Presentation M P35

M P35 (Poster Presentation):
A stakeholder-centred best evidence synthesis of systematic reviews on workplace interventions addressing job control and demands

Presented by: Kelly Williams-Whitt

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Authors

Williams-Whitt K1, White MI2,3, Wagner SL, Schultz IZ5, Koehn C6, Dionne CE7, Harder HG8, Pasca R, Warje O10, Hsu V11, McGuire L12, Lama I13, Schulz W14, Kube D15, Hook A16

  1. Faculty of Management, University of Lethbridge, Calgary
  2. Canadian Institute for the Relief of Pain and Disability, Vancouver
  3. Department of Family Practice, University of British Columbia, Vancouver
  4. School of Health Sciences, University of Northern British Columbia, Prince George
  5. Department of Educational and Counselling Psychology and Special Education, University of British Columbia, Vancouver
  6. School of Education, Counselling Specialization, University of Northern British Columbia, Prince George
  7. Département de réadaptation, Faculté de médecine, Université Laval, Québec City
  8. School of Population and Public Health, University of British Columbia, Vancouver
  9. Doctoral student, University of Northern British Columbia, Prince George
  10. Research Associate, Canadian Institute for the Relief of Pain and Disability, Vancouver
  11. BC Construction Safety Alliance, New Westminster
  12. The FIOSA-MIOSA Safety Alliance of BC, Chilliwack
  13. Healthcare Benefit Trust Vancouver
  14. Retired, formerly Healthcare Benefit Trust, Vancouver
  15. Stantec Consulting, Markham
  16. Health Employers Association of British Columbia, Vancouver
  17. Canada

Abstract

Background

In order to develop comprehensive disability management systems that effectively prevent illness or injury, and minimize the risk of long term disability, stakeholders must have a common language and must share credible, relevant information. Unfortunately, the complex, multi-disciplinary nature of the problem creates barriers to information sharing. Stakeholders struggle to understand what risk factors influence the development of long-term disability, and what interventions effectively mitigate those factors. Much of this information is available in the research literature. However, it is frequently inaccessible to stakeholders outside of the research community.

Methods

In order to address the problem of knowledge translation in disability management research, this study used a participatory action approach. Researchers from four universities and four stakeholder organizations used a collaborative process to conduct a best-evidence synthesis of systematic reviews to identify workplace interventions that impact disability risk factors. Included studies were systematic reviews of interventions that occurred at the workplace or were managed by, or under the control of the workplace. Outcome measures of interest were workplace absence, work productivity or financial outcomes. The quality of each systematic review was assessed independently by two researchers.

Results

The search strategy, expert input and grey literature identified 3,363 unique records, of which 115 full text articles were reviewed. In total, 46 full text systematic reviews met our eligibility criteria and were included in the overview. Ten of these high or moderate quality reviews assessed the effectiveness of interventions aimed at reducing job demands. Three assessed the effectiveness of interventions aimed at increasing job control.

Conclusions

There may be a difference in the effectiveness of job demand reductions for disabled workers compared to general workers. There is more research assessing changes to job demands on sick leave, return-to-work or absenteeism than there is assessing the impact on productivity/performance or financial outcomes. There is limited evidence that increasing job control will have a positive effect on the outcomes of interest.

Schedule Details

Monday September 29
12:45 - 13:45 Poster Viewing
Session: Workplace