Worksite interventions for preventing physical deterioration among employees in job-groups with high physical work demands: Background, design and conceptual model of FINALE

BMC Public Health

Study Protocol

Kristian Overgaard¹  Jeanette R Christensen¹  Gisela Sjøgaard²  Bibi Gram²  Karen Søgaard²  John Ektor-Andersen³  Anne Faber⁴  Andreas Holtermann⁴  Marie B Jørgensen⁴  Ole S Mortensen⁵ 

[1] Department of Sport Science, Aarhus University, Denmark;Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark;Multidisciplinary Pain Clinic, Primary Care Region Skåne, Malmö, Sweden;National Research Centre for the Working Environment, Copenhagen, Denmark;National Research Centre for the Working Environment, Copenhagen, Denmark;Dept. of Occupational and Environmental Medicine, Bispebjerg University Hospital, Copenhagen, Denmark;

关键词: Sickness Absence;    Work Ability;    Musculoskeletal Disorder;    Physical Deterioration;    Physical Capacity;   

DOI  :  10.1186/1471-2458-10-120

 received in 2009-12-21, accepted in 2010-03-09,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundA mismatch between individual physical capacities and physical work demands enhance the risk for musculoskeletal disorders, poor work ability and sickness absence, termed physical deterioration. However, effective intervention strategies for preventing physical deterioration in job groups with high physical demands remains to be established. This paper describes the background, design and conceptual model of the FINALE programme, a framework for health promoting interventions at 4 Danish job groups (i.e. cleaners, health-care workers, construction workers and industrial workers) characterized by high physical work demands, musculoskeletal disorders, poor work ability and sickness absence.Methods/DesignA novel approach of the FINALE programme is that the interventions, i.e. 3 randomized controlled trials (RCT) and 1 exploratory case-control study are tailored to the physical work demands, physical capacities and health profile of workers in each job-group. The RCT among cleaners, characterized by repetitive work tasks and musculoskeletal disorders, aims at making the cleaners less susceptible to musculoskeletal disorders by physical coordination training or cognitive behavioral theory based training (CBTr). Because health-care workers are reported to have high prevalence of overweight and heavy lifts, the aim of the RCT is long-term weight-loss by combined physical exercise training, CBTr and diet. Construction work, characterized by heavy lifting, pushing and pulling, the RCT aims at improving physical capacity and promoting musculoskeletal and cardiovascular health. At the industrial work-place characterized by repetitive work tasks, the intervention aims at reducing physical exertion and musculoskeletal disorders by combined physical exercise training, CBTr and participatory ergonomics. The overall aim of the FINALE programme is to improve the safety margin between individual resources (i.e. physical capacities, and cognitive and behavioral skills) and physical work demands, and thereby reduce the physical deterioration in a long term perspective by interventions tailored for each respective job-group.DiscussionThe FINALE programme has the potential to provide evidence-based knowledge of significant importance for public health policy and health promotion strategies for employees at high risk for physical deterioration.Trial registrationsISRCTN96241850, NCT01015716 and NCT01007669

【 授权许可】

CC BY   
© Holtermann et al; licensee BioMed Central Ltd. 2010