Prevention of low back pain and its consequences among nurses-aides in elderly care: a stepped-wedge multi-faceted cluster-randomized controlled trial

详细信息    查看全文

• 作者：Charlotte Diana N?rregaard Rasmussen (5) (7)
  Andreas Holtermann (5)
  Ole Steen Mortensen (5) (6)
  Karen S?gaard (7)
  Marie Birk J?rgensen (5)
  
• 关键词：Participatory ergonomics ; Cognitive behavioral training ; Physical training ; Musculoskeletal disorders ; Workplace intervention ; Health care workers
• 刊名：BMC Public Health
• 出版年：2013
• 出版时间：December 2013
• 年：2013
• 卷：13
• 期：1
• 全文大小：327 KB
• 参考文献：1. Burdorf A, Jansen JP: Predicting the long term course of low back pain and its consequences for sickness absence and associated work disability. / Occup Environ Med 2006, 63:522-29. CrossRef
  2. Smedley J, Inskip H, Cooper C, Coggon D: Natural history of low back pain: a longitudinal study in nurses. / Spine 1998, 23:2422-426. CrossRef
  3. Karahan A, Kav S, Abbasoglu A, Dogan N: Low back pain: prevalence and associated risk factors among hospital staff. / J Adv Nurs 2009, 65:516-24. CrossRef
  4. Dagenais S, Caro J, Haldeman S: A systematic review of low back pain cost of illness studies in the United States and internationally. / Spine J 2008, 8:8. CrossRef
  5. McDonald M, Costa DiBonaventura M, Ullman S: Musculoskeletal pain in the workforce: the effects of back, arthritis, and fibromyalgia pain on quality of life and work productivity. / J Occup Environ Med 2011, 53:765-70. CrossRef
  6. Andersen LL, Clausen T, Burr H, Holtermann A: Threshold of musculoskeletal pain intensity for increased risk of long-term sickness absence among female healthcare workers in eldercare. / PLoS One 2012, 7:e41287. CrossRef
  7. Burton AK, Balague F, Cardon G, Eriksen HR, Henrotin Y, Lahad A, / et al.: Chapter 2 European guidelines for prevention in low back pain. / Eur Spine J 2006, 15:136-68. CrossRef
  8. Hignett S: Intervention strategies to reduce musculoskeletal injuries associated with handling patients: a systematic review. / Occup Environ Med 2003, 60:e6. CrossRef
  9. Holtermann A, Clausen T, Aust B, Mortensen OS, Andersen LL: Does occupational lifting and carrying among female health care workers contribute to an escalation of pain-day frequency? / Eur J Pain 2013, 17:290-96. CrossRef
  10. Hoogendoorn WE, Bongers PM, de Vet HC, Douwes M, Koes BW, Miedema MC, / et al.: Flexion and rotation of the trunk and lifting at work are risk factors for low back pain: results of a prospective cohort study. / Spine 2000, 25:3087. CrossRef
  11. Torgen M, Nyg?rd CH, Kilbom ?: Physical work load, physical capacity and strain among elderly female aides in home-care service. / Eur J Appl Physiol Occup Physiol 1995, 71:444-52. CrossRef
  12. Rasmussen CD, J?rgensen MB, Clausen T, Andersen LL, Str?yer J, Holtermann A: Does self-assessed physical capacity predict development of low back pain among health care workers? a 2-year follow-up study. / Spine 2013, 38:272-76. CrossRef
  13. Andersen LL, Clausen T, PERSSON R, Holtermann A: Perceived physical exertion during healthcare work and prognosis for recovery from long-term pain in different body regions: prospective cohort study. / BMC Musculoskelet Disord 2012, 13:1-. CrossRef
  14. Jensen JN, Karpatschof B, Labriola M, Albertsen K: Do fear-avoidance beliefs play a role on the association between low back pain and sickness absence? A prospective cohort study among female health care workers. / J Occup Environ Med 2010, 52:85. CrossRef
  15. Jensen JN, Albertsen K, Borg V, Nabe-Nielsen K: The predictive effect of fear-avoidance beliefs on low back pain among newly qualified health care workers with and without previous low back pain: a prospective cohort study. / BMC Musculoskelet Disord 2009, 10:117. CrossRef
  16. Verbeek JH, Martimo KP, Kuijer PPF, Karppinen J, Viikari-Juntura E, Takala EP: Proper manual handling techniques to prevent low back pain, a Cochrane Systematic Review. / Work: J Prev, Assessment Rehabil 2012, 41:2299-301.
  17. Coury HJ, Moreira RF, Dias NB: Evaluation of the effectiveness of workplace exercise in controlling neck, shoulder and low back pain: a systematic review. / Rev Bras Fisioter 2009, 13:461-79. CrossRef
  18. Nelson A, Matz M, Chen F, Siddharthan K, Lloyd J, Fragala G: Development and evaluation of a multifaceted ergonomics program to prevent injuries associated with patient handling tasks. / Int J Nurs Stud 2006,43(6):717-33. CrossRef
  19. Stetler CB, Burns M, Sander-Buscemi K, Morsi D, Grunwald E: Use of evidence for prevention of work-related musculoskeletal injuries. / Orthop Nurs 2003, 22:32-1. CrossRef
  20. Dawson AP, McLennan SN, Schiller SD, Jull GA, Hodges PW, Stewart S: Interventions to prevent back pain and back injury in nurses: a systematic review. / Br Med J 2007, 64:642.
  21. Hartvigsen J, Lauritzen S, Lings S, Lauritzen T: Intensive education combined with low tech ergonomic intervention does not prevent low back pain in nurses. / Br Med J 2005, 62:13.
  22. Rivilis I, Van Eerd D, Cullen K, Cole DC, Irvin E, Tyson J, / et al.: Effectiveness of participatory ergonomic interventions on health outcomes: a systematic review. / Appl Ergon 2008, 39:342-58. CrossRef
  23. Westgaard RH: RCTs of ergonomic interventions. / Occup Environ Med 2010, 67:217. CrossRef
  24. Pohjonen T, Ranta R: Effects of worksite physical exercise intervention on physical fitness, perceived health status, and work ability among home care workers: five-year follow-up. / Prev Med 2001, 32:465-75. CrossRef
  25. Van Eerd D, Cole D, Irvin E, Mahood Q, Keown K, Theberge N, / et al.: Process and implementation of participatory ergonomic interventions: a systematic review. / Ergon 2010, 53:1153-166. CrossRef
  26. Evanoff BA, Bohr PC, Wolf LD: Effects of a participatory ergonomics team among hospital orderlies. / Am J Ind Med 1999, 35:358-65. CrossRef
  27. Maher CG: A systematic review of workplace interventions to prevent low back pain. / Aust J Physiother 2000, 46:259-70.
  28. Tveito TH, Hysing M, Eriksen HR: Low back pain interventions at the workplace: a systematic literature review. / Occup Med 2004, 54:3-3. CrossRef
  29. Blangsted AK, Sogaard K, Hansen EA, Hannerz H, Sjogaard G: One-year randomized controlled trial with different physical-activity programs to reduce musculoskeletal symptoms in the neck and shoulders among office workers. / Scand J Work Environ Health 2008, 34:55-5. CrossRef
  30. J?rgensen M, Faber A, Hansen JV, Holtermann A, S?gaard K: Effects on musculoskeletal pain, work ability and sickness absence in a 1-year randomised controlled trial among cleaners. / BMC Public Health 2011, 11:840. CrossRef
  31. Pedersen MT, Blangsted AK, Andersen LL, J?rgensen MB, Hansen EA, Sj?gaard G: The effect of worksite physical activity intervention on physical capacity, health, and productivity: a 1-year randomized controlled trial. / J Occup Environ Med 2009, 51:759-70. CrossRef
  32. J?rgensen M, Ektor-Andersen J, Sj?gaard G, Holtermann A, S?gaard K: A randomised controlled trial among cleaners-effects on strength, balance and kinesiophobia. / BMC Public Health 2011, 11:776. CrossRef
  33. van den Hout JHC, Vlaeyen JWS, Heuts PHTG, Zijlema JHL, Wijnen JAG: Secondary prevention of work-related disability in nonspecific low back pain: does problem-solving therapy help? A randomized clinical trial. / Clin J Pain 2003, 19:87. CrossRef
  34. George SZ, Fritz JM, Bialosky JE, Donald DA: The effect of a fear-avoidance-based physical therapy intervention for patients with acute low back pain: results of a randomized clinical trial. / Spine 2003, 28:2551. CrossRef
  35. Linton SJ, Ryberg M: A cognitive-behavioral group intervention as prevention for persistent neck and back pain in a non-patient population: a randomized controlled trial. / Pain 2001, 90:83-0. CrossRef
  36. Ektor-Andersen J, Ingvarsson E, Kullendorff M, Orbaek P: High cost-benefit of early team-based biomedical and cognitive-behaviour intervention for long-term pain-related sickness absence. / J Rehabil Med 2008, 40:1-. CrossRef
  37. Durlak JA, DuPre EP: Implementation matters: a review of research on the influence of implementation on program outcomes and the factors affecting implementation. / Am J Community Psychol 2008, 41:327-50. CrossRef
  38. Weiner BJ, Lewis MA, Linnan LA: Using organization theory to understand the determinants of effective implementation of worksite health promotion programs. / Health Educ Res 2009, 24:292-05. CrossRef
  39. Lewis RJ, Huebner WW, rd CM: Characteristics of participants and nonparticipants in worksite health promotion. / Am J Health Promot 1996, 11:99. CrossRef
  40. Grosch JW, Alterman T, Petersen MR, Murphy LR: Worksite health promotion programs in the US: factors associated with availability and participation. / Am J Health Promot 1998,13(1):36-5. CrossRef
  41. Robroek SJW, Van Lenthe FJ, Van Empelen P, Burdorf A: Determinants of participation in worksite health promotion programmes: a systematic review. / Int J Behav Nutr Phys Act 2009, 6:26. CrossRef
  42. Rongen A, Robroek SJ, van Lenthe FJ, Burdorf A: Workplace health promotion: a meta-analysis of effectiveness. / Am J Prev Med 2013, 44:406-15. CrossRef
  43. Aittasalo M, Miilunpalo S: Offering physical activity counselling in occupational health care - does it reach the target group? / Occup Med 2006, 56:55. CrossRef
  44. Gerdle B, Brulin C, Elert J, Eliasson P, Granlund B: Effect of a general fitness program on musculoskeletal symptoms, clinical status, physiological capacity, and perceived work environment among home care service personnel. / J Occup Rehabil 1995, 5:1-6. CrossRef
  45. DeJoy D, Bowen H, Baker K, Bynum B, Wilson M, Goetzel R, / et al.: Management support and worksite health promotion program effectiveness. / Ergon Health Aspects Work Comp 2009, 5624:13-2. CrossRef
  46. Roquelaure Y: Workplace intervention and musculoskeletal disorders: the need to develop research on implementation strategy. / Occup Environ Med 2008, 65:4. CrossRef
  47. Shain M, Kramer DM: Health promotion in the workplace: framing the concept; reviewing the evidence. / Occup Environ Med 2004, 61:643. CrossRef
  48. Brown C, Lilford R: The stepped wedge trial design: a systematic review. / BMC Med Res Methodol 2006, 6:54. CrossRef
  49. Mdege ND, Man MS, Taylor nee Brown CA, Torgerson DJ: Systematic review of stepped wedge cluster randomized trials shows that design is particularly used to evaluate interventions during routine implementation. / J Clin Epidemiol 2011,64(9):936-48. CrossRef
  50. Campbell MK, Piaggio G, Elbourne DR, Altman DG: Consort 2010 statement: extension to cluster randomised trials. / Br Med J 2012, 345:e5661. CrossRef
  51. / The Prevention Fund. http://forebyggelsesfonden.dk/regler-for-fonden.html. 24--2013. Ref Type: Electronic Citation . 24-5-2013. Ref Type: Electronic Citation
  52. Bartholomew LK, Parcel GS, Kok G: Intervention mapping: a process for developing theory and evidence-based health education programs. / Health Educ Behav 1998, 25:545-63. CrossRef
  53. Wilson JR, Haines HM: Participatory Ergonomics. In / Handbook of Human Factors and Ergonomics. Edited by: Salvendy G. New York: Wiley; 1997:490-13.
  54. Haines H, Wilson JR, Vink P, Koningsveld E: Validating a framework for participatory ergonomics (the PEF). / Ergon 2002, 45:309-27. CrossRef
  55. Wells R, Norman R, Frazer M, Laing A, Cole D, Kerr M: / Participative Ergonomic Blueprint. Toronto: Institute for Work & Health; 2003.
  56. Linton SJ, Boersma K, Jansson M, Svard L, Botvalde M: The effects of cognitive-behavioral and physical therapy preventive interventions on pain-related sick leave: a randomized controlled trial. / Clin J Pain 2005, 21:109-19. CrossRef
  57. Bang LE, Hypertensionsselskab D: / Diagnostisk blodtryksm?ling p? d?gnbasis, hjemme og i konsultationen. Dansk Hypertensionsselskab; 2006.
  58. Han TS, Sattar N, Lean M: ABC of obesity: assessment of obesity and its clinical implications. / Br Med J 2006, 333:695. CrossRef
  59. Glasgow RE, Vogt TM, Boles SM: Evaluating the public health impact of health promotion interventions: the RE-AIM framework. / Am J Public Health 1999, 89:1322. CrossRef
  60. Miranda H, Gold JE, Gore R, Punnett L: Recall of prior musculoskeletal pain. / Scand J Work Environ Health 2006,32(4):294-99. CrossRef
  61. Jespersen T, J?rgensen MB, Hansen K, Hansen JV, Holtermann A, S?gaard K: The relationship between low back pain and leisure time physical activity in a working population of cleaners-a study with weekly follow-ups for 1 year. / BMC Musculoskelet Disord 2012, 13:28. CrossRef
  62. SMS Track? http://www.sms-track.com/. 29--2013. Ref Type: Electronic Citation . 29-7-2013. Ref Type: Electronic Citation
  63. Dionne CE, Dunn KM, Croft PR, Nachemson AL, Buchbinder R, Walker BF, / et al.: A consensus approach toward the standardization of back pain definitions for use in prevalence studies. / Spine 2008, 33:95. CrossRef
  64. Patrick DL, Deyo RA, Atlas SJ, Singer DE, Chapin A, Keller RB: Assessing health-related quality of life in patients with sciatica. / Spine 1899, 1995:20.
  65. Burdorf A, Post W, Bruggeling T: Reliability of a questionnaire on sickness absence with specific attention to absence due to back pain and respiratory complaints. / Occup Environ Med 1996, 53:58-2. CrossRef
  66. Tuomi K, Oja G: / Work Ability Index. Finnish Institute of Occupational Health Helsinki; 1998.
  67. Hollmann S, Klimmer F, Schmidt KH, Kylian H: Validation of a questionnaire for assessing physical work load. / Scand J Work Environ Health 1999,25(2):105-14. CrossRef
  68. Borg GA: / Physical Performance and Perceived Exertion. Sweden: Gleerup Lund; 1962.
  69. Stroyer J, Essendrop M, Jensen LD, Warming S, Avlund K, Schibye B: Validity and reliability of self-assessed physical fitness using visual analogue scales. / Percept Mot Skills 2007, 104:519. CrossRef
  70. Linton SJ, Nicholas M, MacDonald S: Development of a short form of the ?rebro Musculoskeletal Pain Screening Questionnaire. / Spine 2011, 36:1891-895. CrossRef
  71. Linnan L, Steckler A: / Process Evaluation for Public Health Interventions and Research. California: Jossey-Bass San Francisco; 2002.
  72. Woertman W, de Hoop E, Moerbeek M, Zuidema SU, Gerritsen DL, Teerenstra S: Stepped wedge designs could reduce the required sample size in cluster randomized trials. / J Clin Epidemiol 2013,66(7):752-58. CrossRef
  73. Kovacs FM, Abraira V+, Royuela A, Corcoll J, Alegre L, Cano A, / et al.: Minimal clinically important change for pain intensity and disability in patients with nonspecific low back pain. / Spine 2007, 32:2915-920. CrossRef
  74. Hussey MA, Hughes JP: Design and analysis of stepped wedge cluster randomized trials. / Contemp Clin Trials 2007, 28:182-91. CrossRef
  75. Twisk JW: / Applied Multilevel Analysis: A Practical Guide. Cambridge UK: Cambridge University Press; 2006. CrossRef
  76. Johansen B, Wedderkopp N: Comparison between data obtained through real-time data capture by SMS and a retrospective telephone interview. / Chiropr Man Ther 2010, 18:10.
  77. The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2458/13/1088/prepub
  
• 作者单位：Charlotte Diana N?rregaard Rasmussen (5) (7)
  Andreas Holtermann (5)
  Ole Steen Mortensen (5) (6)
  Karen S?gaard (7)
  Marie Birk J?rgensen (5)
  
  5. National Research Centre for the Working Environment, Lers? Parkallé 105, 2100, Copenhagen ?, Denmark
  7. Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark
  6. Department of Occupational Medicine, K?ge Sygehus, Lykkeb?kvej 1, 4600, K?ge, Denmark
  
• ISSN：1471-2458

文摘

Background A high prevalence of low back pain has persisted over the years despite extensive primary prevention initiatives among nurses-aides. Many single-faceted interventions addressing just one aspect of low back pain have been carried out at workplaces, but with low success rate. This may be due to the multi-factorial origin of low back pain. Participatory ergonomics, cognitive behavioral training and physical training have previously shown promising effects on prevention and rehabilitation of low back pain. Therefore, the main aim of this study is to examine whether a multi-faceted workplace intervention consisting of participatory ergonomics, physical training and cognitive behavioral training can prevent low back pain and its consequences among nurses-aides. External resources for the participating workplace and a strong commitment from the management and the organization support the intervention. Methods/design To overcome implementation barriers within usual randomized controlled trial designed workplace interventions, this study uses a stepped-wedge cluster-randomized controlled trial design with 4 groups. The intervention is delivered to the groups at random along four successive time periods three months apart. The intervention lasts three months and integrates participatory ergonomics, physical training and cognitive behavioral training tailored to the target group. Local physiotherapists and occupational therapists conduct the intervention after having received standardized training. Primary outcomes are low back pain and its consequences measured monthly by text messages up to three months after initiation of the intervention. Discussion Intervention effectiveness trials for preventing low back pain and its consequences in workplaces with physically demanding work are few, primarily single-faceted, with strict adherence to a traditional randomized controlled trial design that may hamper implementation and compliance, and have mostly been unsuccessful. By using a stepped wedge design, and obtain high management commitment and support we intend to improve implementation and aim to establish the effectiveness of a multi-faceted intervention to prevent low back pain. This study will potentially provide knowledge of prevention of low back pain and its consequences among nurses-aides. Results are expected to be published in 2015-016. Trial registration The study is registered as ISRCTN78113519.