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Article ; Online: Success rate and predictors of return to work after implementation of a formal return-to-work trajectory: A retrospective cohort study.

Boets, Isabelle / Luyten, Steven / Vandenbroeck, Sofie / Godderis, Lode

2024

Abstract: Background: Long term sick leave (SL) is increasing in Europe, several countries have legislative initiatives to reduce long-term absenteeism.: Objective: We evaluated the impact of a legally defined return-to-work (RTW) trajectory on the RTW of ... ...

Abstract	Background: Long term sick leave (SL) is increasing in Europe, several countries have legislative initiatives to reduce long-term absenteeism. Objective: We evaluated the impact of a legally defined return-to-work (RTW) trajectory on the RTW of employees on sick leave in Belgium. Methods: This was a retrospective register-based cohort study of employees (n = 1416) who followed an RTW trajectory in 2017. We linked workers' data from a prevention service with social security data. By multinomial logistic regression, we analysed which characteristics predicted the RTW with the same or another employer. Results: One year after their RTW trajectory, 69.2% of the 1416 employees did not RTW; 10.7% returned to work with the same employer and 20.1% with a new employer. Duration of SL was an important predictor for the RTW with both the same employer and another employer. The odds of RTW were lower when the SL duration was > 6 months compared to < 6 months. Marital status, organization-size, and the occupational physician decision had a significant impact on the RTW with the same employer. Age and who initiated the RTW-trajectory were important predictors on the RTW with another employer. Conclusions: Overall, 30.8% of employees returned to work after their RTW trajectory. A one-size-fits-all approach is not recommended. A stepped approach with an early, informal start of the RTW process is advised. When employees or employers fail to initiate the RTW on their own, a legally defined RTW trajectory could be useful. In particular, RTW with another employer seemed a positive effect of the RTW-trajectory.
Language	English
Publishing date	2024-05-16
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	1394194-x
ISSN	1875-9270 ; 1051-9815
ISSN (online)	1875-9270
ISSN	1051-9815
DOI	10.3233/WOR-230412
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Article ; Online: Return-to-work interventions for sick-listed employees with burnout: a systematic review.

Lambreghts, Charlotte / Vandenbroeck, Sofie / Goorts, Kaat / Godderis, Lode

Occupational and environmental medicine

2023 Volume 80, Issue 9, Page(s) 538–544

Abstract: Burnout is a work-related mental health problem that often causes long-term sickness absence. Return-to-work (RTW) interventions for burned-out sick-listed employees aim to prevent long-term work disability. This systematic review addresses two questions: ...

Abstract	Burnout is a work-related mental health problem that often causes long-term sickness absence. Return-to-work (RTW) interventions for burned-out sick-listed employees aim to prevent long-term work disability. This systematic review addresses two questions: (1) Which interventions for burned-out sick-listed employees have been studied?; (2) What is the effect of these interventions on RTW?We performed a systematic literature review and searched PubMed, Cochrane Central Register of Controlled Trials, Embase, CINAHL and Web of Science from 1 January 2000 to 31 December 2022. We searched for articles of interventions for burned-out sick-listed employees. We conducted the review in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Outcome was RTW.We identified 2160 articles after removal of all duplicates. Eight studies met inclusion criteria. RTW outcomes were number of sick-leave days, sick-leave rates, median period of RTW and worked hours per week. Five studies described person-directed interventions, one described a workplace-directed intervention, one described a combination of both intervention types and one study described all three types of intervention. Only the workplace-directed intervention showed a significant improvement in RTW compared with the comparator group: at 18-month follow-up, 89% of the intervention group had returned to work compared with 73% of the comparator group.Only a limited number of studies have explored interventions specifically focused on burned-out sick-listed employees and the effect on RTW. Due to heterogeneity and moderate to high risk of bias of these studies, no firm conclusions can be drawn on the described interventions and their effect on RTW.The study was registered with the International prospective register of systematic reviews (PROSPERO, registration number: CRD42018089155).
MeSH term(s)	Humans ; Return to Work/psychology ; Employment ; Workplace ; Burnout, Professional ; Sick Leave
Language	English
Publishing date	2023-07-27
Publishing country	England
Document type	Systematic Review ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1180733-7
ISSN	1470-7926 ; 1351-0711
ISSN (online)	1470-7926
ISSN	1351-0711
DOI	10.1136/oemed-2023-108867
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Article: Burnout Profiles Among Young Researchers: A Latent Profile Analysis.

Boone, Anke / Vander Elst, Tinne / Vandenbroeck, Sofie / Godderis, Lode

Frontiers in psychology

2022 Volume 13, Page(s) 839728

Abstract: Introduction: Burnout is a growing problem among young researchers, affecting individuals, organizations and society. Our study aims to identify burnout profiles and highlight the corresponding job demands and resources, resulting in recommendations to ... ...

Abstract	Introduction: Burnout is a growing problem among young researchers, affecting individuals, organizations and society. Our study aims to identify burnout profiles and highlight the corresponding job demands and resources, resulting in recommendations to reduce burnout risk in the academic context. Methods: This cross-sectional study collected data from young researchers ( Results: Five burnout profiles were identified: (1) High Burnout Risk (9.3%), (2) Cynical (30.1%), (3) Overextended (2.3%), (4) Low Burnout Risk (34.8%), and (5) No Burnout Risk (23.6%). Each burnout profile was associated with a different pattern of job demands and resources. For instance, high levels of meaningfulness (OR = -1.96) decreased the odds to being classified in the Cynical profile. Conclusion: Our findings show that the Cynical profile corresponds to a relatively high number of young researchers, which may imply that they are particularly vulnerable to the cynicism dimension of burnout. Additionally, work-life interference and perceived publication pressure seemed the most significant predictors of burnout risk, while meaningfulness, social support from supervisor and learning opportunities played an important protective role.
Language	English
Publishing date	2022-05-27
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2563826-9
ISSN	1664-1078
ISSN	1664-1078
DOI	10.3389/fpsyg.2022.839728
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Article ; Online: The long-term effect of job mobility on workers' mental health: a propensity score analysis.

Maniscalco, Laura / Schouteden, Martijn / Boon, Jan / Vandenbroeck, Sofie / Mehlum, Ingrid Sivesind / Godderis, Lode / Matranga, Domenica

BMC public health

2022 Volume 22, Issue 1, Page(s) 1145

Abstract: Objectives: The main purpose of this longitudinal study was to elucidate the impact of external job mobility, due to a change of employer, on mental health.: Methods: A cohort of Belgian employees from the IDEWE occupational medicine registry was ... ...

Abstract	Objectives: The main purpose of this longitudinal study was to elucidate the impact of external job mobility, due to a change of employer, on mental health. Methods: A cohort of Belgian employees from the IDEWE occupational medicine registry was followed-up for twenty-seven years, from 1993 to 2019. The use of drugs for neuropsychological diseases was considered as an objective indicator of mental health. The covariates were related to demographic, physical, behavioural characteristics, occupational and work-related risks. Propensity scores were calculated with a Cox regression model with time-varying covariates. The PS matching was used to eliminate the systematic differences in subjects' characteristics and to balance the covariates' distribution at every time point. Results: The unmatched sample included 11,246 subjects, with 368 (3.3%) that changed their job during the baseline year and 922 (8.2%) workers that left their employer during the follow-up. More than half of the matched sample were males, were aged less than 38 years old, did not smoke, were physically active, and normal weighted, were not exposed to shift-work, noise, job strain or physical load. A strong association between job mobility and neuropsychological treatment was found in the matched analysis (HR = 2.065, 95%CI = 1.397-3.052, P-value < 0.001) and confirmed in the sensitivity analysis (HR of 2.012, 95%CI = 1.359-2.979, P-value < 0.001). Furthermore, it was found a protective role of physical activity and a harmful role of job strain on neuropsychological treatment. Conclusions: Our study found that workers with external job mobility have a doubled risk of treatment with neuropsychological medication, compared to workers without job mobility.
MeSH term(s)	Adult ; Female ; Humans ; Longitudinal Studies ; Male ; Mental Health ; Occupational Health ; Occupational Medicine ; Propensity Score
Language	English
Publishing date	2022-06-08
Publishing country	England
Document type	Journal Article
ZDB-ID	2041338-5
ISSN	1471-2458 ; 1471-2458
ISSN (online)	1471-2458
ISSN	1471-2458
DOI	10.1186/s12889-022-13558-2
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Article: A conceptual framework addressing the complex labour market dynamics of the work-to-retirement process.

Leinonen, Taina / Boets, Isabelle / Pletea, Elisabeta / Vandenbroeck, Sofie / Sivesind Mehlum, Ingrid / Hasselhorn, Hans Martin / de Wind, Astrid

European journal of ageing

2022 Volume 19, Issue 4, Page(s) 1631–1637

Abstract: The way in which retirement is conceptualized and measured is likely to influence the research findings. The previous literature has addressed a wide range of elements related to the complex work-to-retirement process, such as early, late and partial ... ...

Abstract	The way in which retirement is conceptualized and measured is likely to influence the research findings. The previous literature has addressed a wide range of elements related to the complex work-to-retirement process, such as early, late and partial retirement, statutory retirement, work disability and unemployment paths to retirement, or different types of bridge employment. However, conceptual clarity in terms of connections between the different elements is called for. We introduce a conceptual framework of the work-to-retirement process to guide its future measurement. Together with information on the statutory retirement age, the main elements of the framework are based on employment and pension receipt, acknowledging that these may overlap. The framework is flexible to the user, providing the possibility to add various specifications-e.g. of types of employment, types of pension receipt, unemployment, and being outside the labour force-depending on the study context and aims. The framework highlights the complexity of the work-to-retirement process, bringing forth its multifaceted, multiphased and multidirectional features. Accounting for such complexity in later-life labour market dynamics helps to elaborate what is actually addressed when investigating "retirement". Our conceptual framework can be utilized to enhance well-defined, precise and comparable measurement of the work-to-retirement process in studies.
Language	English
Publishing date	2022-04-27
Publishing country	Germany
Document type	Journal Article
ZDB-ID	2190233-1
ISSN	1613-9372
ISSN	1613-9372
DOI	10.1007/s10433-022-00704-3
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Article ; Online: Frequent Allergic Sensitization to Farmed Edible Insects in Exposed Employees.

Ganseman, Eva / Goossens, Janne / Blanter, Marfa / Jonckheere, Anne-Charlotte / Bergmans, Nele / Vanbrabant, Lotte / Gouwy, Mieke / Ronsmans, Steven / Vandenbroeck, Sofie / Dupont, Lieven J / Vanoirbeek, Jeroen / Bullens, Dominique M A / Breynaert, Christine / Proost, Paul / Schrijvers, Rik

The journal of allergy and clinical immunology. In practice

2023 Volume 11, Issue 12, Page(s) 3732–3741.e10

Abstract: Background: Exposure to insects used in pet food, scientific research, or live fish bait can cause an occupational allergy. The recent shift toward enhanced insect production for human consumption and animal feed will likely expose more employees.: ... ...

Abstract	Background: Exposure to insects used in pet food, scientific research, or live fish bait can cause an occupational allergy. The recent shift toward enhanced insect production for human consumption and animal feed will likely expose more employees. Objective: To investigate sensitization and symptoms in employees exposed to edible insects in Flanders. Methods: Fifteen insect-exposed employees were recruited and sensitization was explored by skin prick test, basophil activation test, and immunoblotting. Lung function, FeNO, histamine provocation, and sputum induction were studied. Airborne dust sampling was performed and proteins were studied by silver stain and immunoblotting. Results: Sixty percent of employees self-reported upper respiratory tract symptoms related to insect exposure. Ten employees (71.4%) had a positive histamine provocation test concentration causing a 20% drop in FEV1 less than 8 mg/mL and four (26.7%) had FeNO levels above 25 ppb. Four employees (30.7%) had a positive skin prick test for at least one insect, and seven (58.3%) had a positive basophil activation test. In eight participants with insect sensitization, four (50%) had co-occurring house dust mite sensitization. Two participants had strong IgE binding to a 50-kDa migratory locust allergen, one to a 25-kDa mealworm allergen, and one to mealworm α-amylase. In one center, facility adjustment resulted in a substantial decrease in the inhalable dust fraction. Conclusions: Insect exposure leads to high levels of sensitization among employees. Most employees reported symptoms of the upper respiratory system, and two-thirds of employees had bronchial hyperreactivity. Prevention and health surveillance will be important in the developing insect-rearing industry.
MeSH term(s)	Animals ; Humans ; Edible Insects ; Histamine ; Hypersensitivity/epidemiology ; Hypersensitivity/diagnosis ; Allergens ; Dust ; Skin Tests
Chemical Substances	Histamine (820484N8I3) ; Allergens ; Dust
Language	English
Publishing date	2023-08-04
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2843237-X
ISSN	2213-2201 ; 2213-2198
ISSN (online)	2213-2201
ISSN	2213-2198
DOI	10.1016/j.jaip.2023.07.039
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Article: Screening for the risk on long-term sickness absence.

Goorts, Kaat / Vandenbroeck, Sofie / Rusu, Dorina / Bois, Marc Du / Godderis, Lode

Journal of public health research

2018 Volume 7, Issue 2, Page(s) 1419

Abstract: Background: ...

Abstract	Background:
Language	English
Publishing date	2018-10-04
Publishing country	Italy
Document type	Journal Article
ISSN	2279-9028
ISSN	2279-9028
DOI	10.4081/jphr.2018.1419
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Article ; Online: Quickscan Assesses Risk of Long-Term Sickness Absence: A Cross-Sectional Validation Study.

Goorts, Kaat / Vandenbroeck, Sofie / Vander Elst, Tinne / Rusu, Dorina / Du Bois, Marc / Godderis, Lode

Journal of occupational and environmental medicine

2018 Volume 61, Issue 2, Page(s) e43–e50

Abstract: Objective: Increasing long-term sickness absence in many countries asks for specific measures regarding return-to work.: Methods: The risk of long-term sickness absence was assessed using a questionnaire containing work-related, function-related, ... ...

Abstract	Objective: Increasing long-term sickness absence in many countries asks for specific measures regarding return-to work. Methods: The risk of long-term sickness absence was assessed using a questionnaire containing work-related, function-related, stressful life-events-related, and person-related factors. Additionally, workers' occupational health physician estimated the worker's chances for work resumption. Reliability, construct, and criterion validity of the questionnaire were measured. Results: Two hundred seventy-six patients and 35 physicians participated in the study. The reliability was satisfying (α > 0.70) for all scales, except for perfectionism (α = 0.62). The results of the CFAs showed that the hypothesized factor models fitted the data well. Criterion validity tests showed that eight predictors significantly related to the estimation of the occupational physicians (ρ < 0.05). Conclusions: The scales of the questionnaire are reliable and valid, and may be implemented to assess sick-listed workers at risk who might benefit from a rehabilitation program.
MeSH term(s)	Adult ; Belgium/epidemiology ; Cross-Sectional Studies ; Female ; Humans ; Male ; Occupational Health ; Reproducibility of Results ; Return to Work/statistics & numerical data ; Risk Assessment/methods ; Risk Factors ; Sick Leave/statistics & numerical data ; Surveys and Questionnaires ; Time Factors
Language	English
Publishing date	2018-12-04
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1223932-x
ISSN	1536-5948 ; 1076-2752
ISSN (online)	1536-5948
ISSN	1076-2752
DOI	10.1097/JOM.0000000000001512
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Article ; Online: Quickscan assesses risk factors of long-term sickness absence: A cross-sectional (factorial) construct validation study.

Goorts, Kaat / Vandenbroeck, Sofie / Vander Elst, Tinne / Rusu, Dorina / Du Bois, Marc / Decuman, Saskia / Godderis, Lode

PloS one

2019 Volume 14, Issue 1, Page(s) e0210359

Abstract: Objectives: The number of sick-listed employees has increased dramatically worldwide. Therefore, many countries aim to stimulate early and sustainable return to work opportunities to obtain better health outcomes and lower costs for disability pensions. ...

Abstract	Objectives: The number of sick-listed employees has increased dramatically worldwide. Therefore, many countries aim to stimulate early and sustainable return to work opportunities to obtain better health outcomes and lower costs for disability pensions. To effectively orientate resources to patients with a high risk of not resuming work spontaneously, it is necessary to screen patients early in their sickness absence process. In this study, we validate "Quickscan", a new instrument to assess return-to-work needs and to predict risks of long-term sick leave. Methods: As part of the Quickscan validation process, we tested and compared the reliability and construct validity of the questionnaire in two different populations. First, we conducted a cross-sectional study in which the screening instrument was sent to sick-listed individuals in healthcare insurance. In a second cross-sectional study, sick-listed workers who consulted the occupational health physician for return-to-work assessment were asked to fill out the questionnaire. We compared both samples for descriptive statistics: frequencies, means and standard deviations. Reliability of the scales was calculated using Cronbach's alpha. Confirmatory factor analysis was performed to evaluate the construct (factorial) validity of the studied scales using software package AMOS 24. Results: The screening tool was shown to be an instrument with reliable scales (except for the perfectionism and health perception patient scale) in both populations. The construct validity was satisfactory: we found that the hypothesized measurement models with the theoretical factors fitted the data well in both populations. In the first sample, the model improved for scales concerning stressful life events and showed worse fit for person-related factors. Work-related factors and functioning factors both showed similar fit indices across samples. We found small differences in descriptive statistics, which we could explain by the differences in characteristics of both populations. Conclusions: We can conclude that the instrument has considerable potential to function as a screening tool for disability management and follow-up of sick-leave, provided that some adaptations and validation tests are executed.
MeSH term(s)	Absenteeism ; Adult ; Belgium ; Cross-Sectional Studies ; Disability Evaluation ; Disabled Persons ; Factor Analysis, Statistical ; Female ; Humans ; Male ; Middle Aged ; Occupational Health ; Pensions ; Reproducibility of Results ; Return to Work/statistics & numerical data ; Risk Factors ; Sick Leave/statistics & numerical data ; Surveys and Questionnaires
Language	English
Publishing date	2019-01-11
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Validation Study
ISSN	1932-6203
ISSN (online)	1932-6203
DOI	10.1371/journal.pone.0210359
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Article ; Online: Assessment of long-term sickness absence: content and face validity of a new questionnaire based on qualitative data from nominal groups.

Goorts, Kaat / Vanovenberghe, Charlotte / Lambreghts, Charlotte / Bruneel, Eline / Rusu, Dorina / Du Bois, Marc / Vandenbroeck, Sofie / Godderis, Lode

BMC medical research methodology

2019 Volume 19, Issue 1, Page(s) 205

Abstract: Background: Increasing rates of long-term sickness absence are a worldwide problem. Belgium is the first country in Europe that aims to screen its entire population of sick leavers (sick leave > 6 weeks) for the risk of long-term sickness absence in ... ...

Abstract	Background: Increasing rates of long-term sickness absence are a worldwide problem. Belgium is the first country in Europe that aims to screen its entire population of sick leavers (sick leave > 6 weeks) for the risk of long-term sickness absence in order to focus resources on the high-risk group and to provide adequate return-to-work support. Our aim was to investigate content and face validity of a newly designed questionnaire (Quickscan) using item prioritization of patients and professionals in the field of long-term sickness absence. This questionnaire was developed based on a review of the literature and existing instruments (Goorts et al, J Public Health Res 7:1419, 2018). Methods: Qualitative data were collected using the nominal group technique. The data were gathered exploring factors that influence return-to work restrictions or opportunities. Results: Participants indicated 20 out of 21 of the questionnaire factors as important reasons that might influence the return-to-work process. Additionally, 16 factors were discussed that were not yet included in the Quickscan but that might provide useful information on return-to-work issues, according to the participants. In the prioritization of items, we found considerable diversity among participants. Conclusions: Our findings demonstrate the validity of the Quickscan items to ask patients about important return-to-work barriers or opportunities. However, additional factors were identified that may improve the assessment of risk for long-term sickness absence.
MeSH term(s)	Absenteeism ; Adult ; Belgium ; Female ; Focus Groups ; Humans ; Male ; Middle Aged ; Reproducibility of Results ; Return to Work ; Sick Leave ; Surveys and Questionnaires ; Time Factors ; Young Adult
Language	English
Publishing date	2019-11-08
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ISSN	1471-2288
ISSN (online)	1471-2288
DOI	10.1186/s12874-019-0852-3
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