To RCT or not to RCT: evidence on effectiveness of return-to-work interventions

Burdorf, Alex; Beek, Allard J. van der

doi:10.5271/sjweh.3577

Cited by 10 publications

(12 citation statements)

References 10 publications

(10 reference statements)

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“…It is part of the re-integration process and involves a gradual build-up of workload and working hours. On the other hand, therapeutic work is being applied in many countries, using a range of different terms for more or less the same intervention: partial or part-time sick leave, adaptation in working hours, graded work exposure, and partial or therapeutic work resumption [40,41].…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Sustained employability and health-related quality of life in cancer survivors up to four years after diagnosis

et al. 2017

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Background: Most cancer survivors are able to return to work at some point after diagnosis. However, literature on sustained employability and health-related quality of life (HRQoL) is limited. Therefore, the aims of this study were to explore the influence of change in employment status on HRQoL in cancer survivors long term after diagnosis, and to identify predictors of work continuation in occupationally active survivors. Material and methods: We used prospective data (T0 ¼ two years after diagnosis, T1 ¼ one-year follow-up, and T2 ¼ two-year follow-up) from a cohort of cancer survivors that had an employment contract and were of working age at T0 (N ¼ 252, 69.8% female). Groups were formed on the basis of change in employment status: 'continuously not working' (19.8%), 'positive change in employment status' (5.6%), 'negative change in employment status' (14.7%), and 'continuously working' (59.9%). ANCOVA was used to explore the relationship between change in employment status and HRQoL at T1. Generalized estimating equations (GEE) were used to identify predictors of work continuation (at T1 and T2) in survivors that were occupationally active at T0 (N ¼ 212). Results: 'Continuously working' survivors scored significantly better on the EORTC QLQ-C30 scales: role functioning, fatigue, pain, constipation, global health/QoL and the Summary score, than 'continuously not working' survivors, and better on physical, role and emotional functioning, fatigue, financial impact, global health/QoL and the Summary score than survivors with a 'negative change in employment status' (effect size range ¼ 0.49-0.74). In occupationally active survivors, a high score on current work ability was associated with work continuation one year later [odds ratio (OR) 1.46; 95% CI 1.11-1.92]. Conclusion: Cancer survivors 'continuously working' function better and have a better health and QoL than those who are not able to work. However, in occupationally active cancer survivors, one should monitor those with low self-perceived work ability, because they have an increased risk to discontinue their work.

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Section: Strengths and Limitationsmentioning

confidence: 99%

Sustained employability and health-related quality of life in cancer survivors up to four years after diagnosis

et al. 2017

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“…Firstly, the recent scientific literature confirms that RCT in a workplace context are, of could possible but rare 32,[71][72][73] . In this sense, numerous authors have concluded that considerable efforts had to be made to overcome difficulties to implement such study design, but also to recruit a large number of employees 1,[44][45][46]74 . To deal with this heterogeneity, we have pre-planned to perform a subgroup and a sensitivity analysis.…”

Section: Limitations and Strengthsmentioning

confidence: 99%

“…As correctly argued, RCT are considered as the gold standard to assess the effectiveness of an intervention 44 . However, its implementation in occupational setting may not always be feasible and its implementation is called into question 1,[45][46][47][48][49] .…”

Section: Introductionmentioning

confidence: 99%

How much do we know about the effectiveness of warm-up intervention on work related musculoskeletal disorders, physical and psychosocial functions: protocol for a systematic review

Larinier

Balaguier

Vuillerme

2020

Preprint

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Background Work related musculoskeletal disorders (WMSDs) are a growing worldwide burden and effective interventions to prevent them are needed. Physical activity at the workplace is now recognized as a relevant component of WMSDs prevention. To ensure feasibility and sustainability of workplace physical activity programs, there is a clear need to implement interventions that do not take a large amount of time and that are easy to integrate in daily workplace routines. Along these lines, warm-up interventions are now offered in a large number of companies to manage WMSDs. Although benefits of warm-up have been previously documented in sports context, to the best of our knowledge, the effectiveness of such intervention in workplaces still remains to be established. Within this context, the aim of the present review is to identify from published literature the available evidence regarding the effects of warm-up on WMSDs and physical and psychosocial functions. Methods We will search the following electronic databases (from inception onwards): MEDLINE, EMBASE, and Cochrane Library (Cochrane Database of Systematic Reviews and CENTRAL). Randomized and non-randomized controlled studies will be included in this review. Participants of the included studies should be adults employees without specific comorbidities. Interventions should include a warm-up physical intervention in real-workplaces. The primary outcomes will be pain, discomfort or fatigue. The secondary outcomes will be job control or motivation at work. This review will follow the PRISMA guidelines and two team members will independently screen all citations, full-text articles, and abstract data. Two team members will independently screen all citations, full-text articles, and abstract data. Potential conflicts will be resolved through discussion. The study risk of bias and strength of the body of evidence will be appraised using appropriate tools. A systematic narrative synthesis will be provided with information presented in the text and tables to summarize and explain the characteristics and findings of the included studies. The narrative synthesis will explore the relationship and findings both within and between the included studies. This review will include adult employees (18 years of age or older) and will exclude adults with speciﬁc comorbidities or diseases (such as diabetes, arthritis, cancer, stroke) and/or special populations (pregnant, severe or rare physical disability, or cognitive disability). Discussion This review will summarize the evidence on the effects of effects of warm-up intervention on WMSDs, physical or psychosocial functions. This information could help professionals and researchers in decision-making related to the use of warm-up intervention to prevent WMSDs and their adverse consequences. This review will further identify gaps in knowledge in this field that could be addressed in forthcoming studies. Registration This protocol has been registered in PROSPERO (CRD42019137211)

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“…Recently, researchers have shown an increased interest in determining the effect of partial sick leave from observational data [9]. Determining the effect of partial sick leave on sick leave duration with observational data faces a lot of challenges, as the recommendation or prescription of partial sick leave depends on multiple factors.…”

Section: Introductionmentioning

confidence: 99%

Effect of Partial Sick Leave on Sick Leave Duration in Employees with Musculoskeletal Disorders

et al. 2019

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Objective This study determined if partial sick leave was associated with a shorter duration of sick leave due to musculoskeletal disorders (MSD) based on routinely collected health data in Dutch sick-listed employees. Furthermore, the effect of timing of partial sick leave on sick leave duration was determined. Methods This cohort study consisted of 771 employees with partial sick leave and 198 employees with full-time sick leave who participated in an occupational health check, and had sick leave due to MSD for minimally 4 weeks and were diagnosed by an occupational physician. Multivariable linear regression models were performed to determine the effects of partial sick leave (unadjusted and adjusted for confounders and MSD diagnosis) and Kaplan-Meier curves were presented for visualization of return to work for different timings of starting partial sick leave. Furthermore, linear regression analysis were done in subsets of employees with different minimal durations of sick leave to estimate the effects of timing of partial sick leave. Results Initial results suggest that partial sick leave was associated with longer sick leave duration, also when adjusted for confounders and sick leave diagnosis. Secondary results which accounted for the timing of partial sick leave suggest that partial sick leave had no effect on the duration of sick leave. Conclusion Partial sick leave does not influence MSD sick leave duration in this study when accounting for the timing of partial sick leave.

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To RCT or not to RCT: evidence on effectiveness of return-to-work interventions

Cited by 10 publications

References 10 publications

Sustained employability and health-related quality of life in cancer survivors up to four years after diagnosis

Sustained employability and health-related quality of life in cancer survivors up to four years after diagnosis

How much do we know about the effectiveness of warm-up intervention on work related musculoskeletal disorders, physical and psychosocial functions: protocol for a systematic review

Effect of Partial Sick Leave on Sick Leave Duration in Employees with Musculoskeletal Disorders

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