Measurement Properties of the Return-to-Work Self-Efficacy Scale in Workers with Shoulder Injuries.

Abstract

Purpose: The objective of this study was to investigate the measurement properties of the Return-To-Work Self-Efficacy (RTWSE) scale in injured Canadian workers. Method: We assessed internal consistency, construct-convergent, and known-groups validity of the RTWSE scale's total score and the pain management and re-injury self-efficacy (PRSE), supervisor support self-efficacy (SSE), and coworkers support self-efficacy (CWSE) domains in workers who had participated in a multidisciplinary rehabilitation program. Disability was measured by using the Disabilities of the Arm, Shoulder and Hand (DASH) scale. Spearman's ρ, odds ratios, and the area under the receiver operating characteristic curve (AUC) were used to examine the strength of the associations. Results: The data of 57 injured workers (43 men [75%], mean age 52 [11] y) were used for analysis. Internal consistency of the domains was satisfactory, with Cronbach's αs of 0.81, 0.87, and 0.92 for the CWSE, PRSE, and SSE, respectively. The PRSE domain correlated with the DASH (r = 0.39) and relevant domains of the RTWSE scale (rs = 0.47-0.78). The PRSE was able to differentiate between working and non-working people (AUC = 0.72). Satisfaction with the actual support received at work and overall job satisfaction correlated significantly with the total score and CWSE and SSE domains (AUCs ≥ 0.70). Conclusions: The RTWSE showed satisfactory internal consistency and construct convergent and known-groups validity in workers with shoulder injuries.