Development of the Return-to-Work Obstacles and Self-Efficacy Scale (ROSES) and Validation with Workers Suffering from a Common Mental Disorder or Musculoskeletal Disorder

J Occup Rehabil. 2017 Sep;27(3):329-341. doi: 10.1007/s10926-016-9661-2.


Introduction Common mental disorders (CMDs) and musculoskeletal disorders (MSDs) lead the list of causes for work absence in several countries. Current research is starting to look at workers on sick leave as a single population, regardless of the nature of the disease or accident. The purpose of this study is to report the validation of the Return to Work Obstacles and Self-Efficacy Scale (ROSES) for people with MSDs and CMDs, based on the disability paradigm. Methods From a prospective design, the ROSES' reliability and validity were investigated in a Canadian sample of workers on sick leave due to MSDs (n = 206) and CMDs (n = 157). Results Exploratory and confirmatory factor analyses revealed that 46 items spread out on 10 conceptual dimensions (e.g., Fears of a relapse, Job demands, Difficult relation with the immediate supervisor), with satisfactory alpha coefficients and test-retest reliability for all subscales. Finally, several dimensions of ROSES also predict the participant's RTW within 6 months for MSDs (e.g., job demands), and CMDs (e.g., difficult relation with the immediate supervisor), even when adjusted by several variables (e.g., age, severity of symptoms). Apart from the job demands dimension, when the ROSES dimension is more external to the individual, only the perception of obstacles remains significant to predict RTW whereas it is the opposite result when the dimension is more internal (e.g., fears of a relapse). Conclusion The ROSES demonstrated satisfactory results regarding its validity and reliability with people having MSDs or CMDs, at the time of the return-to-work process.

Keywords: Barriers; Common mental disorder; Musculoskeletal disorder; Return-to-work; Self-efficacy.

Publication types

  • Validation Study

MeSH terms

  • Factor Analysis, Statistical
  • Humans
  • Logistic Models
  • Mental Disorders* / psychology
  • Mental Disorders* / rehabilitation
  • Musculoskeletal Diseases* / psychology
  • Musculoskeletal Diseases* / rehabilitation
  • Perception
  • Prospective Studies
  • Reproducibility of Results
  • Return to Work / psychology*
  • Return to Work / statistics & numerical data
  • Self Efficacy*
  • Sick Leave / statistics & numerical data
  • Surveys and Questionnaires / standards*
  • Time Factors