PMID- 35388792
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220424
IS  - 1929-0748 (Print)
IS  - 1929-0748 (Electronic)
IS  - 1929-0748 (Linking)
VI  - 11
IP  - 4
DP  - 2022 Apr 7
TI  - Comparing the New Interdisciplinary Health in Work Intervention With Conventional 
      Monodisciplinary Welfare Interventions at Norwegian Workplaces: Protocol for a 
      Pragmatic Cluster Randomized Trial.
PG  - e36166
LID - 10.2196/36166 [doi]
LID - e36166
AB  - BACKGROUND: Musculoskeletal and mental health complaints are the dominant 
      diagnostic categories in long-term sick leave and disability pensions in Norway. 
      Continuing to work despite health complaints is often beneficial, and a good work 
      environment can improve work inclusion for people affected. In 2001, the 
      Norwegian Labour and Welfare Administration began to offer inclusive work 
      measures to improve the psychosocial work environment and work inclusion of 
      people with health complaints. In 2018, the Norwegian Labour and Welfare 
      Administration and specialist health services started offering the new 
      collaborative Health in work program. Its workplace intervention presents health 
      and welfare information that may improve employees' coping ability regarding 
      common health complaints. It encourages understanding of coworkers' health 
      complaints and appropriate work adjustments to increase work participation. 
      OBJECTIVE: This protocol presents an ongoing, 2-arm, pragmatic cluster-randomized 
      trial. Its aim is to compare the effect of monodisciplinary inclusive work 
      measures (treatment as usual) and interdisciplinary Health in work in terms of 
      changes in overall sickness absence, health care use, health-related quality of 
      life, and costs. The secondary objectives are to compare changes in individual 
      sickness absence, psychosocial work environment, job and life satisfaction, 
      health, and health anxiety at both the individual and group levels. METHODS: Data 
      will be collected from national registers, trial-specific registrations, and 
      questionnaires. Effects will be explored using difference-in-difference analysis 
      and regression modeling. Multilevel analysis will visualize any cluster effects 
      using intraclass correlation coefficients. RESULTS: Inclusion was completed in 
      July 2021 with 97 workplaces and 1383 individual consents. Data collection will 
      be completed with the last questionnaires to be sent out in July 2023. 
      CONCLUSIONS: This trial will contribute to filling knowledge gaps regarding the 
      effectiveness and costs of workplace interventions, thereby benefiting health and 
      welfare services, political decision makers, and the public and business sectors. 
      The findings will be disseminated in reports, peer-reviewed journals, and 
      conferences. TRIAL REGISTRATION: ClinicalTrials.gov NCT04000035; 
      https://clinicaltrials.gov/ct2/show/NCT04000035. INTERNATIONAL REGISTERED REPORT 
      IDENTIFIER (IRRID): DERR1-10.2196/36166.
CI  - (c)Anje Christina Hoper, Christoffer Lilja Terjesen, Nils Fleten. Originally 
      published in JMIR Research Protocols (https://www.researchprotocols.org), 
      07.04.2022.
FAU - Hoper, Anje Christina
AU  - Hoper AC
AUID- ORCID: 0000-0002-8962-5853
AD  - Occupational Health in the North, Department of Community Medicine, UiT The 
      Arctic University of Norway, Tromso, Norway.
AD  - Department of Occupational and Environmental Medicine, University Hospital North 
      Norway, Tromso, Norway.
FAU - Terjesen, Christoffer Lilja
AU  - Terjesen CL
AUID- ORCID: 0000-0002-0811-0955
AD  - Occupational Health in the North, Department of Community Medicine, UiT The 
      Arctic University of Norway, Tromso, Norway.
AD  - Department of Rehabilitation, University Hospital North Norway, Tromso, Norway.
FAU - Fleten, Nils
AU  - Fleten N
AUID- ORCID: 0000-0003-0947-7262
AD  - Occupational Health in the North, Department of Community Medicine, UiT The 
      Arctic University of Norway, Tromso, Norway.
AD  - Norwegian Labour and Welfare Administration Troms and Finnmark, Tromso, Norway.
LA  - eng
SI  - ClinicalTrials.gov/NCT04000035
PT  - Journal Article
DEP - 20220407
PL  - Canada
TA  - JMIR Res Protoc
JT  - JMIR research protocols
JID - 101599504
PMC - PMC9030981
OTO - NOTNLM
OT  - cluster randomized trial
OT  - cost-benefit-analysis
OT  - cost-effectiveness-analysis
OT  - health in work
OT  - health related quality of life
OT  - sickness absence
OT  - work environment
OT  - work environment intervention
COIS- Conflicts of Interest: NF, CLT, and ACH are receiving salaries from the Norwegian 
      Labour and Welfare Administration, the University Hospital of North Norway, and 
      UiT The Arctic University of Norway, respectively, and, therefore, have a 
      possible conflict of interest. However, neither the Norwegian Labour and Welfare 
      Administration, the University Hospital of North Norway, nor UiT The Arctic 
      University of Norway are involved in randomization, collection, management, 
      analysis, or interpretation of the data, writing of the report, or the decision 
      to submit the report for publication, or have ultimate authority over any of 
      these activities.
EDAT- 2022/04/08 06:00
MHDA- 2022/04/08 06:01
PMCR- 2022/04/07
CRDT- 2022/04/07 08:49
PHST- 2022/01/06 00:00 [received]
PHST- 2022/02/21 00:00 [accepted]
PHST- 2022/02/21 00:00 [revised]
PHST- 2022/04/07 08:49 [entrez]
PHST- 2022/04/08 06:00 [pubmed]
PHST- 2022/04/08 06:01 [medline]
PHST- 2022/04/07 00:00 [pmc-release]
AID - v11i4e36166 [pii]
AID - 10.2196/36166 [doi]
PST - epublish
SO  - JMIR Res Protoc. 2022 Apr 7;11(4):e36166. doi: 10.2196/36166.