Institute of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark.
BMC Public Health. 2013 Jan 23;13:66. doi: 10.1186/1471-2458-13-66.
Pain affects quality of life and can result in absence from work. Treatment and/or prevention strategies for musculoskeletal pain-related long-term sick leave are currently undertaken in several health sectors. Moreover, there are few evidence-based guidelines for such treatment and prevention. The aim of this study is to evaluate the efficacy of 'Tailored Physical Activity' or 'Chronic Pain Self-Management Program' for sick-listed citizens with pain in the back and/or the upper body.
This protocol describes the design of a parallel randomised controlled trial on the efficacy of 'Tailored Physical Activity' or a 'Chronic Pain Self-management Program' versus a reference group for sick-listed citizens with complaints of pain in the back or upper body. Participants will have been absent from work due to sick-listing for 3 to 9 weeks at the time of recruitment. All interventions will be performed at the 'Health Care Center' in the Sonderborg Municipality, and a minimum of 138 participants will be randomised into one of the three groups.All participants will receive 'Health Guidance', a (1.5-hour) individualised dialogue focusing on improving ways of living, based on assessments of risk behavior, motivation for change, level of self-care and personal resources. In addition, the experimental groups will receive either 'Tailored Physical Activity' (three 50-minute sessions/week over 10 weeks) or 'Chronic Pain Self-Management Program' (2.5-hours per week over 6 weeks). The reference group will receive only 'Health Guidance'.The primary outcome is the participants' sick-listed status at 3 and 12 months after baseline. The co-primary outcome is the time it takes to return to work. In addition, secondary outcomes include anthropometric measurements, functional capacity and self-reported number of sick days, musculoskeletal symptoms, general health, work ability, physical capacity, kinesiophobia, physical functional status, interpersonal problems and mental disorders.
There are few evidence-based interventions for rehabilitation programmes assisting people with musculoskeletal pain-related work absence. This study will compare outcomes of interventions on return to work in order to increase the knowledge of evidence-based rehabilitation of sick-listed citizens to prevent long-term sick-leave and facilitate return to work.
The trial is registered in the ClinicalTrials.gov, number NCT01356784.
疼痛会影响生活质量，并导致旷工。目前，在多个卫生部门采取了针对与肌肉骨骼疼痛相关的长期病假的治疗和/或预防策略。此外，针对这种治疗和预防措施，几乎没有循证指南。本研究的目的是评估“量身定制的体育活动”或“慢性疼痛自我管理计划”对背部和/或上半身疼痛的请病假公民的疗效。
本方案描述了一项关于“量身定制的体育活动”或“慢性疼痛自我管理计划”与参考组相比对背部或上半身疼痛请病假公民的疗效的平行随机对照试验的设计。参与者在招募时因请病假而缺勤 3 至 9 周。所有干预措施都将在松德堡市的“医疗保健中心”进行，至少有 138 名参与者将被随机分配到三个组中的一个。所有参与者都将接受“健康指导”，这是一种（1.5 小时）个性化对话，重点是根据风险行为、改变动机、自我保健水平和个人资源的评估，改善生活方式。此外，实验组将接受“量身定制的体育活动”（每周 3 次，每次 50 分钟，共 10 周）或“慢性疼痛自我管理计划”（每周 2.5 小时，共 6 周）。对照组仅接受“健康指导”。主要结局是参与者在基线后 3 个月和 12 个月的请病假状态。共同主要结局是返回工作岗位所需的时间。此外，次要结局包括人体测量测量、功能能力和自我报告的病假天数、肌肉骨骼症状、一般健康、工作能力、身体能力、运动恐惧、身体功能状态、人际问题和精神障碍。
针对帮助患有肌肉骨骼疼痛相关缺勤的人员的康复计划，干预措施的证据基础很少。本研究将比较干预措施在重返工作岗位方面的结果，以增加对预防长期请病假和促进重返工作岗位的基于证据的康复的认识。
该试验在 ClinicalTrials.gov 注册，编号为 NCT01356784。
