OTOtherJournal of occupational rehabilitation2016

Workplace Interventions to Prevent Disability from Both the Scientific and Practice Perspectives: A Comparison of Scientific Literature, Grey Literature and Stakeholder Observations.

Kelly Williams-Whitt, Ute Bültmann, Benjamin Amick and 3 others

PMID 27614465

WHAT IT FOUND

Workplace interventions, often including changes to job design, work organization, or case management, showed strong evidence for quicker first return to work and less cumulative sick absence, mainly in musculoskeletal conditions.

Evidence was weak or absent for mental health and cancer.

Key findings

01High-quality Cochrane evidence showed that workplace interventions reduced time to first return to work and cumulative sick absence, with the strongest evidence for workers with musculoskeletal disorders.

02The same evidence did not clearly show effects on sick-leave recurrence or sustained return to work, and it showed no evidence of effectiveness for mental health conditions or cancer.

03Grey literature recommendations concentrated on work/job design (9 reports) and modified or transitional duties (10 reports).

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

This is a comparison of literature and stakeholder views, not a trial of a specific intervention, so it cannot show that any single component caused return-to-work improvement. The non-Cochrane reviews were selected by the research team rather than exhaustively searched, so they may not represent all relevant studies. The grey literature was found using Google and was a sample, so employer recommendations may not be fully representative or reproducible. The grey literature was mostly produced by employers and insurers and did not include worker perspectives. Evidence was strongest for musculoskeletal disorders and weak or absent for mental health conditions and cancer. Many studies bundled several workplace changes together, so the contribution of any single component cannot be separated.

Declared interests

The supplied text does not report author conflicts of interest or funding. The publication types list non-U.S. government research support, but no sponsor role in study design or writing is stated.

The easy way to misread this

Do not read this as proof that modified duties, case management, or ergonomic changes will work for your patient. The paper compares bundled workplace interventions, reviews, and employer recommendations; the strongest evidence is for workplace interventions overall in musculoskeletal conditions, and it does not support effectiveness for mental health conditions or cancer.

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