Are workplace health promotion programs effective at improving presenteeism in workers? A systematic review and best evidence synthesis of the literature.
Are workplace health promotion programs effective at improving presenteeism in workers? A systematic review and best evidence synthesis of the literature.
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DOI：
10.1186/1471-2458-11-395
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发表时间：
2011-05-26
影响因子：
4.5
通讯作者：
Côté P
中科院分区：
文献类型：
--
作者：
Cancelliere C;Cassidy JD;Ammendolia C;Côté P
出勤主义非常普遍，对雇主来说代价高昂。它被定义为在工作中在场，但在工作表现的某些方面受到健康问题的限制。工作场所健康促进(WHP)是一种用于提高工作效率的常用策略。主要目标是确定WHP计划在改善出勤率方面是否有效。次要目标是确定成功项目的特点和出勤的潜在风险因素。从1990年到2010年，检索了Cochrane图书馆、Medline和其他电子数据库。检查了参考文献列表，手工搜索了主要期刊，并联系了专家。纳入的研究是原始研究，包含至少20名参与者(18岁的≥)的数据，并检查在工作场所实施的工作场所惠普计划的影响。量化研究的有效公共卫生实践项目工具被用来对研究进行评级。“强”和“中等”的研究被抽象到证据表中，并进行了最佳证据合成。如果干预改善了感兴趣的结果，就被认为是成功的。确定了他们的计划组成部分，以及可能导致出席率的风险因素。经过2,032篇标题和摘要的筛选，47篇文章被评论，14篇被接受(4篇强研究，10篇中等研究)。这些研究包含了一些WHP项目积极作用的初步证据。成功的项目提供了组织领导力、健康风险筛查、个人定制项目和支持性的工作场所文化。导致出勤的潜在风险因素包括超重、饮食不佳、缺乏锻炼、压力大以及与同事和管理层关系不佳。限制：本综述仅限于英文出版物。大量经审查的研究(70%)由于存在偏见问题而不予受理，从而限制了主要证据的数量。围绕出勤主义测量的不确定性是一个令人严重担忧的偏差来源。出席主义文学是年轻而多样的。有初步证据表明，一些WHP计划可以积极地影响出勤率，某些风险因素是重要的。未来的研究将受益于标准的出勤率指标和在广泛的工作场所环境中进行的研究。
Presenteeism is highly prevalent and costly to employers. It is defined as being present at work, but limited in some aspect of job performance by a health problem. Workplace health promotion (WHP) is a common strategy used to enhance on-the-job productivity. The primary objective is to determine if WHP programs are effective in improving presenteeism. The secondary objectives are to identify characteristics of successful programs and potential risk factors for presenteeism. The Cochrane Library, Medline, and other electronic databases were searched from 1990 to 2010. Reference lists were examined, key journals were hand-searched and experts were contacted. Included studies were original research that contained data on at least 20 participants (≥ 18 years of age), and examined the impacts of WHP programs implemented at the workplace. The Effective Public Health Practice Project Tool for Quantitative Studies was used to rate studies. 'Strong' and 'moderate' studies were abstracted into evidence tables, and a best evidence synthesis was performed. Interventions were deemed successful if they improved the outcome of interest. Their program components were identified, as were possible risk factors contributing to presenteeism. After 2,032 titles and abstracts were screened, 47 articles were reviewed, and 14 were accepted (4 strong and 10 moderate studies). These studies contained preliminary evidence for a positive effect of some WHP programs. Successful programs offered organizational leadership, health risk screening, individually tailored programs, and a supportive workplace culture. Potential risk factors contributing to presenteeism included being overweight, a poor diet, a lack of exercise, high stress, and poor relations with co-workers and management. Limitations: This review is limited to English publications. A large number of reviewed studies (70%) were inadmissible due to issues of bias, thus limiting the amount of primary evidence. The uncertainties surrounding presenteeism measurement is of significant concern as a source of bias. The presenteeism literature is young and heterogeneous. There is preliminary evidence that some WHP programs can positively affect presenteeism and that certain risk factors are of importance. Future research would benefit from standard presenteeism metrics and studies conducted across a broad range of workplace settings.
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DOI：
10.1097/00043764-199910000-00007
发表时间：
1999-10-01
影响因子：
3.2
作者：
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