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
Hauptverfasser: Jetha, Arif, Johnson, Sindhu R., Gignac, Monique A. M.
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Johnson, Sindhu R.
Gignac, Monique A. M.
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
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M.</creator><creatorcontrib>Jetha, Arif ; Johnson, Sindhu R. ; Gignac, Monique A. M.</creatorcontrib><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. 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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. 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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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