Can a Single-Item Measure Assess Physical Load at Work? An Analysis From the GAZEL Cohort

Sabbath, Erika L.; Goldberg, Marcel; Wu, Qiong; Descatha, Alexis

doi:10.1097/jom.0b013e31824af5a8

Cited by 10 publications

(9 citation statements)

References 29 publications

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“…According to previous studies self-administered questionnaires are able to classify participants to sedentary or standing work and low or high workload in acceptable accordance with interview [ 28 ] and observational [ 29 ] data. Furthermore Sabbath et al concluded that a single item question was a fairly good indicator of physical load at work compared to a 38-item questionnaire [ 30 ]. The authors found the single item work related physical activity question to be sensitive enough to detect increased levels of work related physical activity within a certain task, for example lifting or pulling, and also to detect overall increases in total work related physical activity.…”

Section: Discussionmentioning

confidence: 99%

“…In both the sub cohort with no neck pain at baseline, as well as the sub cohort with occasional neck pain at baseline, the loss to follow-up was 21 %. For selection bias to occur, both the prevalence of the exposure and the outcome has to differ between the drop-outs and those successfully followed, [ 30 ] which we find unlikely regarding the exposure leisure physical activity. Thus since we had almost an 80 % response rate we do not think that the validity of the study is affected to a notable extent.…”

Section: Discussionmentioning

confidence: 99%

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The impact of work related physical activity and leisure physical activity on the risk and prognosis of neck pain – a population based cohort study on workers

Palmlöf

Alfredsson

Magnusson³

et al. 2016

BMC Musculoskelet Disord

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BackgroundThe effect of physical activity on risk and prognosis for neck pain has been studied earlier with inconclusive results. There is a need for large prospective studies on the subject. The aim of this study was to investigate if work related physical activity and physical activity during leisure time are of importance for the risk and prognosis of neck pain in men and women.MethodsWe used the Stockholm Public Health Cohort and formed two sub-cohorts of the working population based on data from 2002. Cohort I (risk cohort) included persons without neck pain (n = 4681), and cohort II (prognostic cohort) included persons with occasional neck pain (n = 6820) during the previous six months. Both cohorts were assessed for the outcome long duration troublesome neck pain (LDNP) in 2007.The exposures and potential confounders were assessed through a questionnaire in 2002. The question regarding work related physical activity over the past 12 months had five answering categories ranging from “sedentary” to”heavy”. The question regarding leisure physical activity for the past 12 months had five answering categories ranging from “sedentary” to “regular physical activity”.LDNP in 2007 was defined as having had troublesome neck pain lasting ≥ 3 consecutive months during the previous five years. Associations between work related physical activity and LDNP, as well as leisure physical activity and LDNP, were investigated by multivariable logistic regression, considering potential confounding factors.ResultsIn cohort I (risk cohort) we found an association between leisure physical activity and LDNP. In cohort II (prognostic cohort) we found no association between the exposures and the outcome.ConclusionThe results suggest that leisure physical activity has a protective effect on the risk of developing LDNP in a population free from neck pain. It did not, however, affect the prognosis of occasional neck pain. Neither the risk nor the prognosis of neck pain was affected by work related physical activity in this study.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The impact of work related physical activity and leisure physical activity on the risk and prognosis of neck pain – a population based cohort study on workers

Palmlöf

Alfredsson

Magnusson³

et al. 2016

BMC Musculoskelet Disord

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“…Attrition in the GAZEL cohort is very low (0.6% were lost to follow-up by December 2013)8 and is not likely to modify the findings. It is nevertheless plausible that workers with difficult working conditions are more likely to have medical problems, as it has been shown that participants having serious health conditions are less prone to answer the annual questionnaire;10 failure to answer may have led to an underestimation of the association between high PPS and limitation in 2012.…”

Section: Discussionmentioning

confidence: 87%

“…However, global evaluation of physically arduous working conditions is complicated and raises many questions from a public health perspective 6 7. A recent study has indicated that a single self-reported variable of perceived physical strain (PPS) at work is a reliable and valid proxy measure for physical load at work 8. We aim here to study the association between a cumulative score based on PPS during working life and limitations after retirement in the GAZEL cohort.…”

Section: Introductionmentioning

confidence: 99%

Is physically arduous work associated with limitations after retirement? Findings from the GAZEL cohort: Table 1

et al. 2015

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“…These allowed the benefit of being brief, and may have improved response rates, but their simplicity may have obscured more nuanced potential responses by participants. 39 Single-item selfassessments have been found to be valid and reliable in evaluating perceptions of dementia in the elderly 40 and workplace physical stressors, 41 and in the current study provide initial validation to support intensifying our educational efforts.…”

Section: Discussionmentioning

confidence: 98%

Sharing Life-Altering Information: Development of Pediatric Hospital Guidelines and Team Training

Wolfe

Frierdich²,

Wish³

et al. 2014

Journal of Palliative Medicine

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Background: Despite parent and physician reports of inadequate skill development, there are few guidelines for training the pediatric care team in sharing life-altering information (SLAI), i.e., ''breaking bad news.'' The necessary skills for SLAI differ between pediatric and adult medical environments. Objectives: We set out to establish evidence-based guidelines and multidisciplinary team training for SLAI in pediatrics, and to demonstrate an improvement in immediate self-efficacy of training participants. Methods: A multidisciplinary task force, which included parent participation and feedback, and which received input from parents of patients in multiple pediatric subspecialties, crafted children's hospitalwide guidelines for SLAI. A one-hour training module on the guidelines was presented to several multidisciplinary pediatric team audiences; 159 voluntary pre-and post-presentation self-efficacy surveys were collected. Responses were analyzed by paired t-test (within groups) and ANOVA (between groups). Results: All evaluated groups of care team members reported significant improvements in self-efficacy among four learning objectives after the training. Medical trainees, newer physicians, and nonphysician (e.g., midlevel providers including nurses) team members reported the greatest improvements, regardless of whether they had received previous training in SLAI. Conclusions: We propose pediatric-focused SLAI guidelines based on a modified SPIKES protocol. Focus on patient-and family-centered, culturally sensitive pediatric practices should be the basis for development of training that can be periodically reinforced. Future comprehensive training will incorporate experiential learning. SLAI requires a skill set that benefits from lifelong learning.

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Can a Single-Item Measure Assess Physical Load at Work? An Analysis From the GAZEL Cohort

Abstract: Perceived physical strain approximates physical load in the absence of detailed measures. Perceived physical strain could be used in nonoccupational epidemiologic studies.

Cited by 10 publications

References 29 publications

The impact of work related physical activity and leisure physical activity on the risk and prognosis of neck pain – a population based cohort study on workers

The impact of work related physical activity and leisure physical activity on the risk and prognosis of neck pain – a population based cohort study on workers

Is physically arduous work associated with limitations after retirement? Findings from the GAZEL cohort: Table 1

Sharing Life-Altering Information: Development of Pediatric Hospital Guidelines and Team Training

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