Rehabilitation of injured workers with chronic pain: A stage of change phenomenon

Yan Wen Xu, Che Hin Chan, Chow S. Lam, Wai Ping Cecilia Tsang, Karen Y.L. Lo-Hui, Robert J. Gatchel

Research output: Journal article publicationJournal articleAcademic researchpeer-review

18 Citations (Scopus)


Objective: This study was designed to explore the stages of change involved in return to work (RTW) for a group of workers who had been suffering from chronic pain. Method: The participants were 67 (mean age = 42.67) injured workers who participated in a six-week RTW program. Assessments of the participants on various measures were conducted before and during the program, and at the end of the follow-up period (3 months post-program). Results: The overall RTW rate of the participants was 65.7%. Most importantly, the participants' RTW outcomes were found to be significantly predicted by their readiness for RTW (action) at the baseline. In the third week, their RTW was significantly predicted by their confidence in returning to work and their readiness for RTW (action). By the sixth week, their RTW outcomes were predicted by their readiness for RTW (pre-contemplation). Conclusion: The results enable us to better understand the stage-of-change factors that might influence injured workers' resumption of a productive work role and the rehabilitation process of RTW.
Original languageEnglish
Pages (from-to)727-742
Number of pages16
JournalJournal of Occupational Rehabilitation
Issue number4
Publication statusPublished - 1 Dec 2007


  • Chronic pain
  • Stage of change
  • Work rehabilitation
  • Workers' compensation

ASJC Scopus subject areas

  • Rehabilitation
  • Occupational Therapy


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