Measurement Characteristics and Clinical Utility of the Work Rehabilitation Questionnaire Among Individuals With Musculoskeletal Conditions

      Job reintegration and retention are integral components of vocational rehabilitation (VR) for people with musculoskeletal conditions and other physical disabilities. The Work Rehabilitation Questionnaire (WORQ) is a patient-reported outcomes measure that evaluates physical, emotional, and cognitive functioning in the VR setting. This was created with the hope to evaluate work-related functioning to identify areas of disability that may be addressed during the VR process.1 Development of the questionnaire was informed by the International Classification of Functioning, Disability and Health Core Set for Vocational Rehabilitation.1
      Administration of the WORQ is free, requires no training, and takes an average of 25.57 (SD=11.55) minutes to complete.1 Available in both interviewer-administered and self-reported versions, the WORQ consists of 2 parts: a 17-item section characterizing sociodemographic data and a 42-item section assessing function. The first 40 questions in the 42-item section are scored on an 11-point Likert scale and then summated, and the last 2 questions assess duration of time needed to complete general functional tasks. Lower scores signify greater function and lesser extent of issues. The WORQ demonstrates excellent test-retest reliability,2. 3. 4. 5. internal consistency,2. 3. 4. 5. and content validity5 as well as adequate to excellent convergent validity2,4,5 with similar instruments that measure physical, emotional, and cognitive functioning. Little to no floor and ceiling effects were detected.2. 3. 4. 5.
      This abbreviated summary provides a review of the psychometric properties of the WORQ in individuals with musculoskeletal conditions. A full review of the WORQ and reviews of over 500 other instruments for patients with various health conditions can be found at:
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      This instrument summary is designed to facilitate the selection of outcome measures by clinicians. The information contained in this summary represents a sample of the peer-reviewed research available at the time of this summary's publication. The information contained in this summary does not constitute an endorsement of this instrument for clinical practice. The views expressed are those of the summary authors and do not represent those of the authors’ employers, instrument owner(s), the Archives of Physical Medicine and Rehabilitation, the Rehabilitation Measures Database, or the United States Department of Health and Human Services. The information contained in this summary has not been reviewed externally.
      The Rehabilitation Measures Database and Instrument Summary Tear-sheets were initially funded by the National Institute on Disability, Independent Living, and Rehabilitation Research ( NIDILRR ), Administration for Community Living , United States Department of Health and Human Services , through the Rehabilitation Research and Training Center on Improving Measurement of Medical Rehabilitation Outcomes ( H133B090024 ). Current funding for the Rehabilitation Measures Database comes from the Shirley Ryan AbilityLab, the first-ever “translational” research hospital where clinicians, scientists, innovators, and technologists work together in the same space, applying research in real time to physical medicine and rehabilitation and by NIDILRR through the Rehabilitation Research and Training Center on Employment for People with Physical Disabilities ( 90RTEM0001 ).
      • 1.
        Finger ME, Escorpizo R, Bostan C, De Bie R. Work Rehabilitation Questionnaire (WORQ): development and preliminary psychometric evidence of an ICF-based questionnaire for vocational rehabilitation. J Occup Rehabil 2014;24:498–510.
      • 2.
        Finger ME, Wicki-Roten V, Leger B, Escorpizo R. Cross-cultural adaptation of the Work Rehabilitation Questionnaire (WORQ) to French: a valid and reliable instrument to assess work functioning. J Occup Rehabil 2019;29:350–60.
      • 3.
        Finger ME, Escorpizo R, Tennant A. Measuring work-related functioning using the Work Rehabilitation Questionnaire (WORQ). Int J Environ Res Public Health 2019;16:2795.
      • 4.
        Vermeulen K, Woestyn M, Oostra K, et al. Cross-cultural adaptation and psychometric evaluation of the Dutch version of the Work Rehabilitation Questionnaire (WORQ-VL). J Occup Rehabil 2019;29:514–25.
      • 5.
        Husmann A, Escorpizo R, Finger ME. Examining work-related functioning in a physical therapy outpatient clinic: validity and reliability of the Work Rehabilitation Questionnaire (WORQ). J Occup Rehabil 2020;30:156–66.