Bone & Joint Research Group, Royal Cornwall Hospitals NHS Trust, Truro, Cornwall, UK.
Musculoskeletal Programme, Health Innovation Network, London, UK.
Musculoskeletal Care. 2022 Mar;20(1):214-225. doi: 10.1002/msc.1578. Epub 2021 Jul 6.
Musculoskeletal (MSK) health is central to health, well-being, physical functioning and healthy ageing. It is a public health priority to help maintain and improve the MSK health of the population across the life-course. An important environment for supporting MSK health is the workplace.
A workplace Joint Pain Advice (JPA) service was piloted in 20 organisations of various sizes in Cornwall and London with 481 people accessing the service. A qualitative evaluation of the project was carried out in Cornwall with 24 JPA participants from 11 organisations taking part in interviews and focus groups.
Participants valued the service, the impact it had had on their physical and mental health and well-being and its effects on the management of their MSK health in the workplace. The service served the unmet need for support to self-manage MSK pain and participants found its delivery in the workplace convenient and efficient. Participants reported changing the ways in which they performed their role in the workplace and taking actions to protect their MSK health and relieve their pain. JPA participants felt more willing and better able to talk about their MSK problems with their colleagues and managers and felt more 'empowered' to ask their manager about how to accommodate their MSK problems in the workplace.
JPA in the workplace presents a model for delivering MSK services to businesses of all sizes which warrants further evaluation to measure its effect on absenteeism and presenteeism in small, medium-sized and larger organisations.
肌肉骨骼健康是健康、幸福、身体功能和健康老龄化的核心。帮助维持和改善全生命周期人群的肌肉骨骼健康是公共卫生的重点。支持肌肉骨骼健康的一个重要环境是工作场所。
在康沃尔和伦敦的 20 家不同规模的组织中试点了一项工作场所关节疼痛咨询（JPA）服务，共有 481 人使用了该服务。在康沃尔对该项目进行了定性评估，来自 11 家组织的 24 名 JPA 参与者参加了访谈和焦点小组。
参与者重视该服务，该服务对他们的身心健康和福祉产生的影响，以及对他们在工作场所管理肌肉骨骼健康的影响。该服务满足了对支持自我管理肌肉骨骼疼痛的未满足需求，参与者发现其在工作场所的交付既方便又高效。参与者报告改变了他们在工作场所执行角色的方式，并采取措施保护他们的肌肉骨骼健康和缓解他们的疼痛。JPA 参与者感到更愿意并且更有能力与同事和经理谈论他们的肌肉骨骼问题，并且感到更有“权力”向经理询问如何在工作场所中适应他们的肌肉骨骼问题。
工作场所中的 JPA 为向各种规模的企业提供肌肉骨骼服务提供了一种模式，值得进一步评估，以衡量其对小型、中型和大型组织中缺勤和在职率的影响。
