Glossary(232)

Setting the context  

Like any specialized field, the field of rehabilitation and return to work has its own vocabulary. In order to better communicate between the actors, here is a glossary (not exhaustive!) of the most frequently used words. The terms underlined in this glossary lead to their definition in this same document.  

The definitions of the words presented come from different sources: documentation, scientific literature and the Tool for Facilitating Dialogue among Occupational Rehabiliation Stakeholders developed by the MIST-CAPRIT research team (Mobilisation Intersectorielle pour la Santé au Travail du Centre d’Action en Prévention et Réadaptation de l’Incapacité au Travail). This tool was developed from discussion groups composed of researchers, workplace actors and labour law representatives.

To understand the terms used in science, here is a complementary glossary.

a b c d e f g h i j k l m n o p q r s t u v w x y z

a

Ability

A person’s capabilities to carry out a physical or mental activity.  

MIST-CAPRIT, 2017

With regard to the Disability Creation Process Model: https://ripph.qc.ca/en/hdm-dcp-model/the-model/

Ability to work

A person’s capability to perform a job.  

MIST-CAPRIT, 2017

The ability at present and in the near future of an employee to do his/her work with respect to the work demands, health and mental resources.  

Ilmarinen and Tuomi, 2004, as cited in Notenbomer, Groothoff, van Rhenen and Roelen, 2015  

Ilmarinen et Tuomi, 2004, cités par Notenbomer, Groothoff, van Rhenen et Roelen, 2015

Absenteeism

Absence from the workplace when one’s presence is expected 

MIST-CAPRIT, 2017

Absenteeism acts as an indicator of the state of health of employees and a marker of the organizational situation of companies.  

Actions

An action is a concrete fact, realized individually or in interaction with other actors.

Actor (stakeholder)

A person who is called upon to assist in the RTW process.  

Adapted and translated from St-Vincent et al, 2011

Définition adaptée de St-Vincent et collal., 2011

Actor (individual or group) concerned by a given situation or phenomenon and that may play an active or passive role in it. 

MIST-CAPRIT, 2017

Aging worker

A worker who is 45 years of age or older, mid-way through his/her working life and likely to run into difficulties performing his/her work or finding a job. Term often used interchangeably with older worker.

MIST-CAPRIT, 2017

b

Biological sex

Biological categories defining a man or a woman (reproductive organs, hormones, etc.). 

MIST-CAPRIT, 2017

In the most fundamental sense, sex is biologically determined, which must be differentiated from gender, which is culturally determined 

c

Case Management

Joint process that consists of studying, planning, implementing, coordinating, supervising, and evaluating the options and services required to meet an individual’s health needs.  

MIST-CAPRIT, 2017

Chronic

Characterizes a persistent and ongoing pathological condition, as opposed to a recurrent illness or injury that gives rise to repeated relapses interspersed with periods of remission. 

MIST-CAPRIT, 2017

Chronicity

Persistence of a health condition that can affect a worker’s ability to return to work and stay at work. 

MIST-CAPRIT, 2017

Cognitive behavioral therapy (CBT)

Cognitive Behavior Therapy (CBT) is a time-sensitive, structured, present-oriented psychotherapy that evolves over time. It focuses on resolving current problems and teaching clients the skills necessary to change their dysfunctional thoughts and behaviors. CBT is a psychotherapy based on the cognitive model: the way individuals perceive a situation is more closely connected to their reaction than the situation itself. 

https://beckinstitute.org/about/understanding-cbt/  

Common goal

This is an essential element for a cooperative structure to be established and maintained.

There is never a starting point for a dialogue, but it can emerge quickly when the actors explicitly agree on the formulation of the result they wish to have at the end of the dialogue, each of the actors finding his or her interest in it.  

Translated from St-Arnaud, 2003, p.260  

St-Arnaud, 2003, p.260

Common Mental Disorder (CMD)

Mental disorder occurring frequently in the population. Includes mood, anxiety and adjustment disorders.  

Read more 

MIST-CAPRIT, 2017

Communicate

Ability to clearly convey facts, concepts, and reasoning to others and to receive and understand the communication of others.

Dyck, 2009

Communication (and information)

Communication that maintains a high quality of messages thanks to paralinguistic language: hesitations, intonations, pauses, sentence constructions.  

In person: the richest form of communication that allows for the easiest adjustment to the reactions of the interlocutor.  

Electronic: two major functions of communication are recognized in health care, namely the exchange of information and the establishment of a relationship with the worker (Translated from Richard and Lussier, 2016, p.150-156). There are different forms of communication.  

On the telephone: a poorer form of communication that can lead to misinterpretation of the message due to the absence of non-verbal and paralinguistic language.  

In writing: a form of communication that promotes clarity in the transmission of information and helps to limit the risk of misunderstanding.  

Communication (communication skills)

Represent specific communication knowledge. They refer to “what” (e.g., the accuracy of the information exchanged), “how” (e.g., the strategies needed to initiate, maintain, and terminate contact), and perceptions, i.e., being aware of what one is thinking and feeling during contact. The latter is particularly important to avoid discrimination and stigmatization of workers.  

Translated from Richard and Lussier, 2016  

Richard et Lussier, 2016

Concertation

An approach to labour relations that involves several aspects such as information exchange and consultation, joint examination of problems and selection of solutions acceptable to the actors involved, and collaboration to implement various measures.  

Translated from Maschino, 2003  

Maschino, 2003

Consent

Acquiescence given to a project; decision not to oppose it.  

Translated from Le Robert  

Le Robert

Consent to treatment may be implied or it may be specifically expressed either orally or in writing. The clinical situation determines the approach to be taken.  

Canadian Medical Protective Association  

Association canadienne de protection médicale

Construct validity by factorial analysis

Consists in evaluating the adequacy of the tool’s dimensions to the theoretical construct/concept. Validation by exploratory factor analysis consists of extracting, from a pool of items, one or more factors (or dimensions) composed of strongly intercorrelated items. Validation by confirmatory factor analysis makes it possible to confirm or refute these groupings of items (or dimensions) using a different sample (adapted and translated from Corbière and Fraccaroli, 2020).

Convergent validity

Consists of verifying whether the results of the tool are similar to the results of other tools measuring similar constructs/concepts. The more positively correlated the results of the tools are, the higher the convergent validity (adapted and translated from Corbière and Fraccaroli, 2020).

Cooperation

A particular type of relationship where partners work together toward a common goal. They recognize each other’s competencies with respect to the goal and share power, each exerting influence on the other and respecting their own area of competence  

Translated from St-Arnaud, 2003, p. 267  

St-Arnaud, 2003, p. 267

Core activities

A core activity, here derived from research, is an action or a set of actions directed toward the same end (RTW or prevention of prolonged disability) and carried out by an individual or a group of individuals. For example, collaboration with the worker is mandatory for a sustainable return to work. It involves actions on the part of both the supervisor and the other players who share the same objective, and this at different stages of the return to work and stay at work

d

Decision latitude

Decision latitude refers to the margin of manoeuver or leeway available to workers in their work (Karasek, 1979). It is defined as the possibility workers have to participate in decision making that concerns them, and to use and fully develop their skills in their work environment (Karasek, 1979). In summary, it means the possibility workers have to be actors, rather than simply passive participants, in their work.

Karasek, 1979

Dependency

Psychological and/or physical condition manifested in an irrepressible and recurrent need that is never truly met. May be related to product consumption (alcohol, tobacco, psychotropic drugs, etc.) or to a behaviour (gambling, Internet use, etc.). 

MIST-CAPRIT, 2017

Disability

Restriction in ability to perform an activity in a particular way or within limits that are considered normal for a human being.

MIST-CAPRIT, 2017

Disability insurance

A state of temporary or permanent physical or mental incapacity resulting from an illness or accident, which prevents a person from carrying out all or part of his or her professional activities and receiving remuneration.

MIST-CAPRIT, 2017

Disability Management

All the actions needed to ensure follow-up during a period of sick leave for health reasons.  

MIST-CAPRIT, 2017

Disabling situation

Situation resulting from the interaction between personal factors (e.g. impairment, disability) and environmental factors.

MIST-CAPRIT, 2017

With regard to the Disability Creation Process Model: https://ripph.qc.ca/en/hdm-dcp-model/the-model/ 

Discrimination

Occurs when a distinction, exclusion or preference based on certain characteristics enumerated in the Charters of Human Rights and Freedoms such as handicap, ethnic origin, sex or age nullifies or impairs the rights and freedoms of an individual or group of individuals.  

MIST-CAPRIT, 2017

e

Effective communication

It is defined by exchanges of information that reduce uncertainty on a given subject while pursuing a specific goal. It is a dynamic and flexible communication that is iterative (repetitive) rather than linear.

Translated definition based on the five principles that characterize effective communication, Richard & Lussier, 2016, p. 210.  

Définition basée sur les cinq principes qui caractérisent une communication efficace, Richard et Lussier, 2016, p. 210.

Effectiveness

Obtention of the outcomes anticipated.  

MIST-CAPRIT, 2017

The measure of the ability of an intervention, project, program, or policy to do what it was intended to do: produce a specific desired result or effect that can be quantitatively measured.  

https://www.healthevidence.org/glossary.aspx#E  

Efficiency

Relationship between the outcomes obtained and the means used 

MIST-CAPRIT, 2017

Emotional distress

Condition of a person who feels overwhelmed by a request to adapt or by any other situation. May be exhibited in the form of a depressive or anxious mood, irritability, or difficulty paying attention and concentrating.  

MIST-CAPRIT, 2017

Empathy

Understanding the other. It is simply a matter of accepting the other’s point of view, without judgment.  

Translated from Richard and Lussier, 2016

Ethnicity

Ethnic or cultural identity that characterizes a group or an individual and the cultural models that may represent them/him/her; the fact of belonging to such a group. Identity may be confirmed (self-/collective awareness), assigned or institutional 

MIST-CAPRIT, 2017

Ethnocultural

Related to ethnicity.

MIST-CAPRIT, 2017

Evidence

Evidence is data derived from research to inform health care decision making. However, there are differing opinions on what constitutes evidence, namely whether it comes from :  

  • of any research, taken individually;  
  • of the best research, taken collectively;  
  • best research, but also taking into account empirical data (experience and expertise of practitioners or actors) and the characteristics, needs, interests and values of participants.  

Our position is related to the second option (better research, taken collectively), particularly to help identify the most effective interventions, but also recognizing the value of empirical data in defining workplace practices and the opinions of our social partners (monitoring committee).  

Translated from Bouffard, 2012

Evidence-based practice

Conscientious, explicit and sound use of the best available knowledge when making decisions about interventions or the management approach to be used with a given individual 

MIST-CAPRIT, 2017

f

Face validity

Based on a summary assessment of the appearance (clarity and ease of completion) of the tool by respondents or experts. The more items appear to measure the construct to respondents or experts, the higher the face validity (adapted and translated from Corbière & Fraccaroli, 2020).  

Factor

Agent, element that contributes to a result; cause.  

Translated from https://www.larousse.fr/dictionnaires/francais/facteur/32600  

Functional limitation

Physical or psychological restriction, either temporary or permanent, likely to impair a person’s usual way of functioning or to aggravate his/her condition.  

MIST-CAPRIT, 2017

g

Gender

Correlation between sexual identity and the construction of social roles. May bring to light phenomena such as the sexual division of labour and unequal power relationships.  

MIST-CAPRIT, 2017

In the most fundamental sense, gender is determined by culture, which must be differentiated from sex, which is biologically determined 

Gradual return to work*

Period of rehabilitation that allows a worker to perform all the tasks involved in the job he/she held prior to his/her disability, but according to a different schedule and using different work methods, thus enabling him/her to reintegrate into work on a gradual basis 

MIST-CAPRIT, 2017

*October 6, 2022 update: According to the Act to modernize the occupational health and safety regime at the CNESST, the gradual return to work takes place after consolidation of the worker’s injury. Prior to this consolidation, the term “gradual resumption of tasks” should be used. 

h

Health determinant

Factor that influences the health of a population, without necessarily being a direct cause of specific problems or illnesses. Associated with personal and collective behaviours as well as living and environmental conditions.  

MIST-CAPRIT, 2017

These are the causes of risk factors. They are the characteristics of society that shape the health and well-being of individuals and communities. They can be defined as the causes of poor health or as “upstream factors.” Determinants are social factors, such as an economic downturn or personal circumstances, such as poverty. They include non-specific factors (recession, poverty, lack of education) and specific policies (such as alcohol and tobacco laws) that are aimed at improving health behaviors or health in general, rather than fighting specific diseases. Their influence is transmitted through a chain of intermediary processes that lead to a specific disease.

i

Immigrant

Person who has left his/her country of origin to settle in another country for an indefinite time. In Canada, refers to a person born abroad who has been granted permission to settle here permanently (landed immigrant, permanent resident). 

MIST-CAPRIT, 2017

Immigration

Phenomenon in which a person/group of people leaves their country of origin to settle in another country.

MIST-CAPRIT, 2017

Impairment

Loss, absence or change in a structure or a psychological, physiological or anatomical function.  

MIST-CAPRIT, 2017

Integrated prevention

Integrated prevention aims at the design or transformation of work situations through coordinated prevention actions carried out by the actors of the work environment. It implies the integrated management of prevention actions (primary, secondary, tertiary) carried out by the actors of a workplace (organization or enterprise). This concept is developed in Appendix 4.O  

Internal consistency

Degree of homogeneity of the items of a tool and its dimensions (adapted and translated from Corbière and Fraccaroli, 2020)

Intervention

Taking action or participating in an action to resolve a problem 

MIST-CAPRIT, 2017

The aspect of interest in experimental and observational studies. Interventions can be therapeutic (e.g. different wound dressings), preventative (e.g. influenza vaccination), and diagnostic (e.g. measurement of blood pressure), targeted at individuals, groups, organizations, communities or health systems. 

https://www.healthevidence.org/glossary.aspx#I  

j

Job adaptation

Work rehabilitation measure that may be granted to a worker to enable him/her to perform his/her job, an equivalent job, or another job deemed to be suitable.  

MIST-CAPRIT, 2017

Joint OHS Committee

Committee that concretizes the common commitment of the employer and union parties to prevention. It forms a consultative team that continuously evaluates the state of the prevention situation and advises management on OHS issues, priorities and actions.  

Translated from http://asstsas.qc.ca/dossiers-thematiques/comite-paritaire-de-sante-et-de-securite-du-travail-org  

l

Litteracy

Health literacy implies the achievement of a level of knowledge, personal skills and confidence to take action to improve personal and community health by changing personal lifestyles and living conditions.

https://www.who.int/activities/improving-health-literacy

m

Management practice

All the practices, programs and behaviours adopted by an organization to provide a framework for and optimize each worker’s contribution to the organization.

MIST-CAPRIT, 2017

Mental disorder

Illness characterized by a clinically significant disturbance in a person’s cognition, emotional regulation or behaviour and that reflects the presence of a dysfunction in his/her psychological, biological or developmental processes.

MIST-CAPRIT, 2017

Mental Health

Ability of the mental structures to function harmoniously, comfortably and effectively and to cope flexibly with difficult situations, allowing balance to be restored.

MIST-CAPRIT, 2017

Mental health disorder

Term used interchangeably with mental illness or mental disorder.

MIST-CAPRIT, 2017

Mental illness

Alterations in thoughts, mood or behaviour (or a combination of all three), accompanied by persistent dysfunction over a long period. Symptoms vary from mild to serious, depending on the type of mental illness, the person, his/her family and the socio-economic environment. 

MIST-CAPRIT, 2017

Motivation

Psychological and physical processes responsible for triggering, maintaining and stopping a behaviour, as well as the incentive or disincentive value attributed to the aspects of the environment on which the behaviouracts. 

MIST-CAPRIT, 2017

Musculoskeletal disorder (MSD)

All symptoms and inflammatory or degenerative lesions of the locomotor system affecting a variety of anatomical structures (such as tendons, muscles, ligaments or joints).  

Read more  

MIST-CAPRIT, 2017

o

Obstacle to the return to work

Risk factor or problem/situation that currently hinders the return-to-work process. 

MIST-CAPRIT, 2017

Organization (company)

Company, organization, work environment  

Organization of the work

Refers to the way in which the work activities are structured and combined and in which jobs are managed within an organization in line with its mission and objectives.

MIST-CAPRIT, 2017

Organizational culture

Organizational culture represents a way of thinking, feeling and acting that the company adheres to (e.g., principles, social codes, values). It is defined by senior management and reflected in policies and procedures.  

Organizational policies

Organizational policies are the general principles adopted by the organization to guide its actions in managing its activities. They indicate the organization’s objectives and demonstrate its commitment to achieving them.  

Organizational strategies

An organizational strategy is a set of actions that, carried out individually or collectively, is directed towards the same goal and allows the resolution of a particular problem. These actions can refer to several actors and steps in the process.  

Outcome

Quantification or evaluation of the effects.

MIST-CAPRIT, 2017

p

Participatory ergonomics

Said of a process focused on analysis of the work, generally by an ergonomist in the workplace, and requiring the involvement of the workers and other concerned actors in the development and implementation of solutions 

MIST-CAPRIT, 2017

Partner

Actor (individual or group) that joins forces with another to attain a common objective, whether they are stakeholders or not.

MIST-CAPRIT, 2017

Performance

All the individual behaviours that an organization expects of a worker and that have a positive impact on the attainment of objectives: productivity, creativity, profitability, growth, quality, customer satisfaction.

MIST-CAPRIT, 2017

Permanent work disability

Inability to perform an occupational activity for good (permanently) 

MIST-CAPRIT, 2017

Predictive validity

Consists of verifying whether the results of the tool predict one or more criteria measured later. The more correlated the results are with the criteria, the higher the predictive validity. It is used when the purpose of the instrument is to predict criterion performance (adapted and translated from Corbière and Fraccaroli, 2020).  

Prescribed tasks

The expected requirements for performing work. Work to be done within a set timeframe and under certain conditions.

Presenteeism

Phenomenon in which an employee is present at work when his/her physical or mental condition does not allow him/her to work to full capacity.

MIST-CAPRIT, 2017

Prevention

Processes designed to prevent, limit or deal with the scope and severity of the consequences of the materialization of a risk or danger.

MIST-CAPRIT, 2017

Prevention of chronicity

All the actions that help reduce risk or act on factors that may contribute to rendering a worker unable to return to work on a long-term basis 

MIST-CAPRIT, 2017

Prevention of work disability

All the actions designed both to reduce the occurrence of work disability and to resolve it (or make it disappear).  

MIST-CAPRIT, 2017

Procedures

Procedures are actions that must be performed in a sequential manner to achieve the desired outcome; in this case, a healthy and sustainable RTW. These procedures must answer the who, what, when, and how questions

Productivity

Relationship between output and the resources used.

MIST-CAPRIT, 2017

Protective factor

Personal or environmental resource or condition that helps preserve people’s health.

MIST-CAPRIT, 2017

Psychological disorder

Mental illness or condition that disturbs a person’s behaviour 

MIST-CAPRIT, 2017

Psychological health

Term used in the context of psychological health in the workplace. Depending on how it is defined, may be used interchangeably with mental health.  

MIST-CAPRIT, 2017

Psychosocial factor

Cognitive, affective, relational or environmental factor likely to have an impact on workers’ health.

MIST-CAPRIT, 2017

Psychosocial risk factor

Risk factor pertaining to how the work is organized, management practices, working conditions, and social relations that may have an adverse effect on the psychological or physical health of the individuals exposed.

Translated from https://www.inspq.qc.ca/formation/institut/risques-psychosociaux-au-travail-de-l-identification-la-prevention

MIST-CAPRIT, 2017

r

Real tasks

The work actually performed.

Relapse

Recurrence of a sick leave for the same reason as for a prior sick leave within a given period.

MIST-CAPRIT, 2017

Residual capacity

Physical and psychological capacities a worker is left with following an injury or illness and after completing rehabilitation.  

MIST-CAPRIT, 2017

Return to Work (RTW)

The moment when the person resumes his/her job (MIST-CAPRIT, 2017). On this website, RT is intended to be healthy and sustainable, i.e., respectful of the improvement of the worker’s health status, which does not lead to worsening of the injury or potential relapses, and promotes job retention

MIST-CAPRIT, 2017

Return to Work Coordinator

This is a contact person for the workers. It can be the immediate supervisor or the union or union representative for RTW support. He/she is responsible for the overall coordination of actions related to an employee’s RTW process.  

Risk factor

A person’s attribute, characteristic or exposure that increases the probability of him/her contracting an illness or sustaining an injury.

MIST-CAPRIT, 2017

Risk factor for chronicity

Factor likely to compromise a worker’s long-term ability to return to his/her work 

MIST-CAPRIT, 2017

Role and responsibility

The role is related to a function that a worker in the organization holds. Responsibilities represent the moral obligation or necessity to answer for, and be accountable for, one’s actions or those of others.  

Translated from https://www.larousse.fr/dictionnaires/francais/responsabilit%c3%a9/68694?q=responsabilit%c3%a9s#67942  

s

Self-efficacy

Self-efficacy is the strength of a person’s conviction in his or her ability to exhibit a certain behaviour 

Bandura, 1977

Sick leave and disability management program

All the actions required to prevent, reduce, and monitor employees’ sick leave for a health problem 

MIST-CAPRIT, 2017

Social support at work

Social support at work can come from colleagues as well as from superiors. It includes behaviours that provide practical or psychological help, but also positive working relationships that are not explicitly supportive.

Gollac et Bodier, 2011

Staying at work

Actively at work, being present at work, participating in a productive activity.

MIST-CAPRIT, 2017

Stigmatization

Phenomenon in which a stigma is attributed, i.e. an identity or attribute that debases the person to whom it is attributed.

MIST-CAPRIT, 2017

Subjective work overload

A person’s perception that the amount of work required is greater than his/her capacity allows.

MIST-CAPRIT, 2017

t

Temporary assignment

https://www.cnesst.gouv.qc.ca/en/prevention-and-safety/healthy-workplace/return-work/temporary-assignment

Temporary work disability

Inability to perform an occupational activity for a short time (temporarily).

MIST-CAPRIT, 2017

Test-retest reliability

Stability of the tool’s results over time in cases where participants’ conditions have not changed. The more positively correlated the results of the two runs are, the higher the test-retest reliability.

adapted and translated from Corbière and Fraccaroli, 2020

Therapeutic return to work

Measure involving the gradual resumption of tasks, offered in the context of a work rehabilitation program in the real workplace and under the weekly supervision of an occupational therapist and/or interdisciplinary team 

MIST-CAPRIT, 2017

w

Work accommodations

In Canada, these terms are coloured by a legal and juridical context. The following definition (MIST-CAPRIT, 2017) provides a summary.

Employer’s obligation to put in place reasonable measures that will allow a person to perform a job, by eliminating any reasons for claims of discrimination on the grounds of excessive demands, and the obligation of the parties concerned to participate in these measures in accordance with Québec’s Charter of Human Rights and Freedoms.  

MIST-CAPRIT, 2017

Work disability

Inability to perform an occupational activity. To know more about it  

MIST-CAPRIT, 2017

Work environment

All the physical, psychological and social conditions in which the worker performs his/her job and makes his/her contribution.

MIST-CAPRIT, 2017

Work reintegration

All the actions taken to facilitate a person’s return to work, following a period of disability 

MIST-CAPRIT, 2017

Work-life balance

Search for balance between demands associated with work-related responsibilities and those associated with personal, family or social responsibilities and activities.  

MIST-CAPRIT, 2017

Worker in a vulnerable situation

A person who, based on sociodemographic or occupational characteristics and the potentially related work contexts, runs a higher risk of occupational injury or long-term disability 

MIST-CAPRIT, 2017

Worker's contribution

Contribution made by each worker to the results achieved by an organization, in exchange for remuneration. Defined on the basis of the person’s job description.

MIST-CAPRIT, 2017

Workload 

Amount of cognitive, physical and/or emotional effort expended by a worker to perform his/her job. 

MIST-CAPRIT, 2017

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