Participatory ergonomics as a return-to-work intervention: A future challenge?

被引:68
|
作者
Anema, JR [1 ]
Steenstra, IA
Urlings, IJM
Bongers, PM
de Vroome, EMM
van Mechelen, W
机构
[1] TNO, Work & Employment, NL-2130 AS Hoofddorp, Netherlands
[2] Vrije Univ Amsterdam, Med Ctr, Dept Social Med, Amsterdam, Netherlands
[3] Vrije Univ Amsterdam, Med Ctr, Inst Res Extramural Med, Amsterdam, Netherlands
[4] Vrije Univ Amsterdam, Med Ctr, TNO, Res Ctr Phys Act Work & Hlth, Amsterdam, Netherlands
关键词
low back pain; participatory ergonomics; return-to-work; sick leave; disability management; work adjustment; implementation; process; satisfaction;
D O I
10.1002/ajim.10259
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background Participatory ergonomics (PE) are often applied for prevention of low back pain (LBP). In this pilot-study, a PE-program is applied to the disability management of workers sick listed due to LBP Methods The process, implementation, satisfaction, and barriers for implementation concerning the PE-program were analyzed quantitatively and qualitatively for 35 workers sick listed 2-6 weeks due to LBP and their ergonomists. Results Two-hundred-and-seventy ergonomic solutions were proposed to the employer. They were targeted more at work design and organization of work (58.9%) than at work-place and equipment design (38.9%). They were planned mostly on a short-term basis (74.8%). Almost half (48.9%) of the solutions for work adjustment were completely or partially implemented within 3 months after the first day of absenteeism. Most workers were satisfied about the PE-program (median score 7.8 on a 10-pointscale) and reported a stimulating effect on return-to-work (66.7%). Main obstacles to implementation were technical or organizational difficulties (50.0%) and physical disabilities of the worker (44.8%). Conclusions This study suggests that compliance, acceptance, and satisfaction related to the PE-program were good for all participants. Almost half of the proposed solutions were implemented. (C) 2003 Wiley-Liss, Inc.
引用
收藏
页码:273 / 281
页数:9
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