Effectiveness of a targeted occupational health intervention in workers with high risk of sickness absence: baseline characteristics and adherence as effect modifying factors in a randomized controlled trial.
Introduction In a recently published randomized controlled trial (RCT), a targeted occupational health (OH) intervention was found effective in an intention-to-treat analysis in controlling sickness absence among workers with high risk of sickness absence, compared to usual care. We performed an exp...
| Publicado en: | Journal of Occupational Rehabilitation Vol. 20; no. 1; pp. 14 - 21 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Springer Nature
Mar2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105134702&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105134702 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10530487 JOR jtl: Journal of Occupational Rehabilitation issn: 10530487 maglogo: N pubinfo: dt: Mar2010 vid: 20 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 105134702 2010582410 10.1007/s10926-009-9221-0 NLM20012343 PMC2832907 105134702 ppf: 14 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Effectiveness of a targeted occupational health intervention in workers with high risk of sickness absence: baseline characteristics and adherence as effect modifying factors in a randomized controlled trial. aug: au: Taimela S Aronen P Malmivaara A Sintonen H Tiekso J Aro T affil: Evalua International, 02661 Espoo Finland sug: subj: Occupational Health Services Sick Leave Adult Analysis of Covariance Confidence Intervals Data Analysis Software Finland Funding Source Human Intervention Trials Middle Age Outcome Assessment Regression Risk Assessment Secondary Analysis Adult: 19-44 years Middle Aged: 45-64 years ab: Introduction In a recently published randomized controlled trial (RCT), a targeted occupational health (OH) intervention was found effective in an intention-to-treat analysis in controlling sickness absence among workers with high risk of sickness absence, compared to usual care. We performed an exploratory subgroup analysis in order to detect possible effect modifiers and mediators. Methods Age, gender, working status, severity of physical impairment, depression score, self-rated working ability, co-morbidity, and sickness absence characteristics in the previous 12 months were identified as potential effect modifiers ( n = 382). We conducted regression analyses with the potential effect modifiers and a mediator (treatment attendance as intended) as explanatory variables. The difference of sickness absence days during the previous year and the follow-up year was the dependent variable. Results The intervention was especially effective in the subgroups of workers who were certain that they will not be able to continue working in their current job due to health-related reasons (-74 days; 95% CI -105 to -43), had co-morbidities (-22.5 days; 95% CI -35.5 to -9.5), or severe physical impairment at work (-17.5 days; 95% CI -28.5 to -6.5). A modifying effect of age, gender, working status, depressive symptoms, or prior sickness absence on the effectiveness of this OH intervention was not found. Conclusions This targeted OH intervention seems especially suitable for workers who consider that they are no longer able to continue working due to health reasons and have high level of physical impairment or co-morbidities. The findings from these exploratory analyses should be tested in future RCTs. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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