Workplace interventions for preventing job loss and other work related outcomes in workers with alcohol misuse

AbstractThis article describes the process and outcome of a systematic review that evaluated the effectiveness of workplace rehabilitation interventions for work-related low back pain (LBP). Between 1982 and 2005 CINAHL, MEDLINE, EMBASE and AMED databases were searched for studies of interventions that were provided at the workplace for workers with LBP. Using methodological quality appraisal 5 reviewers scrutinised the articles. A total of 1224 articles were reviewed and 15 articles, consisting of 10 studies, were deemed of sufficient quality to be included. The best evidence was clinical interventions with occupational interventions, as well as early return to work/modified work interventions, were effective in returning workers to work earlier, reducing pain and disability, and decreasing the rate of back injuries. Ergonomic interventions were also found to be effective workplace interventions.

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Employment status and work-related difficulties in family caregivers of terminal cancer patients compared with the general population

Journal of Clinical Oncology ◽

10.1200/jco.2009.27.15_suppl.9580 ◽

2009 ◽

Vol 27 (15_suppl) ◽

pp. 9580-9580

Author(s):

S. Kim ◽

J. Lee ◽

Y. Yun ◽

S. Kim ◽

...

Keyword(s):

General Population ◽

Cancer Patients ◽

Family Caregivers ◽

Employment Status ◽

Job Loss ◽

Performance Status ◽

Terminal Cancer ◽

Caregiving Burden ◽

Work Related ◽

Terminal Cancer Patients

9580 Background: This study was aimed to investigate the employment status and work-related difficulties among family caregiver of terminal cancer patients compared with the general population. Methods: A survey was administered to 381 family caregivers of terminal cancer patients at 11hospitals and 994 general populations aged more than 18 years. Results: Family caregivers of terminal cancer patients were female (66.7%) and the patient's spouse (50.9%), with mean age of 46.8years (SD, 13.5). 212(56.1%) were working before cancer diagnosis, however, only 133(36.3%) continued working currently. Compared with the general population, 233(63.7%)family caregivers of terminal cancer patients were more likely to be not working (adjusted odds ratio [aOR] =2.39; 95% confidence interval [95%CI] = 1.73 to 3.29).Those who continued working reported more easy fatigability (40.6% vs 22.4%) and reduced working hours (20.3% vs 2.1%) than general population. For those doing housework, caregiving itself (56.4%) were identified to be the most common difficulties, followed by easy fatigability (32.3%). Major reasons for not working were providing care to the terminal cancer patients (24.0%). Older age (aOR=10.37; 95%CI=2.80 to 38.41), female sex (aOR=4.28; 95%CI=2.25 to 8.13), lower household income (aOR=2.19; 95%CI=1.19 to 4.06), bearing medical cost by other than spouse (aOR=2.10; 95%CI=1.05 to 4.19), and low performance status of the patients (aOR=2.00; 95%CI=1.01 to 3.95) were significantly associated with not working. Conclusions: When compared to the general population, family caregivers of terminal cancer patients were at risk job loss from their caregiving burden, and caregiving and easy fatigability were the major work-related difficulties. Our study might help make a strategy to reduce job loss for family caregivers' caregiving burden. No significant financial relationships to disclose.

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Workplace interventions for preventing work-related rhinitis and rhinosinusitis

Cochrane Database of Systematic Reviews ◽

10.1002/14651858.cd011816 ◽

2015 ◽

Author(s):

Sophia K Bakon ◽

Nor Asiah Muhamad ◽

Zuraifah Asrah Mohamad ◽

Mohd Yusoff Adon ◽

Masita Arip ◽

...

Keyword(s):

Workplace Interventions ◽

Work Related

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Effectiveness of Workplace Interventions for Improving Absenteeism, Productivity, and Work Ability of Employees: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17061901 ◽

2020 ◽

Vol 17 (6) ◽

pp. 1901 ◽

Cited By ~ 2

Author(s):

Lucia Tarro ◽

Elisabet Llauradó ◽

Gemma Ulldemolins ◽

Pedro Hermoso ◽

Rosa Solà

Keyword(s):

Systematic Review ◽

Randomized Controlled Trials ◽

Work Ability ◽

Meta Analysis ◽

Work Outcomes ◽

Controlled Trials ◽

Employee Productivity ◽

Workplace Interventions ◽

Work Related ◽

Randomized Controlled

To determine the effectiveness of workplace interventions and the most effective methodological design for the improvement of employee productivity, work ability, and absenteeism. A meta-analysis of randomized controlled trials (RCTs) of workplace interventions was conducted (PROSPERO, CRD42018094083). The PubMed, Scopus, PsycINFO, and Cochrane databases were searched. RCTs from 2000 to 2017 and with employees (18–65 years) were selected. Then, intervention characteristics and work-related outcomes data were extracted. A total of 47 RCTs were included in the systematic review, and 19 RCTs (11 absenteeism, 7 productivity, and 5 work ability) were included in the meta-analysis. The meta-analysis showed that the effectiveness of workplace interventions for absenteeism was −1.56 (95% CI, −2.67 to −0.44) and −2.65 (95% CI, −4.49 to −0.81) considering only moderate quality RCTs. In contrast, only a few studies of workplace interventions for productivity and work ability were included, which was insufficient for determining the effectiveness and best design for improving these work outcomes. The workplace is an interesting environment to reduce absenteeism, and individualized and counseling interventions with <10 sessions/total were the most effective workplace intervention methodological design for reducing the absenteeism of employees. Future high-quality RCTs that also consider health risks should be implemented to strengthen the results.

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Screening for the risk of job loss in multiple sclerosis (MS): development of an MS-specific Work Instability Scale (MS-WIS)

Multiple Sclerosis Journal ◽

10.1177/1352458511428463 ◽

2011 ◽

Vol 18 (6) ◽

pp. 862-870 ◽

Cited By ~ 33

Author(s):

Estelle McFadden ◽

Mike C Horton ◽

Helen L Ford ◽

Gill Gilworth ◽

Majella McFadden ◽

...

Keyword(s):

Multiple Sclerosis ◽

Job Loss ◽

Qualitative Interviews ◽

Specific Work ◽

Vocational Assessment ◽

Scaling Properties ◽

Work Related ◽

Item Functioning ◽

Working Age ◽

The Face

Background: Multiple Sclerosis (MS) mainly presents amongst those of working age. Depending upon the type of MS, many people embark upon a long period of managing their day-to-day work-related needs in the face of intermittent and sometimes persistent disabling symptoms. The objective of this study was to explore the concept of work instability (WI) following the onset of MS and develop a Work Instability Scale (WIS) specific to this population. Method: WI amongst those with MS in work was explored through qualitative interviews which were then used to generate items for a WIS. Rasch analysis was used to refine the scaling properties of the MS-WIS, which was then validated against expert vocational assessment by occupational health physiotherapists and ergonomists. Results: The resulting measure is a 22-item, self-administered scale which can be scored in three bands indicating low, medium and high risk of WI (job retention) problems. The scale meets modern psychometric requirements for measurement, indicated by adequate fit to the Rasch model with absence of local dependency and differential item functioning (DIF) by age, gender and hours worked. Conclusions: The scale presents an opportunity in routine clinical practice to take positive action to reduce sickness absence and prevent job loss.

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Workplace Interventions can Reduce Sickness Absence for Persons With Work-Related Neck and Upper Extremity Disorders

Journal of Occupational and Environmental Medicine ◽

10.1097/jom.0000000000001608 ◽

2019 ◽

Vol 61 (7) ◽

pp. 559-564 ◽

Cited By ~ 1

Author(s):

Stefan Oliv ◽

Ewa Gustafsson ◽

Adnan Noor Baloch ◽

Mats Hagberg ◽

Helena Sandén

Keyword(s):

Upper Extremity ◽

Sickness Absence ◽

Upper Extremity Disorders ◽

Workplace Interventions ◽

Work Related

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OP0261-HPR PERCEIVED CHALLENGES AT WORK AND NEED FOR SUPPORT AMONG PEOPLE WITH INFLAMMATORY ARTHRITIS

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2021-eular.1549 ◽

2021 ◽

Vol 80 (Suppl 1) ◽

pp. 159.1-159

Author(s):

C. M. T. Madsen ◽

J. Reffstrup Christensen ◽

A. Bremander ◽

J. Primdahl

Keyword(s):

Rheumatoid Arthritis ◽

Systematic Review ◽

At Risk ◽

Everyday Life ◽

Rheumatic Diseases ◽

Work Ability ◽

Inflammatory Arthritis ◽

Job Loss ◽

Work Related ◽

Need For Support

Background:People with inflammatory arthritis (IA), i.e. rheumatoid arthritis, psoriatic arthritis and axial spondyloarthritis, often experience low work ability and up to 38% lose their job during the first years after being diagnosed with IA (1). As a result, people with IA have a higher risk of job loss and permanent exclusion from the labor market than people without IA (1, 2). Work-related rehabilitation is complex and encompass a variety of interventions which aim to reduce barriers to maintain work and improve work ability. Unfortunately, positive results from work-related rehabilitation is scarce (3), why a better understanding of the challenges people at risk for job loss experience is needed to develop relevant interventions.Objectives:To explore perceived challenges and need for support to remain at work among people with IA who are at risk of job loss.Methods:A qualitative explorative design based on a hermeneutic approach was applied. Outpatients with IA who considered themselves at risk for long-term job loss, were recruited at the Danish Hospital for Rheumatic Diseases. An interview guide was developed based on earlier results from a systematic review and qualitative studies in close cooperation with three patient research partners. Individual semi-structured interviews were performed from December 2019 to May 2020.Results:Eleven women and four men with IA (aged 36-68 years) were interviewed. The participants were employed full time, part time or on sick leave. From the analysis, a main theme ‘Balancing work as a part of everyday life’ and four sub-themes emerged: 1) Working despite challenges, 2) Prioritizing energy for work, 3) Fatigue affects everything and 4) Need for support. To be able to work was very important to all participants. In general, they were stretching their limits, had concerns about maintaining their job and they used different strategies to deal with the challenges they met at work. Flexibility at work in every possible way and support from employers and co-workers were the main needs to be able to remain at work.Conclusion:Overall, patients with IA prioritized to keep working, but experienced challenges with balancing their work and energy in everyday life. They need support and flexibility at work to be able to remain at work.References:[1]Sokka T, Kautiainen H, Pincus T, Verstappen SMM, Aggarwal A, Alten R, et al. Work disability remains a major problem in rheumatoid arthritis in the 2000s: Data from 32 countries in the QUEST-RA Study. Arthritis Research and Therapy. 2010;12(2):R42-R.[2]Hansen SM, Hetland ML, Pedersen J, Ostergaard M, Rubak TS, Bjorner JB. Effect of rheumatoid arthritis on longterm sickness absence in 1994-2011: A danish cohort study. Journal of Rheumatology. 2016;43(4):707-15.[3]Madsen CMT, Kjaer, S., Primdahl, J., Christensen, J. R., & von Bulow, C. A SYSTEMATIC REVIEW OF JOB LOSS PREVENTION INTERVENTIONS FOR PERSONS WITH INFLAMMATORY ARTHRITIS. Annals of the rheumatic diseases, 79(Suppl 1) 916-917 [FRI0624-HPR]2020.Disclosure of Interests:None declared

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