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

被引:69
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 [公共卫生与预防医学]; 120402 [社会医学与卫生事业管理];
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
相关论文
共 33 条
[1]
An ergonomics program designed to reduce the incidence of upper extremity work related musculoskeletal disorders [J].
Bernacki, EJ ;
Guidera, JA ;
Schaefer, JA ;
Lavin, RA ;
Tsai, SP .
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 1999, 41 (12) :1032-1041
[2]
BUCKLE P, 1989, J SOC OCCUP MED, V39, P56
[3]
COLE DC, 1996, P 28 ANN C HUM FACT, P1
[4]
Effect of an early intervention program on the relationship between subjective pain and disability measures in nurses with low back injury [J].
Cooper, JE ;
Tate, RB ;
Yassi, A ;
Khokhar, J .
SPINE, 1996, 21 (20) :2329-2336
[5]
The adoption of technological innovations for glaziers; evaluation of a participatory ergonomics approach [J].
de Jong, AM ;
Vink, P .
INTERNATIONAL JOURNAL OF INDUSTRIAL ERGONOMICS, 2000, 26 (01) :39-46
[6]
Delbecq A., 1975, GROUP TECHNIQUES PRO
[7]
Return to work after sickness absence due to back disorders - A systematic review on intervention strategies [J].
Elders, LAM ;
van der Beek, AJ ;
Burdorf, A .
INTERNATIONAL ARCHIVES OF OCCUPATIONAL AND ENVIRONMENTAL HEALTH, 2000, 73 (05) :339-348
[8]
Design and implementation of a participatory ergonomics program for machine sewing tasks [J].
Halpern, CA ;
Dawson, KD .
INTERNATIONAL JOURNAL OF INDUSTRIAL ERGONOMICS, 1997, 20 (06) :429-440
[9]
High physical work load and low job satisfaction increase the risk of sickness absence due to low back pain:: results of a prospective cohort study [J].
Hoogendoorn, WE ;
Bongers, PM ;
de Vet, HCW ;
Ariëns, GAM ;
van Mechelen, W ;
Bouter, LM .
OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 2002, 59 (05) :323-328
[10]
Isernhagen Dennis D., 2000, Work, V15, P87