Hindawi Publishing Corporation
Rehabilitation Research and Practice
Volume 2013, Article ID 614825, 11 pages
http://dx.doi.org/10.1155/2013/614825
Research Article
Content Analysis of Work Limitation, Stanford Presenteeism,
and Work Instability Questionnaires Using International
Classification of Functioning, Disability, and Health and Item
Perspective Framework
Vanitha Arumugam,
1
Joy C. MacDermid,
2,3
and Ruby Grewal
3
1
University of Western Ontario, Health and Rehabilitation Sciences, 1201 Western Road, London, ON, Canada N6G 1H1
2
Rehabilitation Science, McMaster University, School of Rehabilitation Science, Hamilton, ON, Canada L8S 4L8
3
Clinical Research, Hand and Upper Limb Center, St. Joseph’s Hospital, 268 Grosvenor Street, London, ON, Canada N6A 4L6
Correspondence should be addressed to Vanitha Arumugam; vanithaphysio@gmail.com
Received 22 July 2013; Revised 31 October 2013; Accepted 4 November 2013
Academic Editor: Jari P. A. Arokoski
Copyright © 2013 Vanitha Arumugam et al. Tis is an open access article distributed under the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly
cited.
Background. Presenteeism refers to reduced performance or productivity while at work due to health reasons. WLQ-26, SPS-6,
and RA-WIS are the commonly used self-report presenteeism questionnaires. Tese questionnaires have acceptable psychometric
properties but have not been subject to structured content analysis that would defne their conceptual basis. Objective. To describe
the conceptual basis of the three questionnaires using ICF and IPF and then compare the distribution and content of codes to those
on the vocational rehabilitation core set. Methods. Two researchers independently linked the items of the WLQ-26, SPS-6, and RA-
WIS to the ICF and IPF following the established linking rules. Te percentage agreement on coding was calculated between the
researchers. Results. WLQ-26 was linked to 62 ICF codes, SPS-6 was linked to 17 ICF codes, and RA-WIS was linked to 74 ICF codes.
Most of these codes belonged to the activity and participation domains. All the concepts were classifed by the IPF, and the most
were rational appraisals within the social domain. Only 12% of codes of the core set for vocational rehabilitation were used in this
study to code these questionnaires. Conclusion. Te specifc nature of work disability that was included in these three questionnaires
was difcult to explain using ICF since many aspects of content were not confned. Te core set for vocational rehabilitation covered
very limited content of the WLQ-26, SPS-6, and RA-WIS.
1. Introduction
Rehabilitation is based on an understanding that health and
function extend beyond the presence or absence of disease
to include the ability to participate in life activities and roles.
Similarly, we now recognize that work functioning extends
beyond the presence or absence of being at work to include
the ability to engage in work activities and roles. Presenteeism
refers to reduced performance or productivity while at work
due to health reasons [1]. In a study conducted in Sweden
where one-third of the surveyed labor force reported going
to work two or more times in the past year in spite of their
health being so bad that they should have taken leave [2].
Presenteeism is a complex issue that is afected by individual,
work, workplace factors, health, and health behaviours. Pre-
vious studies have tried to identify determinants of presen-
teeism and have identifed factors like low monthly income,
psychological stress, initial health, time pressure, and fnding
a replacement, amongst others [1–8].
During rehabilitation, ability to return to work is ofen
a major concern. Vocational rehabilitation is a specifc sub-
type of rehabilitation that focuses on helping those with dis-
abilities to regain skills and abilities that allow them to acquire
or retain employment. It is important to have questionnaires
that allow one to quantify the amount of difculty experi-
enced at work to monitor the success of these rehabilitative
processes.