3rd place, PREMUS 1 best paper competition: Development of the return-to-work self-efficacy (RTWSE-19) questionnaire - psychometric properties and predictive validity

William S. Shaw, Silje Endresen Reme, Steven J. Linton, Yueng-hsiang Huang, Glenn Pransky

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

Objective The 19-item return-to-work self-efficacy (RTWSE-19) scale is a new self-report measure intended to assess workers' beliefs of their current ability to resume normal job responsibilities following pain onset. The aim of this study was to evaluate the factor structure, internal consistency, and predictive and concurrent validity of RTWSE-19 among workers with acute low-back pain. Methods Patients (N=399, 59% male, mean age 37 years) consulting for acute, work-related low-back pain completed an original 28-item version of the new scale along with concurrent measures of pain, functional limitation, activity avoidance, workplace physical demands, and pain catastrophizing. The assessment was repeated at visit 2, and work limitations and duration of sickness absence were assessed by questionnaire at 3-month follow-up. Exploratory factor analysis (principal component analysis with varimax rotation) was used to assess content validity of the scale, and scores were compared to concurrent pain measures and with disability outcomes at 3 months. Results The full response range (1-10) was utilized on all 28 items, and there were no ceiling or floor effects. Mean item scores ranged from 4.9 ("reducing physical workload") to 8.3 ("describing injury to supervisor"). The exploratory factor analysis supported three underlying factors (eigenvalue >1.0): (i) meeting job demands; (ii) modifying job tasks; and (iii) communicating needs to others. Internal consistency (alpha) for the three scales were 0.98, 0.92, and 0.81, respectively. At visit 2, self-efficacy scores improved for "meeting job demands" and "modifying job tasks", but not for "communicating needs to others". After controlling for pain and functional limitation, both sickness absence and persistent work limitations were predicted by self-efficacy assessed at visit 2 (P<0.05), but self-efficacy assessed at visit 1 did not predict sickness absence. Conclusions The RTWSE-19 is a new measure with adequate reliability and validity to measure the confidence of workers to meet job demands, modify job tasks, and communicate needs to co-workers and supervisors. When assessed 1-2 weeks after pain onset, the scale is predictive of disability outcomes.

Original languageEnglish (US)
Pages (from-to)109-119
Number of pages11
JournalScandinavian Journal of Work, Environment and Health
Volume37
Issue number2
DOIs
StatePublished - Mar 1 2011
Externally publishedYes

Fingerprint

Return to Work
Self Efficacy
Psychometrics
Pain
Low Back Pain
Statistical Factor Analysis
Job Application
Catastrophization
Aptitude
Principal Component Analysis
Workload
Reproducibility of Results
Workplace
Self Report
Surveys and Questionnaires
Wounds and Injuries

Keywords

  • Low-back pain
  • Return to work
  • RTWSE-19
  • Self-report measure

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

3rd place, PREMUS 1 best paper competition : Development of the return-to-work self-efficacy (RTWSE-19) questionnaire - psychometric properties and predictive validity. / Shaw, William S.; Reme, Silje Endresen; Linton, Steven J.; Huang, Yueng-hsiang; Pransky, Glenn.

In: Scandinavian Journal of Work, Environment and Health, Vol. 37, No. 2, 01.03.2011, p. 109-119.

Research output: Contribution to journalArticle

@article{ec55dfca6d8f4aaaa78d310191eca40f,
title = "3rd place, PREMUS 1 best paper competition: Development of the return-to-work self-efficacy (RTWSE-19) questionnaire - psychometric properties and predictive validity",
abstract = "Objective The 19-item return-to-work self-efficacy (RTWSE-19) scale is a new self-report measure intended to assess workers' beliefs of their current ability to resume normal job responsibilities following pain onset. The aim of this study was to evaluate the factor structure, internal consistency, and predictive and concurrent validity of RTWSE-19 among workers with acute low-back pain. Methods Patients (N=399, 59{\%} male, mean age 37 years) consulting for acute, work-related low-back pain completed an original 28-item version of the new scale along with concurrent measures of pain, functional limitation, activity avoidance, workplace physical demands, and pain catastrophizing. The assessment was repeated at visit 2, and work limitations and duration of sickness absence were assessed by questionnaire at 3-month follow-up. Exploratory factor analysis (principal component analysis with varimax rotation) was used to assess content validity of the scale, and scores were compared to concurrent pain measures and with disability outcomes at 3 months. Results The full response range (1-10) was utilized on all 28 items, and there were no ceiling or floor effects. Mean item scores ranged from 4.9 ({"}reducing physical workload{"}) to 8.3 ({"}describing injury to supervisor{"}). The exploratory factor analysis supported three underlying factors (eigenvalue >1.0): (i) meeting job demands; (ii) modifying job tasks; and (iii) communicating needs to others. Internal consistency (alpha) for the three scales were 0.98, 0.92, and 0.81, respectively. At visit 2, self-efficacy scores improved for {"}meeting job demands{"} and {"}modifying job tasks{"}, but not for {"}communicating needs to others{"}. After controlling for pain and functional limitation, both sickness absence and persistent work limitations were predicted by self-efficacy assessed at visit 2 (P<0.05), but self-efficacy assessed at visit 1 did not predict sickness absence. Conclusions The RTWSE-19 is a new measure with adequate reliability and validity to measure the confidence of workers to meet job demands, modify job tasks, and communicate needs to co-workers and supervisors. When assessed 1-2 weeks after pain onset, the scale is predictive of disability outcomes.",
keywords = "Low-back pain, Return to work, RTWSE-19, Self-report measure",
author = "Shaw, {William S.} and Reme, {Silje Endresen} and Linton, {Steven J.} and Yueng-hsiang Huang and Glenn Pransky",
year = "2011",
month = "3",
day = "1",
doi = "10.5271/sjweh.3139",
language = "English (US)",
volume = "37",
pages = "109--119",
journal = "Scandinavian Journal of Work, Environment and Health",
issn = "0355-3140",
publisher = "Finnish Institute of Occupational Health",
number = "2",

}

TY - JOUR

T1 - 3rd place, PREMUS 1 best paper competition

T2 - Development of the return-to-work self-efficacy (RTWSE-19) questionnaire - psychometric properties and predictive validity

AU - Shaw, William S.

AU - Reme, Silje Endresen

AU - Linton, Steven J.

AU - Huang, Yueng-hsiang

AU - Pransky, Glenn

PY - 2011/3/1

Y1 - 2011/3/1

N2 - Objective The 19-item return-to-work self-efficacy (RTWSE-19) scale is a new self-report measure intended to assess workers' beliefs of their current ability to resume normal job responsibilities following pain onset. The aim of this study was to evaluate the factor structure, internal consistency, and predictive and concurrent validity of RTWSE-19 among workers with acute low-back pain. Methods Patients (N=399, 59% male, mean age 37 years) consulting for acute, work-related low-back pain completed an original 28-item version of the new scale along with concurrent measures of pain, functional limitation, activity avoidance, workplace physical demands, and pain catastrophizing. The assessment was repeated at visit 2, and work limitations and duration of sickness absence were assessed by questionnaire at 3-month follow-up. Exploratory factor analysis (principal component analysis with varimax rotation) was used to assess content validity of the scale, and scores were compared to concurrent pain measures and with disability outcomes at 3 months. Results The full response range (1-10) was utilized on all 28 items, and there were no ceiling or floor effects. Mean item scores ranged from 4.9 ("reducing physical workload") to 8.3 ("describing injury to supervisor"). The exploratory factor analysis supported three underlying factors (eigenvalue >1.0): (i) meeting job demands; (ii) modifying job tasks; and (iii) communicating needs to others. Internal consistency (alpha) for the three scales were 0.98, 0.92, and 0.81, respectively. At visit 2, self-efficacy scores improved for "meeting job demands" and "modifying job tasks", but not for "communicating needs to others". After controlling for pain and functional limitation, both sickness absence and persistent work limitations were predicted by self-efficacy assessed at visit 2 (P<0.05), but self-efficacy assessed at visit 1 did not predict sickness absence. Conclusions The RTWSE-19 is a new measure with adequate reliability and validity to measure the confidence of workers to meet job demands, modify job tasks, and communicate needs to co-workers and supervisors. When assessed 1-2 weeks after pain onset, the scale is predictive of disability outcomes.

AB - Objective The 19-item return-to-work self-efficacy (RTWSE-19) scale is a new self-report measure intended to assess workers' beliefs of their current ability to resume normal job responsibilities following pain onset. The aim of this study was to evaluate the factor structure, internal consistency, and predictive and concurrent validity of RTWSE-19 among workers with acute low-back pain. Methods Patients (N=399, 59% male, mean age 37 years) consulting for acute, work-related low-back pain completed an original 28-item version of the new scale along with concurrent measures of pain, functional limitation, activity avoidance, workplace physical demands, and pain catastrophizing. The assessment was repeated at visit 2, and work limitations and duration of sickness absence were assessed by questionnaire at 3-month follow-up. Exploratory factor analysis (principal component analysis with varimax rotation) was used to assess content validity of the scale, and scores were compared to concurrent pain measures and with disability outcomes at 3 months. Results The full response range (1-10) was utilized on all 28 items, and there were no ceiling or floor effects. Mean item scores ranged from 4.9 ("reducing physical workload") to 8.3 ("describing injury to supervisor"). The exploratory factor analysis supported three underlying factors (eigenvalue >1.0): (i) meeting job demands; (ii) modifying job tasks; and (iii) communicating needs to others. Internal consistency (alpha) for the three scales were 0.98, 0.92, and 0.81, respectively. At visit 2, self-efficacy scores improved for "meeting job demands" and "modifying job tasks", but not for "communicating needs to others". After controlling for pain and functional limitation, both sickness absence and persistent work limitations were predicted by self-efficacy assessed at visit 2 (P<0.05), but self-efficacy assessed at visit 1 did not predict sickness absence. Conclusions The RTWSE-19 is a new measure with adequate reliability and validity to measure the confidence of workers to meet job demands, modify job tasks, and communicate needs to co-workers and supervisors. When assessed 1-2 weeks after pain onset, the scale is predictive of disability outcomes.

KW - Low-back pain

KW - Return to work

KW - RTWSE-19

KW - Self-report measure

UR - http://www.scopus.com/inward/record.url?scp=79957635472&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79957635472&partnerID=8YFLogxK

U2 - 10.5271/sjweh.3139

DO - 10.5271/sjweh.3139

M3 - Article

C2 - 21203742

AN - SCOPUS:79957635472

VL - 37

SP - 109

EP - 119

JO - Scandinavian Journal of Work, Environment and Health

JF - Scandinavian Journal of Work, Environment and Health

SN - 0355-3140

IS - 2

ER -