Predictors of return to work among mine workers following on-duty injury: A scoping review

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Background: Mining industry workers face substantial challenges returning to work after occupational injuries. Despite the critical importance of successful return to work (RTW) outcomes, there is limited understanding of specific predictors within the mining sector that influence these outcomes. Objectives: To systematically identify and analyse factors influencing RTW among mine workers following on-duty injuries and synthesise evidence to inform rehabilitation strategies. Method: We searched PubMed, CINAHL, Google Scholar and PsycINFO databases for literature published between 1996 and December 2024. Studies were screened using predetermined inclusion and exclusion criteria. Data from eligible studies were extracted and analysed thematically to identify key predictors of RTW outcomes. Results: Three studies met the inclusion criteria. Negative RTW predictors (barriers) included physical complications (muscular atrophy, chronic pain), psychological factors (work avoidance, secondary gains) and workplace challenges (harsh conditions, job stress). Positive predictors (facilitators) encompassed supportive work environments, shorter rehabilitation periods, and financial stability. Demographic characteristics, particularly younger age and higher education levels, were associated with improved RTW outcomes. Conclusion: Return to work success among mine workers is influenced by multiple interconnected factors spanning physical, psychological, workplace and demographic domains. Clinical implications: These findings emphasise the need for comprehensive rehabilitation programmes integrating medical care, psychological support and workplace modifications. Future research should focus on developing targeted interventions that address these multiple dimensions of RTW in the mining sector.

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