Sickness absence among peer-supported drivers after occupational trauma

Abstract

Severe and fatal PTEs had the strongest impact on sickness absence after PTEs. For less severe PTE, peer support provided by colleagues may be superior to supervisor support.

Peer Support and Crisis-Focused Psychological Interventions Designed to Mitigate Post-Traumatic Stress Injuries among Public Safety and Frontline Healthcare Personnel: A Systematic Review

“…In a prospective cohort study, Carleton et al [ 33 ] reported short-lived, small, but statistically significant improvements in stigma following the Road to Mental Readiness training program, but no statistically significant improvements in mental health. The two retrospective cohort studies [ 34 , 36 ] examined sick days as an outcome measure, while one study [ 38 ] examined suicide rates. Again, all studies reported favorable results, with varying quality of research and strength of evidence.…”

“…All of the 14 studies received at least one high risk or unclear rating on the strength of evidence criteria. One study was rated moderate to high quality [ 35 ], nine studies were of moderate to low quality [ 27 , 31 , 32 , 33 , 34 , 36 , 37 , 38 , 39 ], and four studies were of low quality [ 28 , 29 , 30 , 40 ].…”

“…Half of the studies included in the current review did not demonstrate that their sample was representative of the larger population of workers with respect to demographic variables such as sex, average age, or years of service, limiting generalizability of their results. All studies were rated at a low risk of bias regarding selection of the non-exposed cohort, which was either randomly selected from the same population in the case of RCTs [ 31 , 32 , 35 , 37 ], or compared to a sample from the same larger population that did not offer the service in question [ 27 , 34 , 36 , 38 ], or not applicable for single-sample cross-sectional and prospective cohort study designs [ 28 , 29 , 30 , 33 , 39 , 40 ]. There were four studies rated a high risk of bias due to participants self-reporting prior participation in, or exposure to, a given intervention [ 27 , 28 , 30 ] or due to a substantial proportion of the sample (41%) being unaware of the availability of the service prior to taking part in the study [ 40 ].…”

Impact of Railway Critical Incidents on Train Drivers and Effectiveness of Critical Incident Management and Support Protocols

“…There is a cumulative effect when train drivers are confronted with more than one CI and the impact of these incidents adds up. 3,5,15,17,[19][20][21] Train drivers may also lose their concentration and motivation and simply wait around for retirement. 2 Additionally, when train drivers experience lack of meaning in life, loss of selfefficacy, feelings of failure, loss of control, or a sense of alienation or guilt following the CI, traumatic impacts have increased intensity and duration.…”

“…Most train drivers recover from CIs, but at different speeds. 17,18 It is important to identify factors that facilitate and hinder recovery in order to develop adequate support strategies. Prior studies have identified some risk and protective factors that are associated with the likelihood, extent, and speed of recovery:…”