Evidence map›Paper›PMID 40880026›Full record

ArticleJournal of occupational rehabilitation2025

Why are Disclosure Decisions so Difficult? Understanding Factors that Encourage and Discourage Workers with a Chronic Disabling Condition from Disclosing Health Information at Work.

Monique A M Gignac, Julie Bowring, Ron Saunders, Lahmea Navaratnerajah, Peter M Smith, Arif Jetha, Aaron Thompson, Renee-Louise Franche, William S Shaw, Marta Pienkowski

Abstract read
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In one paragraph

Article in Journal of occupational rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Monique A M GignacInstitute for Work & Health, 400 University Avenue, Suite 1800, Toronto, ON, M5G 1S5, Canada. mgignac@iwh.on.ca.ORCID http://orcid.org/0000-0003-4445-3274
Julie BowringInstitute for Work & Health, 400 University Avenue, Suite 1800, Toronto, ON, M5G 1S5, Canada.
Ron SaundersInstitute for Work & Health, 400 University Avenue, Suite 1800, Toronto, ON, M5G 1S5, Canada.
Lahmea NavaratnerajahInstitute for Work & Health, 400 University Avenue, Suite 1800, Toronto, ON, M5G 1S5, Canada.ORCID http://orcid.org/0009-0001-2673-0752
Peter M SmithInstitute for Work & Health, 400 University Avenue, Suite 1800, Toronto, ON, M5G 1S5, Canada.ORCID http://orcid.org/0000-0001-8286-4563
Arif JethaInstitute for Work & Health, 400 University Avenue, Suite 1800, Toronto, ON, M5G 1S5, Canada.ORCID http://orcid.org/0000-0003-0322-7027
Aaron ThompsonWorkplace Safety and Insurance Board (WSIB), Toronto, ON, Canada.ORCID http://orcid.org/0000-0002-4414-6330
Renee-Louise FrancheSchool of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.
William S ShawMedicine, University of Connecticut Health, Farmington, CT, USA.ORCID http://orcid.org/0000-0002-6830-6415
Marta PienkowskiInstitute for Work & Health, 400 University Avenue, Suite 1800, Toronto, ON, M5G 1S5, Canada.

Funding

Social Sciences and Humanities Research Council of Canada (SSHRC) and the Canadian Institutes of Health Research (CIHR) #890-2016-3002
6 · The paper itself

Abstract

purposeThe decision whether to disclose a disability at work is complex. Drawing on communication theories, we examined disclosure decision-making and how workers with disabling health conditions prioritized information that could simultaneously encourage and discourage disclosure.

methodsAn online, cross-sectional survey asked workers with physical and mental health/cognitive conditions creating job limitations (i.e., disability) at work about the health impacts on their employment, their disclosure goals, preferences, support availability, workplace culture, work context, and demographic information. Descriptive, multivariate, and latent profile analyses were used.

resultsParticipants were 591 workers (51% men, 48% women, 1% non-binary) with physical (41%), mental health/cognitive (24%), or both groups of conditions (35%). Forty-two percent of participants had not disclosed health information or needs to their supervisor. Six profiles of decision patterns were identified: (1) little health impact, supports available; (2) some health impacts, positive support appraisals; (3) some health impacts, uncertain what to do; (4) some health impacts, considerable personal concerns; (5) little health impact, few concerns, few supports available; and (6) considerable health impacts but perceives many risks to sharing. Disclosure decisions often prioritized personal goals, preferences, and workplace culture over health impacts and support availability. Profiles were differentiated by health condition type and work context.

conclusionUnderstanding how workers prioritize information when considering disclosing a disability at work has implications for organizational support practices and clinical efforts to support workers. It underscores that worker decisions go beyond health impacts and highlights the need for support resources to help workers address decision uncertainty and stress.

Indexed as

AccommodationsChronic diseaseDecision-makingDisabilityDisclosureEmploymentMental health

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.