NDLI: Experts opinion on the use of normative data for functional capacity evaluation in occupational and rehabilitation medicine and disability claims.

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Experts opinion on the use of normative data for functional capacity evaluation in occupational and rehabilitation medicine and disability claims.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Soer, Remko Reneman, Michiel F. Frings-Dresen, Monique H. W. Kuijer, P. Paul Kuijer, P. Paul F. M.
Description	Author Affiliation: Soer R ( Center for Rehabilitation, University of Groningen, University Medical Center Groningen, 30.002, 9750 RA, Haren, The Netherlands, r.soer@umcg.nl.)
Abstract	PURPOSE: Application of normative values for functional capacity evaluation (FCE) is controversial for the assessment of clients for work ability. The objective of this study was to study when clinicians and researchers consider normative values of FCE useful or of no use for their purposes. METHODS: A focus group meeting was organized among 43 FCE experts working in insurance, occupational and/or rehabilitation medicine from eight countries during the first international FCE research meeting on October 25th, 2012 in the Netherlands. Participants were asked to rate to which degree they agree or disagree with a statement concerning their position toward normative values for FCE on a 10 cm VAS ranging from 0 (completely disagree) to 100 (completely agree) at T0 and T1. Arguments for aspects that are useful and of no use for normative values were systematically collected during the meeting and afterwards independently clustered by two researchers in higher order topics. RESULTS: Baseline opinion of participants on their position toward normative values was 49 ± 29 points. After the meeting, mean VAS was 55 ± 23 (p = 0.07), indicating that participants did not significantly change their opinion toward normative values. Based on arguments provided by the experts, seven higher order topics were constructed namely 'Comparison with job demands or treatment goals'; 'Comparison with co-workers physical ability'; 'Sincerity of effort'; 'Validity for work ability and return to work'; 'Experience of referrer with assessment method'; 'Clinimetrics compared to alternative assessment methods or reference values'; and 'Ease of use for clinician and stakeholders'. CONCLUSIONS: Although experts state useful aspects for the use of normative values of FCE for these assessments, it may also lead to over-interpretation of results, leading to dualistic statements concerning work ability, with potential harmful consequences for work ability of patients.
File Format	HTM / HTML
ISSN	10530487
Issue Number	4
Volume Number	24
e-ISSN	15733688
Journal	Journal of Occupational Rehabilitation
Language	English
Publisher	Springer
Publisher Date	2014-12-01
Publisher Place	Netherlands
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Physical and Rehabilitation Medicine Attitude Of Health Personnel Insurance, Disability Occupational Medicine Physical And Rehabilitation Medicine Work Capacity Evaluation Adult Female Focus Groups Humans Insurance Claim Review Male Middle Aged Reference Values Visual Analog Scale Journal Article
Content Type	Text
Resource Type	Article
Subject	Rehabilitation Occupational Therapy

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