The prevention of musculoskeletal complaints: long-term effect of a work-related psychosocial coaching intervention comp
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ORIGINAL ARTICLE
The prevention of musculoskeletal complaints: long‑term effect of a work‑related psychosocial coaching intervention compared to physiotherapy alone—a randomized controlled trial Annette Becker1 · Peter Angerer1 · Jeannette Weber1 · Andreas Müller2 Received: 24 April 2019 / Accepted: 31 March 2020 © The Author(s) 2020
Abstract Purpose Research shows that psychosocial factors play a significant role in the emergence of musculoskeletal complaints (MSC). The aim of this study was to determine the long-term effects on unspecific MSC by a combined physiotherapy and coaching intervention compared to physiotherapy alone. The coaching intervention focussed on enabling better strategies for coping with work stressors. Methods The participants of a previous randomized controlled intervention were invited to participate again in a third followup survey 22 months after the end of the intervention. In 2014, 65 nurses completed a 10-week personalised physiotherapy. Additionally, the intervention group (n = 33) passed five individual coaching sessions, plus an opening and closing session. 44 nurses (IG: n = 24; CG: n = 20) passed again a physical examination as well as another questionnaire assessment in 2016. The primary outcome was MSC, secondary outcomes were work ability and work-related well-being. Due to missing data, multiple imputations were conducted using the mice package in R. Data were analysed by ANOVA with two-way repeated measures, t tests for independent samples and Chi-squared tests. Results In respect of MSC, stronger improvement of movement in the vertebral column was observed in the IG compared to the CG. No differences between the IG and CG regarding other long-term effects were observed. Conclusions The results suggest that the combined intervention of work-related coaching and physiotherapy had only a marginally stronger long-term effect with respect to MSC than physiotherapy alone. Keywords Long-term effect · Stress prevention · Musculoskeletal complaints · Nurses · Coaching · Selection · optimization · and compensation
Introduction One of the main causes of sickness absence worldwide is musculoskeletal complaints (MSC), such as head, shoulder, neck or back pain (Edwards and Greasley 2010; Luttmann et al. 2003; WHO 2017). Population studies have shown a lifetime prevalence of 60–80% for back pain (e.g. Campbell et al. 2013; Cote et al. 1998; Papageorgiou et al. 1995). It is expected that in 80–85% of cases of MSC, the aetiology is * Andreas Müller andreas_mueller@uni‑due.de 1
Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany
Institute of Psychology, Work and Organizational Psychology, University of Duisburg-Essen, Essen, Germany
2
unspecific. Hence, only a small proportion of MSC is related to a defined pathology, such as tumors, infections, or osteoporosis (e.g. Abedini et al. 2014; Kool et al. 2004). Besides physical stress factors (e.g. Burdorf and Sorock 1997; Engels et al. 1996; Lorusso et al. 2007; WHO 2018), psychosocial factors play a significant role in em
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