A Cross-Provider Healthcare Management Program for Musculoskeletal Disorders

Results of a Randomized Controlled Trial in 22 German Companies

Datos Bibliográficos

ID15475795
AutoresKyung‐Eun Choi (0000-0001-5533-7450, University of Cologne, autor de correspondencia), Lara Lindert (0000-0002-9332-7824, University of Cologne), Lara Schlomann (University of Cologne), Christina Samel (University of Cologne), Martin Hellmich (0000-0001-5174-928X, University of Cologne), Holger Pfaff (0000-0001-9154-6575, University of Cologne)
Año2021
Volumen18
Número22
Páginas11844-11844
Fecha de publicación2021-11-11
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaInternational Journal of Environmental Research and Public Health (JOURNAL)
Identificadores de la revistaISSN: 1661-7827 • E-ISSN: 1660-4601
EditorialMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph182211844
PMID34831600
OpenAlexW3213367877
IdiomaEN
Citas recibidas3
Referencias citadas14

Musculoskeletal disorders (MSDs) are among the most common cause for reduced work capacity and sick leave. Workplace health promotion programs are often neither tailored to the workplace nor the individual needs of the employees. To counteract lacking intersectional care, this four-year randomized controlled trial (RCT) aimed to investigate the effects of modular coordinating case management (treatment group) compared to supported self-management (control group) on MSD specific sick leave days (routine data), workability (WAI), self-efficacy (self-efficacy scale), and pain (German pain questionnaire, GPQ). The study network comprised 22 companies, 15 company health insurance funds, and 12 pension funds in Germany. Overall, 852 participants (Module A/early intervention: n = 651, Module B/rehabilitation: n = 190, Module C/reintegration: n = 10) participated. Both groups achieved fewer sick leave days, higher workability, and less pain ( p p < 0.05), but no superiority regarding MSD specific sick leave days, workability, nor self-efficacy. Module A showed more comprehensive differences. The accompanying process evaluation shows barriers and facilitators for the implementation of the program, especially in a RCT setting

German · Health care · Physical therapy · Randomized controlled trial · Sick leave · Medicine · Musculoskeletal pain and rehabilitation · Occupational Health and Safety Research · Workplace Health and Well-being · Internal Medicine · Rehabilitation