Using Signage to Promote Stair Use on a University Campus in Hidden and Visible Stairwells

2010 ◽  
Vol 7 (2) ◽  
pp. 232-238 ◽  
Author(s):  
Megan E. Grimstvedt ◽  
Jacqueline Kerr ◽  
Sara B. Oswalt ◽  
Donovan L. Fogt ◽  
Tiffanye M. Vargas-Tonsing ◽  
...  
Keyword(s):  
San Antonio ◽  
University Campus ◽  
Intervention Period ◽  
Post Intervention ◽  
Promotion Strategy ◽  
Quasi Experimental ◽  
University Buildings ◽  
Stair Use ◽  
Experimental Study Design

Background:This study tested the effectiveness of a stair use promotion strategy in visible and hidden stairwells during intervention and post intervention follow up.Methods:A quasi-experimental study design was used with a 1 week baseline, a 3 week intervention, and post intervention at 2 and 4 weeks in 4 university buildings in San Antonio, Texas with stairwells varying in visibility. Participants were students, faculty, staff, and visitors to the 4 buildings. A total of 8431 observations were made. The intervention incorporated motivational signs with direction to nearby stairwells placed by elevators to promote stair use. Stair and elevator use was directly observed and recorded. Logistic regression analyses were used to test whether stair versus elevator use varied by intervention phase and stairwell visibility.Results:Stair use increased significantly (12% units) during the intervention period and remained above baseline levels during post intervention follow-up. At baseline, visible stairs were 4 times more likely to be used than hidden stairs; however, the increase in stair use during intervention was similar in both types of stairwells.Conclusions:Motivational and directional signage can significantly increase stair use on a university campus. Furthermore, stairwell visibility is an important aspect of stair use promotion.

scholarly journals 986. Improvement in Administration of HIV Post-Exposure Prophylaxis in the Emergency Department Following Sexual Assault

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S521-S522
Author(s):  
Jennifer R Silva-Nash ◽  
Stacie Bordelon ◽  
Ryan K Dare ◽  
Sherrie Searcy
Keyword(s):  
Emergency Department ◽  
Sexual Assault ◽  
Hiv Transmission ◽  
Post Exposure Prophylaxis ◽  
Intervention Period ◽  
Post Intervention ◽  
Post Exposure ◽  
Assault Victims ◽  
Exposure Prophylaxis

Abstract Background Nonoccupational post exposure prophylaxis (nPEP) following sexual assault can prevent HIV transmission. A standardized Emergency Department (ED) protocol for evaluation, treatment, and follow up for post assault victims was implemented to improve compliance with CDC nPEP guidelines. Methods A single-center observational study of post sexual assault patients before/after implementation of an ED nPEP protocol was conducted by comparing the appropriateness of prescriptions, labs, and necessary follow up. A standardized order-set based on CDC nPEP guidelines, with involvement of an HIV pharmacist and ID clinic, was implemented during the 2018-2019 academic year. Clinical data from pre-intervention period (07/2016-06/2017) was compared to post-intervention period (07/2018-08/2019) following a 1-year washout period. Results During the study, 147 post-sexual assault patients (59 Pre, 88 Post) were included. One hundred thirty-three (90.4%) were female, 68 (46.6%) were African American and 133 (90.4%) were candidates for nPEP. Median time to presentation following assault was 12.6 hours. nPEP was offered to 40 (67.8%) and 84 (95.5%) patients (P< 0.001) and ultimately prescribed to 29 (49.2%) and 71 (80.7%) patients (P< 0.001) in pre and post periods respectively. Renal function (37.3% vs 88.6%; P< 0.001), pregnancy (39.0% vs 79.6%; P< 0.001), syphilis (3.4% vs 89.8%; P< 0.001), hepatitis B (15.3% vs 95.5%; P< 0.001) and hepatitis C (27.1% vs 94.3%) screening occurred more frequently during the post period. Labratory, nPEP Prescription and Follow up Details for Patients Prescribed nPEP Conclusion The standardization of an nPEP ED protocol for sexual assault victims resulted in increased nPEP administration, appropriateness of prescription, screening for other sexually transmitted infectious and scheduling follow up care. While guideline compliance dramatically improved, further interventions are likely warranted in this vulnerable population. Disclosures Ryan K. Dare, MD, MS, Accelerate Diagnostics, Inc (Research Grant or Support)

Effect of Replacing Vendor QTc Alerts with a Custom QTc Risk Alert in Inpatients

2022 ◽  
Vol 13 (01) ◽  
pp. 019-029
Author(s):  
Steven Stettner ◽  
Sarah Adie ◽  
Sarah Hanigan ◽  
Michael Thomas ◽  
Kristen Pogue ◽  
...  
Keyword(s):  
Odds Ratio ◽  
Clinical Decision ◽  
Qtc Interval ◽  
Intervention Period ◽  
Qtc Prolongation ◽  
Post Intervention ◽  
Medication Knowledge ◽  
Quasi Experimental ◽  
Risk Scoring ◽  
Scoring Tool

Abstract Objective The aim of the study is to implement a customized QTc interval clinical decision support (CDS) alert strategy in our electronic health record for hospitalized patients and aimed at providers with the following objectives: minimize QTc prolongation, minimize exposure to QTc prolonging medications, and decrease overall QTc-related alerts. A strategy that was based on the validated QTc risk scoring tool and replacing medication knowledge vendor alerts with custom QTc prolongation alerts was implemented. Methods This is a retrospective quasi-experimental study with a pre-intervention period (August 2019 to October 2019) and post-intervention period (December 2019 to February 2020). The custom alert was implemented in November 2019. Results In the pre-implementation group, 361 (19.3%) patients developed QTc prolongation, and in the post-implementation group, 357 (19.6%) patients developed QTc prolongation (OR: 1.02, 95% CI: 0.87–1.20, p = 0.81). The odds ratio of an action taken post-implementation compared with pre-implementation was 18.90 (95% CI: 14.03–25.47, p <0. 001). There was also a decrease in total orders for QTc prolonging medications from 7,921 (5.5%) to 7,566 (5.3%) with an odds ratio of 0.96 (95% CI: 0.93–0.99, p = 0.01). Conclusion We were able to decrease patient exposure to QTc prolonging medications while not increasing the rate of QTc prolongation as well as improving alert action rate. Additionally, there was a decrease in QTc prolonging medication orders which illustrates the benefit of using a validated risk score with a customized CDS approach compared with a traditional vendor-based strategy. Further research is needed to confirm if an approach implemented at our organization can reduce QTc prolongation rates.

scholarly journals Positive Lifestyle Behavior Changes Among Canadian Men: Findings From the HAT TRICK Program

2020 ◽  
pp. 089011712095717
Author(s):  
Cristina M. Caperchione ◽  
Joan L. Bottorff ◽  
Sean Stolp ◽  
Paul Sharp ◽  
Steven T. Johnson ◽  
...  
Keyword(s):  
Social Connectedness ◽  
Program Effectiveness ◽  
Ice Hockey ◽  
Self Report ◽  
Accelerometer Data ◽  
Quadratic Trend ◽  
Post Intervention ◽  
Quasi Experimental ◽  
Linear Trends

Purpose: To estimate program effectiveness regarding physical activity (PA), diet, and social connectedness as part of a feasibility study. Design: Pre-post quasi-experimental. Setting: HAT TRICK was delivered in collaboration with a Canadian semi-professional ice hockey team and offered at the arena where they trained and played games. Participants: Participants (N = 62) at baseline were overweight (BMI >25kg/m2) and inactive (<150 minutes of MVPA/week) men age 35+ years. Intervention: Gender-sensitized 12-week intervention for men targeting PA, healthy eating and social connectedness. Method: Baseline, post-intervention (12 weeks) and 9-month follow-up self-report and accelerometer data were collected. Multi-level modeling assessed growth trajectories of outcome measures across time. Results: Accelerometer measured weekly/min. of moderate PA showed significant linear trends (95%CI: 42.9 – 175.3) from baseline (147.0 ± 104.6), 12-week (237.7 ± 135.5) and 9-month follow-up (204.89 ± 137.7) qualified with a quadratic trend. Self-reported weekly/min of moderate and vigorous PA showed significant linear trends (95%CI: 94.1, 264.1; 95%CI: 35.1, 109.6) from baseline (52.6 ± 83.8, 22.42 ± 44.9), 12 week (160.1 ± 157.4, 66.6 ± 74.4) and 9-month follow-up (118.6 ± 104.6, 52.2 ± 59.2) qualified with quadratic trends. DINE measured fat score rating showed linear trends over time (95%CI -14.24, -6.8), qualified with a quadratic trend. DINE fibre score and social connectedness showed no trends. Conclusion: Findings yield valuable information about the implementation of gender-sensitized lifestyle interventions for men and demonstrate the importance of male-specific strategies for reaching and engaging overweight, physically inactive men.

scholarly journals Effect of Coping Strategies Education on Knowledge and Behaviors of Women Experienced Workplace Bullying

2020 ◽  
Vol 2 (3) ◽  
pp. 13
Author(s):  
Shimaa M. H. Ali ◽  
Eman M. M. Elsherbeny ◽  
Mervat A. Ahmed ◽  
Hussein M. M. F. Mohamed
Keyword(s):  
Coping Strategies ◽  
Workplace Bullying ◽  
Coping Behavior ◽  
Age Groups ◽  
Structured Interview ◽  
Post Intervention ◽  
Work Related ◽  
Quasi Experimental ◽  
And Behaviors

Context: Workplace bullying is defined as the perceived situation in which an employee is systematically and repeatedly the target of work-related or personal harmful acts. Workplace bullying is an occupational stressor shown to have particular detrimental health outcomes for those targeted. Aim: The study aimed to evaluate the effect of coping strategies education on knowledge and behaviors of women experienced workplace bullying. Methods: A quasi-experimental (pre/posttest) design was used to achieve this study's aim. The study was conducted at Beni-Suef University affiliated to the Ministry of Higher Education. The study conducted on a convenient sample of 500 women working at Beni-Suef University. They included 360 employee women from different age groups, educational backgrounds, and job positions. The sample also includes 100 nurses and 40 workers. The study used two tools. The researcher designed a structured interview questionnaire to assess the women's socio-demographic profile and their knowledge regarding workplace bullying. The second tool was a coping behavior checklist for workplace bullying designed by the researcher to assess the women's behaviors toward workplace bullying. Results: shows that 36.0% of the studied women were in the age group ≥30 with a mean age of 34.38±4.33. Half of the studied women suffering from all mentioned health effects, followed by absenteeism 15%, then depression 12%, and 7% suffering decreased self-esteem, the least health problems 6% was for a physical problem (cardiovascular, diabetes mellites, and neuromuscular problems). The study reveals a statistically significant improvement of women's knowledge regarding workplace bullying at post compared to pre educational intervention and at follow up phase compared to the post-intervention phase at p <0.001. The results also show a highly statistically significant improvement in the women's behaviors toward workplace bullying between pre and post-intervention phases and between post and follow up phases of intervention at p <0.001. Conclusion: The research hypotheses were supported. The women exposed to the coping strategies education had improved knowledge and behaviors compared to their pre-education level. Effective organizational interventions are recommended to help prevent and address bullying incidents, and robust legislative mechanisms are also recommended to allow for restitution and compensation, particularly for women.

scholarly journals ADESÃO ÀS MEDIDAS PARA PREVENÇÃO DA INFECÇÃO DA CORRENTE SANGUÍNEA RELACIONADA AO CATETER VENOSO CENTRAL

2017 ◽  
Vol 8 (2) ◽  
Author(s):  
Alanna Gomes Da Silva ◽  
Adriana Cristina De Oliveira
Keyword(s):  
Intensive Care ◽  
Bloodstream Infection ◽  
Venous Catheter ◽  
Descriptive Statistics ◽  
Intervention Period ◽  
Central Venous ◽  
Post Intervention ◽  
Period Analysis ◽  
Quasi Experimental ◽  
Terapia Intensiva

Objetivo: verificar a adesão da equipe multiprofissional para as medidas de prevenção da infecção da corrente sanguínea relacionada ao cateter venoso central. Metodologia: estudo quase-experimental, realizado na unidade de terapia intensiva de um hospital de urgência e emergência. A população foi composta pelas equipes médicas e de enfermagem. A coleta de dados ocorreu em três fases distintas: Período pré-intervenção, Período de intervenção e Período pós-intervenção. As análises foram por meio de estatística descritiva e pelos testes ?² de Pearson e exato de Fisher. Resultados: verificou-se uma baixa adesão global pelos enfermeiros e técnicos, especialmente à higiene das mãos (22,7%) e desinfecção do hub (10,4%) e uma adesão de 100% da equipe médica ao utilizar a barreira máxima de precaução. Conclusão: mesmo com um resultado satisfatório para a inserção dos cateteres nos períodos pré e pós-intervenção, essas medidas não representam completa adesão pela equipe de enfermagem.Descritores: Infecções Relacionadas a Cateter, Unidades de Terapia Intensiva, Cateteres Venosos Centrais.ADHERENCE TO MEASURES TO PREVENT BLOODSTREAM INFECTION RELATED TO THE CENTRAL VENOUS CATHETERObjective: To verify the multiprofessional staff adherence to measures to prevent bloodstream infection related to the central venous catheter. Methodology: A quasi-experimental study, carried out at an intensive care unit from emergency and urgency hospital. The population was composed by medical and nursing staff. Data collection took place in three distinct phases: Pre-intervention period, intervention period and post-intervention period. Analysis were made through descriptive statistics and Pearson’s ?² and Fisher’s exact tests. Results: There was a low overall adherence by nurses and technicians, especially to hand hygiene (22.7%) and hub disinfection (10.4%), and a 100% adherence from medical staff when using the maximum barrier of precaution. Conclusion: Even with a satisfactory result for catheters insertion in the pre-and post-intervention periods, these measures are not enough when the catheter maintenance measures are not fully adhered by the nursing team.Descriptors: Catheter-Related Infections, Intensive Care Units, Central Venous Catheters.ADHESIÓN PARA LA PREVENCIÓN DE INFECCIÓN DEL TORRENTE SANGUÍNEO RELACIONADAS CON EL CATÉTER VENOSO CENTRALObjetivo: Determinar la adhesión de miembros del equipo multiprofesional para la prevención de infección del torrente sanguíneo relacionadas con el catéter venoso central. Metodología: Estudio cuasi-experimental realizado en una unidad de cuidados intensivos de un hospital de emergencia y urgencia. La población estaba compuesta por el personal médico y de enfermería. La recolección de datos ocurrió en tres fases: periodo previo a la intervención; Período de intervención y después de la intervención. Los análisis fueron hechos por la estadística descriptiva y las pruebas de ?² de Pearson y la prueba exacta de Fisher. Resultados: Se observó una baja de miembros en general por las enfermeras y los técnicos, especialmente higiene de las manos (22,7%) y la desinfección del hub (10,4%) y una membresía de 100% del personal médico usando la barrera máximo precaución. Conclusión: Incluso con un resultado satisfactorio para la inserción de catéteres en el pre y post-intervención, estas medidas no son suficientes cuando las medidas para el mantenimiento de los catéteres no se cumplen por completo por el personal de enfermería.Descriptores: Infecciones Relacionadas con Catéteres, Unidades de Cuidados Intensivos, Catéteres Venosos Centrales.

scholarly journals EFFECTS OF TELEHEALTH PROGRAM ON FUNCTIONAL MOBILITY AMONG ELDERLY WITH DEMENTIA: PRELIMINARY RESULTS

2021 ◽  
Author(s):  
Carolina Tsen ◽  
Juliana Ansai ◽  
Grace Gomes ◽  
Décio Neto ◽  
Renata Gerassi ◽  
...  
Keyword(s):  
Functional Mobility ◽  
Control Group ◽  
Intervention Period ◽  
Risk Of Falling ◽  
Post Intervention ◽  
Timed Up And Go ◽  
Physical Test ◽  
Intervention Evaluation ◽  
And Control

Background: Telehealth is and alternative to improve functional mobility of elderly with dementia on a pandemic scenario, but still little explored on Brazil. Objective: To analyze the effects of a telehealth program on functional mobility among elderly with dementia. Methods: Ten elderly with dementia were evaluated about functional capacity through physical test Timed Up and Go. After, they were randomized and divided into two groups: telehealth group (TG) and control group (CG). The TG performed systematic physical and cognitive exercises with professional monitoring, while the CG received non-systematized guidance, both for 12 weeks. Participants were evaluated pre, immediately after three-month intervention and with a 12- week follow-up. Results: Of the 10 participants, 5 were allocated to each group. In the pre-intervention evaluation, the CG had a mean of 15.64 +/- 5.04 seconds in the TUG test and the TG had a mean of 19.78 +/- 6.51, that is, above 12.45 seconds means risk of falling. In the post-intervention, the CG had a mean of 16.83 +/- 6.77 and the TG a mean of 25.22 +/- 19.50. After 3 months of follow-up, the CG and the TG showed a mean of 16.08 +/- 2.04 and 17.98 +/- 6.73, respectively. Conclusion: After the intervention period, due to the small number of the sample, it was not possible to verify improvement in either group.

scholarly journals An Evaluation of Pharmacist-Led Interventions for Inpatient HIV-Related Medication Errors

2019 ◽  
Vol 35 (6) ◽  
pp. 235-242
Author(s):  
Mary Joyce B. Wingler ◽  
Kayla R. Stover ◽  
Katie E. Barber ◽  
Jamie L. Wagner
Keyword(s):  
Medication Errors ◽  
Primary Outcome ◽  
Intervention Group ◽  
Audit And Feedback ◽  
Intervention Period ◽  
Prospective Audit ◽  
Post Intervention ◽  
Prospective Audit And Feedback ◽  
Post Intervention Group

Background: Inpatient HIV-related medication errors occur in up to 86% of patients. Objective: To evaluate the number of antiretroviral therapy (ART)- and opportunistic infection (OI)-related medication errors following the implementation of pharmacist-directed interventions. Methods: This quasi-experiment assessed adult patients with HIV who received ART, OI prophylaxis, or both from December 1, 2014, to February 28, 2017 (pre-intervention) or December 1, 2017, to February 28, 2018 (post-intervention). Pre-intervention patients were assessed retrospectively; verbal and written education were provided (intervention); prospective audit and feedback was conducted for post-intervention patients. The primary outcome was rate of ART errors between groups. Secondary outcomes included rate of OI errors, time to resolution of ART and OI errors, types of errors, and rate of recommendation acceptance. Results: Sixty-seven patients were included in each group. ART errors occurred in 44.8% and 32.8% ( P = .156), respectively. OI prophylaxis errors occurred in 11.9% versus 9% ( P = .572), respectively. Medication omission decreased significantly in the post-intervention group (31.3% vs 11.9%; P = .006). Pharmacist-based interventions increased in the post-intervention group (6.3% vs 52.9%; P = .001). No statistical difference was found in time to error resolution (72 vs 48 hours; P = .123), but errors resolved during admission significantly increased (50% vs 86.8%; P < .001). No difference was found in rate of intervention acceptance (100% vs 97%). Conclusion and Relevance: ART and OI prophylaxis errors resolved a day faster in the pharmacist-led, post-intervention period, and there was a trend toward error reduction. Future interventions should target prescribing errors on admission using follow-up education and evaluation of medication reconciliation practices in HIV-infected patients.

scholarly journals Effect of a Crisis Intervention Team for suicide attempt patients in an emergency department in Korea

2019 ◽  
Vol 27 (2) ◽  
pp. 92-98
Author(s):  
Eusang Ahn ◽  
Jooyeong Kim ◽  
Sungwoo Moon ◽  
Young-hoon Ko ◽  
Hanjin Cho ◽  
...  
Keyword(s):  
Emergency Department ◽  
Suicide Attempt ◽  
Crisis Intervention ◽  
Support Program ◽  
Completion Rates ◽  
Intervention Period ◽  
Crisis Intervention Team ◽  
Post Intervention ◽  
Intervention Team

Background: South Korea has one of the highest rates of suicide in the world, which poses an immense socioeconomic burden on the healthcare system. Objectives: We hypothesized that the implementation of a Crisis Intervention Team would lead to an improvement in completion rates of suicide prevention counseling programs. Methods: This is a retrospective before-and-after analysis, and was carried out in the emergency department in the city of Ansan, South Korea. The Crisis Intervention Team, funded by the Ministry of Health and Welfare, counsels suicide attempt patients with the ultimate goal of assuring proper administration of mental healthcare from community suicide support programs. Data on suicide attempt patients were collected using medical records. The primary outcome was defined as completion of the 8-week follow-up period for suicide attempt patients with the community suicide support programs. Results: A total of 246 patients from the pre-intervention period and 296 patients from the post-intervention period were included in the study. The completion rates of the 8-week follow-up period increased significantly after the intervention. During the pre-intervention period, 9 patients (3.7%) who were referred to the community suicide support program completed the 8 weeks of follow-up, whereas in the post-intervention period, 56 patients (18.9%) followed up for 8 weeks or more (p < 0.0001). The secondary outcome, overall linkage rates to community suicide support program, did not change significantly, with a minor increase from 46 (18.7%) to 63 (21.3%) (p = 0.45). Conclusion: The implementation of an in-hospital Crisis Intervention Team dedicated to active and assertive counseling that begins in the emergency department was correlated with significantly increased completion rates of the 8-week follow-up counseling program.

scholarly journals A Multicomponent Intervention to Encourage Stair Use in Municipal Buildings

2018 ◽  
Vol 33 (1) ◽  
pp. 57-69 ◽  
Author(s):  
Brent W. Moloughney ◽  
Gayle E. Bursey ◽  
Rebecca B. Fortin ◽  
Maria G. Morais ◽  
Khanh Thi Dang
Keyword(s):  
Municipal Government ◽  
Light Emitting Diode ◽  
Vertical Movement ◽  
Office Buildings ◽  
Absolute Increase ◽  
Light Emitting ◽  
Municipal Employees ◽  
Quasi Experimental ◽  
Stair Use

Purpose: Evaluate the incremental impact of environmental stairwell enhancements on stair usage in addition to prompts. Design: Phased, nonrandomized, quasi-experimental intervention. Setting: Two 6-story and one 8-story municipal government office buildings—each with 2 stairwells. Participants: Approximately 2800 municipal employees and 1000 daily visitors. Intervention: All stairwells received door wraps and point-of-decision and wayfinding prompts. Environmental enhancements were installed in 1 stairwell in each of the 2 buildings: wall paint, upgraded stair treads and handrails, artwork, light-emitting diode (LED) lighting, fire-rated glass doors, and removal of security locks on at least the ground floor. Measures: Staff surveys and focus groups, electronic and direct measures of stair and elevator use occurred at baseline and over 3 years of phased implementation and follow-up. Analysis: Change in the proportion of vertical movement by stairs using χ2 analysis. Results: The prompts were associated with a significant increase in stair use (odds ratio [OR] = 1.36; 95% confidence interval [CI]: 1.31-1.41), with an average absolute increase of 3.2%. Environmental enhancements were associated with an additional significant increase in stair use (OR = 1.31; 95% CI: 1.25-1.37) beyond prompts alone with an average absolute increase of a further 3.5% that was sustained for 1 year. The initial increases in stair use with prompts alone were not sustained. Conclusion: Implementing environmental stairwell enhancements in office buildings increased stair usage in a sustained manner beyond that achieved by prompts alone.

scholarly journals ‘Return to Work’ Coordinator Model and Work Participation of Employees: A Natural Intervention Study in Finland

2021 ◽  
Author(s):  
Johanna Kausto ◽  
Tuula Oksanen ◽  
Aki Koskinen ◽  
Jaana Pentti ◽  
Pauliina Mattila-Holappa ◽  
...  
Keyword(s):  
Return To Work ◽  
Sickness Absence ◽  
Work Ability ◽  
Intervention Study ◽  
Total Population ◽  
Relative Increase ◽  
Intervention Period ◽  
Post Intervention ◽  
Disability Retirement

AbstractPurpose Employers increasingly use ‘return to work’ (RTW) coordinators to support work ability and extend working careers, particularly among employees with reduced work ability. We examined whether applying this model was associated with changes in employee sickness absence and disability retirements. Methods We used data from the Finnish Public Sector study from 2009 until 2015. Employees where the model was introduced in 2012 constituted the cases (n = 4120, one municipality) and employees where the model was not in use during the follow-up, represented the controls (n = 5600, two municipalities). We analysed risk of disability retirement in 2013–2015 and risk of sickness absence after (2013–2015) vs. before (2009–2011) intervention by case–control status. Results The incidence of disability retirement after the intervention was lower in cases compared to controls both in the total population (hazard ratio HR = 0.49, 95% CI 0.30–0.79) and in the subgroup of participants with reduced work ability (HR = 0.34, 95% CI 0.12–0.99). The risk of sickness absence increased from pre-intervention to post-intervention period both among cases and controls although the relative increase was greater among cases (RRpost- vs. pre-intervention = 1.26, 95% CI 1.14–1.40) than controls (RRpost- vs. pre-intervention = 1.03, 95% CI 0.97–1.08). In the group of employees with reduced work ability, no difference in sickness absence trends between cases and controls was observed. Conclusions These findings suggest that RTW-coordinator model may increase employee sickness absence, but decrease the risk of disability retirement, i.e., permanent exclusion from the labour market.

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