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A Multivariate Analysis of Factors Associated With Early Offer and Acceptance of a Work Accommodation Following an Occupational Musculoskeletal Injury

Franche, Renée-Louise PhD; Severin, Colette N. MHSc; Hogg-Johnson, Sheilah PhD; Lee, Hyunmi MSc; Côté, Pierre DC, PhD; Krause, Niklas MD, PhD

Journal of Occupational and Environmental Medicine: August 2009 - Volume 51 - Issue 8 - p 969-983
doi: 10.1097/JOM.0b013e3181b2f3c1
Original Articles

Objective: To identify factors associated with offer and acceptance of work accommodation.

Methods: In 401 claimants with musculoskeletal injuries, two logistic regressions identified individual and workplace factors associated with work accommodation offer and acceptance.

Results: Unionized status, strong disability management policies and practices, low supervisor support, and pink collar occupation were associated with work accommodation offer. Job tenure over 1 year and lighter physical work were associated with acceptance. Younger age and more repetitive physical work demands were positively associated with both outcomes. Pink-collar status was positively associated with offers, but negatively with acceptance. Gender, mental health, pain, job satisfaction, firm size, people-oriented culture, safety climate, and ergonomic practices were not significant predictors.

Conclusions: One month post-injury, workplace factors and age are determinants of offer and acceptance of work accommodation, while individual health factors play no significant role.

From the Disability Prevention Program (Dr Franche), Occupational Health and Safety Agency for Healthcare, Vancouver, British Columbia, Canada; School of Population and Public Health (Dr Franche), Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada; Institute for Work & Health (Dr Franche, Ms Severin, Dr Hogg-Johnson, Ms Lee, Dr Côté, Dr Krause), Toronto, Ontario, Canada; Dalla Lana School of Public Health, Faculty of Medicine (Dr Franche, Dr Hogg-Johnson, Dr Côté), University of Toronto, Toronto, Ontario, Canada; Department of Health Sciences (Dr Franche), Simon Fraser University, Vancouver, British Columbia, Canada; Centre of Research Expertise in Improved Disability Outcomes (CREIDO) (Dr Côté), Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada; and Department of Medicine (Dr Krause), Division of Occupational and Environmental Medicine, University of California, San Francisco, Calif.

Address correspondence to: Renée-Louise Franche, Occupational Health and Safety Agency for Healthcare (OHSAH), 301-1195 West Broadway, Vancouver, BC, Canada V6H 3X5; E-mail:

©2009The American College of Occupational and Environmental Medicine