title: Background, design and conceptual model of the cluster randomized multiple-component workplace study: FRamed Intervention to Decrease Occupational Muscle pain - "FRIDOM".
abstract: Several RCT studies have aimed to reduce either musculoskeletal disorders, sickness presenteeism, sickness absenteeism or a combination of these among females with high physical work demands. These studies have provided evidence that workplace health promotion (WHP) interventions are effective, but long-term effects are still uncertain. These studies either lack to succeed in maintaining intervention effects or lack to document if effects are maintained past a one-year period. This paper describes the background, design and conceptual model of the FRIDOM (FRamed Intervention to Decrease Occupational Muscle pain) WHP program among health care workers. A job group characterized by having high physical work demands, musculoskeletal disorders, high sickness presenteeism - and absenteeism.
  
  
  
  FRIDOM aimed to reduce neck and shoulder pain. Secondary aims were to decrease sickness presenteeism, sickness absenteeism and lifestyle-diseases such as other musculoskeletal disorders as well as metabolic-, and cardiovascular disorders - and to maintain participation to regular physical exercise training, after a one year intervention period. The entire concept was tailored to a population of female health care workers. This was done through a multi-component intervention including 1) intelligent physical exercise training (IPET), dietary advice and weight loss (DAW) and cognitive behavioural training (CBT).
  
  
  
  The FRIDOM program has the potential to provide evidence-based knowledge of the pain reducing effect of a multi component WHP among a female group of employees with a high prevalence of musculoskeletal disorders and in a long term perspective evaluate the effects on sickness presenteeism and absenteeism as well as risk of life-style diseases.
  
  
  
  NCT02843269 , 06.27.2016 - retrospectively registered.
authors: Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark. jrchristensen@health.sdu.dk.
authors: Jeanette Reffstrup
authors: JR
authors: Christensen
authors: Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark.
authors: Thomas Viskum Gjelstrup
authors: TV
authors: Bredahl
authors: Department of Community Medicine and Rehabilitation, Sports Medicine, Umeå University, 901 87, Umeå, Sweden.
authors: Jenny
authors: J
authors: Hadrévi
authors: Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark.
authors: Gisela
authors: G
authors: Sjøgaard
authors: Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark.
authors: Karen
authors: K
authors: Søgaard
mesh_terms: D000041:Absenteeism; D000328:Adult; D015444:Exercise; D005260:Female; D006282:Health Personnel; D006293:Health Promotion; D006801:Humans; D008019:Life Style; D008297:Male; D009140:Musculoskeletal Diseases / Q000209:etiology / Q000517:prevention & control; D059352:Musculoskeletal Pain / Q000209:etiology / Q000517:prevention & control*; D063806:Myalgia / Q000517:prevention & control*; D009333:Neck; D019547:Neck Pain; D016273:Occupational Exposure / Q000009:adverse effects*; D016272:Occupational Health; D000069597:Presenteeism; D012107:Research Design; D012782:Shoulder; D020069:Shoulder Pain; D014937:Work; D017132:Workplace
keywords: Cognitive behavioral training; Diet; Exercise; Health promotion; Implementation; Maintained effect; RCT; Sickness absenteeism; Sickness presenteeism; Worksite