Early Workplace Intervention to Improve the Work Ability of Employees with Musculoskeletal Disorders in a German University Hospital-Results of a Pilot Study.
Health promotion is becoming increasingly important in work life. Healthcare workers seem to be at special risk, experiencing musculoskeletal disorders (MSD); their situation is strongly influenced by demographic changes. The aim of this study is to evaluate the feasibility and outcome of a worksite intervention. In a one-group pretest-posttest design, 118 employees of a hospital were recruited from 2010 to 2011. The raised parameters were satisfaction with the program, work ability (Work Ability Index), and sickness absence (provided by human resource management). Patient-reported questionnaire data was raised at baseline (t1) and after three months (t2). Sickness leave was evaluated in the period six months prior to and six months after the intervention. Means, frequencies, standardized effect sizes (SES), analysis of variance, and regression analysis were carried out. Participants were found to be highly satisfied. Work ability increased with moderate effects (SES = 0.34; p < 0.001) and prognosis of gainful employment (SES = -0.19; p ≤ 0.047) with small effects. Days of MSD-related sickness absence were reduced by 38.5% after six months. The worksite intervention program is transferable to a hospital setting and integration in occupational health management is recommended. The use of a control group is necessary to demonstrate the effectiveness.
Department for Rehabilitation Medicine, Hannover Medical School, Carl-Neuberg-Str. 1, Hannover 30625, Germany. schwarze.monika@mh-hannover.de.
Monika
M
Schwarze
Department for Rehabilitation Medicine, Hannover Medical School, Carl-Neuberg-Str. 1, Hannover 30625, Germany. egen.christoph@mh-hannover.de.
Christoph
C
Egen
Department for Rehabilitation Medicine, Hannover Medical School, Carl-Neuberg-Str. 1, Hannover 30625, Germany. gutenbrunner.christoph@mh-hannover.de.
Christoph
C
Gutenbrunner
Company Physician, Hannover Medical School, Carl-Neuberg-Str. 1, Hannover 30625, Germany. schriek.stephanie@mh-hannover.de.
Stephanie
S
Schriek
musculoskeletal disorders; occupational health; sickness absence; work ability; worksite rehabilitation and prevention