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Estimating the impact of work difficulties, work self-efficacy and work psychological safety on MS-related work productivity loss


Bessing, B and Claflin, SB and Taylor, BV and Blizzard, L and Honan, CA and van Dijk, P and Kirk-Brown, A and van der Mei, I, Estimating the impact of work difficulties, work self-efficacy and work psychological safety on MS-related work productivity loss, Multiple Sclerosis pp. 1-14. ISSN 1352-4585 (2022) [Contribution to Refereed Journal]

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DOI: doi:10.1177/13524585221097573


Background: A comprehensive understanding of factors associated with multiple sclerosis (MS)-related work productivity loss will inform targeted interventions. We have previously shown the strong impact of symptom severity on MS-related work productivity loss. However, the effect of work difficulties, work self-efficacy and work psychological safety is yet to be well evaluated in this context.

Objectives: This study evaluates the association between work difficulties, work self-efficacy and work psychological safety, and MS-related presenteeism, absenteeism and total work productivity loss.

Methods: We analysed data from employed participants of the Australian MS Longitudinal Study (AMSLS) who took part in both the 2015 Medication and Disease Course survey, and 2015 Employment survey (n = 744). Data were analysed using Cragg Hurdle regression models.

Results: We found that low workplace self-esteem, interpersonal difficulties at work and work self-efficacy were associated with total work productivity loss. In a multivariable model, a 10-unit decrease in workplace self-esteem, increase in interpersonal difficulties at work and 5-unit increase in work self-efficacy were independently associated with a 3.75% increase, 2.89% increase and 3.36% reduction in total work productivity loss, respectively. When separating total work productivity loss in presenteeism and absenteeism, stronger effects were seen for presenteeism than absenteeism. Surprisingly, work psychological safety was not associated with MS-related work productivity loss.

Conclusion: Work psychosocial well-being such as self-confidence at work, work self-efficacy and interpersonal difficulties at work are crucial factors governing work productivity in people with MS (PwMS). Multidisciplinary support team assistance of PwMS in symptom self-care, skills around effective communication about MS in the workplace, the psychological impact of work and the modification of work demands may positively influence the employment outcomes.

Item Details

Item Type:Contribution to Refereed Journal
Keywords:multiple sclerosis, vocational rehabilitation, work productivity, self-efficacy, psychological safety
Research Division:Biomedical and Clinical Sciences
Research Group:Neurosciences
Research Field:Central nervous system
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Bessing, B (Mr Barnabas Bessing)
UTAS Author:Claflin, SB (Dr Suzi Claflin)
UTAS Author:Taylor, BV (Professor Bruce Taylor)
UTAS Author:Blizzard, L (Professor Leigh Blizzard)
UTAS Author:Honan, CA (Dr Cynthia Honan)
UTAS Author:van der Mei, I (Professor Ingrid van der Mei)
ID Code:152536
Year Published:2022
Deposited By:Menzies Institute for Medical Research
Deposited On:2022-08-20
Last Modified:2022-09-07

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