Department of Rehabilitation Medicine, Center for Rehabilitation, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
BMC Public Health. 2012 Nov 20;12:1003. doi: 10.1186/1471-2458-12-1003.
Sustained employability and health are generating awareness of employers in an aging and more complex work force. To meet these needs, employers may offer their employees health surveillance programs, to increase opportunities to work on health and sustained employability. However, evidence for these health surveillance programs is lacking. The FLESH study (Functional Labour Evaluation for Sustained Health and employment) was developed to evaluate a comprehensive workers' health promotion program on its effectiveness, cost-benefit, and process of the intervention.
The study is designed as a cluster randomised stepped wedge trial with randomisation at company plant level and is carried out in a large meat processing company. Every contracted employee is offered the opportunity to participate in the POSE program (Promotion Of Sustained Employability). The main goals of the POSE program are 1) providing employee's insight into their current employability and health status, 2) offering opportunities to improve employability and decrease health risks and 3) improving employability and health sustainably in order to keep them healthy at work. The program consists of a broad assessment followed by a counselling session and, if needed, a tailored intervention. Measurements will be performed at baseline and will be followed up at 20, 40, 60, 80, 106 and 132 weeks. The primary outcome measures are work ability, productivity and absenteeism. Secondary outcomes include health status, vitality, and psychosocial workload. A cost-benefit study will be conducted from the employers' perspective. A process evaluation will be conducted and the satisfaction of employer and employees with the program will be assessed.
This study provides information on the effectiveness of the POSE program on sustained employment. When the program proves to be effective, employees benefit by improved work ability, and health. Employers benefit from healthier employees, reduced sick leave (costs) and higher productivity. The study can expose key elements for a successful implementation and execution of the POSE program and may serve as an example to other companies inside and outside the industry.
The trial is registered at the Dutch Trial Register (http://www.trialregister.nl): NTR3445.
随着人口老龄化和劳动力结构日益复杂，雇主越来越意识到员工的可持续就业能力和健康问题。为了满足这些需求，雇主可能会为员工提供健康监测计划，以增加改善健康和可持续就业的机会。然而，这些健康监测计划的证据尚不足。FLESH 研究（功能性劳动评估促进健康和就业的可持续性）旨在评估一项全面的员工健康促进计划的效果、成本效益和干预过程。
该研究设计为一项群组随机阶梯式楔形试验，在公司工厂层面进行随机分组，在一家大型肉类加工公司开展。每个签约员工都有机会参加 POSE 计划（促进可持续就业能力）。POSE 计划的主要目标是：1）让员工了解自己当前的就业能力和健康状况；2）提供机会改善就业能力，降低健康风险；3）提高就业能力和健康可持续性，使他们在工作中保持健康。该计划包括广泛的评估，随后是咨询会议，如果需要，还会进行量身定制的干预。测量将在基线进行，并在 20、40、60、80、106 和 132 周进行随访。主要结局指标是工作能力、生产力和缺勤率。次要结局指标包括健康状况、活力和心理社会工作量。将从雇主的角度进行成本效益研究。将进行过程评估，并评估雇主和员工对该计划的满意度。
本研究提供了关于 POSE 计划对可持续就业能力影响的信息。当该计划被证明有效时，员工可以通过提高工作能力和健康状况获益。雇主可以通过更健康的员工、减少病假（成本）和提高生产力获益。该研究可以揭示 POSE 计划成功实施和执行的关键要素，并可能为行业内外的其他公司提供范例。
该试验在荷兰试验注册库（http://www.trialregister.nl）注册：NTR3445。
