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J Occup Rehabil. 2017 Sep;27(3):329-341. doi: 10.1007/s10926-016-9661-2.

Development of the Return-to-Work Obstacles and Self-Efficacy Scale (ROSES) and Validation with Workers Suffering from a Common Mental Disorder or Musculoskeletal Disorder.

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Department of Education and Pedagogy, Career Counseling, Université du Québec à Montréal, Centre de recherche de l'Institut Universitaire en Santé Mentale de Montréal (CR-IUSMM), 1205, Rue Saint-Denis, Montréal, QC, H2X 3R9, Canada.
Institut de Recherche Robert-Sauvé en Santé et en Sécurité du travail (IRSST), 505 Boulevard de Maisonneuve Ouest, Montréal, QC, H3A 3C2, Canada.
Centre for Action in Work Disability Prevention and Rehabilitation (CAPRIT), School of Rehabilitation, Université de Sherbrooke, 150 Place Charles LeMoyne, Longueuil, QC, J4K 0A8, Canada.
Faculty of Education, Centre de Recherche et d'Intervention sur l'Éducation et la Vie au Travail (CRIEVAT), Université Laval, 2320 Rue des Bibliothèques, Québec, QC, G1V 0A6, Canada.
Faculty of Medicine, School of Rehabilitation, Université de Montréal, 7077, Avenue du Parc, Montréal, QC, H3C 3J7, Canada.
Unité Mixte de Recherche Epidémiologique et de Surveillance Transport Travail Environnement (UMRESTTE), Hospices Civils de Lyon, Université Claude Bernard Lyon 18, Avenue Rockefeller, 69673, Lyon Cedex 08, France.
Division of Occupational and Environmental Health, Dalla Lana Faculty of Public Health, University of Toronto, 155 College Street, Health Science Building, 6th floor, Toronto, ON, M5T 3M7, Canada.
School of Rehabilitation, Université de Sherbrooke, CR-IUSMM, 150 Place Charles Le Moyne, Bureau 200, Longueuil, QC, J4K 0A8, Canada.


Introduction Common mental disorders (CMDs) and musculoskeletal disorders (MSDs) lead the list of causes for work absence in several countries. Current research is starting to look at workers on sick leave as a single population, regardless of the nature of the disease or accident. The purpose of this study is to report the validation of the Return to Work Obstacles and Self-Efficacy Scale (ROSES) for people with MSDs and CMDs, based on the disability paradigm. Methods From a prospective design, the ROSES' reliability and validity were investigated in a Canadian sample of workers on sick leave due to MSDs (n = 206) and CMDs (n = 157). Results Exploratory and confirmatory factor analyses revealed that 46 items spread out on 10 conceptual dimensions (e.g., Fears of a relapse, Job demands, Difficult relation with the immediate supervisor), with satisfactory alpha coefficients and test-retest reliability for all subscales. Finally, several dimensions of ROSES also predict the participant's RTW within 6 months for MSDs (e.g., job demands), and CMDs (e.g., difficult relation with the immediate supervisor), even when adjusted by several variables (e.g., age, severity of symptoms). Apart from the job demands dimension, when the ROSES dimension is more external to the individual, only the perception of obstacles remains significant to predict RTW whereas it is the opposite result when the dimension is more internal (e.g., fears of a relapse). Conclusion The ROSES demonstrated satisfactory results regarding its validity and reliability with people having MSDs or CMDs, at the time of the return-to-work process.


Barriers; Common mental disorder; Musculoskeletal disorder; Return-to-work; Self-efficacy

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