[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"assessment-rtw-se":3,"all-assessments-nav":269,"related-assessments-query":916},{"id":4,"title":5,"body":6,"category":251,"categoryTitle":252,"clinicalCitations":253,"copyright":251,"description":256,"disclaimer":251,"downloadLink":251,"extension":257,"faqs":251,"featured":258,"i18nReady":258,"icon":251,"interpreter":251,"lastReviewed":259,"meta":260,"navigation":261,"path":262,"permissionsNote":251,"published":261,"recommendedFrequency":251,"relatedCodes":251,"relatedConditions":251,"reviewedBy":251,"seo":263,"slug":264,"stem":265,"summary":266,"takeaways":251,"timeline":251,"type":267,"usedToDiagnose":251,"__hash__":268},"assessments\u002Fassessments\u002Frtw-se.md","RTW-SE: Return-to-Work Self-Efficacy Questionnaire",{"type":7,"value":8,"toc":238},"minimark",[9,14,18,21,25,28,47,55,59,65,68,73,87,90,94,120,124,127,153,157,171,175,186,191],[10,11,13],"h3",{"id":12},"about-the-rtw-se","About the RTW-SE",[15,16,17],"p",{},"The Return-to-Work Self-Efficacy (RTW-SE) questionnaire was developed to assess an individual's confidence in their capacity to resume work while managing ongoing health or mental health challenges. Self-efficacy, the belief in one's own ability to perform specific tasks, is a robust predictor of return-to-work (RTW) outcomes across conditions including depression, anxiety, chronic pain, and musculoskeletal disorders.",[15,19,20],{},"The RTW-SE was developed based on Bandura's Social Cognitive Theory and has been validated in occupational rehabilitation and sick-leave populations in multiple countries. It is used both as a prognostic tool to identify individuals at higher risk of prolonged sick leave and as an outcome measure in vocational rehabilitation interventions.",[10,22,24],{"id":23},"what-the-assessment-measures","What the Assessment Measures",[15,26,27],{},"The RTW-SE measures the degree of confidence a person has in their ability to:",[29,30,31,35,38,41,44],"ul",{},[32,33,34],"li",{},"Manage work demands despite ongoing symptoms",[32,36,37],{},"Cope with work stress without symptom worsening",[32,39,40],{},"Communicate with employers and colleagues about limitations",[32,42,43],{},"Gradually increase work hours or responsibilities",[32,45,46],{},"Return to their previous role or a modified role",[15,48,49,50,54],{},"Items are rated on a ",[51,52,53],"strong",{},"0–10 scale"," (Not at all confident to Completely confident), yielding a continuous score.",[10,56,58],{"id":57},"scoring","Scoring",[15,60,61,64],{},[51,62,63],{},"Total score range",": 0–110 (sum of 11 items, each 0–10)",[15,66,67],{},"Higher scores indicate greater self-efficacy for return to work.",[15,69,70],{},[51,71,72],{},"Cutoff for clinical prediction (Gjengedal et al., 2021):",[29,74,75,81],{},[32,76,77,80],{},[51,78,79],{},"Score ≤54",": Low self-efficacy; high risk for prolonged sick leave",[32,82,83,86],{},[51,84,85],{},"Score >54",": Higher self-efficacy; more favorable RTW prognosis",[15,88,89],{},"A score of ≤54 identifies patients on sick leave due to anxiety or depression who are at elevated risk of remaining absent for ≥6 months.",[10,91,93],{"id":92},"administration","Administration",[29,95,96,102,108,114],{},[32,97,98,101],{},[51,99,100],{},"Format",": Self-report",[32,103,104,107],{},[51,105,106],{},"Items",": 11",[32,109,110,113],{},[51,111,112],{},"Time",": Approximately 5 minutes",[32,115,116,119],{},[51,117,118],{},"Population",": Adults currently on sick leave or at risk of work absence due to physical or mental health conditions",[10,121,123],{"id":122},"clinical-applications","Clinical Applications",[15,125,126],{},"The RTW-SE is used in:",[29,128,129,135,141,147],{},[32,130,131,134],{},[51,132,133],{},"Occupational rehabilitation programs",": To assess readiness and guide pacing of return to work",[32,136,137,140],{},[51,138,139],{},"Psychological treatment for anxiety\u002Fdepression",": As a functional outcome measure alongside symptom measures",[32,142,143,146],{},[51,144,145],{},"Sick leave case management",": To triage individuals needing additional vocational support",[32,148,149,152],{},[51,150,151],{},"Research",": As a predictor variable in RTW cohort studies",[10,154,156],{"id":155},"psychometric-properties","Psychometric Properties",[29,158,159,162,165,168],{},[32,160,161],{},"Good internal consistency (Cronbach's α ≈ 0.92–0.96)",[32,163,164],{},"Test-retest reliability: ICC ≈ 0.80–0.90",[32,166,167],{},"Predictive validity for RTW outcomes across anxiety, depression, and musculoskeletal conditions",[32,169,170],{},"Validated in Norwegian (original), Chinese (Wang et al., 2023; Liu et al., 2022), and other languages",[10,172,174],{"id":173},"clinical-considerations","Clinical Considerations",[29,176,177,180,183],{},[32,178,179],{},"Low RTW-SE is a modifiable risk factor: cognitive-behavioural interventions targeting self-efficacy beliefs can improve RTW outcomes",[32,181,182],{},"RTW-SE should be interpreted alongside functional capacity, employer accommodation availability, and symptom severity",[32,184,185],{},"In clients with both psychiatric and occupational stressors, workplace-specific barriers (e.g., harassment, role conflict) may suppress scores independently of clinical progress",[187,188,190],"h2",{"id":189},"references","References",[29,192,193,201,214,226],{},[32,194,195,196,200],{},"Lagerveld SE, Blonk RWB, Brenninkmeijer V, Schaufeli WB. (2010). Return to work in the context of psychiatric disorders: a review of predictors. ",[197,198,199],"em",{},"Journal of Occupational Rehabilitation",", 20(2), 189–202.",[32,202,203,204,206,207],{},"Gjengedal RGH, Lagerveld SE, Reme SE, et al. (2021). The Return-to-Work Self-efficacy Questionnaire (RTW-SE): A Validation Study of Predictive Abilities and Cut-off Values for Patients on Sick Leave Due to Anxiety or Depression. ",[197,205,199],{},", 31(3), 589–600. PMID: ",[208,209,213],"a",{"href":210,"rel":211},"https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F33630238\u002F",[212],"nofollow","33630238",[32,215,216,217,220,221],{},"Wang T, Jin M, Zhu R, et al. (2023). Return-to-work self-efficacy questionnaire: Cross-cultural adaptation and validation in China. ",[197,218,219],{},"Nursing Open",", 10(9), 6387–6397. PMID: ",[208,222,225],{"href":223,"rel":224},"https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F37317045\u002F",[212],"37317045",[32,227,228,229,232,233],{},"Liu F, Zhang Z, Lin B, et al. (2022). Assessing the psychometric properties of the Chinese return-to-work self-efficacy questionnaire using Rasch model analysis. ",[197,230,231],{},"Health and Quality of Life Outcomes",", 20(1), 31. 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