Terjesen Christoffer Lilja, Höper Anje Christina, Farbu Erlend Hoftun, Olsen Jan Abel, Fleten Nils
University Hospital of North Norway, Hansine Hansens veg 67, P.O. box 6, 9038, Tromsø, Norway.
Department of Community Medicine, UiT The Arctic University of Norway, Tromsø, Norway.
Sci Rep. 2025 Jul 29;15(1):27715. doi: 10.1038/s41598-025-12221-1.
The intersectoral workplace intervention "health in work" (HIW), developed by the Norwegian healthcare service and labour and welfare administration, targets common musculoskeletal and mental health conditions by addressing both health and work environment factors. This study assessed the effectiveness of HIW on workers' health-related quality of life (HRQoL) and subjective wellbeing (SWB) compared to standard inclusive work measures (IWM). A pragmatic cluster randomised controlled trial including 97 workplaces, randomized to either the HIW or IWM intervention over 12 months. HRQoL was measured using the EQ-5D-5L and the EQ-VAS, and SWB by using the satisfaction with life scale and a question on meaningful life. Measurements were taken at baseline, post-intervention period, and at a 12-month follow-up. EQ-5D-5L data were analysed using mixed-effects generalized linear models. No statistically significant difference-in-difference in HRQoL or SWB were found between the HIW and IWM groups at any time point. Participants in both groups reported high baseline levels of HRQoL and SWB. Although HIW did not yield significant improvements or detriments in HRQoL or SWB, this study contributes to addressing the knowledge gap regarding intersectoral collaboration in enhancing work and health. Further research is needed to assess broader outcomes such as healthcare utilisation and sick leave.Trial registration: The trial was prospectively registered with ClinicalTrials.gov on June 24, 2019, under the identifier NCT04000035.
由挪威医疗服务机构以及劳动和福利管理部门联合开展的跨部门工作场所干预措施“工作中的健康”（HIW），旨在通过同时解决健康和工作环境因素，来应对常见的肌肉骨骼和心理健康问题。本研究评估了与标准包容性工作措施（IWM）相比，HIW对员工健康相关生活质量（HRQoL）和主观幸福感（SWB）的有效性。这是一项实用的整群随机对照试验，涉及97个工作场所，在12个月内随机分为HIW组或IWM组。使用EQ-5D-5L和EQ-VAS测量HRQoL，使用生活满意度量表和一个关于有意义生活的问题测量SWB。在基线、干预后以及12个月随访时进行测量。使用混合效应广义线性模型分析EQ-5D-5L数据。在任何时间点，HIW组和IWM组在HRQoL或SWB方面均未发现统计学上的显著差异。两组参与者在基线时的HRQoL和SWB水平都很高。尽管HIW在HRQoL或SWB方面未产生显著改善或损害，但本研究有助于填补跨部门合作在改善工作与健康方面的知识空白。需要进一步研究以评估更广泛的结果，如医疗保健利用率和病假情况。试验注册：该试验于2019年6月24日在ClinicalTrials.gov上进行前瞻性注册，标识符为NCT04000035。
