Risk Manag Healthc Policy. 2017 Feb 07;10:7-16. doi: 10.2147/RMHP.S119479. eCollection 2017.
Injured workers' perception of loss and gain in the return to work process.
Risk management and healthcare policy
Hon Sun Lai, Grace Py Szeto, Chetwyn Ch Chan
Affiliations
Affiliations
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University; Total Rehabilitation Management (Hong Kong) Limited.
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University.
- Applied Cognitive Neuroscience Laboratory, Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong.
PMID: 28223852
PMCID: PMC5304984 DOI: 10.2147/RMHP.S119479
Abstract
When a worker is injured at work, he has to face a tough decision-making process about when and how to return to work (RTW). This study tests how the prospect theory can be applied to influence the injured workers' perceptions about this important choice. One hundred forty-one injured workers were presented with wage- and pain-related information in four different message framing (negatively or positively) and precision (smaller or larger number) conditions. After exposure to the specific combination of this wage and pain information, the participants were asked to express intentions to RTW in terms of perceived chance, confidence, and anticipated sick leave duration. When asked to predict their RTW outcome, 101 participants (72.3%) responded favorably, whereas only 40 (27.7%) indicated an expectation for staying on sick leave. The present results did not show significant differences in the participants' responses to the positively and negatively framed information about wage and pain. However, it was noted that the control group that was presented with positive framing for both "wage" and "pain" information showed higher scores in expectation and confidence for RTW, whereas the Ambivalent Group that had both negative messages showed lower scores. Seventy-nine participants who had ≥60% perceived improvement in condition were selected for further analysis, and those who were presented with "wage loss" information rated significantly higher perceived chance of RTW than those in the "pain gain" group. More in-depth investigation is warranted on this topic, with a larger sample of injured workers to investigate the effects of message framing on the decision-making process about RTW.
Keywords: compensation; injury; rehabilitation; wages
Conflict of interest statement
Disclosure The authors report no conflicts of interest in this work.
References
- J Occup Environ Med. 2005 Apr;47(4):428-33 - PubMed
- Disabil Rehabil. 2004 Jun 3;26(11):625-34 - PubMed
- CMAJ. 2002 Mar 19;166(6):749-54 - PubMed
- Clin J Pain. 1995 Mar;11(1):6-21 - PubMed
- Pain. 2001 Oct;94(1):7-15 - PubMed
- J Occup Rehabil. 2016 Jun;26(2):150-9 - PubMed
- J Occup Rehabil. 2007 Dec;17(4):766-81 - PubMed
- J Occup Rehabil. 2015 Mar;25(1):240-55 - PubMed
- J Occup Rehabil. 2007 Jun;17(2):327-52 - PubMed
- J Occup Health Psychol. 2010 Oct;15(4):409-20 - PubMed
- J Occup Rehabil. 2005 Dec;15(4):459-74 - PubMed
- J Occup Rehabil. 2002 Jun;12(2):99-110 - PubMed
- J Occup Rehabil. 2012 Jun;22(2):230-40 - PubMed
- J Occup Rehabil. 2007 Sep;17(3):450-72 - PubMed
- Am J Ind Med. 2001 Oct;40(4):464-84 - PubMed
- J Occup Rehabil. 2010 Sep;20(3):378-86 - PubMed
- J Occup Rehabil. 2007 Dec;17(4):712-26 - PubMed
- Prog Behav Modif. 1992;28:183-218 - PubMed
- J Occup Rehabil. 2004 Dec;14(4):267-79 - PubMed
- J Occup Rehabil. 2005 Dec;15(4):453-7 - PubMed
- J Occup Rehabil. 2005 Dec;15(4):525-42 - PubMed
Publication Types