The implementation of occupational health guidelines principles for reducing sickness absence due to musculoskeletal disorders

Occupational Medicine
Serena McCluskeyChris J Main

Abstract

Occupational health guidelines recommend a biopsychosocial approach to manage sickness absence due to musculoskeletal disorders (MSDs), with a primary focus on early intervention through provision of a supportive network. To investigate the implementation of a guidelines-based intervention (early contact of absentees; addressing psychosocial obstacles; offering temporary modified work; communicating among the players), and to determine whether this is effective for reducing return-to-work times and duration of future absence. A non-randomized controlled trial was conducted within a UK company. Occupational health nurses at two experimental sites (1,435 workers) were trained to deliver the intervention to workers taking absence due to MSDs (low back and upper limb disorders), while usual care was delivered at three control sites (1,483 workers). Company-recorded absence data were collected over a 12-month follow-up period. The implementation of the experimental intervention was impeded by unforeseen organizational obstacles at one site (policies, procedures and individual approaches) which had a detrimental effect on uptake and delivery. At the site where the intervention was delivered per protocol, absence was significantly les...Continue Reading

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Citations

Apr 30, 2011·Journal of Occupational Rehabilitation·Kaveh A SanatiGhasem Yadegarfar
Dec 8, 2010·BMC Musculoskeletal Disorders·Carol CooleAvril Drummond
Jan 24, 2016·Journal of Occupational Rehabilitation·Jodi OakmanAndrew M Briggs
Jun 4, 2008·Best Practice & Research. Clinical Rheumatology·Michael K Nicholas
Sep 28, 2015·Work : a Journal of Prevention, Assessment, and Rehabilitation·Evangelia DemouEwan B Macdonald
Nov 1, 2016·Journal of Occupational Rehabilitation·Chris J MainUNKNOWN Hopkinton Conference Working Group on Workplace Disability Prevention
Mar 6, 2007·Occupational Medicine·Sue HignettSandra L Lee
Mar 31, 2017·The Cochrane Database of Systematic Reviews·Nicole VogelRegina Kunz
Dec 17, 2008·Occupational Medicine·A Kim BurtonL Christopher Bainbridge
Jun 20, 2017·Journal of Occupational and Environmental Medicine·Timothy D Phillips, Michael J Shoemaker

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