10.3205/HTA000097
Buchberger, Barbara
Barbara
Buchberger
Heymann, Romy
Romy
Heymann
Huppertz, Hendrik
Hendrik
Huppertz
Friepörtner, Katharina
Katharina
Friepörtner
Pomorin, Natalie
Natalie
Pomorin
Wasem, Jürgen
Jürgen
Wasem
The effectiveness of interventions in workplace health promotion as to maintain the working capacity of health care personal
German Medical Science GMS Publishing House
2011
JournalArticle
ability to work
absenteeism
academic review
accident
aged
behaviour-oriented
biomedical technology assessment
blinded
blinding
care
CCT
CT
clinical trial
condition-oriented
controlled clinical trials as topic
cost analysis
cost control
cost-effectiveness
cost reduction
cost-benefit analysis
cost-cutting
costs
costs and cost analysis
decision making
demographic development
demography
diagnosis
EBM
economic aspect
economics
economics, medical
effectiveness
efficacy
efficiency
ethics
evidence-based medicine
fitness for employment
fitness for work
Germany
health economic studies
health economics
health education
health policy
health promotion/*
Health Technology Assessment
HTA
HTA report
HTA-report
humans
judgment
juricical
medical assessment
medical costs
medical evaluation
mental health
meta analysis
meta analysis as topic
meta-analysis
methods
models, economic
nursing
nursing staff/*
nursing staff/psychology
nursing staff/standards
occupational health services
occupational health/*
orderlies
pathogenesis
peer review
pharmaeconomics
physical health
placebo
placebo effect
placebos
population development
prevention
primary prevention
random
random allocation
randomisation
randomised clinical study
randomised clinical trial
randomised controlled study
randomised controlled trial
randomised study
randomised trial
randomization
randomized clinical study
randomized clinical trial
randomized controlled study
randomized controlled trials as topic
randomized study
randomized trial
RCT
rehabilitation
report
research article
review
review literature
review literature as topic
rigths
risk assessment
risk of bias tool
salutogenesis
sensitivity
sickness costs
social economic factors
socioeconomic factors
socioeconomics
specifity
systematic review
technical report
technology
technology assessment
technology assessment, biomedical
technology evaluation
technology, medical
terms and condition of employment
therapy
treatment
Work Schedule Tolerance
workableness
working conditions
workload
workplace health promotion
610 Medical sciences; Medicine
2011-09-28
2011
en
urn:nbn:de:0183-hta0000975
text/html
GMS Health Technology Assessment; 7:Doc06; ISSN 1861-8863
Background
The increasing proportion of elderly people with respective care requirements and within the total population stands against aging personnel and staff reduction in the field of health care where employees are exposed to high load factors. Health promotion interventions may be a possibility to improve work situations and behavior.
Methods
A systematic literature search is conducted in 32 databases limited to English and German publications since 1990. Moreover, internet-searches are performed and the reference lists of identified articles are scanned. The selection of literature was done by two reviewers independently according to inclusion and exclusion criteria. Data extraction and tables of evidence are verified by a second expert just like the assessment of risk of bias by means of the Cochrane Collaboration’s tool.
Results
We identified eleven intervention studies and two systematic reviews. There were three randomized controlled trials (RCT) and one controlled trial without randomization (CCT) on the improvement of physical health, four RCT and two CCT on the improvement of psychological health and one RCT on both. Study duration ranged from four weeks to two years and the number of participants included from 20 to 345, with a median of 56. Interventions and populations were predominantly heterogeneous. In three studies intervention for the improvement of physical health resulted in less complaints and increased strength and flexibility with statistically significant differences between groups. Regarding psychological health interventions lead to significantly decreased intake of analgesics, better stress management, coping with workload, communication skills and advanced training.
Discussion
Taking into consideration the small to very small sample sizes, other methodological flaws like a high potential of bias and poor quality of reporting the validity of the results has to be considered as limited. Due to the heterogeneity of health interventions, study populations with differing job specializations and different lengths of study durations and follow-up periods, the comparison of results would not make sense.
Conclusions
Further research is necessary with larger sample sizes, with a sufficient study duration and follow-up, with a lower risk of bias, by considering of relevant quality criteria and with better reporting in publications.
GMS Health Technology Assessment; 7:Doc06; ISSN 1861-8863