Journal of Occupational Rehabilitation最新文献

{"title":"Systematic Review of Workplace Interventions to Support Young Workers’ Safety, Work Environment and Health","authors":"Emil Sundstrup, Karina Glies Vincents Seeberg, Johnny Dyreborg, Thomas Clausen, Lars Louis Andersen","doi":"10.1007/s10926-024-10186-y","DOIUrl":"https://doi.org/10.1007/s10926-024-10186-y","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>This systematic review investigates the effectiveness of workplace interventions to support young workers’ work environment, safety and health.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>A systematic search was conducted in bibliographic databases including PubMed, Web of Science Core Collection and PsycInfo for English or Scandinavian articles published from 2007 to 2022. The PICO strategy guided the assessment of study relevance and the bibliographical search for randomized controlled trials (RCTs) and non-RCTs in which (1) participants were young workers (mean age: 15–29), (2) interventions were initiated and/or carried out at the workplace, (3) a comparison group was included, and (4) an outcome measure related to work environment, safety and health was reported. We categorized each included study using the intervention classification framework. The quality assessment and evidence synthesis adhered to the guidelines developed by the Institute for Work &amp; Health (Toronto, Canada).</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>A total of 33 high and medium quality studies showed a moderate level of evidence for no benefit of ‘Mental training’ on stress. We found limited evidence of a positive effect of the following intervention types: ‘Attitude and belief’ on mental health problems, ‘Behavior based’ on anxiety, and ‘Multifaceted’ on hand eczema. We found limited evidence for no benefit of the following intervention types: ‘Mental training’ on mental health problems, and ‘Physiological modifications’ on musculoskeletal disorders. The remaining intervention types showed mixed or insufficient evidence.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>Except for a moderate level of evidence for no benefit of ‘Mental training’ on stress, the evidence synthesis recommends, that there is not enough evidence from the scientific literature to guide current practices. The results emphasizes a strong need for high quality interventions specifically aiming at increasing or maintaining young workers’ work environment, safety and health. Included studies focused mainly on individual measures, highlighting the need for studies investigating possible preventive measures at the group or organizational level.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140840142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Inpatient Occupational Rehabilitation vs. Outpatient Acceptance and Commitment Therapy on Sick Leave and Cost of Lost Production: 7-Year Follow-Up of a Randomized Controlled Trial","authors":"Lene Aasdahl, Sigmund Østgård Gismervik, Roar Johnsen, Ottar Vasseljen, Gudrun M. W. Bjørnelv, Johan Håkon Bjørngaard, Marius Steiro Fimland","doi":"10.1007/s10926-024-10195-x","DOIUrl":"https://doi.org/10.1007/s10926-024-10195-x","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Objectives</h3><p>Previously, we reported that an inpatient multimodal occupational rehabilitation program (I-MORE) was more effective than outpatient Acceptance and Commitment Therapy (O-ACT) in reducing sickness absence and was cost-effective over a 24-month period. Here we present 7-years of follow-up on sick leave and the cost of lost production.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>We randomized individuals aged 18–60, sick-listed due to musculoskeletal or mental health disorders to I-MORE (<i>n</i> = 82) or O-ACT (<i>n</i> = 79). I-MORE, lasting 3.5 weeks, integrated ACT, physical training, and work-related problem-solving. In contrast, O-ACT mainly offered six weekly 2.5 h group sessions of ACT. We measured outcomes using registry data for days on medical benefits and calculated costs of lost production. Our analysis included regression analyses to examine differences in sickness absence days, logistic general estimating equations for repeated events, and generalized linear models to assess differences in costs of lost production.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Unadjusted regression analyses showed 80 fewer days of sickness absence in the 7-year follow-up for I-MORE compared to O-ACT (95% CI − 264 to 104), with an adjusted difference of 114 fewer days (95% CI − 298 to 71). The difference in costs of production loss in favour of I-MORE was 27,048 euros per participant (95% CI − 35,009 to 89,104).</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>I-MORE outperformed O-ACT in reducing sickness absence and production loss costs during seven years of follow-up, but due to a limited sample size the results were unprecise. Considering the potential for substantial societal cost savings from reduced sick leave, there is a need for larger, long-term studies to evaluate return-to-work interventions.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140809016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preference for Competitive Employment in People with Mental Disorders: A Systematic Review and Meta-analysis of Proportions.","authors":"Christine Adamus, Dirk Richter, Kim Sutor, S. J. Zürcher, Sonja Mötteli","doi":"10.1007/s10926-024-10192-0","DOIUrl":"https://doi.org/10.1007/s10926-024-10192-0","url":null,"abstract":"","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140657080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Negotiating Safety: Facilitation of Return to Work for Individuals Employed in High-Risk Occupations.","authors":"E. Neiterman, E. MacEachen, E. McKnight, Meghan Crouch, Karolina Kaminska, C. Malachowski, P. Hopwood","doi":"10.1007/s10926-024-10189-9","DOIUrl":"https://doi.org/10.1007/s10926-024-10189-9","url":null,"abstract":"","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140658391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of General Practitioner Services Among Workers with Work-Related Low Back Pain: A Systematic Review.","authors":"Preeti Maharjan, A. Gelaw, Daniel Griffiths, Danielle Mazza, A. Collie","doi":"10.1007/s10926-024-10187-x","DOIUrl":"https://doi.org/10.1007/s10926-024-10187-x","url":null,"abstract":"","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140669349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-Perceived Interpersonal Problems Among Long-Term Unemployed Individuals, and Vocational Rehabilitation Programs (In)ability to Change Them","authors":"Martin Mau, Kirsten K. Roessler, Lotte N. Andersen, Maria L. Vang","doi":"10.1007/s10926-024-10188-w","DOIUrl":"https://doi.org/10.1007/s10926-024-10188-w","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Objective</h3><p>Self-perceived interpersonal problems can challenge one’s access to the work market, making it harder to attain and keep a job while adding to the distress of being outside of the labor market.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>In this study, we compared the self-perceived interpersonal problems among long-term unemployed individuals taking part in vocational rehabilitation programs (VRPs) (<i>N</i> = 220) with those of the general population. In addition, we examined whether their self-perceived interpersonal problems changed while taking part in the VRPs.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>We found that participants report significantly higher levels of self-perceived interpersonal problems as measured by the Inventory of Interpersonal Problems (IIP), especially with regard to feeling cold/distanced, socially inhibited, vindictive/self-centered, and non-assertive. The participants did not report a significant decrease in self-perceived interpersonal problems after being part of VRPs for one year.</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>These results are relevant as they may inform interventions targeted this population aimed at increasing employability and/or individual well-being. Importantly, the findings may be viewed as a reflection of both social and individual processes. Long-term unemployed individuals’ tendency to feel insufficiently engaged may reflect difficulty with keeping up with a job market in constant change.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140609613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Videoconference-Supervised Group Exercise Reduces Low Back Pain in Eldercare Workers: Results from the ReViEEW Randomised Controlled Trial","authors":"Ander Espin, Jon Irazusta, Maialen Aiestaran, Unai Latorre Erezuma, Julia García-García, Ismene Arrinda, Karmele Acedo, Ana Rodriguez-Larrad","doi":"10.1007/s10926-024-10182-2","DOIUrl":"https://doi.org/10.1007/s10926-024-10182-2","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>To assess the effects of a group exercise intervention conducted by real-time videoconference on the low back pain of eldercare workers.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>We randomly assigned 130 eldercare workers to an experimental group (EG: <i>n</i> = 65) or control group (CG: <i>n</i> = 65). Participants from both groups took part in routine prevention programs carried out in their workplace, and participants from the EG received an additional 12-week resistance-exercise intervention supervised by real-time videoconference. Assessments were conducted before and after the intervention, and the primary outcome was average low back pain intensity during the last 7 days, measured by the 0–10 numerical rating scale. Secondary outcomes included additional measures of low back, neck, shoulder and hand/wrist pain, as well as psycho-affective parameters, medication consumption and muscle performance. Both intention-to-treat and per-protocol analyses were applied with a group-by-time ANCOVA including baseline measurements as covariates.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>125 participants completed post-intervention assessments (EG: <i>n</i> = 63, CG: <i>n</i> = 62). The intention-to-treat analysis showed an effect favouring the EG on average low back pain intensity (<i>p</i> = 0.034). Improvements in additional low back and hand/wrist pain outcomes were also observed, as well as on upper limb muscle performance (<i>p</i> &lt; 0.05). The per-protocol analysis demonstrated additional benefits in depression, quality of life, hypnotic/anxiolytic medication consumption and lower limb and trunk muscle performance in participants with ≥ 50% adherence (<i>p</i> &lt; 0.05).</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>The intervention was effective for reducing the low back and hand/wrist pain of eldercare workers and increasing upper limb muscle performance. The per-protocol analysis showed additional benefits in psycho-affective parameters, medication consumption and muscle performance.</p><p><b>Trial registration:</b> ClinicalTrials.gov, NCT05050526. Registered 20 September 2021—Prospectively registered, https://www.clinicaltrials.gov/study/NCT05050526</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140609606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing a Work Accommodation Operating Model for Workplaces and Work Ability Support Services","authors":"Nina Nevala, Irmeli Pehkonen, Maarit Virtanen, Pauliina Mattila-Holappa, Pirjo Juvonen-Posti","doi":"10.1007/s10926-024-10193-z","DOIUrl":"https://doi.org/10.1007/s10926-024-10193-z","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>Workplace accommodation can help employees with disabilities remain employed or access employment rather than leave the labor force. However, the workplace accommodation process is still poorly understood and documented.</p><h3 data-test=\"abstract-sub-heading\">Aim</h3><p>The aim of this study was to develop a national operating model to make workplace accommodation interactive and procedural for workplaces and work ability support services and lower the threshold to making accommodations.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>The collaborative development process was carried out by a multiprofessional expert team with eleven workplaces in the private and public sectors in Finland. The design of this study was conceptual and developmental. The development process of the operating model consisted of four phases: the orientation phase, the joint planning phase, the implementation advancement phase, and the instilling phase.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>The operating model has six stages: 1) identifying needs, 2) gathering knowledge, 3) exploring alternatives, 4) selecting solutions, 5) implementing solutions, and 6) monitoring and evaluating. The model defines the actions, roles, and responsibilities for each phase. To help implement the model, we published an information package, a guide, a planning formula, and a video animation in Finnish and Swedish.</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>The operating model is a tool that workplaces and work ability support services can use to help working-aged people remain employed or access employment. Future studies should determine the workplace-specific functionality of this model using implementation research.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140609294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disability Inclusion in Corporate Supplier Diversity Initiatives","authors":"Nanette Goodman, Fatma Altunkol Wise, Fitore Hyseni, Lauren Gilbert, Peter Blanck","doi":"10.1007/s10926-024-10190-2","DOIUrl":"https://doi.org/10.1007/s10926-024-10190-2","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose</h3><p>Since the 1960s, federal and state governments and private-sector companies have used supplier diversity initiatives to ensure their supply chains include businesses owned by traditionally economically disadvantaged or underrepresented groups. Originally concentrated on racial and ethnic minority groups, programs have expanded to include businesses owned by women, veterans, LGBTQ+ individuals, and, in some cases, people with disabilities. This study investigates the extent to which disability is included in supplier diversity initiatives of Fortune 500 companies.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>This paper uses a novel data set created by the authors with information on supplier diversity initiatives and Disability, Equity, and Inclusion (DEI) statements in Fortune 500 companies extracted from public sources. This information is combined with data from Compustat, a corporate financial database published by Standard and Poor’s and additional variables from other sources.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>75% of the Fortune 500 companies have supplier diversity programs that express a commitment to diversity yet only 49% of those with such programs include disability-owned businesses (38% of all Fortune 500 companies). Among the largest 100 companies, 89% had supplier diversity programs that included disability, almost 6 times the rate Ball et al. reported in 2005. This study finds disability inclusion varies significantly by company size, industry, and whether the company is a government contractor.</p><h3 data-test=\"abstract-sub-heading\">Conclusion</h3><p>Despite the growth in disability inclusion, the absence of disability as a diversity category in regulations mandating supplier diversity initiatives for government contractors impacts disability inclusion. If we want to align our supplier diversity programs with the Americans with Disabilities Act, the first step is to address the issue in the Small Business Administration and federal contracting requirements.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140578991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Interventions on Work Outcomes After Road Traffic Crash-Related Musculoskeletal Injuries: A Systematic Review and Meta-analysis","authors":"Charlotte L. Brakenridge, Esther J. Smits, Elise M. Gane, Nicole E. Andrews, Gina Williams, Venerina Johnston","doi":"10.1007/s10926-024-10185-z","DOIUrl":"https://doi.org/10.1007/s10926-024-10185-z","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>Musculoskeletal injuries are common after road traffic crash (RTC) and can lead to poor work-related outcomes. This review evaluated the impact of interventions on work-related (e.g. sick leave), health, and functional outcomes in individuals with a RTC-related musculoskeletal injury, and explored what factors were associated with work-related outcomes.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>Searches of seven databases were conducted up until 9/03/2023. Eligible interventions included adults with RTC-related musculoskeletal injuries, a comparison group, and a work-related outcome, and were in English. Meta-analyses were conducted using RevMan and meta-regressions in Stata.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Studies (<i>n</i> = 27) were predominantly conducted in countries with third-party liability schemes (<i>n</i> = 26), by physiotherapists (<i>n</i> = 17), and in participants with whiplash injuries (94%). Pooled effects in favour of the intervention group were seen overall (SMD = − 0.14, 95% CI: − 0.29, 0.00), for time to return to work (− 17.84 days, 95% CI: − 24.94, − 10.74), likelihood of returning to full duties vs. partial duties (RR = 1.17, 95% CI: 1.01, 1.36), decreased pain intensity (− 6.17 units, 95% CI: − 11.96, − 0.39, 100-point scale), and neck disability (− 1.77 units, 95% CI: − 3.24, − 0.30, 50-point scale).</p><h3 data-test=\"abstract-sub-heading\">Discussion</h3><p>Interventions after RTC can reduce time to return to work and increase the likelihood of returning to normal duties, but the results for these outcomes were based on a small number of studies with low-quality evidence. Further research is needed to evaluate a broader range of interventions, musculoskeletal injury types, and to include better quality work-related outcomes.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140578661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}