Integrative Prevention at Work: A Concept Analysis and Meta-Narrative Review.
Alexandra Lecours, Marie-Ève Major, Valérie Lederer and 3 others
PMID 36348235WHAT IT FOUND
Integrative prevention at work requires coordinating primary, secondary, and tertiary prevention with health promotion, engaging stakeholders, and securing resources.
The consequences are largely speculative and not formally demonstrated, so treat this as a framework for planning rather than proven efficacy.
Key findings
01Five attributes define integrative prevention: coordination of the three levels of prevention, integration of health promotion with prevention, shared understanding of the goal, engagement of stakeholders, and variety of actions.
02Three antecedents are necessary for implementation: access to resources, recognition of the benefits of integrative prevention, and motivation to implement it.
03Many of the proposed consequences, such as financial impacts and injury reduction, are presented as speculation in the literature and have not been formally demonstrated.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
The study is a concept analysis and narrative review, not a trial, so it does not prove that integrative prevention works. The quality of the 20 selected manuscripts was not evaluated, which is standard for concept analysis but limits confidence in the source data. Many of the identified consequences (like financial savings or reduced injury rates) are based on speculation in the literature rather than demonstrated outcomes. The definition may lack specificity for particular disciplines or pathologies because it aimed to find shared characteristics across many fields. The concept is emerging and difficult to operationalize, so the proposed definition may change as knowledge evolves.
Declared interests
The study was funded by Réseau Provincial de Recherche en Adaptation-Réadaptation. No other conflicts of interest are reported in the provided text.
The easy way to misread this
Do not read the listed consequences, such as reduced injury rates or positive financial impacts, as evidence that integrative prevention works. The authors state these outcomes are often presented as speculation in the literature and have not been formally demonstrated.