FOTO Rehab Outcomes

Psychosocial Factors Related to Return to Function

The biggest question I have: are psychosocial factors pliable? Meaning, can clinicians affect psychosocial factors and to what degree?

The only tool I have used with patients is the STarT back screening tool. Here's a really, really old conversation that might help you understand my thoughts. I know that I can see STarT back screening scores change from high risk to low risk in a matter of 4 visits. 

Is there another tool out there that can track that our interactions are changing psychosocial factors to improve outcomes?

Here's a quick view of the abstract. 

return_to_work

Psychosocial Factors Related to Functional Restoration Treatment Completion and Return-to-Function for Patients With Chronic Disabling Occupational Musculoskeletal Disorders.

 

Abstract

OBJECTIVE:

The aim of this study was to identify demographic and psychosocial variables associated with successful completion of a functional restoration program and return-to-function within 3 months of treatment completion.

METHODS:

Three hundred seven patients admitted to the functional restoration program were evaluated for completion status and 200 patients with valid data were assessed for 3-month return-to-function status following completion. Psychosocial and functional status was assessed at baseline.

RESULTS:

Key factors associated with program completion included lower perceived disability, lower pain, lower functional impairment, and lower fear avoidance. Factors associated with 3-month return-to-function included lower perceived disability, lower depression, greater belief that pain is not associated with impairment, and higher quality of life.

CONCLUSIONS:

Psychosocial and functional factors contribute to both functional restoration completion and 3-month return-to-function outcomes.

2017 Mar;59(3):320-326. doi: 10.1097/JOM.0000000000000953.