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Organizational predictors of successful return to work.

Amick-BC III
Atlanta, GA: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, R01-OH-003523, 2003 Apr; :1-54
The purpose of this project was to develop both worker and employer uses of Organizational Policies and Practices surveys (OPP) and to examine their validity and reliability. A second purpose was to examine the role of OPPs in work disability in a prospective study. To accomplish these aims we followed 197 workers with electrophysiologically confirmed carpal tunnel syndrome (CTS) from a pre-surgical baseline to two months, six months, and 12 months post-surgery. In addition, we surveyed key informants from 76 employers (71 % response rate) about OPPs. Major findings to date are: (1) higher OPPs predict better work role functioning at six months post-surgery; (2) the change in self-efficacy from baseline to two months post-surgery predicts six month work role functioning; (3) the four worker-reported OPP dimensions (safety practices, ergonomic practices, disability management, and people oriented culture) have predictive validity; (4) there is agreement between workers and employers on OPPs at the scale level on people oriented culture but not on safety practices, ergonomic practices and disability management; (5) if a single index of OPPs is created, and then there is agreement; (6) comparison with written policies was attempted but was inconclusive due to the low response rate; (7) Confirmatory Factor Analysis produced a reduced 26-item version of employer OPPs with high scale reliability and validity.
Occupational-sociology; Disabled-workers; Work-analysis; Work-capability; Work-practices; Worker-health; Work-operations; Electrophysiological-effects; Carpal-tunnel-syndrome; Management-personnel; Behavior; Behavior-patterns; Injury-prevention; Health-surveys
University of Texas, School of Public Health, Houston Health Science Center, Suite E905, P.O. Box 20186, Houston, TX 77225
Publication Date
Document Type
Final Grant Report
Email Address
Funding Amount
Funding Type
Fiscal Year
NTIS Accession No.
NTIS Price
Identifying No.
NIOSH Division
Priority Area
Work Environment and Workforce: Organization of Work
Source Name
National Institute for Occupational Safety and Health
Performing Organization
University of Texas, School of Public Health, Houston Health Science Center, Houston, Texas
Page last reviewed: September 2, 2020
Content source: National Institute for Occupational Safety and Health Education and Information Division