IRSST - Institut de recherche Robert-Sauvé en santé et en sécurité du travail

For a sustainable return to work

Work Accommodations for Older Workers Aged 45 and Over (ACT45+)

ACT45+ is the first tool developed specifically for the occupational rehabilitation field for older workers who have experienced a psychological or physical injury, and that can be used to:

  • document the work accommodations implemented that have been helpful or that you would have wished for in the return-to-work process (before, during, and after the return to work for purposes of follow-up);
  • think about possible interventions for implementing accommodations;
  • promote the sustainable return to work of older workers.

the ACT45+ tool was designed as part of a study conducted by Alessia Negrini with the aim of identifying the determinants of the sustainable return to work (S-RTW) of older workers aged 45 and over who have experienced a psychological or physical injury that is either completely or partially work-related.

Who can use the tool?

The ACT45+ questionnaire can be used by clinicians, professionals in the health and social services network, return-to-work coordinators, and organizational stakeholders involved in the return to work. Administering the ACT45+ tool does not require any special training or membership in a professional order.

With which type of clients?

The questionnaire is intended for older workers aged 45 years and over who have experienced a psychological or physical injury and who return to work in the same organization where they worked prior to their sick leave at the same or another job, with full-time or part-time status.

When can it be used?

This tool can be used throughout the return-to-work process.

How should it be used?

Users of ACT45+ are also free to decide, depending on their needs, to use all eight dimensions or only those measuring certain concepts.
The tool includes 37 items under 8 subscales:

  • Return-to-Work Plan and Follow-up (5 items)
  • Work Schedule and Workplace (6 items)
  • Workload (3 items)
  • Work Tasks (4 items)
  • Occupational Health (3 items)
  • Support from Coworkers (5 items)
  • Support from the Immediate Supervisor (6 items)
  • Information and Training (5 items)

Based on the workers’ answers, it is possible to identify the most frequently implemented accommodations, or those least frequently or never implemented. Identifying the accommodations least frequently implemented during the return to work and those that workers would have found helpful makes it possible to suggest possible interventions for implementing them and thus promoting the sustainable return to work of older workers.


[email protected]
514-288-1551, ext. 245

Download the questionnaire