BMJ Open (Feb 2023)
Which outcomes should always be measured in intervention studies for improving work participation for people with a health problem? An international multistakeholder Delphi study to develop a core outcome set for Work participation (COS for Work)
- Akizumi Tsutsumi,
- Lode Godderis,
- Stefania Curti,
- Wei Zhang,
- Alysha Meyers,
- Ute Bültmann,
- Emilie Friberg,
- William Shaw,
- Yeliz Prior,
- Ira Madan,
- Matthias Bethge,
- Miranda Langendam,
- Subas Neupane,
- Timo Hannu,
- Sosei Yamaguchi,
- Gunnel Hensing,
- Diane Lacaille,
- Jean François Gehanno,
- Petri Böckerman,
- Frederieke Schaafsma,
- Gary Macfarlane,
- Alexander Hoorntje,
- Nadine Foster,
- Clas-Håkan Nygård,
- Regina Kunz,
- Jos H Verbeek,
- Yogindra Samant,
- Shyam Pingle,
- Janice Hegewald,
- Ivan Steenstra,
- Paul Landsbergis,
- Per Lytsy,
- Johannes Anema,
- Donna Urquhart,
- Lene Aasdahl,
- Andreas Hoff,
- Margarita Ravinskaya,
- Suzanne M.M. Verstappen,
- Carel T.J. Hulshof,
- Jan L. Hoving,
- Debbie Berkowitz,
- Jonas Bühler,
- Trevor Coons,
- Caroline Crosse,
- Angela de Boer,
- Diana Dorstyn,
- Nicola Goodson,
- Christine Graveline,
- Douglas Gross,
- Karen Walseth Hara,
- Svenja Janssen,
- Raymond Lam,
- Maria Luiza Comper,
- Steve Mantis,
- Kohle Merry,
- Irene Larsen Oyeflaten,
- Alexis Snyder,
- Ingrid Sturkenboom,
- Yvonne Suijkerbuijk,
- Ilse van Ee,
- Yvonne van Zaanen,
- Karen Walker Bone
Affiliations
- Akizumi Tsutsumi
- Lode Godderis
- Stefania Curti
- Wei Zhang
- Alysha Meyers
- Ute Bültmann
- Department of Health Sciences, Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
- Emilie Friberg
- William Shaw
- Yeliz Prior
- Ira Madan
- Department of Occupational Health, Guy`s and St Thomas` Hospitals NHS Trust, London, UK
- Matthias Bethge
- Miranda Langendam
- Department Epidemiology and Data Science, Amsterdam Public Health Research Institute, Amsterdam UMC Location AMC, University of Amsterdam, Amsterdam, The Netherlands
- Subas Neupane
- Timo Hannu
- Sosei Yamaguchi
- Gunnel Hensing
- Diane Lacaille
- Jean François Gehanno
- Petri Böckerman
- Frederieke Schaafsma
- Gary Macfarlane
- Alexander Hoorntje
- Nadine Foster
- Clas-Håkan Nygård
- Regina Kunz
- Research Unit EbIM, Evidence Based Insurance Medicine, Division of Clinical Epidemiology, University Hospital Basel, Basel, Switzerland
- Jos H Verbeek
- Department of Public and Occupational Health, Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Cochrane Work, Amsterdam UMC Location AMC, University of Amsterdam, Amsterdam, The Netherlands
- Yogindra Samant
- Shyam Pingle
- Janice Hegewald
- Ivan Steenstra
- Paul Landsbergis
- Per Lytsy
- Johannes Anema
- Donna Urquhart
- Lene Aasdahl
- Andreas Hoff
- Margarita Ravinskaya
- Department of Public and Occupational Health, Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Cochrane Work, Amsterdam UMC Location AMC, University of Amsterdam, Amsterdam, The Netherlands
- Suzanne M.M. Verstappen
- Centre for Epidemiology Versus Arthritis, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK
- Carel T.J. Hulshof
- Department of Public and Occupational Health, Coronel Institute of Occupational Health, Amsterdam UMC Location AMC, University of Amsterdam, Amsterdam, The Netherlands
- Jan L. Hoving
- Department of Public and Occupational Health, Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Cochrane Work, Amsterdam UMC Location AMC, University of Amsterdam, Amsterdam, The Netherlands
- Debbie Berkowitz
- Jonas Bühler
- Trevor Coons
- Caroline Crosse
- Angela de Boer
- Diana Dorstyn
- Nicola Goodson
- Christine Graveline
- Douglas Gross
- Karen Walseth Hara
- Svenja Janssen
- Raymond Lam
- Maria Luiza Comper
- Steve Mantis
- Kohle Merry
- Irene Larsen Oyeflaten
- Alexis Snyder
- Ingrid Sturkenboom
- Yvonne Suijkerbuijk
- Ilse van Ee
- Yvonne van Zaanen
- Karen Walker Bone
- DOI
- https://doi.org/10.1136/bmjopen-2022-069174
- Journal volume & issue
-
Vol. 13,
no. 2
Abstract
Objective Synthesising evidence of the effects of interventions to improve work participation among people with health problems is currently difficult due to heterogeneity in outcome measurements. A core outcome set for work participation is needed.Study design and setting Following the Core Outcome Measures in Effectiveness Trials methodology, we used a five-step approach to reach international multistakeholder consensus on a core outcome set for work participation. Five subgroups of stakeholders took part in two rounds of discussions and completed two Delphi voting rounds on 26 outcomes. A consensus of ≥80% determined core outcomes and 50%–80% consensus was required for candidate outcomes.Results Fifty-eight stakeholders took part in the Delphi rounds. Core outcomes were: ‘any type of employment including self-employment’, ‘proportion of workers that return to work after being absent because of illness’ and ‘time to return to work’. Ten candidate outcomes were proposed, among others: ‘sustainable employment’, ‘work productivity’ and ‘workers’ perception of return to work’.Conclusion As a minimum, all studies evaluating the impact of interventions on work participation should include one employment outcome and two return to work outcomes if workers are on sick leave prior to the intervention.
