Höper Anje Christina, Terjesen Christoffer Lilja, Fleten Nils
Occupational Health in the North, Department of Community Medicine, UiT The Arctic University of Norway, Tromsø, Norway.
Department of Occupational and Environmental Medicine, University Hospital North Norway, Tromsø, Norway.
JMIR Res Protoc. 2022 Apr 7;11(4):e36166. doi: 10.2196/36166.
Musculoskeletal and mental health complaints are the dominant diagnostic categories in long-term sick leave and disability pensions in Norway. Continuing to work despite health complaints is often beneficial, and a good work environment can improve work inclusion for people affected. In 2001, the Norwegian Labour and Welfare Administration began to offer inclusive work measures to improve the psychosocial work environment and work inclusion of people with health complaints. In 2018, the Norwegian Labour and Welfare Administration and specialist health services started offering the new collaborative Health in work program. Its workplace intervention presents health and welfare information that may improve employees' coping ability regarding common health complaints. It encourages understanding of coworkers' health complaints and appropriate work adjustments to increase work participation.
This protocol presents an ongoing, 2-arm, pragmatic cluster-randomized trial. Its aim is to compare the effect of monodisciplinary inclusive work measures (treatment as usual) and interdisciplinary Health in work in terms of changes in overall sickness absence, health care use, health-related quality of life, and costs. The secondary objectives are to compare changes in individual sickness absence, psychosocial work environment, job and life satisfaction, health, and health anxiety at both the individual and group levels.
Data will be collected from national registers, trial-specific registrations, and questionnaires. Effects will be explored using difference-in-difference analysis and regression modeling. Multilevel analysis will visualize any cluster effects using intraclass correlation coefficients.
Inclusion was completed in July 2021 with 97 workplaces and 1383 individual consents. Data collection will be completed with the last questionnaires to be sent out in July 2023.
This trial will contribute to filling knowledge gaps regarding the effectiveness and costs of workplace interventions, thereby benefiting health and welfare services, political decision makers, and the public and business sectors. The findings will be disseminated in reports, peer-reviewed journals, and conferences.
ClinicalTrials.gov NCT04000035; https://clinicaltrials.gov/ct2/show/NCT04000035.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/36166.
肌肉骨骼和心理健康问题是挪威长期病假和残疾抚恤金的主要诊断类别。尽管有健康问题仍继续工作通常是有益的，良好的工作环境可以提高受影响人群的工作融入度。2001年，挪威劳动和福利管理局开始提供包容性工作措施，以改善心理社会工作环境和有健康问题人员的工作融入度。2018年，挪威劳动和福利管理局与专业卫生服务机构开始推出新的合作项目“工作中的健康”。其工作场所干预提供健康和福利信息，可能会提高员工应对常见健康问题的能力。它鼓励理解同事的健康问题并进行适当的工作调整，以增加工作参与度。
本方案介绍了一项正在进行的双臂实用整群随机试验。其目的是比较单学科包容性工作措施（常规治疗）和跨学科“工作中的健康”项目在总体病假天数、医疗保健使用、健康相关生活质量和成本变化方面的效果。次要目标是比较个体和群体层面上个体病假天数、心理社会工作环境、工作和生活满意度、健康状况以及健康焦虑的变化。
将从国家登记册、特定试验登记和问卷中收集数据。将使用差异分析和回归模型来探索效果。多水平分析将使用组内相关系数来直观显示任何整群效应。
纳入工作于2021年7月完成，有97个工作场所和1383份个人同意书。数据收集将随着2023年7月发出的最后一批问卷完成。
这项试验将有助于填补关于工作场所干预效果和成本的知识空白，从而使健康和福利服务、政治决策者以及公共和商业部门受益。研究结果将在报告、同行评审期刊和会议上传播。
ClinicalTrials.gov NCT04000035；https://clinicaltrials.gov/ct2/show/NCT04000035。
国际注册报告识别码（IRRID）：DERR1-10.2196/36166。
