Article Details

Research Database: Article Details

Citation:  Lacaille, D., Sheps, S., Spinelli, J. J., Chalmers, A., & Esdaile, J. M. (2004). Identification of modifiable work-related factors that influence the risk of work disability in rheumatoid arthritis. Arthritis Care & Research, 51 (5), 843-852.
Title:  Identification of modifiable work-related factors that influence the risk of work disability in rheumatoid arthritis
Authors:  Lacaille, D., Sheps, S., Spinelli, J. J., Chalmers, A., & Esdaile, J. M.
Year:  2004
Journal/Publication:  Arthritis Care & Research
Publisher:  American College of Rheumatology
DOI:  https://doi.org/10.1002/art.20690
Full text:  http://proxy.library.vcu.edu/login?url=http://onlinelibrary.wiley.c...   
Peer-reviewed?  Yes
NIDILRR-funded?  No
Research design:  Randomized controlled trial

Structured abstract:

Background:  Work disability is a common consequence of rheumatoid arthritis (RA). This is particularly significant because RA affects individuals during their prime working years and had major financial implications for the individual and society at large.
Purpose:  To define work-related factors associated with increased risk of work disability (WD) in people with rheumatoid arthritis (RA).
Setting:  The setting was the Arthritis Society, British Columbia and Yukon division.
Study sample:  A total of 581 individuals answered the questionnaire.
Intervention:  The intervention was an arthritis treatment program.
Control or comparison condition:  There was no control or comparison condition.
Data collection and analysis:  Questionnaires were mailed to all RA patients who used a province-wide arthritis treatment program between 1991 and 1998 (n = 1,824). The association between risk factors and WD (defined as no paid work due to RA for at least 6 months) was assessed using multiple logistic regression analysis, controlling for significant sociodemographic and disease-related variables.
Findings:  Work survival analysis revealed a steady rate of WD starting early, with 7.5%, 18%, and 27% work disabled at 1, 5, and 10 years, respectively. Significant determinants in multiple logistic regression were physical function (Health Assessment Questionnaire), pain (visual analog scale), and 6 work-related factors: self employment, workstation modification, work importance, family support toward employment, commuting difficulty, and comfort telling coworkers about RA.
Conclusions:  Work disability occurs early in RA. Novel work-related factors were identified, which are potentially modifiable, to help RA patients stay employed.

Disabilities served:  Arthritis
Populations served:  Gender: Female and Male
Interventions:  Other
Outcomes:  Employment acquisition
Self-employment
Return to work