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The Work Productivity and Activity Impairment (WPAI) questionnaire [ 27] was used to measure impairment to work productivity and the activities of daily living.
Research describing patient-reported health outcomes such as HRQoL and impairment to work and daily activities among these individuals is particularly scarce.
The present study also confirms findings from other studies in other geographies regarding the relationship between HEs and impairment to work and non-work activities, satisfaction with medication, healthcare utilization, and fear of hypoglycaemia.
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However, factors predictive of work disability have not been examined previously in PSS, and it is unknown whether cognitive impairment contributes to work disability as has been shown previously in systemic lupus[ 37].
Those with predominantly menstrually-related attacks (MM) had fewer headache-days but appeared to be more impaired by attacks as measured by impairment in ability to work and elevated HIT-6 scores.
The earlier checkpoints provided rehabilitation, counseling and assessment much closer to the onset of an impairment, when return to work was more likely.
Butler et al. (1995) found that Canadian workers with permanent partial impairments who returned to work with modified equipment, light workloads or reduced working hours had significantly more stable labour market attachment than workers who did not have their working conditions accommodated.
The annual direct costs of care attributable to RA from the societal perspective was estimated to be $3.6 billion [ 4] and as the disease progresses, patients often experience an increase in functional impairment that often leads to work disability [ 5- 8].
Campolieti (2005), who studied the employment duration of workers with permanent partial impairments who returned to work after a work injury, also found a positive effect of workplace accommodations.
In work related low back injuries and hand trauma, objective measures of physical impairment correlated with return to work but were less important than psychosocial factors [ 7, 9].
To avoid occupational impairment and restore ability to work the importance to keep contact with the local health and rehabilitation services, and inform the employer was stressed.
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