caa a22 4500 606211217 CHVBK 20210128101037.0 cr unu---uuuuu 210128e20150601xx s 000 0 eng 10.1007/s10926-014-9546-1 doi (NATIONALLICENCE)springer-10.1007/s10926-014-9546-1 Does the Economy Affect Functional Restoration Outcomes for Patients with Chronic Disabling Occupational Musculoskeletal Disorders? [Elektronische Daten] [Meredith Hartzell, Tom Mayer, Randy Neblett, Dennis Marquardt, Robert Gatchel] Purpose To determine how the economy affects psychosocial and socioeconomic treatment outcomes in a cohort of chronic disabling occupational musculoskeletal disorder (CDOMD) patients who completed a functional restoration program (FRP). Methods A cohort of 969 CDOMD patients with active workers' compensation claims completed an FRP (a medically-supervised, quantitatively-directed exercise progression program, with multi-modal disability management). A good economy (GE) group (n=532) was released to work during a low unemployment period (2005-2007), and a poor economy (PE) group (n=437) was released during a higher unemployment period (2008-2010). Patients were evaluated upon admission for demographic and psychosocial variables, and were reassessed at discharge. Socioeconomic outcomes, including work return and work retention 1year post-discharge, were collected. Results Some significant differences in psychosocial self-report data were found, but most of the effect sizes were small, so caution should be made when interpreting the data. Compared to the PE group, the GE group reported more depressive symptoms and disability at admission, but demonstrated a larger decrease in depressive symptoms and disability and increase in self-reported quality of life at discharge. The PE group had lower rates of work return and retention 1-year after discharge, even after controlling for other factors such as length of disability and admission work status. Conclusions CDOMD patients who completed an FRP in a PE year were less likely to return to, or retain, work 1-year after discharge, demonstrating that a PE can be an additional barrier to post-discharge work outcomes. A difference in State unemployment rates of <3% (7 vs. 5%) had a disproportionate effect on patients' failure to return to (19 vs. 6%) or retain (28 vs. 15%) work. Springer Science+Business Media New York, 2014 Economy nationallicence Unemployment rates nationallicence Functional restoration program nationallicence Work return nationallicence Chronic occupational musculoskeletal disorders nationallicence Hartzell Meredith PRIDE Research Foundation, 5701 Maple Ave. #100, 75235, Dallas, TX, USA aut Mayer Tom Department of Orthopedic Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., 75235, Dallas, TX, USA aut Neblett Randy PRIDE Research Foundation, 5701 Maple Ave. #100, 75235, Dallas, TX, USA aut Marquardt Dennis Department of Management, College of Business, The University of Texas at Arlington, 701 S. West Street, 76019, Arlington, TX, USA aut Gatchel Robert Department of Psychology, College of Science, The University of Texas at Arlington, 313 Life Science Building, 76019, Arlington, TX, USA aut Journal of Occupational Rehabilitation Springer US; http://www.springer-ny.com 25/2(2015-06-01), 378-386 1053-0487 25:2<378 2015 25 10926 https://doi.org/10.1007/s10926-014-9546-1 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/s10926-014-9546-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hartzell Meredith PRIDE Research Foundation, 5701 Maple Ave. #100, 75235, Dallas, TX, USA aut NATIONALLICENCE 700 1- Mayer Tom Department of Orthopedic Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., 75235, Dallas, TX, USA aut NATIONALLICENCE 700 1- Neblett Randy PRIDE Research Foundation, 5701 Maple Ave. #100, 75235, Dallas, TX, USA aut NATIONALLICENCE 700 1- Marquardt Dennis Department of Management, College of Business, The University of Texas at Arlington, 701 S. West Street, 76019, Arlington, TX, USA aut NATIONALLICENCE 700 1- Gatchel Robert Department of Psychology, College of Science, The University of Texas at Arlington, 313 Life Science Building, 76019, Arlington, TX, USA aut NATIONALLICENCE 773 0- Journal of Occupational Rehabilitation Springer US; http://www.springer-ny.com 25/2(2015-06-01), 378-386 1053-0487 25:2<378 2015 25 10926