A comprehensive workplace intervention and its outcome with regard to lifestyle, health and sick leave: the AHA study.

This study is a prospective multicentre cohort study entitled Work and Health in the Processing and Engineering Industries, the AHA Study (AHA is the Swedish abbreviation for the study). Four large workplaces in Sweden participated during the years from 2000 to 2003. The present report has two objectives: (1) to present a comprehensive occupational health intervention programme and (2) to evaluate this programme with a focus on lifestyle (smoking and exercise), health related quality of life (HRQoL) and sick leave. Interventions were provided on an individual and group level, including evidence-based methods for four health/focus areas (individual level) and a group intervention based on a survey-feedback methodology. The analyses in this report were exclusively employed at an organizational level. The proportion of smokers decreased at three companies and the course of the HRQoL was advantageous at two of the companies as compared to a gainfully employed reference group. A significant decrease in sick leave was revealed at one company, whereas a break in an ascending sick-leave trend appeared at a second company as compared to their respective corporate groups. This comprehensive workplace intervention programme appears to have had positive effects on smoking habits, HRQoL and sick leave.

[1]  C. Foster,et al.  Interventions for promoting physical activity (review) , 2007 .

[2]  C. Björklund,et al.  Does survey feedback enhance the psychosocial work environment and decrease sick leave? , 2007 .

[3]  I. Jensen,et al.  Risk factors for new episodes of sick leave due to neck or back pain in a working population. A prospective study with an 18-month and a three-year follow-up , 2006, Occupational and Environmental Medicine.

[4]  R. Sinert,et al.  Clinical Assessment of Low Back Pain , 2006 .

[5]  Bernard Burnand,et al.  Reduction of alcohol consumption by brief alcohol intervention in primary care: systematic review and meta-analysis. , 2005, Archives of internal medicine.

[6]  M. Thorogood,et al.  Interventions for promoting physical activity. , 2005, The Cochrane database of systematic reviews.

[7]  L. Nathell Effects on sick leave of an inpatient rehabilitation programme for asthmatics in a randomized trial , 2005, Scandinavian journal of public health.

[8]  S. Yusuf,et al.  Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study , 2004, The Lancet.

[9]  M. Berglund,et al.  Treatment of alcohol abuse: an evidence-based review. , 2003, Alcoholism, clinical and experimental research.

[10]  Shah Ebrahim,et al.  European guidelines on cardiovascular disease prevention in clinical practice. Third Joint Task Force of European and Other Societies on Cardiovascular Disease Prevention in Clinical Practice. , 2003 .

[11]  C. V. van Schayck,et al.  Smoking cessation for chronic obstructive pulmonary disease. , 2003, The Cochrane database of systematic reviews.

[12]  K Larsson,et al.  Not 15 but 50% of smokers develop COPD?--Report from the Obstructive Lung Disease in Northern Sweden Studies. , 2003, Respiratory medicine.

[13]  M J Hensley,et al.  Self-management education and regular practitioner review for adults with asthma. , 2002, The Cochrane database of systematic reviews.

[14]  S. Lusk,et al.  Impacting health through the worksite. , 2002, The Nursing clinics of North America.

[15]  C. Bombardier,et al.  WITHDRAWN: Multidisciplinary bio-psycho-social rehabilitation for chronic low-back pain. , 2007, The Cochrane database of systematic reviews.

[16]  R. Pauwels,et al.  Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: National Heart, Lung, and Blood Institute and World Health Organization Global Initiative for Chronic Obstructive Lung Disease (GOLD): executive summary. , 2001, Respiratory care.

[17]  C. Heaney,et al.  The Intervention Research Process in Occupational Safety and Health: An Overview From the National Occupational Research Agenda Intervention Effectiveness Research Team , 2001, Journal of occupational and environmental medicine.

[18]  S. Linton,et al.  A cognitive-behavioral group intervention as prevention for persistent neck and back pain in a non-patient population: a randomized controlled trial , 2001, Pain.

[19]  I. Jensen,et al.  Assessing the Needs of Patients in Pain: A Matter of Opinion? , 2000, Spine.

[20]  D. Ragland,et al.  Occupational stress factors and alcohol-related behavior in urban transit operators. , 2000, Alcoholism, clinical and experimental research.

[21]  W. Browner,et al.  The Alcohol Hangover , 2000, Annals of Internal Medicine.

[22]  N. Mayo,et al.  A Review of the Association Between Cigarette Smoking and the Development of Nonspecific Back Pain and Related Outcomes , 2000, Spine.

[23]  A. Norinder,et al.  The weighting exercise for the Swedish version of the EuroQol. , 1999, Health economics.

[24]  W. Lehman,et al.  Workplace drinking climate, stress, and problem indicators: assessing the influence of teamwork (group cohesion). , 1998, Journal of studies on alcohol.

[25]  S. Linton,et al.  Can we screen for problematic back pain? A screening questionnaire for predicting outcome in acute and subacute back pain. , 1998, The Clinical journal of pain.

[26]  M. Marmot,et al.  Behavioural and biological correlates of physical functioning in middle aged office workers: the UK whitehall II study. , 1998, Journal of epidemiology and community health.

[27]  S. Stansfeld,et al.  Work and psychiatric disorder in the Whitehall II Study. , 1997, Journal of psychosomatic research.

[28]  R. Pauwels,et al.  GLOBAL STRATEGY FOR ASTHMA MANAGEMENT AND PREVENTION , 1996 .

[29]  O. Aasland,et al.  Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption--II. , 1993, Addiction.

[30]  G. Rose,et al.  Randomised controlled trial of anti-smoking advice: final (20 year) results. , 1992, Journal of epidemiology and community health.

[31]  J. C. Erfurt,et al.  Worksite Wellness Programs: Incremental Comparison of Screening and Referral Alone, Health Education, Follow-up Counseling, and Plant Organization , 1991, American journal of health promotion : AJHP.

[32]  M. Shipley,et al.  Overweight and stroke in the Whitehall study. , 1991, Journal of epidemiology and community health.

[33]  M. Shipley,et al.  Weight and mortality in the Whitehall Study. , 1982, British medical journal.

[34]  T. Lancaster,et al.  Workplace interventions for smoking cessation (Review) , 2008 .

[35]  N. Schneiderman,et al.  Psychosocial considerations in the european guidelines for prevention of cardiovascular diseases in clinical practice: third joint task force , 2005, International journal of behavioral medicine.

[36]  L. Rydén,et al.  Long-term effects of lifestyle behavior change in coronary artery disease: effects on recurrent coronary events after percutaneous coronary intervention. , 2005, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[37]  A. Helander Biological markers in alcoholism. , 2003, Journal of neural transmission. Supplementum.

[38]  C. Heaney Worksite health interventions: Targets for change and strategies for attaining them. , 2003 .

[39]  S. Linton,et al.  Guide to assessing psychosocial yellow flags in acute low back pain: Risk factors for long-term disability and work loss. , 2002 .

[40]  Linda C. Li,et al.  The economic burden of low back pain: a review of studies published between 1996 and 2001. , 2002, Best practice & research. Clinical rheumatology.

[41]  Jørgen Lauridsen,et al.  Estimating Danish EQ-5D Tariffs Using the Time-Trade-Off (TTO) and Visual Analogue Scale (VAS) Methods , 2002 .

[42]  J Dul,et al.  The relationship between leisure time, physical activities and musculoskeletal symptoms and disability in worker populations , 2000, International archives of occupational and environmental health.

[43]  Gerry Larsson,et al.  The Stress Profile : A psychosocial approach to measuring stress , 1995 .

[44]  Linda C. Sobell,et al.  Timeline Follow-Back A Technique for Assessing Self-Reported Alcohol Consumption , 1992 .

[45]  W. French,et al.  Organization development : behavioral science interventions for organization improvement , 1999 .