Predictors of non-return to work 2 years post-injury in road traffic crash survivors: Results from the UQ support study

Journal article


Delaney, Michelle, Warren, Jacelle and Kenardy, Justin. (2017) Predictors of non-return to work 2 years post-injury in road traffic crash survivors: Results from the UQ support study. Injury: International Journal of the Care of the Injured. 48(6), pp. 1120 - 1128. https://doi.org/10.1016/j.injury.2017.03.012
AuthorsDelaney, Michelle, Warren, Jacelle and Kenardy, Justin
Abstract

Purpose
Individuals who have sustained an injury from a road traffic crash (RTC) are at increased risk for long lasting health problems and non-return to work (NRTW). Determining the predictors of NRTW is necessary to develop screening tools to identify at-risk individuals and to provide early targeted intervention for successful return to work (RTW). The aim of this study was to identify factors that can predict which individuals will not RTW following minor or moderate injuries sustained from a RTC.
Method
Participants were 194 claimants (63.4% female) within a common-law “fault-based” system from the UQ SuPPORT cohort who were working prior to their RTC. Participants were assessed at 6 months on a variety of physical and mental health measures and RTW status was determined at 2 years post-RTC. RTW rate was 78.4%.
Results
Univariate predictors of NRTW included being the driver or passenger, having a prior psychiatric diagnosis, high disability level, low mental or physical quality of life, predicted non-recovery, high pain, low function, high expectations of pain persistency, low expectations about RTW, having a psychiatric diagnosis, elevated depression or anxiety. The final multivariable logistic regression model included only two variables: disability level and expectations about RTW. Seventy-five percent of individuals who will not RTW by 2 years can be identified accurately at an early stage, using only these two predictors.
Conclusion
The results are promising, because they suggest that having information about two factors, which are easily obtainable, can predict with accuracy those who will require additional support to facilitate RTW.

KeywordsMotor vehicles; Traffic accidents; Return to work; Mental health; Health
Year2017
JournalInjury: International Journal of the Care of the Injured
Journal citation48 (6), pp. 1120 - 1128
PublisherElsevier
ISSN0020-1383
Digital Object Identifier (DOI)https://doi.org/10.1016/j.injury.2017.03.012
Scopus EID2-s2.0-85016006088
Page range1120 - 1128
Research GroupSchool of Philosophy
Publisher's version
File Access Level
Controlled
Place of publicationUnited Kingdom
EditorsP. V. Giannoudis
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The effect of mental health on long-term health-related quality of life following a road traffic crash: Results from the UQ SuPPORT study
Kenardy, Justin, Delaney, Michelle, Warren, Jacelle and Brown, Erin. (2015) The effect of mental health on long-term health-related quality of life following a road traffic crash: Results from the UQ SuPPORT study. Injury. 46(5), pp. 883 - 890. https://doi.org/10.1016/j.injury.2014.11.006