Educational intervention for reducing work-related musculoskeletal disorders and promoting productivity

Abareshi, Fatemeh; Yarahmadi, Rasoul; Solhi, Mahnaz; Farshad, Ali Asghar

doi:10.1080/10803548.2015.1087729

Cited by 30 publications

(24 citation statements)

References 14 publications

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“…Several studies have supported that educational interventions mitigating risk factors help prevent workers from developing MSDs (12)(13)(14). The current study supports the idea that the educational baseline of patients has an impact on compliance with physician advice.…”

Section: Discussionmentioning

confidence: 99%

“…Studies have shown that physicians play a significant role in educating and promoting healthier lifestyles in their patients (10,11). Educational interventions in individuals with MSDs demonstrated effectiveness in reducing risk factors, improving productivity, and reducing pain and anxiety (12)(13)(14). However, non-compliance thwarts many effective treatment plans regardless of disease (15).…”

Section: Introductionmentioning

confidence: 99%

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Self-Reported Patient Compliance With Physician Advised Lifestyle Behavior Changes Among Adults With Musculoskeletal Conditions

Chen

Dennis

John

et al. 2022

Front. Public Health

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IntroductionApproximately half of adult Americans suffer from musculoskeletal disorders (MSD). Significant risk factors for musculoskeletal disorders include poor diet, obesity, and insufficient physical activity. Studies show that lifestyle change education and interventions reduce MSD risk factors. However, little is known about the relationship between physician advice for behavior change and reported behavior change by MSD patients. This study explored the association between physician advice for lifestyle change and reported change in MSD patients, as well as the effects that patient education levels have on compliance.MethodsThis study used data from the 2017 National Health Interview Survey, a nationally representative cross-sectional survey of non-institutionalized US adults. The research team limited analysis to adults who reported a limitation due to musculoskeletal problems (n = 2,672). Outcomes included physician recommendations to increase physical activity, reduce fat/calories, or lose weight, and whether they enacted these behavioral changes. Adjusted logistic regression models examined whether compliance with doctor's instructions differed by education level.ResultsAdjusted models show patients advised to change physical activity, diet, and weight were more likely to report attempted behavior change. Education was positively associated with likelihood of complying with physician advice to increase physical activity. Among patients not advised to change behaviors by a physician, education was positively associated with current behavior change attempts.ConclusionThis study suggests that physician recommendations are relevant predictors of reported behavior change in individuals with MSD. Although education plays an important role in this association, the relationship is complex and multifaceted. Future studies should explore how compliance may be impacted by other factors, such as physician message type.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Self-Reported Patient Compliance With Physician Advised Lifestyle Behavior Changes Among Adults With Musculoskeletal Conditions

Chen

Dennis

John

et al. 2022

Front. Public Health

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“…Acute MSK injuries are very common, particularly among working-age adults, with 2.9 million injuries in the workplace reported in 2016 [ 1 , 2 ], as well as in sports, with ~ 4.2 million emergency room visits between 2014 and 2016 in the United States (US) [ 2 ]. The combination of high incidence and both high direct (diagnosis, initial management, rehabilitation) and indirect costs (lost work productivity, lost wages for workers) translates into a very high economic burden [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Telerehabilitation of acute musculoskeletal multi-disorders: prospective, single-arm, interventional study

Costa

Janela

Molinos

et al. 2022

BMC Musculoskelet Disord

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Background Acute musculoskeletal (MSK) pain is very common and associated with impaired productivity and high economic burden. Access to timely and personalized, evidence-based care is key to improve outcomes while reducing healthcare expenditure. Digital interventions can facilitate access and ensure care scalability. Objective Present the feasibility and results of a fully remote digital care program (DCP) for acute MSK conditions affecting several body areas. Methods Interventional single-arm study of individuals applying for digital care programs for acute MSK pain. Primary outcome was the mean change between baseline and end-of-program in self-reported Numerical Pain Rating Scale (NPRS) score and secondary outcomes were change in analgesic consumption, intention to undergo surgery, anxiety (GAD-7), depression (PHQ-9), fear-avoidance beliefs (FABQ-PA), work productivity (WPAI-GH) and engagement. Results Three hundred forty-three patients started the program, of which 300 (87.5%) completed the program. Latent growth curve analysis (LGCA) revealed that changes in NPRS between baseline and end-of-program were both statistically (p < 0.001) and clinically significant: 64.3% reduction (mean − 2.9 points). Marked improvements were also noted in all secondary outcomes: 82% reduction in medication intake, 63% reduction in surgery intent, 40% in fear-avoidance beliefs, 54% in anxiety, 58% in depression and 79% recovery in overall productivity. All outcomes had steeper improvements in the first 4 weeks, which paralleled higher engagement in this period (3.6 vs 3.2 overall weekly sessions, p < 0.001). Mean patient satisfaction score was 8.7/10 (SD 1.26). Strengths and limitations This is the first longitudinal study demonstrating the feasibility of a DCP for patients with acute MSK conditions involving several body areas. Major strengths of this study are the large sample size, the wide range of MSK conditions studied, the breadth of outcomes measured, and the very high retention rate and adherence level. The major limitation regards to the absence of a control group. Conclusions We observed very high completion and engagement rates, as well as clinically relevant changes in all health-related outcomes and productivity recovery. We believe this DCP holds great potential in the delivery of effective and scalable MSK care. Trial registration NCT, NCT04092946. Registered 17/09/2019;

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“…Alguns trabalhadores questionavam porque a própria empresa, muitas vezes, não lhes forneciam informações para a prevenção de acidentes e/ou promoção da saúde no trabalho. Segundo Abareshi et al (2015), intervenções educativas no ambiente de trabalho com enfoque ergonômico podem reduzir o risco de adoecimento por LER/DORT e contribuir na melhora da produção. Entretanto, o empregador não deve estar isento das responsabilidades de garantias de saúde e segurança aos trabalhadores.…”

Section: Encontrosunclassified

Grupos de trabalhadores acometidos por LER/DORT: relato de experiência

Zavarizzi¹,

Carvalho²,

Alencar³

2019

Cad. Bras. Ter. Ocup.

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Educational intervention for reducing work-related musculoskeletal disorders and promoting productivity

Abstract: The conducted study shows that ergonomic training based on the protection motivation theory is effective in reducing musculoskeletal risk factors and that increased knowledge of the subject can lead to an increase in productivity.

Cited by 30 publications

References 14 publications

Self-Reported Patient Compliance With Physician Advised Lifestyle Behavior Changes Among Adults With Musculoskeletal Conditions

Self-Reported Patient Compliance With Physician Advised Lifestyle Behavior Changes Among Adults With Musculoskeletal Conditions

Telerehabilitation of acute musculoskeletal multi-disorders: prospective, single-arm, interventional study

Grupos de trabalhadores acometidos por LER/DORT: relato de experiência

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