Prevention and management of musculoskeletal pain at work in nursing staff : Design, implementation and evaluation of a multifaceted intervention in the workplace

Soler-Font, Mercè

Prevention and management of musculoskeletal pain at work in nursing staff : Design, implementation and evaluation of a multifaceted intervention in the workplace

Document Type

Doctoral thesis
Published Version

Author

Soler-Font, Mercè

Director

Serra, Consol
Ramada Rodilla, José María

Publication Date

2021-07-08

Pages

407 p.

Citation

Soler-Font, M. Prevention and management of musculoskeletal pain at work in nursing staff : Design, implementation and evaluation of a multifaceted intervention in the workplace. 2021. handle: http://hdl.handle.net/10803/672387

This citation was generated automatically.

Doctoral program

Programa de doctorat en Biomedicina

Abstract

Objectiu: Dissenyar, implementar i avaluar una intervenció multifacètica en el lloc de treball per prevenir i gestionar el dolor musculoesquelètic (DME). Mètodes: Es va dissenyar, implementar i avaluar (efectivitat, procés i cost-efectivitat) un assaig controlat aleatoritzat per clústers d'un any. La intervenció va incloure ergonomia participativa, promoció de la salut i gestió de casos. Resultats: Als 12 mesos, el grup d’intervenció va mostrar una disminució estadísticament significativa del risc de dolor d’espatlles, cervical i dorsal en comparació amb el control. No es va trobar cap efecte estadísticament significatiu per a DME en altres parts del cos, incapacitat temporal ni capacitat funcional. L’ergonomia participativa va mostrar un alt nivell d’implementació, la promoció de la salut va diferir segons l’activitat i la gestió de casos va mostrar un baix nivell d’implementació. Per reduir 1-punt-percentual extra el dolor d’espatlles, cervical i dorsal es necessitaven 3,63€ (perspectiva social) i 1,69 € (perspectiva del sistema sanitari). Conclusions: Aquesta intervenció va ser efectiva i cost-efectiva per reduir el dolor d’espatlles, cervical i dorsal, i es va implementar majoritàriament com es pretenia.
Objective: To design, implement and evaluate a multifaceted intervention in the workplace to prevent and manage musculoskeletal pain (MSP). Methods: A two-armed multifaceted cluster randomized controlled trial of one year duration was designed, implemented, and evaluated (effectiveness, process and cost-effectiveness). The intervention included participatory ergonomics, health promotion, and case management. Results: At 12 months, the intervention group showed a statistically significant decrease of the risk in neck, shoulders and upper-back pain compared to the control. No statistically significant effect was found for MSP in other locations, sickness absence nor work functioning. Participatory ergonomics showed a high implementation level, health promotion differed according to the activity and case management showed a low implementation level. To achieve 1-extra-percentual point reduction of MSP in neck, shoulders and upper-back were needed €3.63 (societal perspective) and €1.69 (health system perspective). Conclusions: This intervention was effective and cost-effective to reduce neck, shoulder and upper-back pain and predominantly implemented as intended.

Keywords

Musculoskeletal pain, Return to work, Cluster randomized controlled trial, Multifaceted intervention, Workplace, Dolor musculoesquelètic, Retorn al treball, Assaig controlat aleatoritzat, Intervenció multicomponent, Lloc de treball