2017-02-01 12:00 - Messages

Effectiveness of Workplace Interventions in Return-to-Work for Musculoskeletal, Pain-Related and Mental Health Conditions

An Update of the Evidence and Messages for Practitioners
Purpose: The objective of this systematic review was to synthesize evidence on the effectiveness of workplace-based return-to-work (RTW) interventions and work disability management (DM) interventions that assist workers with musculoskeletal (MSK) and pain-related conditions and mental health (MH) conditions with RTW. Methods: We followed a systematic review process developed by the Institute for Work & Health and an adapted best evidence synthesis that ranked evidence as strong, moderate, limited, or insufficient. Results: Seven electronic databases were searched from January 1990 until April 2015, yielding 8898 non-duplicate references. Evidence from 36 medium and high quality studies were synthesized on 12 different intervention categories across three broad domains: health-focused, service coordination, and work modification interventions. There was strong evidence that duration away from work from both MSK or pain-related conditions and MH conditions were significantly reduced by multi-domain interventions encompassing at least two of the three domains. There was moderate evidence that these multi-domain interventions had a positive impact on cost outcomes. There was strong evidence that cognitive behavioural therapy interventions that do not also include workplace modifications or service coordination components are not effective in helping workers with MH conditions in RTW. Evidence for the effectiveness of other single-domain interventions was mixed, with some studies reporting positive effects and others reporting no effects on lost time and work functioning. Conclusions: While there is substantial research literature focused on RTW, there are only a small number of quality workplace-based RTW intervention studies that involve workers with MSK or pain-related conditions and MH conditions. We recommend implementing multi-domain interventions (i.e. with healthcare provision, service coordination, and work accommodation components) to help reduce lost time for MSK or pain-related conditions and MH conditions. Practitioners should also consider implementing these programs to help improve work functioning and reduce costs associated with work disability.

Source: Cullen, K.L., Irvin, E., Collie, A. et al. (2017). J Occup Rehabil.

Return to work after cancer

There is an increasing amount of information available for line managers, human resources and occupational health professionals on helping individuals with cancer stay in work.
However, until this research, there had been a lack of evidence on specific health and safety issues and effective approaches to risk assessment and risk management for occupational safety and health (OSH) professionals, and others, to support those undergoing treatment or returning to work after cancer.
The research addresses this evidence gap by:
- seeking to understand the health and safety implications of returning to work after cancer and cancer treatment
- identifying what employers can do to facilitate return to work and what is good practice in dealing with health and safety issues

Source: http://www.iosh.co.uk/Books-and-resources/Return-to-work-after-Cancer.aspx

Effectiveness of Occupational Therapy Interventions for Lower-Extremity Musculoskeletal Disorders

A Systematic Review
Lower-extremity (LE) musculoskeletal disorders (MSDs) can have a major impact on the ability to carry out daily activities. The effectiveness of interventions must be examined to enable occupational therapy practitioners to deliver the most appropriate services. This systematic review examined the literature published between 1995 and July 2014 that investigated the effectiveness of occupational therapy interventions for LE MSDs. Forty-three articles met the criteria and were reviewed. Occupational therapy interventions varied on the basis of population subgroup: hip fracture, LE joint replacement, LE amputation or limb loss, and nonsurgical osteoarthritis and pain. The results indicate an overall strong role for occupational therapy in treating clients with LE MSDs. Activity pacing is an effective intervention for nonsurgical LE MSDs, and multidisciplinary rehabilitation is effective for LE joint replacement and amputation. Further research on specific occupational therapy interventions in this important area is needed.

Source: Dorsey, J., & Bradshaw, M. (2017). American Journal of Occupational Therapy, 71(1).

Rehabilitation and return to work after cancer: Literature review

As treatments have improved, there are more and more people surviving cancer in Europe. While most cancer survivors return to work after treatment, many face long-term symptoms and impairments that can make it difficult for them to do so.
This report provides an overview of the relevant scientific literature, conducted to collect information on existing initiatives, policies and practices on rehabilitation and return to work after cancer and gather examples of successful interventions.

Source: https://osha.europa.eu/en/tools-and-publications/publications/rehabilitation-and-return-work-after-cancer-literature-review/view

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