caa a22 4500 606210784 CHVBK 20210128101035.0 cr unu---uuuuu 210128e20150301xx s 000 0 eng 10.1007/s10926-014-9522-9 doi (NATIONALLICENCE)springer-10.1007/s10926-014-9522-9 Returning to Work Following Low Back Pain: Towards a Model of Individual Psychosocial Factors [Elektronische Daten] [Elyssa Besen, Amanda Young, William Shaw] Purpose The aim of this paper is to develop and test a model of direct and indirect relationships among individual psychosocial predictors of return-to-work (RTW) outcomes following the onset of low back pain (LBP). Methods We utilize secondary analysis of a larger study of adults seeking treatment for work-related LBP with recent onset. In total, 241 participants who completed a baseline survey, a short follow-up survey, and a longer follow-up survey after 3months were included in our analyses. The participants were required to have LBP with onset of less than 14days, be 18years or older, and be fluent in English or Spanish. The analyses utilized structural equation models to test the direct and indirect relationships among the variables and RTW outcomes at 3months. Results Our results indicated a good fit for our model (χ2=69.59, df=45, p<.05; RMSEA=.05; CFI=.95; WRMR=.61). Pain, catastrophizing, fear-avoidance beliefs, organizational support, and RTW confidence were all found to have indirect relationships with the outcomes. RTW confidence and RTW expectations were found to have direct relationships with the outcomes. Conclusions The process of returning to work after an episode of LBP is a complex process involving many interrelated factors. Understanding the relationships among critical individual factors in the RTW process may be important for the treatment and rehabilitation of those with LBP. Results suggest that if injured workers are struggling with fear avoidance, pain catastrophizing and confidence issues, they might benefit from the application of cognitive behavioral therapy techniques. The Author(s), 2014 Return-to-work nationallicence Recovery expectations nationallicence Work disability prevention nationallicence Individual psychosocial factors nationallicence Fear-avoidance beliefs nationallicence Besen Elyssa Liberty Mutual Research Institute for Safety, Hopkinton, MA, USA aut Young Amanda Liberty Mutual Research Institute for Safety, Hopkinton, MA, USA aut Shaw William Liberty Mutual Research Institute for Safety, Hopkinton, MA, USA aut Journal of Occupational Rehabilitation Springer US; http://www.springer-ny.com 25/1(2015-03-01), 25-37 1053-0487 25:1<25 2015 25 10926 https://doi.org/10.1007/s10926-014-9522-9 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10926-014-9522-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Besen Elyssa Liberty Mutual Research Institute for Safety, Hopkinton, MA, USA aut NATIONALLICENCE 700 1- Young Amanda Liberty Mutual Research Institute for Safety, Hopkinton, MA, USA aut NATIONALLICENCE 700 1- Shaw William Liberty Mutual Research Institute for Safety, Hopkinton, MA, USA aut NATIONALLICENCE 773 0- Journal of Occupational Rehabilitation Springer US; http://www.springer-ny.com 25/1(2015-03-01), 25-37 1053-0487 25:1<25 2015 25 10926