OTRCTJournal of occupational rehabilitation2025

Cost-Effectiveness of a Multi-faceted Workplace Intervention to Reduce Musculoskeletal Pain in Nursing Staff: A Cluster-Randomized Controlled Trial (INTEVAL_Spain).

Mercè Soler-Font, Ignacio Aznar-Lou, Josué Almansa and 4 others

PMID 39102106

WHAT IT FOUND

A multi-faceted workplace programme reduced musculoskeletal pain in nurses but cost more than usual care and did not improve quality-adjusted life years.

It was not cost-effective for overall health gains, though it lowered pain prevalence.

Key findings

01The intervention group had higher total costs per person (€614) compared to the control group (€216) from a societal perspective.

02The intervention was not cost-effective for quality-adjusted life years because usual care dominated the intervention.

03An additional €68 from a societal perspective was required to achieve a 1 percentage point reduction in overall musculoskeletal pain.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

Questionnaires were anonymous, so effects data could not be paired. Baseline quality-adjusted life years data were not collected, limiting the ability to measure changes over time accurately. The intervention had slightly lower implementation than expected. Costs did not include over-the-counter medication or private healthcare use.

Declared interests

Funded by the Miguel Servet programme and the Instituto de Salud Carlos III-FEDER. No other conflicts of interest were reported.

The easy way to misread this

Do not assume the intervention is cost-effective for improving overall health or quality of life. The study found that usual care dominated the intervention for quality-adjusted life years, and the intervention was only considered cost-effective for pain reduction if the decision-maker is willing to pay specifically for that outcome.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →


The study

Participants
257 participants answered the baseline questionnaire; costs data were collected for 134 participants in the intervention group and 71 in the control group
Certainty of evidence
Moderate

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Cite

Mercè Soler-Font, Ignacio Aznar-Lou, Josué Almansa, et al. Cost-Effectiveness of a Multi-faceted Workplace Intervention to Reduce Musculoskeletal Pain in Nursing Staff: A Cluster-Randomized Controlled Trial (INTEVAL_Spain). Journal of occupational rehabilitation. 2025.

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