Worksite interventions for preventing physical deterioration among employees in job-groups with high physical work demands: background, design and conceptual model of FINALE.
Worksite interventions for preventing physical deterioration among employees in job-groups with high physical work demands: background, design and conceptual model of FINALE.
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DOI：
10.1186/1471-2458-10-120
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发表时间：
2010-03-09
影响因子：
4.5
通讯作者：
Søgaard K
中科院分区：
文献类型：
--
作者：
Holtermann A;Jørgensen MB;Gram B;Christensen JR;Faber A;Overgaard K;Ektor-Andersen J;Mortensen OS;Sjøgaard G;Søgaard K
个人体能与体力劳动需求之间的不匹配增加了肌肉骨骼疾病、工作能力差和病假的风险，称为身体退化。然而，有效的干预战略，以防止身体退化的工作组，高体力要求仍然有待建立。本文介绍了FINALE方案的背景、设计和概念模型，该方案是丹麦4个职业群体（即清洁工、卫生保健工作者、建筑工人和产业工人）的健康促进干预框架，这些职业群体的特点是体力劳动要求高、肌肉骨骼疾病、工作能力差和病假。FINALE方案的一个新方法是，干预措施，即3项随机对照试验（RCT）和1项探索性病例对照研究，是根据每个工作组工人的体力工作要求、体力和健康状况量身定制的。清洁工中的RCT以重复性工作任务和肌肉骨骼疾病为特征，旨在通过身体协调训练或基于认知行为理论的训练（CBTr）使清洁工不易患肌肉骨骼疾病。由于据报告，卫生保健工作者超重和举重的发生率很高，RCT的目的是通过体育锻炼训练、CBTr和饮食相结合的长期减肥。建筑工作的特点是举重、推拉，RCT旨在提高身体能力，促进肌肉骨骼和心血管健康。在以重复性工作任务为特点的工业工作场所，干预措施旨在通过体育锻炼培训、CBTr和参与性人体工程学相结合的方式，减少体力消耗和肌肉骨骼疾病。FINALE方案的总体目标是提高个人资源（即体能、认知和行为技能）与体力工作需求之间的安全裕度，从而通过针对每个工作组的干预措施，从长远角度减少体力退化。FINALE方案有可能为公共卫生政策和健康促进战略提供具有重要意义的循证知识，以应对身体状况恶化的高风险雇员。ISRCTN 96241850、NCT 01015716和NCT 01007669
A mismatch between individual physical capacities and physical work demands enhance the risk for musculoskeletal disorders, poor work ability and sickness absence, termed physical deterioration. However, effective intervention strategies for preventing physical deterioration in job groups with high physical demands remains to be established. This paper describes the background, design and conceptual model of the FINALE programme, a framework for health promoting interventions at 4 Danish job groups (i.e. cleaners, health-care workers, construction workers and industrial workers) characterized by high physical work demands, musculoskeletal disorders, poor work ability and sickness absence. A novel approach of the FINALE programme is that the interventions, i.e. 3 randomized controlled trials (RCT) and 1 exploratory case-control study are tailored to the physical work demands, physical capacities and health profile of workers in each job-group. The RCT among cleaners, characterized by repetitive work tasks and musculoskeletal disorders, aims at making the cleaners less susceptible to musculoskeletal disorders by physical coordination training or cognitive behavioral theory based training (CBTr). Because health-care workers are reported to have high prevalence of overweight and heavy lifts, the aim of the RCT is long-term weight-loss by combined physical exercise training, CBTr and diet. Construction work, characterized by heavy lifting, pushing and pulling, the RCT aims at improving physical capacity and promoting musculoskeletal and cardiovascular health. At the industrial work-place characterized by repetitive work tasks, the intervention aims at reducing physical exertion and musculoskeletal disorders by combined physical exercise training, CBTr and participatory ergonomics. The overall aim of the FINALE programme is to improve the safety margin between individual resources (i.e. physical capacities, and cognitive and behavioral skills) and physical work demands, and thereby reduce the physical deterioration in a long term perspective by interventions tailored for each respective job-group. The FINALE programme has the potential to provide evidence-based knowledge of significant importance for public health policy and health promotion strategies for employees at high risk for physical deterioration. ISRCTN96241850, NCT01015716 and NCT01007669
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影响因子：
4.9
作者：
Arndt, V;Rothenbacher, D;Brenner, H
通讯作者：
Brenner, H
影响因子：
4.9
作者：
de Boer, A. G. E. M.;Burdorf, A.;Frings-Dresen, M. H. W.
通讯作者：
Frings-Dresen, M. H. W.
DOI：
10.2190/t5yj-j1ja-rnvp-n0mg
发表时间：
2002-01-01
期刊：
New solutions : a journal of environmental and occupational health policy : NS
影响因子：
--
作者：
Frank, John W;Lomax, Geoffrey
通讯作者：
Lomax, Geoffrey
影响因子：
3.3
作者：
Franche, RL;Cullen, K;Frank, J
通讯作者：
Frank, J
DOI：
10.1016/s0169-8141(01)00044-0
发表时间：
2001-12-01
影响因子：
3.1
作者：
Essendrop, M;Schibye, B;Hansen, K
通讯作者：
Hansen, K