Unmet Workplace Support Needs and Lost Productivity of Workers With Systemic Sclerosis: A Path Analysis Study
Objective Few studies have examined how workplace support can address work productivity loss among individuals with systemic sclerosis (SSc). The objective was to 1) examine the relationship between unmet workplace support needs and work productivity loss among workers with SSc, and 2) determine whe...
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Veröffentlicht in: | Arthritis care & research (2010) 2021-03, Vol.73 (3), p.423-431 |
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description | Objective
Few studies have examined how workplace support can address work productivity loss among individuals with systemic sclerosis (SSc). The objective was to 1) examine the relationship between unmet workplace support needs and work productivity loss among workers with SSc, and 2) determine whether SSc symptom severity, fatigue, active disease periods, and workplace activity limitations mediate the relationship between unmet workplace support needs and work productivity loss.
Methods
A cross‐sectional survey was conducted of employed individuals with SSc who were recruited through rheumatology clinics. Information on work productivity loss (i.e., absenteeism, presenteeism, job disruptions) and the need, availability, and use of workplace supports was collected. SSc symptom severity (e.g., workplace activity limitations, active disease periods, fatigue, and overall SSc symptom severity) and demographic, health, and work context characteristics were collected. Three Bayesian path models examined the association between unmet workplace support needs and each work productivity loss outcome. SSc symptom severity variables were examined as mediators in each model.
Results
A total of 110 employed participants were recruited (mean ± SD ages 49 ± 12.9 years). More than three‐fourths of participants were female (77%) and worked full‐time (77%). The most needed workplace supports included extended health benefits (84%), special equipment (63%), and flextime (59%). Additionally, 61% reported unmet workplace support needs. Path models indicated that indirect relationships between unmet workplace support needs and work productivity loss were significant. For all models, workplace activity limitations mediated the relationship between unmet workplace support needs and productivity loss.
Conclusion
To foster productive employment of individuals with SSc, interventions need to address symptom severity and meet workplace support needs. |
doi_str_mv | 10.1002/acr.24123 |
format | Article |
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Few studies have examined how workplace support can address work productivity loss among individuals with systemic sclerosis (SSc). The objective was to 1) examine the relationship between unmet workplace support needs and work productivity loss among workers with SSc, and 2) determine whether SSc symptom severity, fatigue, active disease periods, and workplace activity limitations mediate the relationship between unmet workplace support needs and work productivity loss.
Methods
A cross‐sectional survey was conducted of employed individuals with SSc who were recruited through rheumatology clinics. Information on work productivity loss (i.e., absenteeism, presenteeism, job disruptions) and the need, availability, and use of workplace supports was collected. SSc symptom severity (e.g., workplace activity limitations, active disease periods, fatigue, and overall SSc symptom severity) and demographic, health, and work context characteristics were collected. Three Bayesian path models examined the association between unmet workplace support needs and each work productivity loss outcome. SSc symptom severity variables were examined as mediators in each model.
Results
A total of 110 employed participants were recruited (mean ± SD ages 49 ± 12.9 years). More than three‐fourths of participants were female (77%) and worked full‐time (77%). The most needed workplace supports included extended health benefits (84%), special equipment (63%), and flextime (59%). Additionally, 61% reported unmet workplace support needs. Path models indicated that indirect relationships between unmet workplace support needs and work productivity loss were significant. For all models, workplace activity limitations mediated the relationship between unmet workplace support needs and productivity loss.
Conclusion
To foster productive employment of individuals with SSc, interventions need to address symptom severity and meet workplace support needs.</description><identifier>ISSN: 2151-464X</identifier><identifier>EISSN: 2151-4658</identifier><identifier>DOI: 10.1002/acr.24123</identifier><identifier>PMID: 31841266</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Absenteeism ; Aged ; Bayesian analysis ; Cost of Illness ; Cross-Sectional Studies ; Efficiency ; Employment ; Fatigue ; Female ; Health Care Surveys ; Health Services Needs and Demand ; Humans ; Male ; Mathematical models ; Middle Aged ; Needs Assessment ; Occupational Health Services ; Presenteeism ; Productivity ; Scleroderma ; Scleroderma, Systemic - diagnosis ; Scleroderma, Systemic - physiopathology ; Scleroderma, Systemic - psychology ; Scleroderma, Systemic - therapy ; Severity of Illness Index ; Sick Leave ; Social Support ; Systemic sclerosis ; Workplace</subject><ispartof>Arthritis care & research (2010), 2021-03, Vol.73 (3), p.423-431</ispartof><rights>2019, American College of Rheumatology</rights><rights>2019, American College of Rheumatology.</rights><rights>2021 American College of Rheumatology</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3533-ec03d43761b1caf47d524d4a6f4858ea015a12f23d1b3f32e973204fecae3ccc3</citedby><cites>FETCH-LOGICAL-c3533-ec03d43761b1caf47d524d4a6f4858ea015a12f23d1b3f32e973204fecae3ccc3</cites><orcidid>0000-0003-0322-7027 ; 0000-0003-0591-2976</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Facr.24123$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Facr.24123$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31841266$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jetha, Arif</creatorcontrib><creatorcontrib>Johnson, Sindhu R.</creatorcontrib><creatorcontrib>Gignac, Monique A. M.</creatorcontrib><title>Unmet Workplace Support Needs and Lost Productivity of Workers With Systemic Sclerosis: A Path Analysis Study</title><title>Arthritis care & research (2010)</title><addtitle>Arthritis Care Res (Hoboken)</addtitle><description>Objective
Few studies have examined how workplace support can address work productivity loss among individuals with systemic sclerosis (SSc). The objective was to 1) examine the relationship between unmet workplace support needs and work productivity loss among workers with SSc, and 2) determine whether SSc symptom severity, fatigue, active disease periods, and workplace activity limitations mediate the relationship between unmet workplace support needs and work productivity loss.
Methods
A cross‐sectional survey was conducted of employed individuals with SSc who were recruited through rheumatology clinics. Information on work productivity loss (i.e., absenteeism, presenteeism, job disruptions) and the need, availability, and use of workplace supports was collected. SSc symptom severity (e.g., workplace activity limitations, active disease periods, fatigue, and overall SSc symptom severity) and demographic, health, and work context characteristics were collected. Three Bayesian path models examined the association between unmet workplace support needs and each work productivity loss outcome. SSc symptom severity variables were examined as mediators in each model.
Results
A total of 110 employed participants were recruited (mean ± SD ages 49 ± 12.9 years). More than three‐fourths of participants were female (77%) and worked full‐time (77%). The most needed workplace supports included extended health benefits (84%), special equipment (63%), and flextime (59%). Additionally, 61% reported unmet workplace support needs. Path models indicated that indirect relationships between unmet workplace support needs and work productivity loss were significant. For all models, workplace activity limitations mediated the relationship between unmet workplace support needs and productivity loss.
Conclusion
To foster productive employment of individuals with SSc, interventions need to address symptom severity and meet workplace support needs.</description><subject>Absenteeism</subject><subject>Aged</subject><subject>Bayesian analysis</subject><subject>Cost of Illness</subject><subject>Cross-Sectional Studies</subject><subject>Efficiency</subject><subject>Employment</subject><subject>Fatigue</subject><subject>Female</subject><subject>Health Care Surveys</subject><subject>Health Services Needs and Demand</subject><subject>Humans</subject><subject>Male</subject><subject>Mathematical models</subject><subject>Middle Aged</subject><subject>Needs Assessment</subject><subject>Occupational Health Services</subject><subject>Presenteeism</subject><subject>Productivity</subject><subject>Scleroderma</subject><subject>Scleroderma, Systemic - diagnosis</subject><subject>Scleroderma, Systemic - physiopathology</subject><subject>Scleroderma, Systemic - psychology</subject><subject>Scleroderma, Systemic - therapy</subject><subject>Severity of Illness Index</subject><subject>Sick Leave</subject><subject>Social Support</subject><subject>Systemic sclerosis</subject><subject>Workplace</subject><issn>2151-464X</issn><issn>2151-4658</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1LBDEMhosoKurBPyAFL3pYbZvOl7dl8QsWFVfR29BtMzg6sx3bjjL_3uqqB8FcEponL01eQnY5O-KMiWOl3ZGQXMAK2RQ84SOZJvnqby0fN8iO988sBog8h2KdbADP40SabpL2ftFioA_WvXSN0khnfddZF-gVovFULQydWh_ojbOm16F-q8NAbfU1gM7Thzo80dngA7a1pjPdoLO-9id0TG9UbI0XqhniA52F3gzbZK1Sjced77xF7s9O7yYXo-n1-eVkPB1pSABGqBkYCVnK51yrSmYmEdJIlVYyT3JUjCeKi0qA4XOoQGCRgWCyQq0QtNawRQ6Wup2zrz36ULa119g0aoG296UAkUEmRcoiuv8Hfba9i7-OlCxEkSUsLSJ1uKR0XM87rMrO1a1yQ8lZ-WlDGW0ov2yI7N63Yj9v0fySP0ePwPESeK8bHP5XKseT26XkBxpWkNI</recordid><startdate>202103</startdate><enddate>202103</enddate><creator>Jetha, Arif</creator><creator>Johnson, Sindhu R.</creator><creator>Gignac, Monique A. M.</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0322-7027</orcidid><orcidid>https://orcid.org/0000-0003-0591-2976</orcidid></search><sort><creationdate>202103</creationdate><title>Unmet Workplace Support Needs and Lost Productivity of Workers With Systemic Sclerosis: A Path Analysis Study</title><author>Jetha, Arif ; Johnson, Sindhu R. ; Gignac, Monique A. M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3533-ec03d43761b1caf47d524d4a6f4858ea015a12f23d1b3f32e973204fecae3ccc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Absenteeism</topic><topic>Aged</topic><topic>Bayesian analysis</topic><topic>Cost of Illness</topic><topic>Cross-Sectional Studies</topic><topic>Efficiency</topic><topic>Employment</topic><topic>Fatigue</topic><topic>Female</topic><topic>Health Care Surveys</topic><topic>Health Services Needs and Demand</topic><topic>Humans</topic><topic>Male</topic><topic>Mathematical models</topic><topic>Middle Aged</topic><topic>Needs Assessment</topic><topic>Occupational Health Services</topic><topic>Presenteeism</topic><topic>Productivity</topic><topic>Scleroderma</topic><topic>Scleroderma, Systemic - diagnosis</topic><topic>Scleroderma, Systemic - physiopathology</topic><topic>Scleroderma, Systemic - psychology</topic><topic>Scleroderma, Systemic - therapy</topic><topic>Severity of Illness Index</topic><topic>Sick Leave</topic><topic>Social Support</topic><topic>Systemic sclerosis</topic><topic>Workplace</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jetha, Arif</creatorcontrib><creatorcontrib>Johnson, Sindhu R.</creatorcontrib><creatorcontrib>Gignac, Monique A. M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Arthritis care & research (2010)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jetha, Arif</au><au>Johnson, Sindhu R.</au><au>Gignac, Monique A. M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Unmet Workplace Support Needs and Lost Productivity of Workers With Systemic Sclerosis: A Path Analysis Study</atitle><jtitle>Arthritis care & research (2010)</jtitle><addtitle>Arthritis Care Res (Hoboken)</addtitle><date>2021-03</date><risdate>2021</risdate><volume>73</volume><issue>3</issue><spage>423</spage><epage>431</epage><pages>423-431</pages><issn>2151-464X</issn><eissn>2151-4658</eissn><abstract>Objective
Few studies have examined how workplace support can address work productivity loss among individuals with systemic sclerosis (SSc). The objective was to 1) examine the relationship between unmet workplace support needs and work productivity loss among workers with SSc, and 2) determine whether SSc symptom severity, fatigue, active disease periods, and workplace activity limitations mediate the relationship between unmet workplace support needs and work productivity loss.
Methods
A cross‐sectional survey was conducted of employed individuals with SSc who were recruited through rheumatology clinics. Information on work productivity loss (i.e., absenteeism, presenteeism, job disruptions) and the need, availability, and use of workplace supports was collected. SSc symptom severity (e.g., workplace activity limitations, active disease periods, fatigue, and overall SSc symptom severity) and demographic, health, and work context characteristics were collected. Three Bayesian path models examined the association between unmet workplace support needs and each work productivity loss outcome. SSc symptom severity variables were examined as mediators in each model.
Results
A total of 110 employed participants were recruited (mean ± SD ages 49 ± 12.9 years). More than three‐fourths of participants were female (77%) and worked full‐time (77%). The most needed workplace supports included extended health benefits (84%), special equipment (63%), and flextime (59%). Additionally, 61% reported unmet workplace support needs. Path models indicated that indirect relationships between unmet workplace support needs and work productivity loss were significant. For all models, workplace activity limitations mediated the relationship between unmet workplace support needs and productivity loss.
Conclusion
To foster productive employment of individuals with SSc, interventions need to address symptom severity and meet workplace support needs.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>31841266</pmid><doi>10.1002/acr.24123</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-0322-7027</orcidid><orcidid>https://orcid.org/0000-0003-0591-2976</orcidid></addata></record> |
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subjects | Absenteeism Aged Bayesian analysis Cost of Illness Cross-Sectional Studies Efficiency Employment Fatigue Female Health Care Surveys Health Services Needs and Demand Humans Male Mathematical models Middle Aged Needs Assessment Occupational Health Services Presenteeism Productivity Scleroderma Scleroderma, Systemic - diagnosis Scleroderma, Systemic - physiopathology Scleroderma, Systemic - psychology Scleroderma, Systemic - therapy Severity of Illness Index Sick Leave Social Support Systemic sclerosis Workplace |
title | Unmet Workplace Support Needs and Lost Productivity of Workers With Systemic Sclerosis: A Path Analysis Study |
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