Vocational outcome of intervention for low-back pain

Weide, W. E. van der; Verbeek, Jos; Tulder, Maurits W. van

doi:10.5271/sjweh.195

Cited by 40 publications

(18 citation statements)

References 63 publications

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“…With regard to the type of solutions for RTW, work design and organization were popular in this study, which is comparable with the results of LBP studies [15]. In LBP studies many solutions were also found in the workplace design and equipment category [15,29,30]. For the participants with communication problems in our study, simple opportunities for improvement were mainly proposed, such as scheduled meetings with the supervisor.…”

Section: Comparison With Other Studiessupporting

confidence: 76%

A Participatory Workplace Intervention for Employees With Distress and Lost Time: A Feasibility Evaluation Within a Randomized Controlled Trial

et al. 2009

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Introduction Little is known about feasibility and acceptability of return to work (RTW) interventions for mental health problems. RTW for mental health problems is more complicated than for musculoskeletal problems due to stigmatization at the workplace. A participatory workplace intervention was developed in which an employee and supervisor identify and prioritize obstacles and solutions for RTW guided by a RTW coordinator. This paper is a feasibility study of this innovative intervention for employees with distress. The aims of this study were to describe the reach and extent of implementation of the workplace intervention, the satisfaction and expectations of all stakeholders, and the intention to use the workplace intervention in the future. Methods Eligible for this study were employees who had been on sick leave from regular work for 2-8 weeks with distress. Data were collected from the employees, their supervisors, RTW coordinators, and occupational physicians by means of standardized matrices and questionnaires at baseline and 3 months follow-up. Reach, implementation, satisfaction, expectations, and maintenance regarding the workplace intervention were described. Results Of the 56 employees with distress eligible to receive the workplace intervention, 40 employees, their supervisors and RTW coordinators actually participated in the intervention. They identified 151 obstacles for RTW mostly related to job design, communication, mental workload and person-related stress factors. The 281 consensus-based solutions identified were mostly related to job design, communication and training. Of those solutions, 72% was realized at the evaluation with the employee and supervisor. Overall, employees, supervisors and occupational health professionals were satisfied with the workplace intervention and occupational health professionals rated it with a 7.1. Timeinvestment was the only barrier for implementation reported by the occupational health professionals. Conclusions The results of this study indicate a high feasibility for a broad implementation of a participatory workplace intervention for employees with distress and lost time, and their supervisors.

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Section: Comparison With Other Studiessupporting

confidence: 76%

A Participatory Workplace Intervention for Employees With Distress and Lost Time: A Feasibility Evaluation Within a Randomized Controlled Trial

et al. 2009

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“…16 This classification of severity seemed to be more relevant than duration of sick leave, which is influenced by various psychosocial factors. [17][18][19] The influence of psychosocial factors was found in our results, as only 12% of men and women declared that they were obliged to reduce their work activity, whereas reduction of extraoccupational activities was reported by 27.1% of women and 26.0% of men. One hypothesis could be that, in the current unemployment context, workers with low back pain give priority to their job at the expense of their private activities.…”

Section: Discussionmentioning

confidence: 54%

Analysis by sex of low back pain among workers from small companies in the Paris area: severity and occupational consequences.

et al. 1999

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Objectives-To describe workers with low back symptoms, to identify risk factors and to assess the occupational consequences separately in men and women. Methods-A descriptive study was conducted between 1 October 1996 and 31 December 1996 in a sample of workers selected at random from all types of small companies in the Paris area. A group of 202 occupational physicians interviewed 7129 workers with a standardised questionnaire including the Nordic questionnaire. Data analysis was performed by sex in the two groups: with low back pain and without low back pain over the previous 12 months. The group with low back pain was then divided into four subgroups: mild cases (without referred pain), moderate cases (with referred pain above the knee), serious cases (with referred pain below the knee), and low back pain with occupational consequences. Results-7010 questionnaires were able to be evaluated. The sample consisted of 54.8% of men (3842) and 45.2% of women (3168), with a mean age of 37.8 and 37.0 years, respectively (p<0.05). The following risk factors occurred significantly more often in men: high weight, height, body mass index (BMI), smoking, number of children, increased driving time and work time, material handling tasks, uncomfortable working positions. Most women were clerks (53%). Non-conditional logistic regression applied to the whole sample identified female sex as a risk factor (odds ratio (OR)=1.85, 95% confidence interval (95% CI) 1.58 to 2.13). The following risk factors were common to both sexes: lifting weights >10 kg, in women (OR 1.69, 95% CI 1.27 to 2.25) and in men (OR 1.27, 95% CI 1.06 to 1.53), uncomfortable working positions (OR 2.04, 95% CI 1.58 to 2.17 and OR 1.85, 95% CI 1.69 to 2.43), and absence of means to achieve good quality work (OR 1.39, 95% CI 1.19 to 1.63 and OR 1.38, 95% CI 1.15 to 1.65), respectively. Driving was a risk factor only in men and its importance increased with driving time (driving >4 hours a day (OR 1.61, 95% CI 1.24 to 2.09)). Severe low back pain was linked to female sex (10.2% of women v 6.6% of men), high BMI, aging, and uncomfortable working positions. Low back pain with occupational consequences (n=258) was not linked to sex, but only to aging and severity. Conclusions-The incidence and severity of low back pain were higher in women, although they seemed to be less exposed to known occupational risk factors. However, our results indicate a preponderance of these risk factors among female workers. Particular attention must therefore be paid to lifting of weights and uncomfortable working positions in female jobs (clerk, trading, health care staV). (Occup Environ Med 1999;56:696-701)

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“…Encouragement of physical activity and avoiding bed rest were interventions proved to be eVective in shortening time until return to work. 38 Decisions about work related interventions, communication with the treating physicians, and time until follow up consultation had to be based on consensus due to lack of evidence.…”

Section: Developmentmentioning

confidence: 99%

Development and evaluation of a quality assessment instrument for occupational physicians.

Weide¹,

Verbeek²,

Dijk³

et al. 1998

Occup Environ Med

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Objectives-To develop and apply a method for assessing the quality of the process of occupational health care for individual patients. Methods-The scientific literature was studied to develop a method to assess the quality of the process of occupational rehabilitation for workers with low back pain. The method was applied to health care and university workers with low back pain who were rehabilitated by their occupational physicians. Results-Assessment of quality of care is regarded as a four step approach. Firstly, guidelines should be developed and implemented. Secondly, indicators for quality and criteria to demarcate good and deviant quality were derived from the guidelines. Thirdly, a method for data collection was chosen. Finally, quality was scored. For occupational rehabilitation, there was some deviance from the guidelines for most cases, especially in continuity of care with a deviant rate of 47%. Other indicators deviated from 1.4%-17.4%. Occupational physicians agreed on the relevance of the indicators and criteria, but for three indicators they evaluated the criteria as too rigid. They did not agree with their own performance scores in 66% of the deviant cases. Conclusion-Assessing the quality of the process of occupational health care with this method is an asset to present methods, but more specific criteria are needed for a more sensitive assessment. (Occup Environ Med 1998;55:375-382)

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Vocational outcome of intervention for low-back pain

Cited by 40 publications

References 63 publications

A Participatory Workplace Intervention for Employees With Distress and Lost Time: A Feasibility Evaluation Within a Randomized Controlled Trial

A Participatory Workplace Intervention for Employees With Distress and Lost Time: A Feasibility Evaluation Within a Randomized Controlled Trial

Analysis by sex of low back pain among workers from small companies in the Paris area: severity and occupational consequences.

Development and evaluation of a quality assessment instrument for occupational physicians.

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