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Becker, Annette; Angerer, Peter; Weber, Jeannette; Müller, Andreas

The prevention of musculoskeletal complaints: long-term effect of a work-related psychosocial coaching intervention compared to physiotherapy alone—a randomized controlled trial

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  • Medientyp: E-Artikel
  • Titel: The prevention of musculoskeletal complaints: long-term effect of a work-related psychosocial coaching intervention compared to physiotherapy alone—a randomized controlled trial
  • Beteiligte: Becker, Annette; Angerer, Peter; Weber, Jeannette; Müller, Andreas
  • Erschienen: Springer Science and Business Media LLC, 2020
  • Erschienen in: International Archives of Occupational and Environmental Health
  • Sprache: Englisch
  • DOI: 10.1007/s00420-020-01538-1
  • ISSN: 0340-0131; 1432-1246
  • Schlagwörter: Public Health, Environmental and Occupational Health
  • Entstehung:
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  • Beschreibung: <jats:title>Abstract</jats:title><jats:sec> <jats:title>Purpose</jats:title> <jats:p>Research shows that psychosocial factors play a significant role in the emergence of musculoskeletal complaints (MSC). The aim of this study was to determine the long-term effects on unspecific MSC by a combined physiotherapy and coaching intervention compared to physiotherapy alone. The coaching intervention focussed on enabling better strategies for coping with work stressors.</jats:p> </jats:sec><jats:sec> <jats:title>Methods</jats:title> <jats:p>The participants of a previous randomized controlled intervention were invited to participate again in a third follow-up survey 22 months after the end of the intervention. In 2014, 65 nurses completed a 10-week personalised physiotherapy. Additionally, the intervention group (<jats:italic>n</jats:italic> = 33) passed five individual coaching sessions, plus an opening and closing session. 44 nurses (IG: <jats:italic>n</jats:italic> = 24; CG: <jats:italic>n</jats:italic> = 20) passed again a physical examination as well as another questionnaire assessment in 2016. The primary outcome was MSC, secondary outcomes were work ability and work-related well-being. Due to missing data, multiple imputations were conducted using the mice package in R. Data were analysed by ANOVA with two-way repeated measures, <jats:italic>t</jats:italic> tests for independent samples and Chi-squared tests.</jats:p> </jats:sec><jats:sec> <jats:title>Results</jats:title> <jats:p>In respect of MSC, stronger improvement of movement in the vertebral column was observed in the IG compared to the CG. No differences between the IG and CG regarding other long-term effects were observed.</jats:p> </jats:sec><jats:sec> <jats:title>Conclusions</jats:title> <jats:p>The results suggest that the combined intervention of work-related coaching and physiotherapy had only a marginally stronger long-term effect with respect to MSC than physiotherapy alone.</jats:p> </jats:sec>