I feel helpless when I am treating an individual who has work psychosocial factors. I have no control over those factors. I can't change job satisfaction.... and I can't change workplace social support. Job satisfaction seems to encompass so much more than the enjoyment involved in completing work tasks - it reaches into the relationships within the workplace.
One positive with FOTO is the risk adjusment process. Individuals who are being treated in the clinic and have a worker compensation claim as their payer are factored into the risk adjustment process. Although this is great for rehabilitation providers who use FOTO, it doesn't help the patient's situation.
Here's a quick view of the abstract.
Working is a common cause of chronic pain for workers. However, most of them need to continue working despite the pain in order to make a living unless they get a sick leave or retirement. We hypothesised that the therapeutic effect of vocational rehabilitation may depend on psychosocial factors related to the workplace. To test this hypothesis, we examined the association of work-related psychosocial factors with the prevalence of chronic pain or health-related quality of life (HRQoL) among workers with chronic pain.
We examined 1764 workers aged 20-59 years in the pain-associated cross-sectional epidemiological survey in Japan. The outcomes were (1) chronic pain prevalence among all workers and (2) low Euro QoL (EQ-5D <0.76; mean value of the current study) prevalence among workers with chronic pain according to the degree of workplace social support and job satisfaction. Workplace social support and job satisfaction were measured using the Brief Job Stress Questionnaire. Multivariable-adjusted ORs were calculated using a logistic regression model including age, sex, smoking, exercise, sleep time, work hours, body mass index, personal consumption expenditure, intensity of pain and the presence of severe depressive symptoms.
Chronic pain prevalence was higher among males reporting job dissatisfaction compared with those reporting job satisfaction. No difference was observed among women. Chronic pain prevalence did not differ between workers of either sex reporting poor workplace social support compared with those reporting sufficient support. Among workers with chronic pain, low HRQoL was more frequent in those reporting job dissatisfaction. Similarly, low HRQoL was more frequent in patients with chronic pain reporting poor social support from supervisors or co-workers compared with patients reporting sufficient support.
Work-related psychosocial factors are critical for HRQoL in patients with chronic pain.
BMJ Open. 2016 Apr 25;6(4):e010356. doi: 10.1136/bmjopen-2015-010356.