ERIC Number: EJ923520
Record Type: Journal
Publication Date: 2011-Mar
Abstractor: As Provided
Reference Count: 0
Long Sick Leave after Orthopaedic Inpatient Rehabilitation: Treatment Failure or Relapse?
Mangels, Marija; Schwarz, Susanne; Worringen, Ulrike; Holme, Martin; Rief, Winfried
International Journal of Rehabilitation Research, v34 n1 p29-37 Mar 2011
We investigated whether short-term versus long-term sick leave after orthopaedic inpatient rehabilitation can be predicted by initial assessment information, the clinical status at discharge, or whether the follow-up interval is crucial for later sick leave. We examined 214 patients from an orthopaedic rehabilitation hospital at admission, discharge and 1-year follow-up. Outcome measures included disability, depression, self-efficacy, health status and attitudes towards work. Later short-term versus long-term sick leave was not significantly predicted by pretreatment and posttreatment scores. Surprisingly, both groups improved comparably during treatment. The long-term sick leave group deteriorated on most of the variables at follow-up, whereas the short-term sick leave group maintained the improvements. Rehabilitation interventions should not only focus on inpatient treatment but also on the follow-up interval to prevent relapses and maintain success reached during treatment.
Descriptors: Physical Disabilities, Rehabilitation, Leaves of Absence, Outcomes of Treatment, Health, Patients, Depression (Psychology), Self Efficacy, Work Attitudes, Longitudinal Studies, Improvement
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Publication Type: Journal Articles; Reports - Evaluative
Education Level: N/A
Authoring Institution: N/A