Promoting health of Swedish workers by complementary methods - example of a study design of a longitudinal randomized controlled intervention study

Main Article Content

Linda Handlin Jasmin Muller Anette Ekström

Abstract

When designing, implementing, and evaluating a work site health promotion program, it is necessary to ensure that the program is evidence based. The present article aims to present in-depth information on the design of a longitudinal randomized controlled complementary intervention pilot study that follows the Consort recommendations, in order evaluate possible effects of a health promotive intervention in healthy workers.

Employees from four different workplaces were randomly assigned to one of the following groups: i) Massage and mental training (sitting in the armchair and receiving mechanical massage while listening to the mental training programs, n = 19), ii) Massage (sitting in the armchair and receiving mechanical massage only, n = 19), iii) Mental training (sitting in the armchair and listening to the mental training programs only, n = 19), iv) Pause (sitting in the armchair but not receiving mechanical massage or listening to the mental training programs, n = 19), v) Control (not sitting in the armchair at all, n = 17). The study lasted for eight weeks. Immediately before the randomization, after four weeks and after eight weeks the participants responded to statements from the Swedish Scale of Personality and had their heart rate, blood pressure and fingertip temperature measured.

Receiving mechanical massage and listening to mental training programs, either separately or in combination, during working hours had some positive effects on the employees’ own evaluation of their health, as well as their heart rate, blood pressure and fingertip temperature. However, the intervention need to be evaluated further.

Through a randomized controlled study design that follows the consort recommendations it can be possible to design, implement and evaluate a work site health promotion program, even for a pilot study. Special care should be taken when designing the study groups, especially with regard to homogeneity and sample size.

Article Details

How to Cite
HANDLIN, Linda; MULLER, Jasmin; EKSTRÖM, Anette. Promoting health of Swedish workers by complementary methods - example of a study design of a longitudinal randomized controlled intervention study. Medical Research Archives, [S.l.], v. 5, n. 8, aug. 2017. ISSN 2375-1924. Available at: <https://journals.ke-i.org/mra/article/view/1432>. Date accessed: 31 mar. 2020.
Keywords
Stress, Anxiety, Alternative, Complementary, Intervention, Physical Health, Psychosocial health, Heart rate, Blood pressure, Fingertip temperature, Working place
Section
Research Articles

References

Authority SWE. Work-Related Disorders. 2016.

EU-OSHA. European Agency for Safety and Health at Work
2017 [Available from: https://osha.europa.eu/sv.

Förskringskassan. Stress vanligaste orsaken till sjukskrivning 2015 [Available from: https://www.forsakringskassan.se/!ut/p/z0/LYyxDsIwDAW_hSFzgtjYKsQXsFRdIotYJcR9iWI3_D5FYjrdDecXP_sFNPJKlitIDp8_z-3ayF7ufJlcuFUYwx53F1pn1T82TomFkBguqP1SHAQ5Tmoca1cqjGhZJOp7L1p6HshYfSvT6QubSPgF/.

Försäkringskassan. Sjukskrivningar på grund av anpassningsstörningar och reaktioner på svår stress ökar mest 2016 [Available from: https://www.forsakringskassan.se/!ut/p/z0/LYgxDoAgDADf4sCMxs3NGF_gYlhII40iUgit-n0ZXO5yp41etSF4_A7iE8FVe323OGSQQ3X9qNopkSDJMqs2F2T-FdE5vIAcUj3R8nkHDsU_5GmHYlOoiMiicxibDz4tbKM!/.

WHO. Global Health Risks - Mortality and burden of disease attributable to selected major risks. 2009.

World Health Organization W. Workplace health promotion www.who.int2014 [Available from: http://www.who.int/occupational_health/topics/workplace/en/index1.html.

Field T. Massage therapy research review. Complementary therapies in clinical practice. 2014.

Uneståhl L-E, Bundzen P, Gavrilova E, Isakov V. The effects of integrated mental training on stress and psychosomatic health. Hypnos. 2004;XXXI(2):83-5.

Uvnäs-Moberg K, Handlin L, Petersson M. Self-soothing behaviors with particular reference to oxytocin release induced by non-noxious sensory stimulation. Frontiers in psychology. 2015;5:1-16.

Muller J, Handlin L, Harlen M, Lindmark U, Ekstrom A. Mechanical massage and mental training programmes affect employees' anxiety, stress susceptibility and detachment-a randomised explorative pilot study. BMC Complement Altern Med. 2015;15:302.

Muller J, Ekström A, Harlén M, Lindmark U, Handlin L. Mechanical massage and mental training programs effect employees’ heart rate, blood pressure and fingertip temperature—An exploratory pilot study. European Journal of Integrative Medicine. 2016;8(5):762-8.

Ruotsalainen J, Serra C, Marine A, Verbeek J. Systematic review of interventions for reducing occupational stress in health care workers. Scand J Work Environ Health. 2008;34(3):169-78.

Linnan L, Peabody KL, Wieland J. Health Promotion Programs In Workplace Setting. In: Fertman CI, Allensworth DD, editors. Health Promotion Programs: From Theory to Practice: Wiley; 2010.

Altman DG, Schulz KF, Moher D, Egger M, Davidoff F, Elbourne D, et al. The revised CONSORT statement for reporting randomized trials: explanation and elaboration. Ann Intern Med. 2001;134(8):663-94.

Boutron I, Moher D, Altman DG, Schulz KF, Ravaud P, Group C. Methods and processes of the CONSORT Group: example of an extension for trials assessing nonpharmacologic treatments. Ann Intern Med. 2008;148(4):W60-6.

Zwarenstein M, Treweek S, Gagnier JJ, Altman DG, Tunis S, Haynes B, et al. Improving the reporting of pragmatic trials: an extension of the CONSORT statement. BMJ. 2008;337:a2390.

Gustavsson JP, Bergman H, Edman G, Ekselius L, von Knorring L, Linder J. Swedish universities Scales of Personality (SSP): construction, internal consistency and normative data. Acta Psychiatr Scand. 2000;102:217–25.

Machin D, Campbell M, J,. The Design of Studies for Medical Research. Chichester, England, Great Britain.: John Wiley & Sons, Inc.; 2005.

Eriksson, M., Lindström, B. A salutogentic interpretation of the Ottawa Charter – Debate. In: Health promotion international, 2008):Vol. 23;No 2.

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