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Effect of Reassuring Information About Musculoskeletal and Mental Health Complaints at the Workplace: A Cluster Randomized Trial of the atWork Intervention

机译:在工作场所获得有关肌肉骨骼和心理健康投诉的令人放心的信息的效果:在工作场所干预的群集随机试验

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摘要

Purpose The purpose of this study was to investigate the possible difference between the Modified atWork intervention (MAW) and the Original atWork intervention (OAW) on sick leave and other health related outcomes. atWork is a group intervention using the workplace as an arena for distribution of evidence-based knowledge about musculoskeletal and mental health complaints. Methods A cluster randomized controlled trial with 93 kindergartens, comprising a total of 1011 employees, was conducted. Kindergartens were stratified by county and size and randomly allocated to MAW (45 clusters, 324 respondents) or OAW (48 clusters, 313 respondents). The randomization and intervention allocation processes were concealed. There was no blinding to group allocation. Primary outcome was register data on sick leave at cluster level. Secondary outcomes were health complaints, job satisfaction, social support, coping, and beliefs about musculoskeletal and mental health complaints, measured at the individual level. Results The MAW group reduced sick leave by 5.7% during the intervention year, while the OAW group had a 7.5% increase. Overall, the changes were not statistically significant, and no difference was detected between groups, based on 45 and 47 kindergartens. Compared to the OAW group, the MAW group had a smaller reduction for two of the statements concerning faulty beliefs about back pain, but believed less in the hereditary nature of depression. Conclusions The MAW did not have a different effect on sick leave at cluster level compared to the OAW. Trial registration: . Registered March 23th, 2015.
机译:目的这项研究的目的是调查病假和其他与健康相关的结局上的改良工作时干预(MAW)与原始工作时干预(OAW)之间的可能差异。 atWork是一项团体干预,将工作场所用作竞技场,以分发有关肌肉骨骼和精神健康投诉的循证知识。方法对93所幼儿园(共1011名员工)进行了整群随机对照试验。幼儿园按县和规模进行分层,并随机分配给MAW(45个群集,324位受访者)或OAW(48个群集,313位受访者)。隐藏了随机化和干预分配过程。分组分配没有盲目性。主要结果是在群集级别上的病假登记数据。次要结果是从个人水平衡量的健康投诉,工作满意度,社会支持,应对以及对肌肉骨骼和精神健康投诉的信念。结果干预期间,MAW组减少了5.7%的病假,而OAW组增加了7.5%。总体而言,基于45所和47所幼儿园,这些变化没有统计学意义,并且各组之间也没有发现差异。与OAW组相比,MAW组在有关背痛的错误信念的陈述中,有两个减少的幅度较小,但对抑郁症的遗传性却较少相信。结论与OAW相比,MAW在群集级别上对病假的影响不大。试用注册:。 2015年3月23日注册。

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