This Research Summary Page lists the most recent reviews under each heading,
click the headings to see all the research on that subject.
Research is chosen for review based on the quality of the evidence and its practical
value in return to work. 
Requests to undertake reviews of research on particular subjects are welcome.

Depression: Optimising care for the employee and the workplace
Depression exacerbates and prolongs pain. What does this mean for the workplace?
Distress, ergonomic exposure, smoking and recurrent back bother
A look at the workplace factors associated with repeat visits to back pain clinics
Lets get physical, physical!
What makes some people more likely to participate in physical activity than others?
Costs vs benefits of obesity interventions
Workplace health program shows reductions in total health costs and improvements in productivity
Nurturing case management
Might a more involved approach to the case management of workers with musculoskeletal disorders cost less AND facilitate return to work?
A tool to measure motivation
The Model of Creative Ability may be a useful tool in return-to-work programs to assess and measure motivation.
The missing link
Clinicians are good at putting medical pieces of the patient-puzzle in place. What happens when they forget about psychosocial pieces?
Supermarket workers shelve musculoskeletal disorders
Lower back pain poses problems for supermarket workers, but chances are they wont tell
Is your arthritis a pain in the back?
This study investigates the link between osteoarthritis in the facet joints of the spine and the presence of low back pain.
Competencies required for effective return-to-work coordination
A recent review of the literature has identified the core competencies that are important for effective return-to-work coordination.
Coaching the chronically ill
Education, behavioural change and support: Effective coaching methods to assist patients
Mismanaging depression
What are the barriers to effective management of depression in the workplace?
Does zest for work influence return to work?
Job satisfaction and engagement both influence work attendance.
Help us help you
How to maximize employee participation in workplace health promotion programs...
Does safety education save backs?
Can workplace back safety education programs reduce the risk of back injuries and complications?
The sick truth
The factors that increase employees number of sick days.
Productivity versus postponing RTW
Why a present worker is not always a good worker...
Doctors and back pain: Who you see influences the treatment you get
While some doctors follow best practice guidelines for lower back pain, many get it wrong...
Back pain? Stick a needle in it!
Researchers examine the effectiveness of acupuncture in treating chronic low back pain.
Pain or gain
Research shows that health improvement programs are both physically and financially successful.
Healthy work environment = Healthy workers
Workers care about support and respect in the workplace and notice whether health and safety are management priorities.
Assessing workplace productivity losses. Questioning the questionnaires
When looking at the factors which impact upon workplace productivity, we also need to look at the studies that assessed them.
6 elements of successful workplace health programs
Want healthy workers? A well designed workplace health program can help!
When to take extended sick leave. A complex decision for workers with spine-related pain
This study identified a range of factors that influence when workers with neck and low-back (spine-related) pain take extended sick leave.
Feeling the pinch - what does sickness cost the employer?
Investigating these costs more thoroughly will enable employers to develop strategies for effectively reducing health costs
Which workers are more likely to experience depression?
And the causes.
Healthy at work
Productivity declines more when unwell people are at work rather than absent.
It is personal
The factors in your private life that may affect your professional one
Ways to whip whiplash
An overview of whiplash injury
Opioid use: less is better for back pain?
Treatment with opioids delays return to work and prolongs symptoms
Predictors of poor outcome in patients with musculoskeletal pain
Generic prognostic factors may assist primary care practitioners to identify those patients with musculoskeletal pain who are at risk of poor outcomes, regardless of the site of their pain.
Screening the future
Clinicians and leading researchers evaluate the effectiveness of early screening in preventing long-term disability in patients with back problems.
Is RTW training for supervisors worth it?
Training gives supervisors clarity and confidence; and clear, confident supervisors support RTW.
The super-view of super-RTW
What do supervisors think about multidisciplinary vocational rehabilitation programs?
Powerful partnerships
The evidence is in: when employers join workers on the RTW journey, the sky's the limit!
Overcoming PTSD
What psychological treatments work for post traumatic stress disorder?
Shoulder pain out of the way
Rotator cuff treatments that work...and a couple that don't!
Success with systems at work for shoulders
Shoulder problems are common. Having a standard management system in place can streamline return to work.
Tackling stress online - the evidence
A web-based approach to managing stress and mood disorders
Multidisciplinary rehab program shows benefits beyond the short term
A two-year study shows the continuing benefits of comprehensive rehab.
"But I don't have a problem!" Young workers and risky drinking
Young male workers need to be educated about the work and health consequences of risky drinking.
Lifting expectations brings results
Advice for health professionals about the best attitudes for patients to adopt on the road to recovery.
Self management strategies: Coaching the coaches
Many 'self care' coaches have no formal training. Does coaching the coaches improve performance?
Leadership in the workplace
Does good leadership promote good health?
GP briefing: Depression
An evidence-based guide for managing depression-related occupational disability
Working for wellness
On the job rehabilitation can improve outcomes for people with psychiatric disabilities.
RTW rates in a slump?
Better disability management programs can make a difference
What's the source of that pain in the neck?
Neck pain is a common condition in workers, and psychosocial factors influence outcomes.
School of pain
How effective is individual patient education for people with low back pain?
I'll need a sick leave certificate too, doc...
What prevents doctors from applying best clinical practice when issuing certificates for sick leave?
Satisfied? Not really, boss
Management and supervisors overestimate the level of satifaction workers have in their jobs.
Back pain World Cup
How do different country's disability benefits and policies for occupational low back pain affect return to work rates?
Meeting the needs of injured workers
Peer support helps put the pieces back together after workplace injury
Taking control of arthritis
Psychosocial approaches to managing arthritis help sufferers make the most of medical care.
Safety drive
Do health promotion programs improve the health and driving safety of truck drivers?
Fear, expectation and back pain - the evidence
Knowing what psychosocial factors affect recovery from low back pain can help target employee interventions
Vocational rehab: Saving money or lives?
What impact do financial pressures have on the use and effectiveness of vocational rehabilitation for injured workers?
Does "talking cure" fight depression?
Psychotherapies are an important but underutilised part of depression treatment
RTW Coordinators on RTW Coordinators
From the horse's mouth: The competencies required for success
Experimenting with health policy
Occupational health research IS relevant to policy development: but what kinds of research are best?
Learn to return
A number of simple initiatives can have a positive impact on timely return to work and decrease costs.
Diagnosing back pain
A step-by-step guide for best practice diagnosis of back pain
RTW interventions assessed
A mixed bag of workplace interventions have been trialled over the last 20 years. What works?
Back problems: beliefs and recovery - the evidence
A person's beliefs about back problems influence how they engage with treatment, so providing the right information is vital.
Chronic Fatigue: NOT a dead end - the evidence
Cognitive behaviour therapy (CBT), graded exercise therapy (GET) and good planning get chronic fatigue sufferers back to work.
Despair and low back pain: Connecting as a starting point-The evidence
People with chronic low back pain can lose their sense of control over life, a major demotivating factor
Back pain and pessimism: A vicious cycle-The evidence
Pessimistic beliefs about back pain can prolong suffering and prevent proper treatment
Age + overtime = Lower productivity??? - the evidence
Research shows that older workers CAN work overtime and remain productive
Low back pain: Which treatments work? - The evidence.
Less invasive treatments should be first port of call for low back pain.
Critical illness, brain impairment and RTW
Are neurocognitive impairments being identified early enough, or at all, after critical illness?
Not just a number: injured workers' satisfaction with case managers - the evidence
What makes a good case manager?
Back pain and work: Physical factors - Physical work. The evidence.
What does the research tell us about physical work and the impact on back pain?
Back pain and work: Psychosocial factors. The evidence.
A range of studies explore whether psychosocial factors contribute to the development of back pain
Blame is not a game
Researchers have developed a questionnaire to help identify when perceptions of injustice may be jeopardising RTW.
Burn-out busters! The benefits of psychosocial coaching - the evidence
This study looks at the effect of preventive coaching on employees with psychosocial health complaints - and identifies some barriers to employee participation.
Approaches to managing chronic pain in the workplace - the evidence
How do we diagnose and treat chronic pain?
Overtreatment HURTS
The US demonstrates how overtreating back pain causes more pain.
Hospitable RTW
Employer reactions can determine RTW outcomes: making workers welcome matters
Mental illness and RTW: bridging the gap
Collaboration between mental health and employment agencies assists return to work, but how do we foster collaboration?
Teamwork: what works?
Teamwork is an art and a science. Learn to nurture it with style!
Workplace intervention VS clinical intervention
In this battle of the lower back pain heavyweights, who comes out on top and why?
Is everyone a safety expert?
Canadian researchers conclude that employees have the goods to make participatory ergonomics a success.
Canada trains researchers to share the love!
Disability prevention researchers benefit from collaboration and communication in an innovative Canadian program
Tracking the trajectory of workplace stress
New research suggests that stress claims aren't as big a mystery as employers tend to think...
What is behind psychosocial sick leave?
A look at the factors which predict psychosocial sick leave.
Treating knee pain in older adults
Practitioners under-prescribe key effective treatments: Education, exercise and weight loss
Can CBT trump chronic pain?
Chronic pain is a notoriously obstinate barrier to RTW. Is Cognitive Behavioural Therapy the card we need to play?
The 'work ability' divide
Who falls in the anti-collaboration chasm when doctors and insurers have different ideas about what 'work ability' involves?
Health and wellbeing: Take it online and show me the money!
Do online physical activity programs work? And are cash incentives good for motivation?
Do obese workers cost more?
Investigating obesity-related costs for employers.
Whiplash and physical fitness
Do fit people recover from whiplash more quickly?
Compensation prolongs whiplash pain
Changes to NSW workers' comp legislation had some interesting outcomes
Should you put your neck out for exercise?
How effective are exercises in treating mechanical neck problems?
Multidisciplinary rehab costs $$. Is it worth it?
A comparison of the effectiveness of multidisciplinary rehabilitation and standard care in the treatment of neck and shoulder pain.
Treating back pain: when surgery does not make the cut
A review of the effectiveness of non-surgical treatments for chronic low back pain.
Pain beliefs can hold you back
What do people with different kinds of back pain believe about pain and how do these beliefs impact recovery?
The history of compensation in Australia
With harmonisation hopefully imminent, it's a good time to look at and learn from Australia's history of workers' comp.
Whiplash and fitness
Post-whiplash, fit people recover quickly and return to work promptly
Back pain and work: Personal factors
A range of studies assess personal factors and how they influence work-related back pain
Welfare-to-work programs
Are they good policy? Do they work? How can they be improved?
It's all in the head: supporting families dealing with traumatic brain injury
Identifying the needs of families caring for someone with a traumatic brain injury.
Non-surgical treatment options for chronic back pain
Exercise, behavioural and multimodal programs: What works for RTW and why?
The surprising incidence of pain in young adults
Short and long term pain is common in the 18-25 year old age group
Screening for distress
Studies suggest that it is possible to identify workers at risk of developing psychological distress and intervene before productivity suffers!
She'll be right: Under-reporting injury in the workplace
According to one study, only 52% of work related injury and illness gets reported
Preventing unnecessary disability
An overview of the complex factors influencing the return to work of sick and injured workers, and recommendations as to return to work strategies can be improved.
Job dissatisfaction in immigrant workers
What can employers do to tackle the problem of job dissatisfaction?
Employer flexibility helps cancer survivors return to work
Returning to work after cancer treatment is difficult, but employers can make a difference
Workplace health and wellbeing : You've got to be in it to win it!
Comprehensive equals effective when it comes to workplace health and wellbeing programs...
Balance at work, balance at home
Workplace flexibility is associated with better employee health
Treating back pain with corticosteroids
Are steroid injections an effective way to treat acute back pain?
Get off your backside to improve your back!
Home exercise is a cheap and effective way to improve back pain
What is occupational contact dermatitis?
Know the facts about this common skin condition
The lowdown on leg pain or sciatica
There is debate over how to classify sciatica, and how common it is.
"But I didn't touch him!"
is non-physical violence, and how does it impact the workplace?
Manners Matter: doctors' behaviour influences return to work and recovery of injured workers
A study looking at factors influencing the return to work and recovery of injured workers in California
School of (back) pain!
Brief, face-to-face education works best for chronic LBP rehabilitation
Real bad back pain? On-the-spot physio provides short term gain
Physiotherapy for acute back pain is good in the short term, but education and movement bring long term benefits.
This round is on the boss...
Alcohol consumption and work absenteeism: Educating workers and preventing absence
The business of depression
There is a good business case for educating your workforce about depression
Recognising depression in the workplace
We all know depression is a problem, but do we recognise depression when we see it?
Challenges and opportunities for preventing depression
This article explores some of the ways to manage and prevent major depression in the workplace.
Depression, anxiety and fatigue care can improve productivity
Depression is the most significant contributor to reduced productivity
Why work gets us down...
Understanding the causes of depression in the workplace
Depression and antidepressants
Clinical principles for the use of antidepressants, and the effectiveness of other treatments in preventing relapse
The simple way to predict RTW outcomes? Ask!
A short survey can help predict a worker's likelihood of returning to work after treatment for injury.
Predicting and preventing long-term disability using workers' compensation systems
Recognising the risk factors for long term disability can help employers reduce the burden of workers' compensation.
Job control, job demand and workplace health
Changes in psychosocial aspects of work affect employee health and wellbeing
Empowering employers to fight depression
A short guide to depression busting in the workplace
Want to reduce sick leave? Be a good leader!
Good organisational leadership reduces sick leave and disability
Who’s the boss? Health and control in the workplace
If a sense of workplace control is linked to good health, how can it be fostered?
Physical activity a must for sedentary workers
Contrary to expectations, sedentary workers are more likely than heavy workers to lead inactive lives
Kapow! Beating obesity and high blood pressure through workplace intervention
Clear goals and helpful tools ensure that workplace interventions pack a real punch
Epidemiology for Beginners
Introducing the basics and explaining the terminology
Bearing the brunt of obesity
How obesity impacts the workplace
Fear, distress and heavy lifting: predictors of ongoing back pain
Psychological distress, heavy lifting and fear of activity are better predictors of back pain than MRI scans.
Treatment recommendations: making them stick
How to help patients adhere to treatment recommendations
The costs of mental health problems ARE negotiable
Lowering the costs of mental health problems for governments, employers, families and sufferers
Optimising occupational health
Decisions made in occupational health care that follow the 5-step protocol of evidence based medicine have good outcomes for workers and employers.
Upper extremity trauma: What happens after workers return to work?
Understanding work and cost outcomes of overuse arm problems.
Distress, fatigue and long-term sick leave
What puts men and women at risk of taking long term sick leave? This study explores the roles played by psychological distress and fatigue.
Seeking compensation for major trauma after accidental injury - more stress than its worth??
A clinical study has identified that the development and persistence of post-traumatic stress disorder following major trauma is not related to injury severity, but may be associated with factors such as blaming others for the accident and processes invol
Tick, tick, tick: The timing of intervention.
Intervention by nurse case managers during the first week after onset of back pain improves workers' satisfaction with their employer and healthcare provider and reduces sick leave absences.
Early intervention: Risky business?
Early intervention programs for lower back pain aim to keep workers in the workplace. How can you ensure that yours is a success?
A pain in the neck?
A Canadian study explores the relationship between neck pain and lost time claims.
Why me? Predicting neck pain
Certain factors put people at risk of recurrent neck pain. What predicts recovery? This study examines the evidence.
When safety turns dangerous...
Safety incentive programs may reduce workplace injury rates but they can also cause under-reporting.
Team ergonomics
This literature review examines some examples of the positive effects of participatory ergonomic (PE) intervention on improving workers' health.
Supervising recovery
Employer response to injury impacts employee recovery. This study identifies where employers go wrong and how to fix it!
Save lives and money: introducing sustainable health and work
The best work disability programs are broader than return to work management. Improving the health of the workforce reduces absenteesim, compensation costs and improves productivity.
An all round approach to Fibromyalgia
Fibromyalgia can be managed through a combination of physical and psychological rehabilitation.
More than just pain
There is more to chronic widespread pain, than pain itself.
Compensating for legislation
Case Study NSW: How do changes to a compensation system effect whiplash recovery outcomes?
Shifting attitudes to back pain - the Scots follow the Aussies
A public health campaign in Scotland has improved people's understanding and beliefs about back problems.
Which work factors determine job satisfaction?
Job satisfaction improves mental health. Task variety, colleagues, and general working conditions improve overall job satisfaction.
Using the ICF as a conceptual framework to guide ergonomic intervention in occupational rehabilitation
A broad and comprehensive approach to exploring return to work issues is provided by the International Classification of Functioning, Disability, and Health (ICF).
Managing chronic pain and return to work in the real world - A case study
Chronic pain is challenging to manage - here is a case that was complex but where input and a structured approach paid off.
Left behind in the return to work journey - Part 2
Long term claimants commonly describe a system that is frustrating, does not consider their needs, and misses out on treating them as an individual.
Left behind in the return to work journey - Part 1
A look at barriers to return to work for those out of work for two years. Return to work after being off work for long periods is challenging and uncommon, understanding the barriers is vital.
Locus of control and vocational rehabilitation
A sense of control over the situation improves return to work outcomes.
Employee input into improving their work environment: just the prescription for treating sick leave absences
Implementation of an 'organisational rehabilitation' program that identified and addressed employee's individual concerns with their work environment resulted in a substantial reduction in sick leave absences and the associated costs.
The great unknown: risk factors for co-existing chronic pain syndromes
The current understanding of the occurrence of multiple regional chronic pain syndromes is discussed and concludes more research is needed.
While looking after others, don't forget to look after yourself!
A self-evaluation tool is described which may assist healthcare professionals to develop self-resilience and equip them to identify, prioritise and achieve personal and professional goals.
Off the clock and on the ball
This follow-up study examined the relationship between the after-hours physical activity of workers and their absences from work due to sick leave.
The empowerment of people with neck pain
Improved understanding about neck problems helps the patient get a better grasp on their condition, what can be done to improve the situation and what is likely to occur. It also helps treaters, workplaces, insurers and policy makers.
How do workers with neck pain fare, and what influences their progress
Neck pain commonly follows a persistent or recurrent course. Between 60% to 80% of workers who advise a sore neck at some point report they have a sore neck a year later. Workers who exercise do better, and white collar workers return to work sooner.
The world's best look at neck pain
The Task Force on Neck Pain was a major undertaking, seeking to review and summarise information on neck pain problems, treatments, and what can be done to improve neck pain outcomes.
A caring doctor is an important predictor of the success of return to work programs
Return to work programs are more likely to have positive outcomes if participants have a stable relationship with a doctor who is attentive and empathetic, and provide good information about health and social options.
Musculoskeletal problems with anxiety / depression - double trouble.
People with musculoskeletal disorders and accompanying depression or anxiety have reduced levels of workforce participation. Tailored return-to-work programs that offer more intensive and continuous levels of support may help.
Workplace injuries, absenteeism and turnover among nurses are influenced by role stresses
Workplace intervention programs to reduce injuries, absenteeism and turnover among nurses should be designed to address the key factors of role ambiguity and role conflict, and improve workplace cohesion.
Return to work is possible after Chronic Fatigue Syndrome.
While Chronic Fatigue Syndrome (CFS) is a significantly debilitating and lengthy illness, there is evidence to suggest a return to work is possible after effective treatment. Medical retirement should not be considered too early.
Empowering workers to stay in their original employment. A better outcome from chronic injury.
Based on the rationale that it is easier to keep a job than to find a new one, the new focus of vocational rehabilitation for workers with chronic conditions is empowering the worker to stay in their original position.
What helps RTW for people with chronic pain
Surveys can help identify factors that will improve RTW
Arm pain and RTW - work modifications the work
Lessons learnt from an integrated case management approach for arm problems
Disability management interventions provide economic and health outcome benefits
There is solid research evidence that return to work management programs improve the 'bottom line'.
Shoulder and elbow pain - which treatments work?
Evidence for and against common treatments for shoulder and elbow pain.
A ‘chicken and the egg’ problem: Self efficacy, sickness absence and return to work
If you feel you can cope with a difficult situation will you get back to work earlier?
Expecting the worst and fearing pain are tell-tale signs of slow RTW
Identify high-risk patients to pip long term back problems at the proverbial post
Return-to-work coordinators: who are they and what do they do?
A detailed review of the tasks and role of coordinators