A Cross-Provider Healthcare Management Program for Musculoskeletal Disorders: Results of a Randomized Controlled Trial in 22 German Companies

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 c...

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Autores principales:	Kyung-Eun (Anna) Choi, Lara Lindert, Lara Schlomann, Christina Samel, Martin Hellmich, Holger Pfaff
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	workplace health promotion employee health sick leave return to work case management self-management Medicine R
Acceso en línea:	https://doaj.org/article/0acac065313c4d58be5062dd9ad1e8ee
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spelling	oai:doaj.org-article:0acac065313c4d58be5062dd9ad1e8ee2021-11-25T17:48:52ZA Cross-Provider Healthcare Management Program for Musculoskeletal Disorders: Results of a Randomized Controlled Trial in 22 German Companies10.3390/ijerph1822118441660-46011661-7827https://doaj.org/article/0acac065313c4d58be5062dd9ad1e8ee2021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/11844https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Musculoskeletal 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: <i>n</i> = 651, Module B/rehabilitation: <i>n</i> = 190, Module C/reintegration: <i>n</i> = 10) participated. Both groups achieved fewer sick leave days, higher workability, and less pain (<i>p</i> < 0.0001) at follow-up compared to baseline. At follow-up, the coordinating case management group showed fewer disability days (GPQ), lower disability scores (GPQ), and lower pain intensities (GPQ) than the supported self-management group (<i>p</i> < 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.Kyung-Eun (Anna) ChoiLara LindertLara SchlomannChristina SamelMartin HellmichHolger PfaffMDPI AGarticleworkplace health promotionemployee healthsick leavereturn to workcase managementself-managementMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11844, p 11844 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	workplace health promotion employee health sick leave return to work case management self-management Medicine R
spellingShingle	workplace health promotion employee health sick leave return to work case management self-management Medicine R Kyung-Eun (Anna) Choi Lara Lindert Lara Schlomann Christina Samel Martin Hellmich Holger Pfaff A Cross-Provider Healthcare Management Program for Musculoskeletal Disorders: Results of a Randomized Controlled Trial in 22 German Companies
description	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: <i>n</i> = 651, Module B/rehabilitation: <i>n</i> = 190, Module C/reintegration: <i>n</i> = 10) participated. Both groups achieved fewer sick leave days, higher workability, and less pain (<i>p</i> < 0.0001) at follow-up compared to baseline. At follow-up, the coordinating case management group showed fewer disability days (GPQ), lower disability scores (GPQ), and lower pain intensities (GPQ) than the supported self-management group (<i>p</i> < 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.
format	article
author	Kyung-Eun (Anna) Choi Lara Lindert Lara Schlomann Christina Samel Martin Hellmich Holger Pfaff
author_facet	Kyung-Eun (Anna) Choi Lara Lindert Lara Schlomann Christina Samel Martin Hellmich Holger Pfaff
author_sort	Kyung-Eun (Anna) Choi
title	A Cross-Provider Healthcare Management Program for Musculoskeletal Disorders: Results of a Randomized Controlled Trial in 22 German Companies
title_short	A Cross-Provider Healthcare Management Program for Musculoskeletal Disorders: Results of a Randomized Controlled Trial in 22 German Companies
title_full	A Cross-Provider Healthcare Management Program for Musculoskeletal Disorders: Results of a Randomized Controlled Trial in 22 German Companies
title_fullStr	A Cross-Provider Healthcare Management Program for Musculoskeletal Disorders: Results of a Randomized Controlled Trial in 22 German Companies
title_full_unstemmed	A Cross-Provider Healthcare Management Program for Musculoskeletal Disorders: Results of a Randomized Controlled Trial in 22 German Companies
title_sort	cross-provider healthcare management program for musculoskeletal disorders: results of a randomized controlled trial in 22 german companies
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/0acac065313c4d58be5062dd9ad1e8ee
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A Cross-Provider Healthcare Management Program for Musculoskeletal Disorders: Results of a Randomized Controlled Trial in 22 German Companies

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