Pub Date : 2019-12-01DOI: 10.1097/JOM.0000000000001738
Joan M Almost, Louise Caicco Tett, E. Vandenkerkhof, G. Paré, Peter Strahlendorf, J. Noonan, Thomas Hayes, Henrietta Van hulle, Jeremy Holden, Vanessa Silva e Silva, Andrea Rochon
OBJECTIVE To evaluate the feasibility of implementing interventions guided by six leading indicators, and the effectiveness of these interventions on improving employee's perception of their organization's health and safety climate. METHOD A quasi-experimental longitudinal design was used in two hospitals. Occupational health and safety management systems (OHSMS) were assessed using the Leading Indicator Assessment Tool. To address the gaps identified in the assessment, tailored interventions were developed, pilot tested and evaluated. Data were collected pre- and post-interventions. RESULTS Interventions were developed to improve three leading indicators: senior management commitment, employee involvement, and communication. Overall, both sites supported using leading indicators to guide proactive interventions. Employees' perceptions of the health and safety climate improved at one site only. CONCLUSIONS The results suggest the utilization of leading indicators to assess an organization's current OHSMS, identify areas for improvement, and implement tailored interventions is feasible to support a culture of safety in healthcare.
{"title":"Leading Indicators in Occupational Health and Safety Management Systems in Healthcare: A Quasi-Experimental Longitudinal Study.","authors":"Joan M Almost, Louise Caicco Tett, E. Vandenkerkhof, G. Paré, Peter Strahlendorf, J. Noonan, Thomas Hayes, Henrietta Van hulle, Jeremy Holden, Vanessa Silva e Silva, Andrea Rochon","doi":"10.1097/JOM.0000000000001738","DOIUrl":"https://doi.org/10.1097/JOM.0000000000001738","url":null,"abstract":"OBJECTIVE\u0000To evaluate the feasibility of implementing interventions guided by six leading indicators, and the effectiveness of these interventions on improving employee's perception of their organization's health and safety climate.\u0000\u0000\u0000METHOD\u0000A quasi-experimental longitudinal design was used in two hospitals. Occupational health and safety management systems (OHSMS) were assessed using the Leading Indicator Assessment Tool. To address the gaps identified in the assessment, tailored interventions were developed, pilot tested and evaluated. Data were collected pre- and post-interventions.\u0000\u0000\u0000RESULTS\u0000Interventions were developed to improve three leading indicators: senior management commitment, employee involvement, and communication. Overall, both sites supported using leading indicators to guide proactive interventions. Employees' perceptions of the health and safety climate improved at one site only.\u0000\u0000\u0000CONCLUSIONS\u0000The results suggest the utilization of leading indicators to assess an organization's current OHSMS, identify areas for improvement, and implement tailored interventions is feasible to support a culture of safety in healthcare.","PeriodicalId":46545,"journal":{"name":"International Journal of Occupational and Environmental Medicine","volume":"85 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75497125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-01DOI: 10.1097/JOM.0000000000001728
Andrew L Phillips, Ryan Cooney, Zachary B Harris, D. Myrtil, M. Hodgson
: Noise-induced hearing loss (NIHL) represents the second most common occupational disease in the US. Although the Occupational Safety and Health Administration (OSHA) has promulgated an occupational noise exposure standard and associated recordkeeping requirements, OSHA inspections increasingly document practices that violate both the noise standard and recordkeeping regulation. This paper describes five deviations from good clinical practices masking the true societal costs of NIHL, leading to missed prevention opportunities, and creating burdens for individuals and society. These include attributing NIHL to non-occupational sources, exculpating the workplace because of audiogram patterns without careful documentation, ignoring symptoms or physical examination findings, and simply denying work-relatedness, leading to employers inappropriately lining-out cases from the OSHA 300 log. The practices identified by OSHA suggest that many individuals are not following widely recognized and accepted practices when administering hearing conservation programs.
{"title":"Noise and Occupational Medicine: Common Practice Problems.","authors":"Andrew L Phillips, Ryan Cooney, Zachary B Harris, D. Myrtil, M. Hodgson","doi":"10.1097/JOM.0000000000001728","DOIUrl":"https://doi.org/10.1097/JOM.0000000000001728","url":null,"abstract":": Noise-induced hearing loss (NIHL) represents the second most common occupational disease in the US. Although the Occupational Safety and Health Administration (OSHA) has promulgated an occupational noise exposure standard and associated recordkeeping requirements, OSHA inspections increasingly document practices that violate both the noise standard and recordkeeping regulation. This paper describes five deviations from good clinical practices masking the true societal costs of NIHL, leading to missed prevention opportunities, and creating burdens for individuals and society. These include attributing NIHL to non-occupational sources, exculpating the workplace because of audiogram patterns without careful documentation, ignoring symptoms or physical examination findings, and simply denying work-relatedness, leading to employers inappropriately lining-out cases from the OSHA 300 log. The practices identified by OSHA suggest that many individuals are not following widely recognized and accepted practices when administering hearing conservation programs.","PeriodicalId":46545,"journal":{"name":"International Journal of Occupational and Environmental Medicine","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80014604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-01DOI: 10.1097/JOM.0000000000001677
Pamela L Krahl, Edward Benchoff, Y. Go, Dean P. Jones, M. Smith, D. Walker, K. Uppal, C. Woeller, T. Thatcher, J. Thakar, R. Phipps, P. Hopke, M. Utell, Timothy M Mallon
OBJECTIVE Review advances in exposure assessment offered by the exposome concept and new -omics and sensor technologies. METHODS Narrative review of advances, including current efforts and potential future applications by the US military. RESULTS Exposure assessment methods from both bottom-up and top-down exposomics approaches are advancing at a rapid pace, and the US military is engaged in developing both approaches. Top-down approaches employ various -omics technologies to identify biomarkers of internal exposure and biological effect. Bottom-up approaches use new sensor technology to better measure external dose. Key challenges of both approaches are largely centered around how to integrate, analyze, and interpret large datasets that are multidimensional and disparate. CONCLUSIONS Advances in -omics and sensor technologies may dramatically enhance exposure assessment and improve our ability to characterize health risks related to occupational and environmental exposures, including for the US military.
{"title":"Advances in Comprehensive Exposure Assessment: Opportunities for the US Military.","authors":"Pamela L Krahl, Edward Benchoff, Y. Go, Dean P. Jones, M. Smith, D. Walker, K. Uppal, C. Woeller, T. Thatcher, J. Thakar, R. Phipps, P. Hopke, M. Utell, Timothy M Mallon","doi":"10.1097/JOM.0000000000001677","DOIUrl":"https://doi.org/10.1097/JOM.0000000000001677","url":null,"abstract":"OBJECTIVE\u0000Review advances in exposure assessment offered by the exposome concept and new -omics and sensor technologies.\u0000\u0000\u0000METHODS\u0000Narrative review of advances, including current efforts and potential future applications by the US military.\u0000\u0000\u0000RESULTS\u0000Exposure assessment methods from both bottom-up and top-down exposomics approaches are advancing at a rapid pace, and the US military is engaged in developing both approaches. Top-down approaches employ various -omics technologies to identify biomarkers of internal exposure and biological effect. Bottom-up approaches use new sensor technology to better measure external dose. Key challenges of both approaches are largely centered around how to integrate, analyze, and interpret large datasets that are multidimensional and disparate.\u0000\u0000\u0000CONCLUSIONS\u0000Advances in -omics and sensor technologies may dramatically enhance exposure assessment and improve our ability to characterize health risks related to occupational and environmental exposures, including for the US military.","PeriodicalId":46545,"journal":{"name":"International Journal of Occupational and Environmental Medicine","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85231872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-01DOI: 10.1097/JOM.0000000000001687
M. Smith, D. Walker, K. Uppal, M. Utell, P. Hopke, Timothy M Mallon, Pamela L Krahl, Patricia Rohrbeck, Y. Go, Dean P. Jones
OBJECTIVE A study was conducted to identifymetabolic-related effects of benzo[a]pyrene (BaP) on human lung epithelial cells and validate these findings using human sera. METHODS Human lung epithelial cells were treated with BaP, and extracts were analyzed with a global metabolome-wide association study (MWAS) to test for pathways and metabolites altered relative to vehicle controls. RESULTS MWAS results showed that BaP metabolites were among the top metabolites differing between BaP-treated cells and controls. Pathway enrichment analysis further confirmed that fatty acid, lipid, and mitochondrial pathways were altered by BaP. Human sera analysis showed that lipids varied with BaP concentration. BaP associations with amino acid metabolism were found in both models. CONCLUSIONS These findings show that BaP has broad metabolic effects, and suggest that air pollution exacerbates disease processes by altered mitochondrial and amino acid metabolism.
{"title":"Benzo[a]pyrene Perturbs Mitochondrial and Amino Acid Metabolism in Lung Epithelial Cells and Has Similar Correlations With Metabolic Changes in Human Serum.","authors":"M. Smith, D. Walker, K. Uppal, M. Utell, P. Hopke, Timothy M Mallon, Pamela L Krahl, Patricia Rohrbeck, Y. Go, Dean P. Jones","doi":"10.1097/JOM.0000000000001687","DOIUrl":"https://doi.org/10.1097/JOM.0000000000001687","url":null,"abstract":"OBJECTIVE\u0000A study was conducted to identifymetabolic-related effects of benzo[a]pyrene (BaP) on human lung epithelial cells and validate these findings using human sera.\u0000\u0000\u0000METHODS\u0000Human lung epithelial cells were treated with BaP, and extracts were analyzed with a global metabolome-wide association study (MWAS) to test for pathways and metabolites altered relative to vehicle controls.\u0000\u0000\u0000RESULTS\u0000MWAS results showed that BaP metabolites were among the top metabolites differing between BaP-treated cells and controls. Pathway enrichment analysis further confirmed that fatty acid, lipid, and mitochondrial pathways were altered by BaP. Human sera analysis showed that lipids varied with BaP concentration. BaP associations with amino acid metabolism were found in both models.\u0000\u0000\u0000CONCLUSIONS\u0000These findings show that BaP has broad metabolic effects, and suggest that air pollution exacerbates disease processes by altered mitochondrial and amino acid metabolism.","PeriodicalId":46545,"journal":{"name":"International Journal of Occupational and Environmental Medicine","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83294771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-01DOI: 10.1097/JOM.0000000000001721
A. Allemann, Klarissa Siebenhüner, O. Hämmig
OBJECTIVE The aim of this cross-sectional study was to examine work- and person-related predictors of the largely "invisible" behaviour and phenomenon of presenteeism among employees in a health-care setting in German-speaking Switzerland. METHODS Self-reported survey data from 1,840 employees of four hospitals and two rehabilitation clinics collected in 2015 and 2016 were utilized and analyzed. RESULTS All studied work-related factors such as patient contact, job satisfaction, high work load, forced overtime, fear of job-loss, and particularly mental strain turned out to be significant and relevant predictors of presenteeism. Younger employees, female workers and employees with a chronic disease also were more likely to show presenteeism. CONCLUSION Work stress, work without patients, job dissatisfaction, a chronic disease and/or a younger age or rather less work experience seem to increase the chances of presenteeism among health-care workers.
{"title":"Predictors of Presenteeism among Hospital Employees: A Cross-Sectional Questionnaire-Based Study in Switzerland.","authors":"A. Allemann, Klarissa Siebenhüner, O. Hämmig","doi":"10.1097/JOM.0000000000001721","DOIUrl":"https://doi.org/10.1097/JOM.0000000000001721","url":null,"abstract":"OBJECTIVE\u0000The aim of this cross-sectional study was to examine work- and person-related predictors of the largely \"invisible\" behaviour and phenomenon of presenteeism among employees in a health-care setting in German-speaking Switzerland.\u0000\u0000\u0000METHODS\u0000Self-reported survey data from 1,840 employees of four hospitals and two rehabilitation clinics collected in 2015 and 2016 were utilized and analyzed.\u0000\u0000\u0000RESULTS\u0000All studied work-related factors such as patient contact, job satisfaction, high work load, forced overtime, fear of job-loss, and particularly mental strain turned out to be significant and relevant predictors of presenteeism. Younger employees, female workers and employees with a chronic disease also were more likely to show presenteeism.\u0000\u0000\u0000CONCLUSION\u0000Work stress, work without patients, job dissatisfaction, a chronic disease and/or a younger age or rather less work experience seem to increase the chances of presenteeism among health-care workers.","PeriodicalId":46545,"journal":{"name":"International Journal of Occupational and Environmental Medicine","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85266228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-01DOI: 10.1097/JOM.0000000000001719
S. Braaf, A. Collie, S. Ameratunga, J. Harrison, W. Teague, P. Cameron, N. Christie, B. Gabbe
OBJECTIVE To explore how people with serious injuries returned to paid employment in the first 3-years after injury. METHODS Fifty-four adult survivors of serious injuries were interviewed at 3-years post-injury, all of whom had returned to work and were currently employed. A framework analysis approach was undertaken. RESULTS Participant decisions and actions taken to return to work (RTW) were influenced by their resilience, approach to adjusting goals, priorities and plans, and how social connections and relationships were used and maintained. The environment in which these decisions and actions were taken shaped opportunities for work in meaningful, appropriate and sustained employment. CONCLUSIONS Our study of 54 people who RTW indicated the importance of personal adjustments and resources, positive social relations, and advanced planning aligning with responsive employers, insurers and health professionals for successful RTW.
{"title":"A Qualitative Exploration of Return to Work in the First 3-Years After Serious Injury.","authors":"S. Braaf, A. Collie, S. Ameratunga, J. Harrison, W. Teague, P. Cameron, N. Christie, B. Gabbe","doi":"10.1097/JOM.0000000000001719","DOIUrl":"https://doi.org/10.1097/JOM.0000000000001719","url":null,"abstract":"OBJECTIVE\u0000To explore how people with serious injuries returned to paid employment in the first 3-years after injury.\u0000\u0000\u0000METHODS\u0000Fifty-four adult survivors of serious injuries were interviewed at 3-years post-injury, all of whom had returned to work and were currently employed. A framework analysis approach was undertaken.\u0000\u0000\u0000RESULTS\u0000Participant decisions and actions taken to return to work (RTW) were influenced by their resilience, approach to adjusting goals, priorities and plans, and how social connections and relationships were used and maintained. The environment in which these decisions and actions were taken shaped opportunities for work in meaningful, appropriate and sustained employment.\u0000\u0000\u0000CONCLUSIONS\u0000Our study of 54 people who RTW indicated the importance of personal adjustments and resources, positive social relations, and advanced planning aligning with responsive employers, insurers and health professionals for successful RTW.","PeriodicalId":46545,"journal":{"name":"International Journal of Occupational and Environmental Medicine","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75346729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-01DOI: 10.1097/JOM.0000000000001729
Selin Kim, W. Jeong, Y. Kim, S. Jang, E. Park
OBJECTIVES Insomnia is one of the most prevalent disorders, and it is associated with various factors. Therefore, this study aimed to examine the association between perceived job insecurity and insomnia. METHODS Multiple logistic regression analysis was used to examine the association between three levels of perceived job insecurity and insomnia using the 2017 Korean Working Conditions Survey. RESULTS Approximately 10.2% of the total study population has insomnia. The higher the perception of job insecurity, the greater the chance for insomnia in both men (odds ratio=4.03, 95% confidence interval = 3.18-5.11) and women (odds ratio = 4.44, 95% confidence interval = 3.41-5.77). CONCLUSION These findings reveal the gender differences in insomnia, thus suggesting the need to implement different approaches to deal with perceived job insecurity based on gender.
{"title":"Gender Differences With Regard to Perceived Job Insecurity and Insomnia In A Working Population.","authors":"Selin Kim, W. Jeong, Y. Kim, S. Jang, E. Park","doi":"10.1097/JOM.0000000000001729","DOIUrl":"https://doi.org/10.1097/JOM.0000000000001729","url":null,"abstract":"OBJECTIVES\u0000Insomnia is one of the most prevalent disorders, and it is associated with various factors. Therefore, this study aimed to examine the association between perceived job insecurity and insomnia.\u0000\u0000\u0000METHODS\u0000Multiple logistic regression analysis was used to examine the association between three levels of perceived job insecurity and insomnia using the 2017 Korean Working Conditions Survey.\u0000\u0000\u0000RESULTS\u0000Approximately 10.2% of the total study population has insomnia. The higher the perception of job insecurity, the greater the chance for insomnia in both men (odds ratio=4.03, 95% confidence interval = 3.18-5.11) and women (odds ratio = 4.44, 95% confidence interval = 3.41-5.77).\u0000\u0000\u0000CONCLUSION\u0000These findings reveal the gender differences in insomnia, thus suggesting the need to implement different approaches to deal with perceived job insecurity based on gender.","PeriodicalId":46545,"journal":{"name":"International Journal of Occupational and Environmental Medicine","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90258132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-01DOI: 10.1097/jom.0000000000001755
Andrew Mccarthy, Naransukh Damiran
OBJECTIVE Prevalence of non-communicable diseases (NCD) is growing among workers globally, causing 71% of all premature deaths. We determined baseline prevalence of risk factors among mine workers. METHOD 1169 employees were randomly recruited to a cross sectional study. The study focused on key risk factors of hypertension, obesity, alcohol use and smoking status. These factors are known key contributors to NCD risk. RESULTS Results of the study showed prevalence's of hypertension 12.9%, obesity 64.1%, alcohol users 22.1% and smokers 38.8%. The general population prevalence's are 27.5%, 56.8%, 15.5% and 24.8% respectively. CONCLUSION Prevalence of hypertension for the study cohort was lower than general population which may be the healthy worker effect. Obesity, alcohol use and smoking rates however, were slightly higher in the study cohort. Reducing the prevalence of risk factors will require significant resources.
{"title":"Non Communicable Disease risk factors among a cohort of mine workers in Mongolia.","authors":"Andrew Mccarthy, Naransukh Damiran","doi":"10.1097/jom.0000000000001755","DOIUrl":"https://doi.org/10.1097/jom.0000000000001755","url":null,"abstract":"OBJECTIVE\u0000Prevalence of non-communicable diseases (NCD) is growing among workers globally, causing 71% of all premature deaths. We determined baseline prevalence of risk factors among mine workers.\u0000\u0000\u0000METHOD\u00001169 employees were randomly recruited to a cross sectional study. The study focused on key risk factors of hypertension, obesity, alcohol use and smoking status. These factors are known key contributors to NCD risk.\u0000\u0000\u0000RESULTS\u0000Results of the study showed prevalence's of hypertension 12.9%, obesity 64.1%, alcohol users 22.1% and smokers 38.8%. The general population prevalence's are 27.5%, 56.8%, 15.5% and 24.8% respectively.\u0000\u0000\u0000CONCLUSION\u0000Prevalence of hypertension for the study cohort was lower than general population which may be the healthy worker effect. Obesity, alcohol use and smoking rates however, were slightly higher in the study cohort. Reducing the prevalence of risk factors will require significant resources.","PeriodicalId":46545,"journal":{"name":"International Journal of Occupational and Environmental Medicine","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90470758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-01DOI: 10.1097/JOM.0000000000001749
Lisa C. Bosman, J. Twisk, A. Geraedts, M. Heymans
OBJECTIVE The aim of this study was to develop a prediction model for the prognosis of sick leave due to low back pain (LBP). METHODS This is a cohort study with 103 employees sick-listed due to non-specific LBP and spinal disc herniation. A prediction model was developed based on questionnaire data and registered sick leave data with follow up of 180 days. RESULTS At follow up 31 (30.1%) employees were still sick-listed due to LBP. Forward selection procedure resulted in a model with: catastrophizing, musculoskeletal work load, and disability. The explained variance was 27.3%, calibration was adequate and discrimination was fair with AUC = 0.761 [IQR: 0.755-0.770]. CONCLUSION The prediction model of this study can adequately predict LBP sick leave after 180 days and could be used for employees sick listed due LBP.
{"title":"Development of Prediction Model for the Prognosis of Sick Leave Due to Low Back Pain.","authors":"Lisa C. Bosman, J. Twisk, A. Geraedts, M. Heymans","doi":"10.1097/JOM.0000000000001749","DOIUrl":"https://doi.org/10.1097/JOM.0000000000001749","url":null,"abstract":"OBJECTIVE\u0000The aim of this study was to develop a prediction model for the prognosis of sick leave due to low back pain (LBP).\u0000\u0000\u0000METHODS\u0000This is a cohort study with 103 employees sick-listed due to non-specific LBP and spinal disc herniation. A prediction model was developed based on questionnaire data and registered sick leave data with follow up of 180 days.\u0000\u0000\u0000RESULTS\u0000At follow up 31 (30.1%) employees were still sick-listed due to LBP. Forward selection procedure resulted in a model with: catastrophizing, musculoskeletal work load, and disability. The explained variance was 27.3%, calibration was adequate and discrimination was fair with AUC = 0.761 [IQR: 0.755-0.770].\u0000\u0000\u0000CONCLUSION\u0000The prediction model of this study can adequately predict LBP sick leave after 180 days and could be used for employees sick listed due LBP.","PeriodicalId":46545,"journal":{"name":"International Journal of Occupational and Environmental Medicine","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77263484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-01DOI: 10.1097/JOM.0000000000001699
Antti Äikäs, P. Absetz, M. Hirvensalo, N. Pronk
OBJECTIVE To investigate participation and effectiveness of a multiyear comprehensive workplace health promotion (WHP) program. METHODS Participation and effectiveness data came from employer and vendor systems. Health data came from health risk assessments (HRA) and biometric screenings. Participation and effectiveness were analyzed using descriptive analyses, T-tests and Mann-Whitney U tests where appropriate. Overall impact was assessed using the PIPE Impact Metric. RESULTS 86% of employees completed the HRA and 80% the biometrical screenings. Annual participation rate was 24%, and total reach was 58%. The portion of successful participants was 23% in 2010-2013 and 18% in 2014-2017. PIPE Impact scores were 18% for 2010-2013 and 14% for the 2014-2017 study periods. CONCLUSION Despite modest annual participation rates, overall eight year reach was considered reasonable. Conservatively, we consider the overall program impact to be moderate.
{"title":"What Can You Achieve in Eight Years? A Case Study on Participation, Effectiveness, and Overall Impact of a Comprehensive Workplace Health Promotion Program.","authors":"Antti Äikäs, P. Absetz, M. Hirvensalo, N. Pronk","doi":"10.1097/JOM.0000000000001699","DOIUrl":"https://doi.org/10.1097/JOM.0000000000001699","url":null,"abstract":"OBJECTIVE\u0000To investigate participation and effectiveness of a multiyear comprehensive workplace health promotion (WHP) program.\u0000\u0000\u0000METHODS\u0000Participation and effectiveness data came from employer and vendor systems. Health data came from health risk assessments (HRA) and biometric screenings. Participation and effectiveness were analyzed using descriptive analyses, T-tests and Mann-Whitney U tests where appropriate. Overall impact was assessed using the PIPE Impact Metric.\u0000\u0000\u0000RESULTS\u000086% of employees completed the HRA and 80% the biometrical screenings. Annual participation rate was 24%, and total reach was 58%. The portion of successful participants was 23% in 2010-2013 and 18% in 2014-2017. PIPE Impact scores were 18% for 2010-2013 and 14% for the 2014-2017 study periods.\u0000\u0000\u0000CONCLUSION\u0000Despite modest annual participation rates, overall eight year reach was considered reasonable. Conservatively, we consider the overall program impact to be moderate.","PeriodicalId":46545,"journal":{"name":"International Journal of Occupational and Environmental Medicine","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86475507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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