The effect of individual counselling and education on work ability and disability pension: a prospective intervention study in the construction industry
The effect of individual counselling and education on work ability and disability pension: a prospective intervention study in the construction industry
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DOI：
10.1136/oem.2006.029678
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发表时间：
2007-12-01
影响因子：
4.9
通讯作者：
Frings-Dresen, M. H. W.
中科院分区：
文献类型：
--
作者：
de Boer, A. G. E. M.;Burdorf, A.;Frings-Dresen, M. H. W.
目的：调查建筑行业从业人员工作能力和伤残养老金咨询教育项目的有效性。方法：纳入未来四年内伤残风险高至38%或以上的员工。干预组的员工要么由职业医生挑选，要么自己报名。他们接受了专注于优化工作功能的评估和个人计划，而对照组则像往常一样接受护理。在定期职业健康检查期间以及干预开始后 9、18 和 26 个月时，通过问卷收集了工作能力指数 (WAI) 和工作伤残养老金衡量的工作能力数据。 结果：干预组 (n = 83) 和对照组 (n = 209) 中的大多数员工是木匠（43% 和 37%）和瓦工（7% 和 15%）。在干预组中，42% 的人成功完成了该计划。干预组的工作能力在基线时较低，但随着时间的推移显示出增加，而对照组的工作能力保持不变。干预组的工作能力略有提高（p = 0.09）。在 9 个月或 18 个月时，干预组和对照组之间领取残疾养老金的雇员百分比没有发现统计上的显着差异，并且在任何测量中，两组之间领取残疾养老金的雇员年龄调整百分比没有差异。结论：该计划在提高工作能力方面略有效果，但在减少工作残疾养老金方面没有效果。可能需要更全面的多学科干预计划。
Objectives: To investigate the effectiveness of a counselling and education programme on work ability and work disability pension for employees in the construction industry.Methods: Employees with a high disability risk of 38% or more in the following four years were included. Employees in the intervention group were either selected by an occupational physician or enrolled themselves. They received an assessment and individual programme focused on optimising work functioning, while the control group received care-as-usual. Data on work ability measured with the Work Ability Index (WAI) and work disability pensions were collected at baseline during a periodic occupational health examination and at 9, 18 and 26 months after the start of the intervention using a questionnaire.Results: Most employees in both the intervention (n = 83) and control group (n = 209) were carpenters (43% and 37%) and bricklayers (7% and 15%). In the intervention group, 42% successfully completed the programme. Work ability in the intervention group was lower at baseline but showed an increase over time while work ability of the control group remained the same. The work ability in the intervention group improved slightly more (p = 0.09). No statistically significant differences in percentages of employees receiving a disability pension between the intervention and control group were found at 9 or 18 months and no differences in the age-adjusted percentages of employees receiving a disability pension were found between the groups at any measurement.Conclusions: The programme was slightly effective in improving the work ability but not in reducing work disability pensions. A more comprehensive multidisciplinary intervention programme might be necessary.