Uni Health, Uni Research, P.O. Box 7810, 5020, Bergen, Norway.
J Occup Rehabil. 2013 Jun;23(2):209-19. doi: 10.1007/s10926-013-9451-z.
To evaluate whether information and reassurance about low back pain (LBP) given to employees at the workplace could reduce sick leave.
A Cluster randomized controlled trial with 135 work units of about 3,500 public sector employees in two Norwegian municipalities, randomized into two intervention groups; Education and peer support (EPS) (n = 45 units), education and "peer support and access to an outpatient clinic" (EPSOC) (n = 48 units), and a control group (n = 42 units). Both interventions consisted of educational meetings based on a "non-injury model" and a "peer adviser" appointed by colleagues. Employees in the EPSOC group had access to an outpatient clinic for medical examination and further education. The control group received no intervention. The main outcome was sick leave based on municipal records. Secondary outcomes were self-reported pain, pain related fear of movement, coping, and beliefs about LBP from survey data of 1,746 employees (response rate about 50 %).
EPS reduced sick leave by 7 % and EPSOC reduced sick leave by 4 % during the intervention year, while sick leave in the control group was increased by 7 % during the same period. Overall, Rate Ratios (RR) were statistically significant for EPSOC (RR = .84 (C.I = 0.71-.99) but not EPS (RR = .92 (C.I = 0.78-1.09)) in a mixed Poisson regression analysis. Faulty beliefs about LBP were reduced in both intervention groups.
Educational meetings, combined with peer support and access to an outpatient clinic, were effective in reducing sick leave in public sector employees.
评估在工作场所向员工提供有关下背痛（LBP）的信息和安慰是否可以减少病假。
一项在挪威两个城市的 135 个约 3500 名公共部门员工的工作单位中进行的群组随机对照试验，随机分为两个干预组；教育和同伴支持（EPS）（n = 45 个单位），教育和“同伴支持和获得门诊诊所”（EPSOC）（n = 48 个单位），和对照组（n = 42 个单位）。两种干预措施均包括基于“非损伤模型”和同事指定的“同伴顾问”的教育会议。EPSOC 组的员工可以就诊进行体检和进一步教育。对照组未接受干预。主要结局是基于市政记录的病假。次要结局是从 1746 名员工的调查数据中报告的疼痛、与运动相关的疼痛恐惧、应对和对 LBP 的信念（应答率约为 50%）。
干预年内，EPS 减少了 7%的病假，EPSOC 减少了 4%的病假，而对照组在同一时期病假增加了 7%。总体而言，混合泊松回归分析中 EPSOC 的比率比（RR）具有统计学意义（RR =.84（C.I = 0.71-0.99），但 EPS 无统计学意义（RR =.92（C.I = 0.78-1.09））。两组干预措施均降低了对 LBP 的错误信念。
教育会议与同伴支持和获得门诊诊所相结合，可有效减少公共部门员工的病假。
