NDLI: Validity and Determinants of Clinicians’ Return to Work Judgments for Individuals Following Whiplash Injury

Content Provider	Springer Nature Link
Author	Scott, Whitney Sullivan, Michael J. L.
Copyright Year	2010
Abstract	Rehabilitation clinicians routinely make judgments about the capacity of individuals to return to work following whiplash injury, which can have serious implications for individuals’ continued access to salary indemnity benefits. The present study examined the validity and determinants of these judgments. During a standardized rehabilitation intervention, data regarding demographic factors, crash characteristics, pain severity, range of motion, pain-related psychological functioning, as well as change in the latter three factors over the course of treatment were collected for 104 whiplash-injured individuals (73 women, 31 men). Upon completion of the intervention, clinicians rated the number of hours each individual was capable of working per day. Follow-up data regarding the actual number of hours worked were collected 1 year later. Hierarchical regression analyses revealed that clinicians’ judgments added significant unique variance to the return to work prediction beyond other predictive factors, and that clinicians were particularly influenced by patients’ pain severity and treatment-related change in pain severity in making these judgments. Although clinicians were significantly able to predict return to work, the limited variance accounted for by their judgments (12%) warrants caution in the use of these judgments in decisions related to access to services or indemnity. Factors predictive of clinician judgment and actual return to work are compared, and recommendations to enhance the utility of these judgments are made.
Starting Page	220
Ending Page	229
Page Count	10
File Format	PDF
ISSN	1938971X
Journal	Psychological Injury and Law
Volume Number	3
Issue Number	3
e-ISSN	19389728
Language	English
Publisher	Springer US
Publisher Date	2010-08-03
Publisher Place	Boston
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Whiplash injury Neck pain Disability Work readiness Psychology Clinical Psychology Law and Psychology
Content Type	Text
Resource Type	Article
Subject	Ecology Law Psychiatry and Mental Health

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