Centre for Research in Occupational Health, Pompeu Fabra University/IMIM-Hospital del Mar Medical Research Institute, PRBB-Barcelona Biomedical Research Park. Dr. Aiguader, 88, 08003, Barcelona, Spain.
CIBER of Epidemiology and Public Health, Barcelona, Spain.
BMC Public Health. 2019 Mar 28;19(1):348. doi: 10.1186/s12889-019-6683-7.
Musculoskeletal pain (MSP) is the leading cause of years lived with disability. In consequence, to reduce MSP and its associated sickness absence is a major challenge. Previous interventions have been developed to reduce MSP and improve return to work of workers with MSP, but combined approaches and exhaustive evaluation are needed. The objective of the INTEVAL_Spain project is to evaluate the effectiveness of a multifaceted intervention in the workplace to prevent and manage MSP in nursing staff.
The study is designed as a two-armed cluster randomized controlled trial with a late intervention control group. The hospital units are the clusters of randomization and participants are nurses and aides. An evidence-based multi-component intervention was designed combining participatory ergonomics, case management and health promotion. Both the intervention and the control groups receive occupational health care as usual. Data are collected at baseline, and after six and 12 months. The primary outcomes are prevalence of MSP and incidence and duration of sickness absence due to MSP. Secondary outcomes are work role functioning and organizational preventive culture. The intervention process will be assessed through quantitative indicators of recruitment, context, reach, dose supplied, dose received, fidelity and satisfaction, and qualitative approaches including discussion groups of participants and experts. The economic evaluation will include cost-effectiveness and cost-utility, calculated from the societal and the National Health System perspectives.
Workplace health programs are one of the best options for the prevention and control of non-communicable diseases. The main feature of this study is its multifaceted, multidisciplinary and de-medicalized intervention, which encompasses three evidence-based interventions and covers all three levels of prevention, which have not been previously unified in a single intervention. Also, it includes a comprehensive quantitative and qualitative evaluation of the intervention process, health results, and economic impact. This study could open the possibility of a new paradigm for the prevention and management of MSP and associated sickness absence approach at the workplace.
Current Controlled Trials ISRCTN15780649 Retrospectively registered 13th July 2018.
肌肉骨骼疼痛（MSP）是导致残疾年限的主要原因。因此，减少 MSP 及其相关的病假是一项主要挑战。先前已经开发了一些干预措施来减少 MSP 并促进患有 MSP 的工人重返工作岗位，但需要采用综合方法并进行全面评估。INTEVAL_Spain 项目的目的是评估在工作场所实施多方面干预措施以预防和管理护理人员 MSP 的效果。
该研究设计为两臂簇随机对照试验，具有晚期干预对照组。医院科室为随机分组的单位，参与者为护士和助手。设计了一种基于证据的多组分干预措施，结合参与式人体工程学、病例管理和健康促进。干预组和对照组均接受常规职业保健。在基线、6 个月和 12 个月时收集数据。主要结局是 MSP 的患病率以及因 MSP 导致的缺勤发生率和持续时间。次要结局是工作角色功能和组织预防文化。通过参与者和专家讨论小组等定性方法以及包括招募、背景、覆盖范围、供应剂量、接受剂量、保真度和满意度在内的定量指标评估干预过程。经济评估将包括从社会和国家卫生系统角度计算的成本效益和成本效用。
工作场所健康计划是预防和控制非传染性疾病的最佳选择之一。本研究的主要特点是其多方面、多学科和非医疗化的干预措施，涵盖了三种基于证据的干预措施，并涵盖了预防的所有三个层次，这在以前的单一干预措施中尚未统一。此外，它还包括对干预过程、健康结果和经济影响的全面定量和定性评估。这项研究可能为在工作场所预防和管理 MSP 及其相关病假开辟新的范式。
当前对照试验 ISRCTN86324558 于 2018 年 7 月 13 日回顾性注册。
