A multi-faceted workplace intervention targeting low back pain was effective for physical work demands and maladaptive pain behaviours, but not for work ability and sickness absence: Stepped wedge cluster randomised trial

Charlotte Diana Nørregaard Rasmussen; Andreas Holtermann; Marie Birk Jørgensen; Anders Ørberg; Ole Steen Mortensen; Karen Søgaard

doi:10.1177/1403494816653668

A multi-faceted workplace intervention targeting low back pain was effective for physical work demands and maladaptive pain behaviours, but not for work ability and sickness absence: Stepped wedge cluster randomised trial

Charlotte Diana Nørregaard Rasmussen, Andreas Holtermann, Marie Birk Jørgensen, Anders Ørberg, Ole Steen Mortensen, Karen Søgaard

https://www.ifsv.ku.dk/om-instituttet/socialmedicin/

22 Citationer (Scopus)

Abstract

AIMS: The aims of this study were to test whether a multi-faceted intervention effective for low back pain was effective for physical capacity, work demands, maladaptive pain behaviours, work ability and sickness absence due to low back pain.

METHODS: A stepped wedge cluster randomised, controlled trial with 594 nurses' aides was conducted. The intervention lasted 12 weeks and consisted of physical training (12 sessions), cognitive behavioural training (two sessions) and participatory ergonomics (five sessions). Occupational lifting, fear avoidance, physical exertion, muscle strength, support from management, work ability and sickness absence due to low back pain were measured every 3 months. Before and after the intervention we measured physical capacity, kinesiophobia and need for recovery. Linear mixed models adjusted for baseline values of the outcome were used to estimate the effect.

RESULTS: Significant reduction in occupational lifting (-0.35 (95% confidence interval -0.61 to -0.08)), and improvement in two measures of fear avoidance ((-0.75 (95% confidence interval -1.05 to -0.45) and -0.45 (95% confidence interval -0.80 to -0.11)) were found for the intervention group compared to the control. There were no significant effects on physical exertion, muscle strength, support from management, work ability or sickness absence due to low back pain. After the intervention, significant increased physical capacity and improvements in kinesiophobia were found, but no change in need for recovery. CONCLUSIONS THE INTERVENTION WAS SIGNIFICANTLY EFFECTIVE FOR PHYSICAL WORK DEMANDS AND MALADAPTIVE PAIN BEHAVIOURS, BUT NOT FOR WORK ABILITY AND SICKNESS ABSENCE DUE TO LOW BACK PAIN TO IMPROVE WORK ABILITY OR REDUCE SICKNESS ABSENCE DUE TO LOW BACK PAIN MORE SPECIFIC INTERVENTIONS SHOULD PROBABLY BE DEVELOPED.

Originalsprog	Engelsk
Bogserie	Scandinavian Journal of Public Health
Vol/bind	44
Udgave nummer	6
Sider (fra-til)	560-70
Antal sider	11
ISSN	1403-4956
DOI	https://doi.org/10.1177/1403494816653668
Status	Udgivet - 1 aug. 2016

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10.1177/1403494816653668

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Citationsformater

Rasmussen, C. D. N., Holtermann, A., Jørgensen, M. B., Ørberg, A., Mortensen, O. S., & Søgaard, K. (2016). A multi-faceted workplace intervention targeting low back pain was effective for physical work demands and maladaptive pain behaviours, but not for work ability and sickness absence: Stepped wedge cluster randomised trial. Scandinavian Journal of Public Health, 44(6), 560-70. https://doi.org/10.1177/1403494816653668

A multi-faceted workplace intervention targeting low back pain was effective for physical work demands and maladaptive pain behaviours, but not for work ability and sickness absence: Stepped wedge cluster randomised trial. / Rasmussen, Charlotte Diana Nørregaard; Holtermann, Andreas; Jørgensen, Marie Birk et al.
I: Scandinavian Journal of Public Health, Bind 44, Nr. 6, 01.08.2016, s. 560-70.

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review

Rasmussen, CDN, Holtermann, A, Jørgensen, MB, Ørberg, A, Mortensen, OS & Søgaard, K 2016, 'A multi-faceted workplace intervention targeting low back pain was effective for physical work demands and maladaptive pain behaviours, but not for work ability and sickness absence: Stepped wedge cluster randomised trial', Scandinavian Journal of Public Health, bind 44, nr. 6, s. 560-70. https://doi.org/10.1177/1403494816653668

Rasmussen CDN, Holtermann A, Jørgensen MB, Ørberg A, Mortensen OS, Søgaard K. A multi-faceted workplace intervention targeting low back pain was effective for physical work demands and maladaptive pain behaviours, but not for work ability and sickness absence: Stepped wedge cluster randomised trial. Scandinavian Journal of Public Health. 2016 aug. 1;44(6):560-70. doi: 10.1177/1403494816653668

Rasmussen, Charlotte Diana Nørregaard ; Holtermann, Andreas ; Jørgensen, Marie Birk et al. / A multi-faceted workplace intervention targeting low back pain was effective for physical work demands and maladaptive pain behaviours, but not for work ability and sickness absence : Stepped wedge cluster randomised trial. I: Scandinavian Journal of Public Health. 2016 ; Bind 44, Nr. 6. s. 560-70.

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abstract = "AIMS: The aims of this study were to test whether a multi-faceted intervention effective for low back pain was effective for physical capacity, work demands, maladaptive pain behaviours, work ability and sickness absence due to low back pain.METHODS: A stepped wedge cluster randomised, controlled trial with 594 nurses' aides was conducted. The intervention lasted 12 weeks and consisted of physical training (12 sessions), cognitive behavioural training (two sessions) and participatory ergonomics (five sessions). Occupational lifting, fear avoidance, physical exertion, muscle strength, support from management, work ability and sickness absence due to low back pain were measured every 3 months. Before and after the intervention we measured physical capacity, kinesiophobia and need for recovery. Linear mixed models adjusted for baseline values of the outcome were used to estimate the effect.RESULTS: Significant reduction in occupational lifting (-0.35 (95% confidence interval -0.61 to -0.08)), and improvement in two measures of fear avoidance ((-0.75 (95% confidence interval -1.05 to -0.45) and -0.45 (95% confidence interval -0.80 to -0.11)) were found for the intervention group compared to the control. There were no significant effects on physical exertion, muscle strength, support from management, work ability or sickness absence due to low back pain. After the intervention, significant increased physical capacity and improvements in kinesiophobia were found, but no change in need for recovery. CONCLUSIONS THE INTERVENTION WAS SIGNIFICANTLY EFFECTIVE FOR PHYSICAL WORK DEMANDS AND MALADAPTIVE PAIN BEHAVIOURS, BUT NOT FOR WORK ABILITY AND SICKNESS ABSENCE DUE TO LOW BACK PAIN TO IMPROVE WORK ABILITY OR REDUCE SICKNESS ABSENCE DUE TO LOW BACK PAIN MORE SPECIFIC INTERVENTIONS SHOULD PROBABLY BE DEVELOPED.",

keywords = "Absenteeism, Adaptation, Psychological, Adult, Cluster Analysis, Female, Humans, Low Back Pain/prevention & control, Male, Middle Aged, Occupational Diseases/prevention & control, Occupational Health Services/organization & administration, Program Evaluation, Sick Leave/statistics & numerical data, Work Capacity Evaluation, Workload",

author = "Rasmussen, {Charlotte Diana N{\o}rregaard} and Andreas Holtermann and J{\o}rgensen, {Marie Birk} and Anders {\O}rberg and Mortensen, {Ole Steen} and Karen S{\o}gaard",

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T1 - A multi-faceted workplace intervention targeting low back pain was effective for physical work demands and maladaptive pain behaviours, but not for work ability and sickness absence

T2 - Stepped wedge cluster randomised trial

AU - Rasmussen, Charlotte Diana Nørregaard

AU - Holtermann, Andreas

AU - Jørgensen, Marie Birk

AU - Ørberg, Anders

AU - Mortensen, Ole Steen

AU - Søgaard, Karen

PY - 2016/8/1

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N2 - AIMS: The aims of this study were to test whether a multi-faceted intervention effective for low back pain was effective for physical capacity, work demands, maladaptive pain behaviours, work ability and sickness absence due to low back pain.METHODS: A stepped wedge cluster randomised, controlled trial with 594 nurses' aides was conducted. The intervention lasted 12 weeks and consisted of physical training (12 sessions), cognitive behavioural training (two sessions) and participatory ergonomics (five sessions). Occupational lifting, fear avoidance, physical exertion, muscle strength, support from management, work ability and sickness absence due to low back pain were measured every 3 months. Before and after the intervention we measured physical capacity, kinesiophobia and need for recovery. Linear mixed models adjusted for baseline values of the outcome were used to estimate the effect.RESULTS: Significant reduction in occupational lifting (-0.35 (95% confidence interval -0.61 to -0.08)), and improvement in two measures of fear avoidance ((-0.75 (95% confidence interval -1.05 to -0.45) and -0.45 (95% confidence interval -0.80 to -0.11)) were found for the intervention group compared to the control. There were no significant effects on physical exertion, muscle strength, support from management, work ability or sickness absence due to low back pain. After the intervention, significant increased physical capacity and improvements in kinesiophobia were found, but no change in need for recovery. CONCLUSIONS THE INTERVENTION WAS SIGNIFICANTLY EFFECTIVE FOR PHYSICAL WORK DEMANDS AND MALADAPTIVE PAIN BEHAVIOURS, BUT NOT FOR WORK ABILITY AND SICKNESS ABSENCE DUE TO LOW BACK PAIN TO IMPROVE WORK ABILITY OR REDUCE SICKNESS ABSENCE DUE TO LOW BACK PAIN MORE SPECIFIC INTERVENTIONS SHOULD PROBABLY BE DEVELOPED.

AB - AIMS: The aims of this study were to test whether a multi-faceted intervention effective for low back pain was effective for physical capacity, work demands, maladaptive pain behaviours, work ability and sickness absence due to low back pain.METHODS: A stepped wedge cluster randomised, controlled trial with 594 nurses' aides was conducted. The intervention lasted 12 weeks and consisted of physical training (12 sessions), cognitive behavioural training (two sessions) and participatory ergonomics (five sessions). Occupational lifting, fear avoidance, physical exertion, muscle strength, support from management, work ability and sickness absence due to low back pain were measured every 3 months. Before and after the intervention we measured physical capacity, kinesiophobia and need for recovery. Linear mixed models adjusted for baseline values of the outcome were used to estimate the effect.RESULTS: Significant reduction in occupational lifting (-0.35 (95% confidence interval -0.61 to -0.08)), and improvement in two measures of fear avoidance ((-0.75 (95% confidence interval -1.05 to -0.45) and -0.45 (95% confidence interval -0.80 to -0.11)) were found for the intervention group compared to the control. There were no significant effects on physical exertion, muscle strength, support from management, work ability or sickness absence due to low back pain. After the intervention, significant increased physical capacity and improvements in kinesiophobia were found, but no change in need for recovery. CONCLUSIONS THE INTERVENTION WAS SIGNIFICANTLY EFFECTIVE FOR PHYSICAL WORK DEMANDS AND MALADAPTIVE PAIN BEHAVIOURS, BUT NOT FOR WORK ABILITY AND SICKNESS ABSENCE DUE TO LOW BACK PAIN TO IMPROVE WORK ABILITY OR REDUCE SICKNESS ABSENCE DUE TO LOW BACK PAIN MORE SPECIFIC INTERVENTIONS SHOULD PROBABLY BE DEVELOPED.

KW - Absenteeism

KW - Adaptation, Psychological

KW - Adult

KW - Cluster Analysis

KW - Female

KW - Humans

KW - Low Back Pain/prevention & control

KW - Male

KW - Middle Aged

KW - Occupational Diseases/prevention & control

KW - Occupational Health Services/organization & administration

KW - Program Evaluation

KW - Sick Leave/statistics & numerical data

KW - Work Capacity Evaluation

KW - Workload

U2 - 10.1177/1403494816653668

DO - 10.1177/1403494816653668

M3 - Journal article

C2 - 27289107

SN - 1403-4956

VL - 44

SP - 560

EP - 570

JO - Scandinavian Journal of Public Health

JF - Scandinavian Journal of Public Health

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