Please use this identifier to cite or link to this item:
|Scopus||Web of Science®||Altmetric|
|Title:||Relative benefit of a stage of change approach for the prevention of musculoskeletal pain and discomfort: a cluster randomised trial|
|Citation:||Occupational and Environmental Medicine, 2015; 72(11):784-791|
|Diana Doda, Paul Rothmore, Dino Pisaniello, Nancy Briggs, Sasha Stewart, Mohammed Mahmood, Janet E Hiller|
|Abstract:||Objectives: To examine the benefit of a psychological Stage of Change (SOC) approach, relative to standard ergonomics advice, for the prevention of work-related musculoskeletal pain and discomfort (MSPD). Methods: A cluster randomised trial was conducted in South Australia across a broad range of workplaces. Repeated face-to-face interviews were conducted onsite to assess MSPD, safety climate, job satisfaction and other factors. Changes in MSPD across intervention groups and time were investigated using Generalised Estimating Equation (GEE) methods. Results: 25 workgroups (involving 242 workers) were randomly allocated to either a standard intervention or an intervention tailored according to SOC. The prevalence of MSPD increased for both groups, but was only significant for the standard group, in respect of lower back MSPD. Workers receiving tailored interventions were 60% less likely to experience lower back MSPD. After adjusting for age, gender and job satisfaction, it was found that company safety climate and length of employment were significantly correlated to the time-intervention effect. There was no correlation with workload. Conclusions: Compared with standard ergonomics advice to management, there was evidence of a benefit of stage-matched intervention for MSPD prevention, particularly for low back pain. Organisational safety climate should be taken into account when planning prevention programmes.|
|Rights:||Copyright © 2015, British Medical Journal|
|Appears in Collections:||Public Health publications|
Files in This Item:
There are no files associated with this item.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.