TY - JOUR
T1 - Which outcomes should always be measured in intervention studies for improving work participation for people with a health problem? An international multistakeholder Delphi study to develop a core outcome set for Work participation (COS for Work)
AU - Ravinskaya, Margarita
AU - Verbeek, Jos H.
AU - Langendam, Miranda
AU - Madan, Ira
AU - Verstappen, Suzanne M. M.
AU - Kunz, Regina
AU - Delphi participants
AU - Hulshof, Carel T. J.
AU - Hoving, Jan L.
N1 - Funding Information: This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors. SV is supported by Versus Arthritis (grant numbers 20385, 20380) and the NIHR Manchester Biomedical Research Centre. Publisher Copyright: © 2023 BMJ Publishing Group. All rights reserved.
PY - 2023/2/15
Y1 - 2023/2/15
N2 - OBJECTIVE: Synthesising evidence of the effects of interventions to improve work participation among people with health problems is currently difficult due to heterogeneity in outcome measurements. A core outcome set for work participation is needed. STUDY DESIGN AND SETTING: Following the Core Outcome Measures in Effectiveness Trials methodology, we used a five-step approach to reach international multistakeholder consensus on a core outcome set for work participation. Five subgroups of stakeholders took part in two rounds of discussions and completed two Delphi voting rounds on 26 outcomes. A consensus of ≥80% determined core outcomes and 50%-80% consensus was required for candidate outcomes. RESULTS: Fifty-eight stakeholders took part in the Delphi rounds. Core outcomes were: 'any type of employment including self-employment', 'proportion of workers that return to work after being absent because of illness' and 'time to return to work'. Ten candidate outcomes were proposed, among others: 'sustainable employment', 'work productivity' and 'workers' perception of return to work'. CONCLUSION: As a minimum, all studies evaluating the impact of interventions on work participation should include one employment outcome and two return to work outcomes if workers are on sick leave prior to the intervention.
AB - OBJECTIVE: Synthesising evidence of the effects of interventions to improve work participation among people with health problems is currently difficult due to heterogeneity in outcome measurements. A core outcome set for work participation is needed. STUDY DESIGN AND SETTING: Following the Core Outcome Measures in Effectiveness Trials methodology, we used a five-step approach to reach international multistakeholder consensus on a core outcome set for work participation. Five subgroups of stakeholders took part in two rounds of discussions and completed two Delphi voting rounds on 26 outcomes. A consensus of ≥80% determined core outcomes and 50%-80% consensus was required for candidate outcomes. RESULTS: Fifty-eight stakeholders took part in the Delphi rounds. Core outcomes were: 'any type of employment including self-employment', 'proportion of workers that return to work after being absent because of illness' and 'time to return to work'. Ten candidate outcomes were proposed, among others: 'sustainable employment', 'work productivity' and 'workers' perception of return to work'. CONCLUSION: As a minimum, all studies evaluating the impact of interventions on work participation should include one employment outcome and two return to work outcomes if workers are on sick leave prior to the intervention.
KW - occupational & industrial medicine
KW - public health
KW - rehabilitation medicine
KW - statistics & research methods
UR - http://www.scopus.com/inward/record.url?scp=85148115148&partnerID=8YFLogxK
U2 - https://doi.org/10.1136/bmjopen-2022-069174
DO - https://doi.org/10.1136/bmjopen-2022-069174
M3 - Article
C2 - 36792339
SN - 2044-6055
VL - 13
SP - e069174
JO - BMJ Open
JF - BMJ Open
IS - 2
M1 - e069174
ER -