Adoption of workplaces and reach of employees for a multi-faceted intervention targeting low back pain among nurses’ aides
Open accessAbstract
BACKGROUND: Workplace adoption and reach of health promotion are important, but generally poorly reported. The aim of this study is therefore to evaluate the adoption of workplaces (organizational level) and reach of employees (individual level) of a multi-faceted workplace health promotion and work environment intervention targeting low back pain among nurses' aides in elderly care. METHODS: Percentage of adopters was calculated among eligible workplaces and differences between adopters and non-adopters were evaluated through workplace registrations and manager questionnaires from all eligible workplaces. From the adopted workplaces reach was calculated among eligible employees as the percentage who responded on a questionnaire. Responders were compared with non-responders using data from company registrations. Among responders, comparisons based on questionnaire data were performed between those consenting to participate in the intervention (consenters) and those not consenting to participate in the intervention (non-consenters). Comparisons were done using Student's t-test for the continuous variables, Fisher's exact test for dichotomous variables and the Pearson's chi(2) for categorical variables. Moreover odds ratios for non-responding and non-consenting were investigated with binary logistic regression analyses. RESULTS: The project was adopted by 44% of the offered workplaces. The main differences between adopters and non-adopters were that workplaces adopting the intervention had a more stable organization as well as a management with positive beliefs of the intervention's potential benefits. Of eligible employees, 71% responded on the questionnaire and 57% consented to participate. Non-responders and non-consenters did not differ from the responders and consenters on demographic factors and health. However, more non-responders and non-consenters were low skilled, worked less than 30 hours pr. week, and worked evening and nightshift compared to responders and consenters, respectively. Consenters had more musculoskeletal pain and reduced self-rated health, as well as higher physical exertion during work compared to non-consenters. CONCLUSIONS: Our recruitment effort yielded a population of consenters that was representative of the target population of nurses' aides with respect to demographic factors, and health. Moreover more consenters had problems like pain and high physical exertion during work, which fitted the scope of the intervention. TRIAL REGISTRATION: The study is registered as ISRCTN78113519.
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Many employees do not want their private and working lives to merge.
“Considering that many employees do not want their private and working lives to merge [70, 76], this issue might be resolved (at least to some extent) by providing the option to install the app on company phones with functions that can be used only at work.”
From Advantages and disadvantages of mobile applications for workplace health promotion: A scoping review (2024) · cites this paper as [76]
The Results (Consenters and non-consenters) report that 23 non-consenters gave “My workplace should not interfere with my health” as a reason for not participating. This supports a concern about boundaries between work and personal health, but the paper does not establish that many employees generally do not want their private and working lives to merge. (LLM, conf=0.85)
Experimental — accuracy not yet measuredProviding the option to install the app on company phones with functions usable only at work might resolve the issue of employees not wanting private and working lives to merge.
“Considering that many employees do not want their private and working lives to merge [70, 76], this issue might be resolved (at least to some extent) by providing the option to install the app on company phones with functions that can be used only at work.”
From Advantages and disadvantages of mobile applications for workplace health promotion: A scoping review (2024) · cites this paper as [76]
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- Authors
- Rasmussen, C. D. N., Larsen, A. K., Holtermann, A., Søgaard, K., & Jørgensen, M. B.
- Affiliations
- National Research Centre for the Working Environment (DK)
- University of Southern Denmark (DK)
- Corresponding author
- Rasmussen, Charlotte Diana Nørregaard
- ORCID
- Venue
- BMC Medical Research Methodology
- Published
- 2014-05-01
- Volume
- 14
- Issue
- 1
- Pages
- 60-60
- ISSN
- 1471-2288 (ISSN-L)
- PMC
- PMC4021388
- OpenAlex
- W2084662904
- Cited by
- 27
- References
- 31
- Citations by year
- 2025: 2 · 2024: 4 · 2022: 2 · 2021: 4 · 2019: 1 · 2018: 3 · 2017: 6 · 2016: 2 · 2015: 2 · 2014: 1
- FWCI
- 6.62
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Medical Research Methodology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- University of Southern Denmark Research Portal (University of Southern Denmark) (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Safety in Workplaces
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- workplace health promotion, intervention adoption, intervention reach, nursing assistants, low back pain, elderly care, musculoskeletal pain, organizational stability
- MeSH terms
- Cross-Sectional Studies, Female, Health Promotion, Humans, Male, Middle Aged, Nursing Assistants, Nursing Homes, Occupational Diseases, Patient Compliance, Surveys and Questionnaires, Outcome Assessment, Health Care, Low Back Pain, Workplace, Home Health Aides
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