Presentation W P24

W P24 (Poster Presentation):
A stakeholder-centred best evidence-synthesis of systematic reviews on workplace interventions addressing physical activity and exercise

Presented by: Marisa Cornacchia

Authors

White MI1,2, Dionne CE3, Koehoorn M4, Wagner SL5 , Koehn C6, Williams-Whitt K7, Harder H5, Wӓrje O2, Pasca R8, Hsu V9, McGuire L10, Lama I11, Schulz W12, Kube D13, Hook A14, Cornacchia M2

  1. Department of Family Practice, University of British Columbia
  2. Canadian Institute for the Relief of Pain and Disability
  3. Département de réadaptation, Faculté de médecine, Université Laval
  4. School of Population and Public Health, University of British Columbia
  5. School of Health Sciences, University of Northern British Columbia
  6. Department of Educational and Counselling Psychology and Special Education, University of British Columbia
  7. Faculty of Management, University of Lethbridge
  8. Doctoral Student, School of Health Sciences, University of Northern British Columbia
  9. BC Construction Safety Alliance
  10. The FIOSA-MIOSA Safety Alliance of BC
  11. Healthcare Benefit Trust
  12. Retired
  13. Stantec Inc
  14. Health Employers Association of British Columbia, Canada

Abstract

Background

Barriers to accessing and understanding research literature require academic and stakeholders collaboration. A stakeholder-centred best evidence-synthesis was conducted using an online academic stakeholder collaborative platform called the Health and Work Productivity Portal to facilitate stakeholder participation and knowledge translation. This presentation reports on physical activity and exercise workplace interventions impacting workplace absence, work productivity or financial outcomes.

Methods

Academic and stakeholders participated in defining and refining search strategy, inclusion/exclusion criteria and report writing. Pairs of researchers reviewed titles, abstracts or papers, if required, for relevancy. Using online workflows scientists independently conducted a methodological review of included systematic reviews on workplace interventions. Best-evidence synthesis weighted findings based on methodological quality of reviews and consistency.

Results

Stakeholders and researchers were involved in developing a search strategy, including database searching, grey literature and expert input. 3,363 unique records were identified, 115 full text articles reviewed and 46 systematic reviews were included, 18 high quality reviews assessed the impact of physical fitness or exercise interventions. Eleven of these focused on general workers rather than workers with disabilities; 16 assessed work absence, four assessed productivity and six assessed financial impacts. The strongest evidence supports the use of short, simple exercise or fitness programs for both general workers and those with disabilities. For general workers, simple exercise programs appear to provide similar benefits to those using more complex interventions with an exercise component. For workers off-work at baseline with subacute low back pain, there is evidence that some complex exercise programs may be more effective than simple exercise interventions, especially if they involve workplace stakeholder engagement, communication and coordination.

Conclusions

It is difficult to draw strong conclusions from this literature due to the limited number of high quality randomized controlled trials available and the lack of standardized definitions, methods and measures.

Schedule Details

Wednesday October 1
13:00 - 14:00 Poster Viewing
Session: Varia