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

Howard, Krista J. PhD; Castaneda, Ricardo A. MA; Gray, Avia L. MA; Haskard-Zolnierek, Kelly B. PhD; Jordan, Krista PhD

Journal of Occupational and Environmental Medicine: March 2017 - Volume 59 - Issue 3 - p 320–326
doi: 10.1097/JOM.0000000000000953

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.

Texas State University, , San Marcos, Texas (Dr Howard, Mr Castaneda, Ms Gray, Dr Haskard-Zolnierek), and RestoreFX, North Vancouver, British Columbia, Canada (Dr Jordan).

Address correspondence to: Krista J. Howard, PhD, Associate Professor, Department of Psychology, Texas State University, 601 University Drive, UAC 257, San Marcos, TX 78666 (

The authors report no conflicts of interest.

Copyright © 2017 by the American College of Occupational and Environmental Medicine