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

Section of Social Medicine

22 Citations (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.

Original language	English
Book series	Scandinavian Journal of Public Health
Volume	44
Issue number	6
Pages (from-to)	560-70
Number of pages	11
ISSN	1403-4956
DOIs	https://doi.org/10.1177/1403494816653668
Publication status	Published - 1 Aug 2016

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

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10.1177/1403494816653668

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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.

In: Scandinavian Journal of Public Health, Vol. 44, No. 6, 01.08.2016, p. 560-70.

Research output: Contribution to journal › Journal article › Research › 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, vol. 44, no. 6, pp. 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. In: Scandinavian Journal of Public Health. 2016 ; Vol. 44, No. 6. pp. 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.",

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AU - Rasmussen, Charlotte Diana Nørregaard

AU - Holtermann, Andreas

AU - Jørgensen, Marie Birk

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AU - Mortensen, Ole Steen

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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.

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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

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