Do workplace interventions reduce disability rates?

Midtsundstad, Tove; Nielsen, Roy A.

doi:10.1093/occmed/kqw169

Cited by 21 publications

(21 citation statements)

References 20 publications

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“…Beyond these two studies, there is little scienti c knowledge on the impact of the IA Agreement on sickness absence that also takes into account the possible differential impacts by industry. Other scienti cally based evaluations of the IA Agreement have been carried out, largely reporting a positive impact, however, they have evaluated other outcomes, such as disability bene ts (10) and return to work after rehabilitation (9), and are therefore not comparable to our study.…”

Section: Methodological Considerationsmentioning

confidence: 81%

“…Two studies showed no impact on SA (7,8), while more recent studies, using causal inference methods, found positive impacts with a higher probability of returning to work (9) and a lower likelihood of receiving a full disability pension (10). These studies are, however, done on selected samples, such as participants on work rehabilitation (9) and older employees aged 50-61 (10), highlighting the need for studies on other samples/cohorts.…”

mentioning

confidence: 98%

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Long-term sickness absence among young and middle-aged workers in Norway: The impact of a population-level intervention

Hanvold¹,

Kristensen²,

Corbett

et al. 2020

Preprint

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Abstract Background The study objective was to evaluate the impact of a population-level intervention (the IA Agreement) on the one-year risk for long-term sickness absence spells (LSAS) among young and middle aged workers in Norway. Methods Using an observational design, we conducted a quasi-experimental study to analyse registry data on individual LSAS for all employed individuals in 2000 (n=298 690) and 2005 (n=352 618), born in Norway between 1976 and 1967. The intervention of interest was the tripartite agreement for a more inclusive working life (the IA Agreement). We estimated difference in pre-post differences (DID) in LSAS between individuals working in IA companies with the intervention and companies without, in 2000 and 2005. We used logistic regression models and present odds ratios (DID OR) with accompanying 95% CI. We stratified analyses by sex, industry and company size. Results . We found no significant change in the overall risk of long-term sickness absence spells after implementing the intervention among young and middle aged workers. Stratified by sex, the intervention resulted in a slight decrease in LSAS risk among female workers (DID OR 0.93 (0.91-0.96)) while the intervention showed no impact among male workers (DID OR 1.01 (0.97-1.06)). We found that companies signing the IA Agreement were large (≥50 employees) and often within the manufacturing and health and social sectors. In large manufacturing companies, we found a reduction in LSAS, among workers both in companies with and without the intervention, resulting in no statistically significant impact of the IA intervention. In large health and social companies, we found an increase in LSAS among workers both in companies with and without the intervention. The increase was smaller among the workers in companies offering the IA intervention compared with workers in companies without, resulting in a positive impact of the IA intervention in the health and social industry. This impact was statistically significant only among female workers. Conclusions The results indicate that the impact of the IA Agreement on the risk of long-term sickness absence spells varies considerably depending on sex and industry. These findings suggest that reducing LSAS may warrant industry-specific interventions.

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Section: Methodological Considerationsmentioning

confidence: 81%

mentioning

confidence: 98%

Long-term sickness absence among young and middle-aged workers in Norway: The impact of a population-level intervention

Hanvold¹,

Kristensen²,

Corbett

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…The key role of Finnish OHS is to provide healthcare services to organisations' employees, during which they can identify patients at risk of work-related diseases, and identify injuries and illnesses that threaten an employee's ability to work [13]. They are in a key position in the country to implement workplace interventions that can help prevent work-related diseases and decrease rates of work disability [14]. However, to date, little research has been conducted on the effectiveness of OHS in preventing work disability.…”

Section: Introductionmentioning

confidence: 99%

Improved recording of work relatedness during patient consultations in occupational primary health care: a cluster randomized controlled trial using routine data

Atkins

Reho

Talola

et al. 2020

Trials

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Background: Prolonging working careers is a key policy goal in ageing populations in Europe, but reaching this goal is complex. Occupational health services are in the best position to contribute towards prolonging working careers through preventing illnesses that cause work disability and early retirement. However, impacting on the trajectory between illness and work disability requires continuity of care and follow up, enabled through identifying patients at risk. We aimed to determine whether a combined educational and electronic reminder system in occupational health care could improve the recording and follow up of primary care visits made by patients at risk of work disability, and whether the system could impact on sickness absence rates. Methods: This study is a pragmatic, cluster-randomized controlled trial using medical record data. Twenty-two Pihlajalinna Työterveys units were randomized into an intervention group receiving education and electronic reminders or a group receiving usual care through minimization methods. Patient consultation data were extracted from routine Pihlajalinna Työterveys patient registers from 2015 to 2017. In addition, process indicators were collected from the electronic system. Data were cleaned and analysed on an intention-to-treat basis using analysis of covariance. Results: There was no significant difference between intervention and control units in terms of sickness absences of different duration. Process indicators suggested that there was a change in physicians' practice of recording patients' risk of work disability and work-relatedness of visits following the educational intervention. Conclusion: Education with an electronic reminder can change physicians' practice, but long-term follow up is needed to determine whether this impacts on patients' sickness absences.

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“…Occupational rehabilitation is a growing field of research and practice that has contributed to significant developments towards understanding the return-to-work (RTW) process and facilitating RTW outcomes. However, studies of RTW practices indicate variable [1] or minor changes to overall work disability rates [2,3]. This has been, at least in part, attributed to a lack of a comprehensive theoretical framework addressing work disability and RTW.…”

Section: Introductionmentioning

confidence: 99%

Model of Human Occupation as a framework for implementation of Motivational Interviewing in occupational rehabilitation

Park

Gross

Rayani

et al. 2019

WOR

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BACKGROUND: A conceptual framework is needed to understand injured workers' decision-making and inform evidencebased interventions to address behavior change regarding return-to-work (RTW). The Model of Human Occupation (MOHO) can help with understanding how an injured worker's characteristics can generate behavior change while Motivational Interviewing (MI) can help facilitate behavior change. OBJECTIVE: This theoretical paper provides an overview of how MOHO and MI can be applied and integrated in occupational rehabilitation. The objectives of this paper are to: (1) evaluate MOHO as a framework for supporting occupational therapists (OTs) in occupational rehabilitation; (2) describe MI as a suitable approach for OTs in occupational rehabilitation; and (3) compare and integrate MOHO and MI. METHOD: Several important works and reviews were used to integrate MOHO and MI with occupational rehabilitation. IMPLICATIONS FOR PRACTICE: The identification of a model and approach to support OT practice in occupational rehabilitation can assist OTs to determine the most appropriate interventions and contribute to standards of best practice. CONCLUSIONS: Integrating MOHO and MI provides a comprehensive framework for understanding impairment and RTW change processes with the potential to reduce work disability and improve RTW outcomes.

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Do workplace interventions reduce disability rates?

Cited by 21 publications

References 20 publications

Long-term sickness absence among young and middle-aged workers in Norway: The impact of a population-level intervention

Long-term sickness absence among young and middle-aged workers in Norway: The impact of a population-level intervention

Improved recording of work relatedness during patient consultations in occupational primary health care: a cluster randomized controlled trial using routine data

Model of Human Occupation as a framework for implementation of Motivational Interviewing in occupational rehabilitation

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