-629
NIOSHTIC No.
20031625
Abstract
BACKGROUND: Work related musculoskeletal disorders (WRMSDs) remain costly. The Worker-Based Outcomes Assessment System (WBOAS) is an injury treatment improvement tool. Its purpose is to increase treatment effectiveness and decrease the cost of care delivered in Occupational Health Service clinics. METHODS: The study used a non-randomized (parallel cohort) control trial design to test the effects on injured employee outcomes of augmenting the standard care delivered by physical and occupational therapists (PT/OTs) with the WBOAS. The WBOAS works by putting patient-reported functional health status, pain symptom, and work role performance outcomes data into the hands of PT/OTs and their patients. Test clinic therapists were trained to incorporate WBOAS trends data into standard practice. Control clinic therapists delivered standard care alone. RESULTS: WBOAS-augmented PT/OT care did improve (p< or =.05) physical functioning and new injury/re-injury avoidance and, on these same dimensions, cost-adjusted outcome. It did not improve (p>.05) mental health or pain symptoms or return-to-work or stay-at-work success nor, on these same dimensions, cost-adjusted outcome. CONCLUSION: Training PT/OTs to incorporate patient-reported health status, pain symptom, and work role performance outcomes trends data into standard practice does appear to improve treatment effectiveness and cost on some (e.g. physical functioning) but not other (e.g. mental health, pain symptoms) outcomes.
Keywords
Injury-prevention; Health-care-personnel; Musculoskeletal-system-disorders; Work-environment; Health-care; Health-programs; Health-services; Health-surveys; Work-analysis; Work-practices; Worker-health; Work-environment; Muscle-stress; Muscular-disorders; Physical-stress; Physical-therapy; Occupational-health-nursing; Occupational-health-services; Occupational-safety-programs
Contact
Department of Medical Laboratory and Radiation Sciences, College of Nursing and Health Sciences, University of Vermont, 302 Rowell Building, 106 Carrigan Drive, Burlington, VT 05405
CODEN
JOCTEW
Publication Date
20061201
Document Type
Journal Article
Email Address
rhross@uvm.edu
Funding Amount
187548
Funding Type
Grant
Fiscal Year
2007
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R21-OH-007339
Issue of Publication
4
ISSN
1053-0487
Source Name
Journal of Occupational Rehabilitation
State
VT; MA
Performing Organization
Vermont University, Burlington, Vermont
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