Universität zu Köln

Choi, Kyung-Eun (Anna) ORCID: 0000-0001-5533-7450, Lindert, Lara ORCID: 0000-0002-9332-7824, Schlomann, Lara, Samel, Christina, Hellmich, Martin and Pfaff, Holger ORCID: 0000-0001-9154-6575 (2021). A Cross-Provider Healthcare Management Program for Musculoskeletal Disorders: Results of a Randomized Controlled Trial in 22 German Companies. Int. J. Environ. Res. Public Health, 18 (22). BASEL: MDPI. ISSN 1660-4601

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Abstract

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 < 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 (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.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Choi, Kyung-Eun (Anna) UNSPECIFIED orcid.org/0000-0001-5533-7450 UNSPECIFIED Lindert, Lara UNSPECIFIED orcid.org/0000-0002-9332-7824 UNSPECIFIED Schlomann, Lara UNSPECIFIED UNSPECIFIED UNSPECIFIED Samel, Christina UNSPECIFIED UNSPECIFIED UNSPECIFIED Hellmich, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfaff, Holger UNSPECIFIED orcid.org/0000-0001-9154-6575 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-568696
DOI:	10.3390/ijerph182211844
Journal or Publication Title:	Int. J. Environ. Res. Public Health
Volume:	18
Number:	22
Date:	2021
Publisher:	MDPI
Place of Publication:	BASEL
ISSN:	1660-4601
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language Environmental Sciences; Public, Environmental & Occupational Health Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/56869