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A Cross-Provider Healthcare Management Program for Musculoskeletal Disorders: Results of a Randomized Controlled Trial in 22 German Companies

Author

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  • Kyung-Eun (Anna) Choi

    (Center for Health Services Research, Brandenburg Medical School Theodor Fontane, Fehrbelliner Str. 38, 16816 Neuruppin, Germany
    Institute of Medical Sociology, Health Services Research and Rehabilitation Science, Faculty of Medicine, University Hospital Cologne, Faculty of Human Sciences, University of Cologne, Eupener Str. 129, 50933 Cologne, Germany)

  • Lara Lindert

    (Center for Health Services Research, Brandenburg Medical School Theodor Fontane, Fehrbelliner Str. 38, 16816 Neuruppin, Germany
    Institute of Medical Sociology, Health Services Research and Rehabilitation Science, Faculty of Medicine, University Hospital Cologne, Faculty of Human Sciences, University of Cologne, Eupener Str. 129, 50933 Cologne, Germany)

  • Lara Schlomann

    (Institute of Medical Sociology, Health Services Research and Rehabilitation Science, Faculty of Medicine, University Hospital Cologne, Faculty of Human Sciences, University of Cologne, Eupener Str. 129, 50933 Cologne, Germany)

  • Christina Samel

    (Institute of Medical Statistics and Computational Biology, Faculty of Medicine, University Hospital Cologne, University of Cologne, Robert-Koch-Str. 10, 50931 Cologne, Germany)

  • Martin Hellmich

    (Institute of Medical Statistics and Computational Biology, Faculty of Medicine, University Hospital Cologne, University of Cologne, Robert-Koch-Str. 10, 50931 Cologne, Germany)

  • Holger Pfaff

    (Institute of Medical Sociology, Health Services Research and Rehabilitation Science, Faculty of Medicine, University Hospital Cologne, Faculty of Human Sciences, University of Cologne, Eupener Str. 129, 50933 Cologne, Germany)

Abstract

Musculoskeletal disorders (MSDs) are among the most common cause for reduced work capacity and sick leave. Workplace health promotion programs are often neither tailored to the workplace nor the individual needs of the employees. To counteract lacking intersectional care, this four-year randomized controlled trial (RCT) aimed to investigate the effects of modular coordinating case management (treatment group) compared to supported self-management (control group) on MSD specific sick leave days (routine data), workability (WAI), self-efficacy (self-efficacy scale), and pain (German pain questionnaire, GPQ). The study network comprised 22 companies, 15 company health insurance funds, and 12 pension funds in Germany. Overall, 852 participants (Module A/early intervention: n = 651, Module B/rehabilitation: n = 190, Module C/reintegration: n = 10) participated. Both groups achieved fewer sick leave days, higher workability, and less pain ( p < 0.0001) at follow-up compared to baseline. At follow-up, the coordinating case management group showed fewer disability days (GPQ), lower disability scores (GPQ), and lower pain intensities (GPQ) than the supported self-management group ( p < 0.05), but no superiority regarding MSD specific sick leave days, workability, nor self-efficacy. Module A showed more comprehensive differences. The accompanying process evaluation shows barriers and facilitators for the implementation of the program, especially in a RCT setting.

Suggested Citation

  • Kyung-Eun (Anna) Choi & Lara Lindert & Lara Schlomann & Christina Samel & Martin Hellmich & Holger Pfaff, 2021. "A Cross-Provider Healthcare Management Program for Musculoskeletal Disorders: Results of a Randomized Controlled Trial in 22 German Companies," IJERPH, MDPI, vol. 18(22), pages 1-13, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:11844-:d:677163
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    References listed on IDEAS

    as
    1. Kristina Schubin & Lara Schlomann & Lara Lindert & Holger Pfaff & Kyung-Eun Choi, 2020. "Occupational Physicians’ Perspectives on Determinants of Employee Participation in a Randomized Controlled Musculoskeletal Health Promotion Measure: A Qualitative Study," IJERPH, MDPI, vol. 17(20), pages 1-14, October.
    2. Kenneth F Schulz & Douglas G Altman & David Moher & for the CONSORT Group, 2010. "CONSORT 2010 Statement: Updated Guidelines for Reporting Parallel Group Randomised Trials," PLOS Medicine, Public Library of Science, vol. 7(3), pages 1-7, March.
    3. Birthe Andrea Lehmann & Lara Lindert & Silke Ohlmeier & Lara Schlomann & Holger Pfaff & Kyung-Eun Choi, 2020. "“And Then He Got into the Wrong Group”: A Qualitative Study Exploring the Effects of Randomization in Recruitment to a Randomized Controlled Trial," IJERPH, MDPI, vol. 17(6), pages 1-16, March.
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    Cited by:

    1. Lara Lindert & Lara Schlomann & Holger Pfaff & Kyung-Eun (Anna) Choi, 2022. "The Role of Psychological Wellbeing in a Cross-Provider Worksite Healthcare Management Program for Employees with Musculoskeletal Disorders," IJERPH, MDPI, vol. 19(9), pages 1-12, April.
    2. Kyung-Eun (Anna) Choi & Lara Lindert & Lara Schlomann & Holger Pfaff, 2022. "“I’ll leave that to the case managers.” Healthcare Service Providers‘ Perceptions of Organizational Readiness for Change in a Randomized Controlled Trial—A Qualitative Analysis Exploring Implementatio," IJERPH, MDPI, vol. 19(9), pages 1-17, May.

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