Delivering NICE Joint Pain Advice in the workplace.
back pain
hip
knee
self-management
workplace
Journal
Musculoskeletal care
ISSN: 1557-0681
Titre abrégé: Musculoskeletal Care
Pays: England
ID NLM: 101181344
Informations de publication
Date de publication:
12 2021
12 2021
Historique:
revised:
14
01
2021
received:
22
12
2020
accepted:
14
01
2021
pubmed:
3
3
2021
medline:
29
4
2022
entrez:
2
3
2021
Statut:
ppublish
Résumé
Chronic joint pain is extremely prevalent, but its impact can be mitigated if people receive self-management/lifestyle advice, especially about the importance of physical activity and maintaining a healthy weight. To reach the large number of people who needs support, we devised Joint Pain Advice (JPA), an intervention that can be delivered in a variety of health and community settings by a range of healthcare and non-healthcare professionals. Here we extend JPA delivery into workplace settings. In each workplace, an advisor was trained to deliver JPA. This involved an initial assessment of participant's pain, musculoskeletal health and function (MSK-HQ), number of days/week active for >30 min, and physical function. Participants were taught simple self-management strategies, encouraged to adopt healthier lifestyles using motivational interviewing, goal-settings and personalised action/coping plans. Participants were reviewed three times over 6 months, baseline outcomes reassessed, progress highlighted, health messages reinforced and action plans revised, if necessary. Twenty large public organisations or small/medium enterprises delivered JPA to 481 people. Satisfaction with the service was high; people found it acceptable, valued advice tailored to their individual needs and experienced tangible benefits-MSK-HQ (9.5 points; CI 8.3 to 10.6), pain (-1.7; -2.2 to -1.7), physical function (-2.0; -2.2 to -1.7), activity levels and self-confidence improved, whilst absenteeism and healthcare utilisation reduced. Delivering advice about self-management for chronic knee, hip and back pain in workplace settings using local health promotion or occupational health professionals and is practicable, beneficial and valued. JPA could benefit small, medium and large employers.
Sections du résumé
BACKGROUND
Chronic joint pain is extremely prevalent, but its impact can be mitigated if people receive self-management/lifestyle advice, especially about the importance of physical activity and maintaining a healthy weight. To reach the large number of people who needs support, we devised Joint Pain Advice (JPA), an intervention that can be delivered in a variety of health and community settings by a range of healthcare and non-healthcare professionals. Here we extend JPA delivery into workplace settings.
METHOD
In each workplace, an advisor was trained to deliver JPA. This involved an initial assessment of participant's pain, musculoskeletal health and function (MSK-HQ), number of days/week active for >30 min, and physical function. Participants were taught simple self-management strategies, encouraged to adopt healthier lifestyles using motivational interviewing, goal-settings and personalised action/coping plans. Participants were reviewed three times over 6 months, baseline outcomes reassessed, progress highlighted, health messages reinforced and action plans revised, if necessary.
RESULTS
Twenty large public organisations or small/medium enterprises delivered JPA to 481 people. Satisfaction with the service was high; people found it acceptable, valued advice tailored to their individual needs and experienced tangible benefits-MSK-HQ (9.5 points; CI 8.3 to 10.6), pain (-1.7; -2.2 to -1.7), physical function (-2.0; -2.2 to -1.7), activity levels and self-confidence improved, whilst absenteeism and healthcare utilisation reduced.
CONCLUSION
Delivering advice about self-management for chronic knee, hip and back pain in workplace settings using local health promotion or occupational health professionals and is practicable, beneficial and valued. JPA could benefit small, medium and large employers.
Identifiants
pubmed: 33650771
doi: 10.1002/msc.1539
pmc: PMC9290526
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
555-563Informations de copyright
© 2021 The Authors. Musculoskeletal Care published by John Wiley & Sons Ltd.
Références
Am J Epidemiol. 2000 Feb 1;151(3):315-23
pubmed: 10670557
BMJ Open. 2016 Aug 05;6(8):e012331
pubmed: 27496243
Nat Rev Rheumatol. 2014 Jul;10(7):437-41
pubmed: 24662640
Rheumatology (Oxford). 2007 Apr;46(4):638-48
pubmed: 17062646
Musculoskeletal Care. 2018 Mar;16(1):222-232
pubmed: 28401656
Clin Rheumatol. 2011 Dec;30(12):1623-9
pubmed: 21887488
Res Q Exerc Sport. 1999 Jun;70(2):113-9
pubmed: 10380242
BMJ Open. 2018 Jan 26;8(1):e018085
pubmed: 29374662
Perspect Public Health. 2019 Nov;139(6):308-315
pubmed: 31070516
J Eval Clin Pract. 2015 Oct;21(5):782-9
pubmed: 26083547
Med Care. 2006 Apr;44(4):304-10
pubmed: 16565630
BMJ. 2004 Dec 4;329(7478):1325-7
pubmed: 15576743
BMC Fam Pract. 2016 Dec 19;17(1):172
pubmed: 27993126
Musculoskeletal Care. 2021 Dec;19(4):555-563
pubmed: 33650771
Clin Rheumatol. 2015 Sep;34(9):1581-8
pubmed: 24889403
BMC Musculoskelet Disord. 2010 Feb 11;11:31
pubmed: 20149236
Ann Intern Med. 2001 May 1;134(9 Pt 2):911-7
pubmed: 11346328
Soc Sci Med. 2016 Jul;161:169-77
pubmed: 27310723
BMC Public Health. 2018 Dec 10;18(1):1362
pubmed: 30526543
Lancet. 2020 Oct 17;396(10258):1204-1222
pubmed: 33069326
J Consult Clin Psychol. 2000 Aug;68(4):580-5
pubmed: 10965633