Health-related effects of early part-time sick leave due to musculoskeletal disorders: a randomized controlled trial

Shiri, Rahman; Kausto, Johanna; Martimo, Kari-Pekka; Kaila-Kangas, Leena; Takala, Esa-Pekka; Viikari‐Juntura, Eira

doi:10.5271/sjweh.3301

Cited by 29 publications

(38 citation statements)

References 32 publications

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“…In the second study, based on the same randomized controlled trial, the authors find no difference between intervention and control group with respect to health outcomes like pain intensity or pain interference with work and sleep. At least, the intervention group reported better self-assessed health and quality of life [28].…”

Section: Literature Reviewmentioning

confidence: 99%

“…The authors find strong differences between the three municipalities and conclude contextual factors to be important for program success. For musculoskeletal disorders, health effects of early part-time sick leave in Finland are analyzed in two studies [27,28]. In a randomized controlled trial of six occupational units of medium and large enterprises, working time was reduced to 50 % for the treatment group whereas the control group was on full-time sick leave [27].…”

Section: Literature Reviewmentioning

confidence: 99%

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Long-term sick leave and the impact of a graded return-to-work program: evidence from Germany

2015

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The implementation of a graded return-to-work (RTW) program to reintegrate the long-term sick started in Germany in 1971 and has been manifested in the Social Code Book V since 1989. Based on a return plan by the physician and the insured, participants increase their working hours slowly over a specified period of time. As participants are still classified as incapable of working they still receive sick leave benefits. Using claims data from the Techniker Krankenkasse, the largest German sickness fund, the study aims at identifying participants and analyzing the full return-to-work and the impact of the RTW program. Thereby, we account for socio-economic factors, insurance-based characteristics, and medical and health-related information. We consider a possible selection bias by using individual weights to analyze determinants of length of the sickness absence by applying models for survival analysis (Cox proportional hazard model). As a main result - depending on the central assumption of unconfoundedness - sickness absence is positively related to participation in the RTW program for those with sickness absence longer than 120 days. For mental disorders, our results indicate an even stronger effect. The study results emphasize the need further promotion of this instrument among those insured, physicians and employers, as occupational health management is one key for a successful return-to-work.

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Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Long-term sick leave and the impact of a graded return-to-work program: evidence from Germany

2015

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“…Twenty per cent of responders reported MSDs in the past 12 months but only 7% attributed absences to MSDs. Risk factors with the strongest relationships were “tiring or painful working position” and ability to “choose or change the speed or rate of work.” Shiri et al 8 compared workers that were either on full or part time sick leave. The part-time sick leave was considered an intervention and workload was reduced by restricting work time by about half.…”

Section: Introductionmentioning

confidence: 99%

Further Trends in Work-Related Musculoskeletal Disorders

Dick

Lowe

et al. 2015

Journal of Occupational &Amp; Environmental Medicine

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Objective Report trends for risk of musculoskeletal disorders (MSDs). Methods Three QWL surveys examine the risk factors for MSDs. Results Findings similar for several risk factors, but differences across the reporting years may reflect economic conditions. 2010 respondent numbers were reduced, some risk factors had pattern changes and there were gender and age differences. Trend analysis showed most significant changes were for the “Work Fast” risk factor. New 2010 “Physical Effort” item showed gender differences and items reflective of total worker health showed strong associations with “Back Pain” and “Pain in Arms.” Conclusions Intervention strategies should focus on physical exposures and psychosocial risk factors (work stress, safety climate, job satisfaction, supervisor support, work fast, work freedom, work time) that have been consistently related to reports of MSDs. Economic conditions will influence some psychosocial risk factors.

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“…In this study the group with no SLDP the year before MMR differentiate, but in an RCT, Shiri et al [42] found that part-time sick leave at an early stage, may be advantageous to improve perceived HRQoL. SLDP-episodes the year before MMR was associated with being on sick-leave at month four after MMR start.…”

Section: Discussionmentioning

confidence: 86%

Promoting work ability in a structured national rehabilitation program in patients with musculoskeletal disorders: outcomes and predictors in a prospective cohort study

Stigmar

Petersson

Jöud

et al. 2013

BMC Musculoskelet Disord

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BackgroundMusculoskeletal disorders (MSDs) are a major reason for impaired work productivity and sick leave. In 2009, a national rehabilitation program was introduced in Sweden to promote work ability, and patients with MSDs were offered multimodal rehabilitation. The aim of this study was to analyse the effect of this program on health related quality of life, function, sick leave and work ability.MethodsWe conducted a prospective, observational cohort study including 406 patients with MSDs attending multimodal rehabilitation. Changes over time and differences between groups were analysed concerning function, health related quality of life, work ability and sick leave. Regression analyses were used to study the outcome variables health related quality of life (measured with EQ-5D), and sick leave.ResultsFunctional ability and health related quality of life improved after rehabilitation. Patients with no sick leave/disability pension the year before rehabilitation, improved health related quality of life more than patients with sick leave/disability pension the year before rehabilitation (p = 0.044). During a period of −/+ four months from rehabilitation start, patients with EQ-5D ≥ 0.5 at rehabilitation start, reduced their net sick leave days with 0.5 days and patients with EQ-5D <0.5 at rehabilitation start, increased net sick leave days with 1.5 days (p = 0.019). Factors negatively associated with sick leave at follow-up were earlier episodes of sick leave/disability pension, problems with exercise tolerance functions and mobility after rehabilitation. Higher age was associated with not being on sick leave at follow-up and reaching an EQ-5D ≥ 0.5 at follow-up. Severe pain after rehabilitation, problems with exercise tolerance functions, born outside of Sweden and full-time sick leave/disability pension the year before rehabilitation were all associated with an EQ-5D level < 0.5 at follow-up.ConclusionsPatients with MSDs participating in a national work promoting rehabilitation program significantly improved their health related quality of life and functional ability, especially those with no sick leave. This shows that vocational rehabilitation programs in a primary health care setting are effective. The findings of this study can also be valuable for more appropriate patient selection for rehabilitation programs for MSDs.

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Health-related effects of early part-time sick leave due to musculoskeletal disorders: a randomized controlled trial

Cited by 29 publications

References 32 publications

Long-term sick leave and the impact of a graded return-to-work program: evidence from Germany

Long-term sick leave and the impact of a graded return-to-work program: evidence from Germany

Further Trends in Work-Related Musculoskeletal Disorders

Promoting work ability in a structured national rehabilitation program in patients with musculoskeletal disorders: outcomes and predictors in a prospective cohort study

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