Effect of a back education program by the Lower Saxony AOK in response to the development of health related quality of life and occupational disability

Das Gesundheitswesen
M HoopmannU Walter

Abstract

The statutory sickness fund AOK Lower Saxony developed a specific course program for a target group of up to 55-year old employees with common back pain in the early satge of chronification. Comparative evaluation of effects in study participants and controls was achieved by quality of life and performance data, i.e. days of sick leave (DSL). Medium and long-term change inquality of life (6 and 12 months after the course) was assessed by means of the SF-36 dimensions for cases and controls and compared in bivariate and multivariate test. 92 of 197 baseline participants (or 127 participants who completed the programme) and 483 controls were included in the medium term effect analysis. Significant medium and long-term net efffects could only be shown for pain dimensions. Anonymised DSL data for all 5409 insured persons who were initially selected as potiential participants for the regionally restricted course programme in the second quarter of 1997 were available for the period from 01-01-1996 to 30-06-1999. For controlling any selection bias and potential regional differences, the initial DSL trends of the 197 baseline course participants were compared with two control groups, namely other insured from the programme region and c...Continue Reading

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