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Tosta Maciel RRB, Chiavegato LD, Camelier FW, Portella DD, De Souza MC, Padula RS. Does tutors' support contribute to a telehealth program that aims to promote the quality of life of office workers? A cluster randomized controlled trial. Contemp Clin Trials Commun 2021; 21:100722. [PMID: 33604486 PMCID: PMC7875823 DOI: 10.1016/j.conctc.2021.100722] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2020] [Revised: 10/23/2020] [Accepted: 01/11/2021] [Indexed: 11/25/2022] Open
Abstract
The quality of life in the workplace can be achieved by creating a place more humanized and strategies that provide wellness to workers. The aim of this study was to investigate the effectiveness of telehealth education program to promote quality of life of office workers.This is a cluster randomized controlled trial (RCT). The participants were office workers computer users (n = 326). All received 9 audiovisual content (grouped into topics: musculoskeletal health, healthy diet, and mental health) that addresses the real needs identified by them in the focus groups. The intervention group (n = 178) was instructed to seek the tutor support about topics addressed by the audiovisual content. The primary outcome measure was quality of life by WHOQOL-BREF. The secondary outcome measure was level of physical activity of the participants. Data analysis was performed by General Linear Mixed Model. After six months of telehealth education program a general improvement in health and environmental domain, was observed in the intervention group. During that period, a within-group analysis showed that there was a significant improvement in the intervention group, with respect to quality of life in general health (p < 0.05) and in the environmental domain (p < 0.01).In the baseline to the eighth month, there were statistically significant changes within-group for the general health (p < 0.05) and for the physical domain (p < 0.01) in both groups (p < 0.01). Telehealth education program promoted an improvement in the participants' quality of life. There was no benefit in favor of the telehealth education program, with tutor support in relation to the conventional program. TRIAL REGISTRATION The trial was prospectively registered at ClinicalTrial.gov (NCT02980237). The date of registration was August 23, 2016.
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Affiliation(s)
- Roberto Rodrigues Bandeira Tosta Maciel
- Masters and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo, São Paulo, SP, Brazil
- Department of Life Sciences, Universidade do Estado da Bahia, Salvador, Bahia, Brazil
| | - Luciana Dias Chiavegato
- Masters and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo, São Paulo, SP, Brazil
- Pulmonology Division, Universidade Federal de São Paulo, São Paulo, Brazil
| | | | | | - Marcio Costa De Souza
- Department of Life Sciences, Universidade do Estado da Bahia, Salvador, Bahia, Brazil
| | - Rosimeire Simprini Padula
- Masters and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo, São Paulo, SP, Brazil
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Beales DJ, Ruscoe GA, Mitchell T. Insurance workers' and physiotherapists' perceptions of their roles in the management of workers with injuries in the Western Australian workers' compensation system. Work 2017; 58:499-507. [PMID: 29254121 DOI: 10.3233/wor-172636] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Insurance workers and physiotherapists are important stakeholders in the rehabilitation of workers with an injury and subsequent musculoskeletal pain. Understanding perceptions of roles may facilitate communication between these stakeholders. OBJECTIVE Increase knowledge around, (i) the self-perception of and (ii) the external perception of the insurance workers and physiotherapists roles in the management of a worker with an injury in an Australian workers' compensation environment. METHODS A cross-sectional study assessed the perceptions of insurance workers and physiotherapists related to the roles of these two professions in managing a worker with an injury via questionnaire. Respondents were also asked about potential communication barriers. RESULTS Insurance workers (n = 48) and physiotherapists (n = 80) reported contrasting role perceptions, with their perception of the other profession leaning towards negative attributes. There was greater alignment of their beliefs of roles in the 'ideal' situation. The perception of barriers to communication also differed between the two professions. Effective and efficient communication was identified as a central component of mismatched role perceptions between stakeholders, but recognised as a critical attribute of 'ideal' stakeholder roles. CONCLUSION Insurance workers and physiotherapists self-perception of their roles differs from external perceptions. This information highlights the importance of a shared understanding of stakeholder roles in the management of a worker with an injury.
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Affiliation(s)
- Darren John Beales
- School of Physiotherapy and Exercise Science, Curtin University, Perth, WA, Australia
| | | | - Tim Mitchell
- School of Physiotherapy and Exercise Science, Curtin University, Perth, WA, Australia
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Haveraaen L, Brouwers EPM, Sveen U, Skarpaas LS, Sagvaag H, Aas RW. The First Six Years of Building and Implementing a Return-to-Work Service for Patients with Acquired Brain Injury. The Rapid-Return-to-Work-Cohort-Study. JOURNAL OF OCCUPATIONAL REHABILITATION 2017; 27:623-632. [PMID: 28144771 DOI: 10.1007/s10926-016-9693-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Background and objective Despite large activity worldwide in building and implementing new return-to-work (RTW) services, few studies have focused on how such implementation processes develop. The aim of this study was to examine the development in patient and service characteristics the first six years of implementing a RTW service for persons with acquired brain injury (ABI). Methods The study was designed as a cohort study (n=189). Data were collected by questionnaires, filled out by the service providers. The material was divided into, and analyzed with, two implementation phases. Non-parametrical statistical methods and hierarchical regression analyses were applied on the material. Results The number of patients increased significantly, and the patient group became more homogeneous. Both the duration of the service, and the number of consultations and group session days were significantly reduced. Conclusion The patient group became more homogenous, but also significantly larger during the first six years of building the RTW service. At the same time, the duration of the service decreased. This study therefore questions if there is a lack of consensus on the intensity of work rehabilitation for this group.
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Affiliation(s)
- L Haveraaen
- Presenter, Stavanger, Norway, Stavanger Innovation park, Prof. Olav Hansenssvei 7A, 4021, Stavanger, Norway
| | - E P M Brouwers
- Tilburg School of Social and Behavioral Sciences, Tilburg University, Tranzo, PO Box 90153, 5000 LE, Tilburg, The Netherlands
| | - U Sveen
- Faculty of Health Sciences, Oslo and Akershus University College, PO Box 4, St. Olavs plass, 0130, Oslo, Norway
- Dept. Physical Medicine and Rehabilitation, Oslo University Hospital, PO Box 4950, Nydalen, 0424, Oslo, Norway
| | - L S Skarpaas
- Presenter, Stavanger, Norway, Stavanger Innovation park, Prof. Olav Hansenssvei 7A, 4021, Stavanger, Norway
- Faculty of Health Sciences, Oslo and Akershus University College, PO Box 4, St. Olavs plass, 0130, Oslo, Norway
| | - H Sagvaag
- Faculty of Social Science, University of Stavanger, PO Box 8600, Forus, 4036, Stavanger, Norway
| | - R W Aas
- Presenter, Stavanger, Norway, Stavanger Innovation park, Prof. Olav Hansenssvei 7A, 4021, Stavanger, Norway.
- Faculty of Health Sciences, Oslo and Akershus University College, PO Box 4, St. Olavs plass, 0130, Oslo, Norway.
- Faculty of Social Science, University of Stavanger, PO Box 8600, Forus, 4036, Stavanger, Norway.
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Khandan M, Koohpaei AR, Nili M, Farjami Y. Occupational musculoskeletal disorders management using Fuzzy TOPSIS Assessment of Repetitive Tasks (ART). Work 2017; 56:267-276. [PMID: 28234261 DOI: 10.3233/wor-172491] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND In order to evaluate occupational disorders and ergonomic problems in a workplace, Multiple Criteria Decision Making (MCDM) problem solving methods such as Fuzzy Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS) can be utilized. OBJECTIVE In this paper, Musculoskeletal Disorder (MSD) risk factors were evaluated in a manufacturing company in Iran by a method called Assessment of Repetitive Tasks (ART) of the upper limbs integrated with Fuzzy TOPSIS in order to prioritize the corrective actions. METHODS This study was done with a descriptive-analytical approach. The company under study had 240 employees who were working in seven different shops. Out of all tasks, 13 tasks were included in the study. Required information was gathered by a demographic questionnaire and ART method. Also, Fuzzy TOPSIS was utilized for the prioritization of the company shops based on the ergonomic control needs. RESULTS Data analysis from ART indicated that 74.6% of the reviewed tasks were high risk. Based on the F- TOPSIS-ART results, Production shop prioritized as the highest need for MSD control. CONCLUSIONS Because there is time and financial resources limit in ergonomic control activities, a fuzzy prioritization approach such as Fuzzy TOPSIS ART can be used to take advantage of the available resources and control risks to as low as reasonably practicable (ALARP) level.
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Affiliation(s)
- M Khandan
- Department of Ergonomics, Health Faculty, Qom University of Medical Sciences, Qom, Iran
| | - A R Koohpaei
- Department of Occupational Health, Work Health Research Centre, Qom University of Medical Sciences, Qom, Iran
| | - M Nili
- Department of Industrial Management, Management Faculty, Qom University, Qom, Iran
| | - Y Farjami
- Department of IT Engineering, Engineering Faculty, Qom University, Qom, Iran
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