A multifaceted workplace intervention for low back pain in nurses' aides: a pragmatic stepped wedge cluster randomised controlled trial

Autor: Andreas Holtermann, Karen Søgaard, Marie Birk Jørgensen, Hans Bay, Charlotte Diana Nørregaard Rasmussen
Rok vydání: 2015
Předmět:
Occupational therapy
Adult
Male
medicine.medical_specialty
education
Psychological intervention
Cognitive-behavioural training
law.invention
Physical medicine and rehabilitation
Randomized controlled trial
Occupational Therapy
law
Nursing Assistants
Intervention (counseling)
Surveys and Questionnaires
medicine
Cluster Analysis
Humans
Low back pain
Cluster randomised controlled trial
Workplace
Cognitive–behavioural training
Retrospective Studies
Randomised controlled trial
Intention-to-treat analysis
Cross-Over Studies
Occupational health
Cognitive Behavioral Therapy
business.industry
Low Back Pain/nursing
Cognitive Behavioral Therapy/methods
Participatory ergonomics
Middle Aged
Anesthesiology and Pain Medicine
Treatment Outcome
Neurology
Physical training
Physical therapy
Female
Neurology (clinical)
medicine.symptom
Occupational Therapy/methods
business
Low Back Pain
Research Paper
Zdroj: Pain
Nørregaard Rasmussen, C D, Holtermann, A, Bay, H, Søgaard, K & Jørgensen, M B 2015, ' A multifaceted workplace intervention for low back pain in nurses' aides : a pragmatic stepped wedge cluster randomised controlled trial ', Pain, vol. 156, no. 9, pp. 1786-1794 . https://doi.org/10.1097/j.pain.0000000000000234
ISSN: 1872-6623
DOI: 10.1097/j.pain.0000000000000234
Popis: A multifaceted workplace intervention with participatory ergonomics, cognitive–behavioural training, and physical training was effective in reducing low back pain days, intensity, and bothersomeness.
This study established the effectiveness of a workplace multifaceted intervention consisting of participatory ergonomics, physical training, and cognitive–behavioural training (CBT) for low back pain (LBP). Between November 2012 and May 2014, we conducted a pragmatic stepped wedge cluster randomised controlled trial with 594 workers from eldercare workplaces (nursing homes and home care) randomised to 4 successive time periods, 3 months apart. The intervention lasted 12 weeks and consisted of 19 sessions in total (physical training [12 sessions], CBT [2 sessions], and participatory ergonomics [5 sessions]). Low back pain was the outcome and was measured as days, intensity (worst pain on a 0-10 numeric rank scale), and bothersomeness (days) by monthly text messages. Linear mixed models were used to estimate the intervention effect. Analyses were performed according to intention to treat, including all eligible randomised participants, and were adjusted for baseline values of the outcome. The linear mixed models yielded significant effects on LBP days of −0.8 (95% confidence interval [CI], −1.19 to −0.38), LBP intensity of −0.4 (95% CI, −0.60 to −0.26), and bothersomeness days of −0.5 (95% CI, −0.85 to −0.13) after the intervention compared with the control group. This study shows that a multifaceted intervention consisting of participatory ergonomics, physical training, and CBT can reduce LBP among workers in eldercare. Thus, multifaceted interventions may be relevant for improving LBP in a working population.
Databáze: OpenAIRE
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