Appendix 3.D: Measurement Tool Information Sheets

Organizational Factor: Job strain
Job Content Questionnaire

Download not available (see note ) (tool ☆☆)

Description:

Job strain is assessed by two factors (14 items) in the Job Content Questionnaire. Job strain occurs when psychological demands are high and the degree of decision latitude is low.

Scientific criteria (score: 5/6):

Face validity √; Construct validity by factor analyses √; Convergent validity Ø; Internal consistency √; Test-retest reliability √; Predictive validity √.

Usability criteria (score: 2/4):

Administration time Ø; Ease of administration √; Ease of interpretation Ø; Accessibility Ø.

Note: The full questionnaire is available. It should be requested from the JCQ Center in Denmark by phone (+45 40461000) or email (jcqcenter@oresundsynergy.com). Access is free of charge in the vast majority of cases, but costs may be charged for research and commercial projects

  • Target users: researchers and health professionals
  • Target population: MSDs and CMDs
    Language: 22 languages, including French (Canadian version) and English
  • Evaluation method: self-reported questionnaire
    Mode of administration: telephone or face-to-face
  • Training required: no
  • Feasibility
    • Administration time: < 7 min
    • Ease: no (complex mathematical formulas, reversed items, and information on interpretation standards not available)
  • Standards for interpreting scores:
    • Interpretation standards are given with the questionnaire once the application is accepted.

 


Organizational Factor: Job strain

Job Content Questionnaire (Overall value : ☆☆)

DESCRIPTION: Job strain is assessed by two factors (14 items) in the Job Content Questionnaire. Job strain occurs when psychological demands are high and the degree of decision latitude is low.

Scientific criteria (score: 5/6): Face validity √; Construct validity by factor analyses √; Convergent validity Ø; Internal consistency √; Test-retest reliability √; Predictive validity √.

Applicability criteria (score: 2/4): Administration time Ø; Ease of administration √; Ease of interpretation Ø; Accessibility Ø.

Accessibility: The full questionnaire is available. It should be requested from the JCQ Center in Denmark by phone (+45 40461000) or email (jcqcenter@oresundsynergy.com). Access is free of charge in the vast majority of cases, but costs may be charged for research and commercial projects

    Target users: researchers and health professionals

    Target population: MSDs and CMDs

    Language: 22 languages, including French (Canadian version) and English

    Evaluation method: self-reported questionnaire

    Mode of administration: telephone or face-to-face

    Training required to administer the tool: no

    Feasibility

    – Time to administer: < 7 min

    – Simple: no (complex mathematical formulas, reversed items, and information on interpretation standards not available)

    Interpretation of scores:

    Interpretation standards are given with the questionnaire once the application is accepted.

      References:

      Brisson, C., Blanchette, C., Guimont, C., Dion, G., Moisan, J., Vézina, M., . . . Masse, L. (2007). Reliability and validity of the French version of the 18-item Karasek job content questionnaire. Work & Stress, 12(4), 322-336.

      Karasek, R. A. (1985). Job Content Questionnaire and user’s guide (revision 1.1). Lowell, MA: University of Massachusetts Lowell, The Job Content Questionnaire (JCQ) Center.

      Karasek, R., Brisson, C., Kawakami, N., Houtman, I., Bongers, P. et Amick, B. (1998). The Job Content Questionnaire (JCQ): An instrument for internationally comparative assessments of psychosocial job characteristics. Journal of Occupational Health Psychology, 3(4), 322-355.

      Niedhammer, I., Ganem, V., Gendrey, L., David, S. et Degioanni, S. (2006). Propriétés psychométriques de la version française des échelles de la demande psychologique, de la latitude décisionnelle et du soutien social du « Job Content Questionnaire » de Karasek : résultats de l’enquête nationale SUMER. Santé Publique, 18(3), 413-427.

      Legend: √ : criterion is satisfied; Ⅹ: criterion is not satisfied; Ø : criterion not reported in the articles consulted; n/a : criterion is not applicable

       

      Personal Factor: RTW expectations or Expectations of duration of sick leave
      Return to Work Prognosis subscale (6 items) of the Barriers to Return to Work Questionnaire

      Download the tool (fr) Download the tool (en) (tool ☆☆☆)

      Description:

      Questionnaire consisting of 55 items divided into three sections. To assess the risk factor, RTW expectations, only the third section with 6 items is used. Some of the items were taken from the Örebro Musculoskeletal Pain Screening Questionnaire

      Scientific criteria (score: 6/6):

      Face validity √; Construct validity by factor analyses √; Convergent validity √; Internal consistency √; Test-retest reliability √; Predictive validity √.

      Usability criteria (score: 3/4):

      Administration time √; Ease of administration √; Ease of interpretation Ø; Accessibility √.

      The questionnaire items are available in the article by Marhold et al (2002), or by downloading the questionnaire (top of the table) presented in a more user-friendly format.

      Here are some examples, among the 6 items in question:

      • How much chance do you think there is that you could return-to-work/increase your work time?
      • How do you feel when you think about your possibilities for returning to work/increasing your
      • work time?

       

      7-point Likert scales with different terms to represent extreme scores:

      • No chance … Very big chance
      • Not at all difficult … Very difficult
      • Not at all convinced … Completely convinced
      • Not at all optimistic … Very optimistic

       

      Score calculation:

      • Add up the scores, leading to a total score ranging from 0 to 36 points.
      • Target users: researchers and health professionals
      • Target population: MSDs
      • Language: English, Swedish (translated into French by the research team)
      • Evaluation method: self-reported questionnaire
      • Mode of administration: by telephone or face to face
      • Training required for the administration of the tool: no
      • Feasibility
        • Administration time: < 3 min.
        • Ease of use: yes
      • Standards for interpreting scores:
        • Not available.

       


       

      Personal Factor: RTW expectations or Expectations of duration of sick leave
      Single questions

      Download the tool (fr) Download the tool (en) (tool ☆)

       

      Description:

      The factor RTW expectations or Expectation of duration of sick leave can be measured by two independent questions, at the user’s option, depending on what is being predicted (return to work or duration of absence).

      Scientific criteria (score: 2/6):

      Face validity √; Construct validity by factor analyses Ø; Convergent validity Ø; Internal consistency Ø; Test-retest reliability Ø; Predictive validity √.

      Usability criteria (Score: 4/4):

      Administration time √; Ease of administration √; Ease of interpretation √; Accessibility √.

      For return to work prediction:
      To what extent do you think you will return to work?

      Scale: 1. Low; 2. Moderate; 3. Strong; 4. I don’t know.

      For predicting the duration of sick leave:
      When do you think you are likely to return to work?

      Scale: 1 point = within 1 month; …12 points = within 12 months or more.

      Score calculation: Single score for each question

      Both questions are available by downloading the questionnaire (top of the table) in a more user-friendly format

      • Target users: researchers and health professionals
      • Target population: MSDs and CMDs
      • Language: English (translated into French by the research team)
      • Evaluation method: self-reported questionnaire
      • Mode of administration: not specified
      • Training required for the administration of the tool: no
      • Feasibility
        • Administration time: < 1 min.
        • Ease of use: yes
      • Standards for interpreting scores:
        Not available

       


       

      Facteur personnel : Sentiment d’efficacité concernant le retour au travail
      Échelle d’évaluation du Sentiment d’Efficacité personnelle concernant le Retour Au Travail (SERAT)

      Télécharger l’outil (fr) Télécharger l’outil (en) (outil ☆☆☆)

       

      Description :

      Le facteur Sentiment d’efficacité concernant le retour au travail peut être évalué avec le questionnaire « Return-to-Work Self-Efficacy Scale ». Il est composé de 10 points mesurant le sentiment d’efficacité lors du retour au travail sous trois angles : 5 points évaluant la capacité à demander de l’aide du superviseur, 3 points évaluant la gestion la douleur et 2 points évaluant la capacité à demander de l’aide aux collègues.

      Critères scientifiques (score : 6/6) :

      Validité apparente √; Validité de construit par analyses factorielles √; Validité convergente √; Cohérence interne √; Fidélité test-retest Ø; Validité prédictive √.

      Critères d’applicabilité (score : 3/4) :

      Temps de passation Ø; Facilité à administrer √; Facilité à interpréter √; Accessibilité √.

      Le questionnaire complet est accessible dans Brouwer, Amick, Lee, Franche et Hogg-Johnson (2015) ou en téléchargeant le questionnaire (haut du tableau) présenté dans un format plus convivial.

      Voici quelques exemples tirés des 10 points en question :

      • Suggérer à mon supérieur immédiat des mesures pour réduire mes symptômes.
      • Demeurer en poste après être retourné au travail.
      • Faire part de mes limitations physiques à mes collègues de travail.

      Échelle de Likert en 5 points :

      • Sur une échelle de 1 à 5, quel est votre niveau de confiance à l’égard de chacun des énoncés suivants ?
        • 1. Pas du tout confiant
        • 5. Tout à fait confiant

      Calcul du score :

      • Faire la somme des scores des 10 points, donnant un score total allant de 10 à 50.
      • Utilisateurs cibles : chercheurs et professionnels de la santé

       

      • Population cible : TMS
      • Langue : anglais (traduit en français par l’équipe de recherche)

       

      • Mode d’évaluation : questionnaire auto-rapporté
      • Mode d’administration : par téléphone ou en face à face

       

      • Formation requise pour l’administration de l’outil : non

       

      • Faisabilité
        • Temps de passation : < 4 min.
        • Facilité : oui

       

      • Normes pour interpréter les scores : un score plus haut indique un meilleur sentiment d’efficacité.

       


       

      Personal factor: Return to work self-efficacy
      Self-efficacy for return to work questionnaire (SERW)

      Download the tool (fr) Download the tool (en) (tool ☆☆☆)

       

      Description:

      The return-to-work self-efficacy factor can be evaluated with the “Self-efficacy for return to work questionnaire. It includes 8 items measuring the worker’s perception of his ability to perform his work despite specific obstacles (e.g. pain, lack of support from colleagues).

      Scientific criteria (score: 4/6):

      Face validity √; Construct validity by factor analyses Ø; Convergent validity √; Internal consistency √; Test-retest reliability Ø; Predictive validity √.

      Usability criteria ( score: 4/4):

      Administration time √; Ease of administration √; Ease of interpretation √; Accessibility √.

      The full questionnaire is available in the article or by downloading the questionnaire (top of the table) presented in a more user-friendly format. Here are a few examples from the 8 items:

       

      How confident are you to do your job …

      1. … when you have a lot of pain?

      6. … when tension is present at work?
      7. … when you must work under pressure?

       

      Percentage scale from 0 to 100 :

      • 0% = Not at all confident, 50% = Moderately confident and 100% = Totally confident.

      Score calculation:

      Several methods can be used:

      • 0-100 dichotomized 0-49 vs 50-100 (Dionne et al., 2007)
      • Separate into units of 10 continuous points (Dionne et al., 2007)

      The total score is 0-800, but it is divided by 8 to get a score ranging from 0-100 (Richard, Dionne, & Nouwen, 2011

      • Target users: researchers and health professionals
      • Target population: MSD (back pain)
      • Language: French and English
      • Evaluation method: self-reported questionnaire
      • Mode of administration: by telephone or face to face
      • Training required for the administration of the tool: no
      • Feasibility
        • Administration time: < 3 min.
      • Ease of use: yes
      • Standards for interpreting scores:
        • 0-49: low self-efficacy regarding return to work (Dionne et al., 2007)
        • 50-100: high self-efficacy regarding return to work (Dionne et al., 2007)

      A higher score indicates a higher self-efficacy regarding return to work (Richard et al., 2011).

       


       

      Personal factor: Return to work self-efficacy
      Return-to-work self-efficacy questionnaire (RTW-SE) 11 items

      Download the tool (fr) Download the tool (en) (tool ☆☆)

      Description:

      The Return-to-work self-efficacy factor can be assessed with the Return-to-work self-efficacy questionnaire.

      Scientific criteria (score: 6/6):

      Face validity √; Construct validity by factor analyses √; Convergent validity √; Internal consistency √; Test-retest reliability √; Predictive validity √.

      Usability Criteria (Score: 2/4):

      Administration time Ø; Ease of administration √; Ease of interpretation Ø; Accessibility √.a

      The full questionnaire is available in the article Lagerveld, Blonk, Brenninjmeijer and Schaufeli (2010), or by downloading the questionnaire (top of the table) presented in a more user-friendly format. Here are some examples of the 11 items:

       

      If I resumed my work fully tomorrow I expect that…

      • I won’t be able to complete my work tasks due to my emotional state*.
      • I will be able to concentrate on my work.
      • I will be able to cope with work pressure.

      *inverted items

      Scale:

      1 Strongly disagree;
      2 Moderately disagree;
      3 Slightly disagree;
      4 Slightly agree;
      5 Moderately agree;
      6 Strongly agree.

      Calculation of the score: add up the scores, considering the reversed items, then divide by 11 to get the average

      • Target users: researchers and health professionals
      • Target population: CMDs
      • Language: English (translated into French by the research team)
      • Evaluation method: self-reported questionnaire
      • Mode of administration: by telephone or face to face
      • Training required for the administration of the tool: no
      • Feasibility
        • Administration time: ˂ 4 min.
        • Ease: yes, but be careful with the calculation of the score (reversed items)
      • Standards for interpreting scores:
        • An average score of 4.5 indicates a high level of self-efficacy.

       


       

      Personal factor: Return to work self-efficacy
      Return-to-Work Obstacles and Self-Efficacy Scale (ROSES)

      Access the full questionnaire (tool ☆☆)(outil ☆☆)

      Description:

      The Return-to-work self-efficacy factor can be evaluated with the Return-to-Work Obstacles and Self-Efficacy Scale (46 items). This questionnaire aims to evaluate the obstacles perceived during the return to work (Part A) and how the worker feels able to overcome them (Part B).

      Scientific Criteria (Score: 5/6):

      Face validity √; Construct validity by factor analyses √; Convergent validity Ø; Internal consistency √; Test-retest reliability √; Predictive validity √.

      Usability Criteria (Score: 2/4):

      Administration time Ø; Ease of administration Ø; Ease of interpretation √; Accessibility √.

      The complete questionnaire is available at http://www.mentalhealthwork.ca/

      • Go to YOUR WEB SPACE > STAKEHOLDERS and log in
      • If you don’t have an account, register for free

      The 46 items cover 10 dimensions: (1) fear of a relapse (4 items), (2) cognitive difficulties (3 items), (3) medication-related difficulties (3 items), (4) job demands (7 items), (5) feeling of organizational injustice (4 items), (6) difficult relation with the immediate supervisor (7 items), (7) difficult relations with co-workers (7 items), (8) difficult relations with insurance company (4 items), (9) difficult work/life balance (4 items), (10) loss of motivation to return to work (3 items).

       

      Part A (Perceived obstacles to RTW): Likert scale: 1= Not an obstacle to 7= Big obstacle.

       

      Part B (Self-efficacy beliefs about overcoming them): Likert scale: 1= Not at all capable to to 7= Completely capable.

       

      Calculation of the scores: Remember that if we want to calculate the self-efficacy score (Part B), we must only consider the answers in Part B. The average score for each of the 10 dimensions is calculated by summing the scores for the items in the dimension ÷ by the number of items in that same dimension, which gives a score ranging from 1 to 7.

      • Target users: Researchers and health professionals
      • Target population: One version is available for MSDs and another for CMDs
      • Language: French, English, Italian
      • Evaluation method: Self-reported questionnaire
      • Mode of administration: Telephone, face-to-face, online
      • Training required for the administration of the tool: no
      • Feasibility
        • Administration time: 20 min.
        • Ease of use: yes
      • Standards for interpreting scores:

      score of 3 or less (over 7) = considered problematic

       


       

      Personal factor: Fear (work activities)

      Two items from the Fear-Avoidance Beliefs Questionnaire (FABQ) subscale

      DESCRIPTION: DESCRIPTION: Fear of work activities is assessed using 2 items of the Fear-Avoidance Beliefs Questionnaire.

      Scientific criteria (score: 2/6): Face validity √; Construct validity (factor analysis) n/a; Convergent validity Ø; Internal consistency n/a; Test-retest reliability Ø; Predictive validity √. 

      Applicability criteria (score: 4/4): Time to administer √; Easy to administer √; Easy to interpret √; Accessibility √.

      Accessibility: Both items are identified in studies by Turner et al. (2006, 2008) but minor modifications were made (“back” was removed in three places) to be applied to all MSDs, as Oyeflaten et al (2008) probably did.

      Here are the 2 items in question:

      My work makes or would make my pain worse

      My work might harm my injury

      Response scale:

      7-point Likert scale: 0 = Completely disagree; 3 = Unsure; 6= Completely agree.

      Scoring instructions:

      Average scores for the 2 items, giving an average score ranging from 0 to 6.

        Target users: researchers and health professionals

        Target population: MSD

        Language: Available in many languages, including French (Chaory et al. 2004).

        Evaluation method: Patient-reported questionnaire

        Mode of administration: Face-to-face

        Training required to administer the tool: no

        Feasibility

        – Time to administer: < 2 min

        – Simple: yes

        Interpretation of scores:

        Higher scores on this subscale mean greater fear of work activities, which has a negative impact on RTW.

        References:

        Chaory K, Fayad F, Rannou F, et al. Validation of the French Version of the Fear Avoidance Belief Questionnaire. Spine (Phila Pa 1976). 2004;29(8):908-913.

        Oyeflaten I, Hysing M, Eriksen HR. Prognostic factors associated with return to work following multidisciplinary vocational rehabilitation. J Rehabil Med. 2008;40(7):548-54.

        Turner JA, Franklin G, Fulton-Kehoe D, Sheppard L, Stover B, Wu R, et al. ISSLS prize winner: early predictors of chronic work disability: a prospective, population-based study of workers with back injuries. Spine (Phila Pa 1976). 2008;33(25):2809-18.

        Turner JA, Franklin G, Fulton-Kehoe D, Sheppard L, Wickizer TM, Wu R, et al. Worker recovery expectations and fear-avoidance predict work disability in a population-based workers’ compensation back pain sample. Spine (Phila Pa 1976). 2006;31(6):682-9.

        Waddell G, Newton M, Henderson I, Somerville D, Main CJ. A fear-avoidance beliefs questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disability. Pain. 1993;52:157-68.

        Legend: √ : criterion is satisfied; Ⅹ: criterion is not satisfied; Ø : criterion not reported in the articles consulted; n/a : criterion is not applicable

         


         

         

        Personal factor: Fear (work activities)

        Fear-Avoidance Beliefs Questionnaire – work subscale (FABQ-work)

        DESCRIPTION: DESCRIPTION: Fear of work activities is assessed using the 7-item work subscale of the Fear-Avoidance Beliefs Questionnaire.

        Scientific criteria (score: 6/6): Face validity √; Construct validity (factor analysis) √; Convergent validity √; Internal consistency √; Test-retest reliability √; Predictive validity √.

        Applicability criteria (score: 4/4): Time to administer √; Easy to administer √; Easy to interpret √; Accessibility √.

        Accessibility: Available in Waddell et al (1993) but minor modifications were made (“back” was removed in three places) to be applied to all MSDs, as Oyeflaten et al (2008) probably did.

        Here are 3 of the 7 items in question:

         

           When I have pain …

        My pain was caused by my work or by an accident at work.

        My work is too heavy for me

        My work might harm my injury

        Response scale:

        7-point Likert scale: 0 = Completely disagree; 3 = Unsure; 6= Completely agree.

        Scoring instructions:

        Sum of the scores for the 7 items, giving a total score ranging from 0 to 42.

          Target users: researchers and health professionals

          Target population: MSD

          Language: Available in many languages, including French (Chaory et al. 2004).

          Evaluation method: Patient-reported questionnaire

          Mode of administration: Face-to-face

          Training required to administer the tool: no

          Feasibility

          – Time to administer: < 2 min

          – Simple: yes

          Interpretation of scores:

          Higher scores on this subscale mean greater fear of work activities, which has a negative impact on RTW. A score of 29/42 or higher would increase the risk of work absence of up to 4 weeks, in a patient undergoing therapy for acute back pain (Fritz and George, 2002).

          References:

          Chaory K, Fayad F, Rannou F, et al. Validation of the French Version of the Fear Avoidance Belief Questionnaire. Spine (Phila Pa 1976). 2004;29(8):908-913.

          Fritz, J. M., & George, S. Z. (2002). Identifying psychosocial variables in patients with acute work-related low back pain: the importance of fear-avoidance beliefs. Phys Ther, 82(10), 973-983.

          Grøvle L, Haugen AJ, Keller A, Ntvig B, Brox JI, Grotle M. Prognostic factors for return to work in patients with sciatica. Spine J. 2013;13(12):1849-57.

          Opsahl J, Eriksen HR, Tveito TH. Do expectancies of return to work and Job satisfaction predict actual return to work in workers with long lasting LBP? BMC Musculoskelet Disord. 2016;17(1):481.

          Oyeflaten I, Hysing M, Eriksen HR. Prognostic factors associated with return to work following multidisciplinary vocational rehabilitation. J Rehabil Med. 2008;40(7):548-54.

          Soucy I, Truchon M, Côté D. Work-related factors contributing to chronic disability in low back pain. Work. 2006;26(3):313-26.

          Storheim K, Brox, J. I., Holm, I., & Bo, K. . Predictors of return to work in patients sick listed for sub-acute low back pain: a 12-month follow-up study. Journal of rehabilitation medicine. 2005;37(6):365-71.

          Waddell G, Newton M, Henderson I, Somerville D, Main CJ. A fear-avoidance beliefs questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disability. Pain. 1993;52:157-68.

          Legend: √ : criterion is satisfied; Ⅹ: criterion is not satisfied; Ø : criterion not reported in the articles consulted; n/a : criterion is not applicable