The capability set for work - correlates of sustainable employability in workers with multiple sclerosis

Health Qual Life Outcomes. 2018 Jun 1;16(1):113. doi: 10.1186/s12955-018-0942-7.


Background: The aim of this study was to examine whether work capabilities differ between workers with Multiple Sclerosis (MS) and workers from the general population. The second aim was to investigate whether the capability set was related to work and health outcomes.

Methods: A total of 163 workers with MS from the MS@Work study and 163 workers from the general population were matched for gender, age, educational level and working hours. All participants completed online questionnaires on demographics, health and work functioning. The Capability Set for Work Questionnaire was used to explore whether a set of seven work values is considered valuable (A), is enabled in the work context (B), and can be achieved by the individual (C). When all three criteria are met a work value can be considered part of the individual's 'capability set'.

Results: Group differences and relationships with work and health outcomes were examined. Despite lower physical work functioning (U = 4250, p = 0.001), lower work ability (U = 10591, p = 0.006) and worse self-reported health (U = 9091, p ≤ 0.001) workers with MS had a larger capability set (U = 9649, p ≤ 0.001) than the general population. In workers with MS, a larger capability set was associated with better flexible work functioning (r = 0.30), work ability (r = 0.25), self-rated health (r = 0.25); and with less absenteeism (r = - 0.26), presenteeism (r = - 0.31), cognitive/neuropsychiatric impairment (r = - 0.35), depression (r = - 0.43), anxiety (r = - 0.31) and fatigue (r = - 0.34).

Conclusions: Workers with MS have a larger capability set than workers from the general population. In workers with MS a larger capability set was associated with better work and health outcomes.

Trial registration: This observational study is registered under NL43098.008.12: 'Voorspellers van arbeidsparticipatie bij mensen met relapsing-remitting Multiple Sclerose'. The study is registered at the Dutch CCMO register ( ). This study is approved by the METC Brabant, 12 February 2014. First participants are enrolled 1st of March 2014.

Keywords: Capability set for work; Health; Multiple sclerosis; Sustainable employability; Work.

Publication types

  • Validation Study

MeSH terms

  • Absenteeism
  • Adult
  • Anxiety / etiology*
  • Case-Control Studies
  • Cross-Sectional Studies
  • Depression / etiology*
  • Employment / psychology
  • Employment / statistics & numerical data*
  • Fatigue / etiology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Multiple Sclerosis / complications*
  • Multiple Sclerosis / psychology
  • Outcome Assessment, Health Care / standards*
  • Quality of Life
  • Work Capacity Evaluation*
  • Young Adult

Grants and funding