A Multi-component Intervention (NEXpro) Reduces Neck Pain-Related Work Productivity Loss: A Randomized Controlled Trial Among Swiss Office Workers

Article


Aegerter, Andrea Martina, Deforth, Manja, Volken, Thomas, Johnston, Venerina, Luomajoki, Hannu, Dressel, Holger, Dratva, Julia, Ernst, Markus Josef, Distler, Oliver, Brunner, Beatrice, Sjogaard, Gisela, Melloh, Markus, Elfering, Achim and NEXpro Collaboration Group. 2022. "A Multi-component Intervention (NEXpro) Reduces Neck Pain-Related Work Productivity Loss: A Randomized Controlled Trial Among Swiss Office Workers." Journal of Occupational Rehabilitation. 33 (2), pp. 288-300. https://doi.org/10.1007/s10926-022-10069-0
Article Title

A Multi-component Intervention (NEXpro) Reduces Neck Pain-Related Work Productivity Loss: A Randomized Controlled Trial Among Swiss Office Workers

ERA Journal ID16458
Article CategoryArticle
AuthorsAegerter, Andrea Martina, Deforth, Manja, Volken, Thomas, Johnston, Venerina, Luomajoki, Hannu, Dressel, Holger, Dratva, Julia, Ernst, Markus Josef, Distler, Oliver, Brunner, Beatrice, Sjogaard, Gisela, Melloh, Markus, Elfering, Achim and NEXpro Collaboration Group
Journal TitleJournal of Occupational Rehabilitation
Journal Citation33 (2), pp. 288-300
Number of Pages13
Year2022
PublisherSpringer
Place of PublicationUnited States
ISSN1053-0487
1573-3688
Digital Object Identifier (DOI)https://doi.org/10.1007/s10926-022-10069-0
Web Address (URL)https://link.springer.com/article/10.1007/s10926-022-10069-0
Abstract

Purpose Neck pain is common among office workers and leads to work productivity loss. This study aimed to investigate the effect of a multi-component intervention on neck pain-related work productivity loss among Swiss office workers. Methods Office workers, aged 18–65 years, and without serious neck-related health problems were recruited from two organisations for our stepped-wedge cluster randomized controlled trial. The 12-week multi-component intervention included neck exercises, health-promotion information, and workplace ergonomics. The primary outcome of neck pain-related work productivity loss was measured using the Work Productivity and Activity Impairment Questionnaire and expressed as percentages of working time. In addition, we reported the weekly monetary value of neck pain-related work productivity loss. Data was analysed on an intention-to-treat basis using a generalized linear mixed-effects model. Results Data from 120 participants were analysed with 517 observations. At baseline, the mean age was 43.7 years (SD 9.8 years), 71.7% of participants were female (N = 86), about 80% (N = 95) reported mild to moderate neck pain, and neck pain-related work productivity loss was 12% of working time (absenteeism: 1.2%, presenteeism: 10.8%). We found an effect of our multi-component intervention on neck pain-related work productivity loss, with a marginal predicted mean reduction of 2.8 percentage points (b = −0.27; 95% CI: −0.54 to −0.001, p = 0.049). Weekly saved costs were Swiss Francs 27.40 per participant. Conclusions: Our study provides evidence for the effectiveness of a multi-component intervention to reduce neck pain-related work productivity loss with implications for employers, employees, and policy makers. Trial Registration ClinicalTrials.gov, NCT04169646. Registered 15 November 2019—Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT04169646.

KeywordsAbsenteeism; Ergonomics; Exercise; Health promotion; Presenteeism
ANZSRC Field of Research 2020420106. Physiotherapy
FunderSchweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung
Byline AffiliationsZurich University of Applied Sciences, Switzerland
University of Zurich, Switzerland
University of Queensland
University of Basel, Switzerland
University of Birmingham, United Kingdom
University of Southern Denmark, Denmark
Victoria University of Wellington, New Zealand
Curtin University
University of Western Australia
University of Bern, Switzerland
NEXpro Collaboration Group
Permalink -

https://research.usq.edu.au/item/qzy80/a-multi-component-intervention-nexpro-reduces-neck-pain-related-work-productivity-loss-a-randomized-controlled-trial-among-swiss-office-workers

Download files


Published Version
s10926-022-10069-0.pdf
License: CC BY 4.0
File access level: Anyone

  • 19
    total views
  • 12
    total downloads
  • 0
    views this month
  • 0
    downloads this month

Export as

Related outputs

Co-design and development of the sit-stand e-guide: An e-training program for the optimal use of sit-stand workstations
Zerguine, Haroun, Healy, Genevieve N., Goode, Ana D., Abbott, Alison and Johnston, Venerina. 2024. "Co-design and development of the sit-stand e-guide: An e-training program for the optimal use of sit-stand workstations." Applied Ergonomics: human factors in technology and society. 116. https://doi.org/10.1016/j.apergo.2023.104207
Wellbeing After Finalization of a Workers’ Compensation Claim: A Systematic Scoping Review
Weir, James, Fary, Robyn, Gibson, Mark, Mitchell, Tim, Johnston, Venerina, Wyatt, Mary, Guthrie, Robert, Myers, Bronwyn and Beales, Darren. 2024. "Wellbeing After Finalization of a Workers’ Compensation Claim: A Systematic Scoping Review." Journal of Occupational Rehabilitation. https://doi.org/10.1007/s10926-023-10168-6
"No Man's Land": the experiences of persons injured in a road traffic crash wanting to return to work in Queensland, Australia
Abedi, Masoumeh, Aplin, Aplin, Gane, Elise and Johnston, Venerina. 2024. ""No Man's Land": the experiences of persons injured in a road traffic crash wanting to return to work in Queensland, Australia." Disability and Rehabilitation. 46 (1), pp. 48-57. https://doi.org/10.1080/09638288.2022.2153178
Exploring the perspectives of key stakeholders in returning to work after minor to serious road traffic injuries: a qualitative study
Abedi, Masoumeh, Aplin, Tammy, Gane, Gane and Johnston, Venerina. 2023. "Exploring the perspectives of key stakeholders in returning to work after minor to serious road traffic injuries: a qualitative study." Journal of Occupational Rehabilitation. 33 (1), pp. 93-106. https://doi.org/10.1007/s10926-022-10051-w
Implementation of the "clinical framework for the delivery of health services" by treating healthcare professionals: perspectives of regulators and insurers
Adalja, Bhavya, Aplin, Tammy, Sterling, Michele and Johnston, Venerina. 2023. "Implementation of the "clinical framework for the delivery of health services" by treating healthcare professionals: perspectives of regulators and insurers." Disability and Rehabilitation. https://doi.org/10.1080/09638288.2023.2171496
Clinically Relevant Decreases in Neck/Shoulder Pain Among Office Workers Are Associated With Strength Training Adherence and Exercise Compliance: Explorative Analyses From a Randomized Controlled Trial
Dalager, Tina, Welch, Alyssa, O'Leary, Shaun Patrick, Johnston, Venerina and Sjogaard, Gisela. 2023. "Clinically Relevant Decreases in Neck/Shoulder Pain Among Office Workers Are Associated With Strength Training Adherence and Exercise Compliance: Explorative Analyses From a Randomized Controlled Trial." Physical Therapy. 103 (2), pp. 1-12. https://doi.org/10.1093/ptj/pzac166
Cervical and axioscapular muscle stiffness measured with shear wave elastography: A comparison between different levels of work-related neck disability
Xie, Yanfei, Thomas, Lucy, Johnston, Venerina and Coombes, Brooke K.. 2023. "Cervical and axioscapular muscle stiffness measured with shear wave elastography: A comparison between different levels of work-related neck disability." Journal of Electromyography and Kinesiology. 69. https://doi.org/10.1016/j.jelekin.2023.102754
Using framework analysis to understand multiple stakeholders' views of vocational rehabilitation following acquired brain injury
Johnston, Venerina, Brakenridge, Charlotte, Valiant, Donna, Leow, Charmaine Leow Kai, Andrews, Nicole, Gane, Elise M., Turner, Ben, Kendall, Melissa and Quinn, Ray. 2023. "Using framework analysis to understand multiple stakeholders' views of vocational rehabilitation following acquired brain injury." Brain Impairment. 24 (2), pp. 347-370. https://doi.org/10.1017/BrImp.2022.27
Tools to assess employment readiness for colorectal cancer survivors: A scoping review
Ding, Mingshuang, Gane, Elise, Wiffen, Harry and Johnston, Venerina. 2023. "Tools to assess employment readiness for colorectal cancer survivors: A scoping review." Cancer Medicine. 12 (17), pp. 18327-18353. https://doi.org/10.1002/cam4.6432
Work-related outcomes in individuals with and without lower limb osteoarthritis: an online survey
Alyousef, Yousef S., Johnston, Venerina and Smith, Michelle D.. 2023. "Work-related outcomes in individuals with and without lower limb osteoarthritis: an online survey." BMC Public Health. 23 (1). https://doi.org/10.1186/s12889-023-16723-3
The effect of lower limb osteoarthritis on work-related outcomes: a systematic review and meta-analysis
Alyousef, Yousef S., Johnston, Venerina, Mellor, Rebecca, Plinsinga, Melanie L., Zerguine, Haroun and Smith, Michelle D.. 2023. "The effect of lower limb osteoarthritis on work-related outcomes: a systematic review and meta-analysis." Disability and Rehabilitation. https://doi.org/10.1080/09638288.2023.2259304
Online office ergonomics training programs: A scoping review examining design and user-related outcomes
Zerguine, Haroun, Healy, Genevieve N., Goode, Ana D., Zischke, Jason, Abbott, Alison, Gunning, Lynn and Johnston, Venerina. 2023. "Online office ergonomics training programs: A scoping review examining design and user-related outcomes." Safety Science. 158. https://doi.org/10.1016/j.ssci.2022.106000
Evaluation of an exercise and ergonomics intervention for the prevention of neck pain in office workers: exploratory analysis of a cluster randomised trial
Johnston, Venerina, Jackson, Katherine, Welch, Alyssa, Sjogaard, Gisela, Comans, Tracy Ann, Straker, Leon, Melloh, Melloh, Gane, Elise, Bowe, Steve and O'Leary, Shaun. 2022. "Evaluation of an exercise and ergonomics intervention for the prevention of neck pain in office workers: exploratory analysis of a cluster randomised trial." Occupational and Environmental Medicine. 79 (11), pp. 767-774. https://doi.org/10.1136/oemed-2022-108275
Exploring the lived return-to-work experience of individuals with acquired brain injury: use of vocational services and environmental, personal and injury-related influences
Brakenridge, Charlotte L., Leow, Charmaine KaiLing, Kendall, Melissa, Turner, Ben, Valiant, Donna, Ray, Quinn and Johnston, Venerina. 2022. "Exploring the lived return-to-work experience of individuals with acquired brain injury: use of vocational services and environmental, personal and injury-related influences." Disability and Rehabilitation. 44 (16), pp. 4332-4342. https://doi.org/10.1080/09638288.2021.1903101
Barriers and Facilitators Associated with Return to Work Following Minor to Serious Road Traffic Musculoskeletal Injuries: A Systematic Review
Abedi, Masoumeh, Gane, Elise, Aplin, Tammy, Zerguine, Haroun and Johnston, Venerina. 2022. "Barriers and Facilitators Associated with Return to Work Following Minor to Serious Road Traffic Musculoskeletal Injuries: A Systematic Review ." Journal of Occupational Rehabilitation. 32 (1), pp. 13-26. https://doi.org/10.1007/s10926-021-09994-3
Thirty Minutes Identified as the Threshold for Development of Pain in Low Back and Feet Regions, and Predictors of Intensity of Pain during 1-h Laboratory-Based Standing in Office Workers
Rodriguez-Romero, Beatriz, Smith, Michelle D., Pertega-Diaz, Sonia, Quintela-del-Rio, Alejandro and Johnston, Venerina. 2022. "Thirty Minutes Identified as the Threshold for Development of Pain in Low Back and Feet Regions, and Predictors of Intensity of Pain during 1-h Laboratory-Based Standing in Office Workers." International Journal of Environmental Research and Public Health. 19 (4), pp. 1-14. https://doi.org/10.3390/ijerph19042221
Factors impacting workplace investment in sit-stand workstations from the perspective of purchasing decision-makers
Zerguine, Haroun, Goode, Ana D., Abbott, Alison, Johnston, Venerina and Healy, Genevieve N.. 2022. "Factors impacting workplace investment in sit-stand workstations from the perspective of purchasing decision-makers." Applied Ergonomics: human factors in technology and society. 98, pp. 1-8. https://doi.org/10.1016/j.apergo.2021.103558
Interventions to Promote Work‐Focused Care by Healthcare Providers for Individuals with Musculoskeletal Conditions a Scoping Review
Xie, Yanfei, Hutting, Nathan, Bartys, Serena and Johnston, Venerina. 2021. "Interventions to Promote Work‐Focused Care by Healthcare Providers for Individuals with Musculoskeletal Conditions a Scoping Review ." Journal of Occupational Rehabilitation. 31 (4), pp. 840-865. https://doi.org/10.1007/s10926-021-09971-w
Visual symptoms, Neck/shoulder problems and associated factors among surgeons performing Minimally Invasive Surgeries (MIS): A comprehensive survey
Alhusuny, Ameer, Cook, Margaret, Khalil, Akram and Johnston, Venerina. 2021. "Visual symptoms, Neck/shoulder problems and associated factors among surgeons performing Minimally Invasive Surgeries (MIS): A comprehensive survey." International Archives of Occupational and Environmental Health. 94 (5), pp. 959-979. https://doi.org/10.1007/s00420-020-01642-2
No evidence for an effect of working from home on neck pain and neck disability among Swiss office workers: Short-term impact of COVID-19
Aegerter, Andrea M., Deforth, Manja, Johnston, Venerina, Sjogaard, Gisela, Volken, Thomas, Luomajoki, Hannu, Dratva, Julia, Dressel, Holger, Distler, Oliver, Elfering, Achim, Melloh, Markus and NEXpro Collaboration Group. 2021. "No evidence for an effect of working from home on neck pain and neck disability among Swiss office workers: Short-term impact of COVID-19." European Spine Journal. 30 (6), pp. 1699-1707. https://doi.org/10.1007/s00586-021-06829-w
Experiences of people with cancer who have participated in a hospital-based exercise program: a qualitative study
Ferri, Alessia, Gane, Elise M., Smith, Michelle D., Pinkham, Elizabeth P., Gomersall, Sjaan R. and Johnston, Venerina. 2021. "Experiences of people with cancer who have participated in a hospital-based exercise program: a qualitative study." Supportive Care in Cancer. 29 (3), pp. 1575-1583. https://doi.org/10.1007/s00520-020-05647-y
No Evidence for a Decrease in Physical Activity Among Swiss Office Workers During COVID-19: A Longitudinal Study
Aegerter, Andrea Martina, Deforth, Manja, Sjogaard, Gisela, Johnston, Venerina, Volken, Thomas, Luomajoki, Hannu, Dratva, Julia, Dressel, Holger, Distler, Oliver, Melloh, Markus, Elfering, Achim and NEXpro Collaboration Group. 2021. "No Evidence for a Decrease in Physical Activity Among Swiss Office Workers During COVID-19: A Longitudinal Study." Frontiers in Psychology. 12, pp. 1-10. https://doi.org/10.3389/fpsyg.2021.620307
A cluster-randomized trial of workplace ergonomics and neck-specific exercise versus ergonomics and health promotion for office workers to manage neck pain – a secondary outcome analysis
Johnston, Venerina, Chen, Xiaoqi, Welch, Alyssa, Sjogaard, Gisela, Comans, Tracy A., McStea, Megan, Straker, Leon, Melloh, Markus, Pereira, Michelle and O'Leary, Shaun. 2021. "A cluster-randomized trial of workplace ergonomics and neck-specific exercise versus ergonomics and health promotion for office workers to manage neck pain – a secondary outcome analysis ." BMC Musculoskeletal Disorders. 22 (1), pp. 1-12. https://doi.org/10.1186/s12891-021-03945-y
Work-Focused Health Care: The Role of Physical Therapists
Hutting, Nathan, Boucaut, Rose, Gross, Douglas P, Heerkens, Yvonne F Heerkens, Johnston, Venerina, Skamagki, Glykeria and Stigmar, Kjerstin. 2020. "Work-Focused Health Care: The Role of Physical Therapists." Physical Therapy. 100 (12), pp. 2231-2236. https://doi.org/10.1093/ptj/pzaa166
Musculoskeletal Pain and Disability in Sonographers: More Than an Ergonomic Issue
Xie, Yanfei, Coombes, Brooke K., Thomas, Lucy and Johnston, Venerina. 2020. "Musculoskeletal Pain and Disability in Sonographers: More Than an Ergonomic Issue." Journal of the American Society of Echocardiography. 33 (12), pp. 1526-1527. https://doi.org/10.1016/j.echo.2020.07.005
Job strain and psychological distress in office workers: The role of coping
Jun, Deokhoon, O'Leary, Shaun, McPhail, Steven M. and Johnston, Venerina. 2019. "Job strain and psychological distress in office workers: The role of coping." Work. 64 (1), pp. 55-65. https://doi.org/10.3233/WOR-192968