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Workplace-Based Prevention and Rehabilitation Programs in Swedish Public Human Service Organisations

Published online by Cambridge University Press:  19 March 2014

Stig Vinberg  and
Bodil J. Landstad
Stig Vinberg*
Affiliation:
Department of Health Sciences, Mid Sweden University, Sweden
Bodil J. Landstad
Affiliation:
Department of Health Sciences, Mid Sweden University, Sweden Levanger Hospital, Nord-Trøndelag Hospital Trust, Norway
*
Address for correspondence: Stig Vinberg, Mid Sweden University, Department of Health Sciences, SE-831 25 Östersund, Sweden. E-mail: [email protected]
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Abstract

The purpose of this article is to contribute to knowledge about workplace-based prevention and rehabilitation programs by investigating effects on outcomes concerning employee health, psychosocial working conditions, sickness absence, sick-cases and rehabilitation indicators in 19 Swedish public human service workplaces including 311 individuals. Interviews with middle managers and an examination of documentation about prevention and rehabilitation interventions at the workplaces made it possible to group the workplaces in two workplace program groups — high versus low quality workplace-based prevention and rehabilitation programs. Statistical methods used were reliability tests, correlation analyses and t tests. Results indicate significant associations between changes in employee-judged stress and psychosocial working conditions, and changes in employee-judged health. The results concerning changes in employees’ health, stress and psychosocial working conditions (after workplace-based programs) showed significant differences between workplaces with high quality workplace-based programs compared with workplaces with low quality workplace-based programs, with the former having more favourable results. The study indicates that workplace-based prevention and rehabilitation programs with a broad change strategy and high levels of management and employee involvement can apply to small public sector workplaces.

Keywords

human service organisationshealthpsychosocial working conditionsworkplace-based programslongitudinal studysickness absencerehabilitation
Type
Articles
Information
International Journal of Disability Management , Volume 9 , 2014 , e1
Copyright
Copyright © The Author(s), published by Cambridge University Press on behalf of Australian Academic Press Pty Ltd 2014 

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References

Åkerlind, I., Ljungblad, C., & Granström, F. (2010, May 19–21). Verksamhetsstyrning, arbetsmiljö och hälsa i kommunal vård och omsorg [Management control, working environment and health in the health care sector]. Forum för arbetslivsforskning.Google Scholar
Aldana, S. G. (2001). Financial impact of health promotion programs: A comprehensive review of the literature. American Journal of Health Promotion, 15 (5), 296–320.CrossRefGoogle ScholarPubMed
Amick, B.C. III, Habeck, R.V., Hunt, A., Fossel, A.H., Chapin, A., Keller, R.B., & Katz, J.N. (20009). Measuring the impact of organizational behaviors on work disability prevention and management. Journal of Occupational Rehabilitation, 10 (1), 21–38.Google Scholar
Aronsson, G. (1995). Förändringskompetens. Projektledares erfarenheter från 300 Arbetslivsfondsprojekt [Change and innovation capability: Project manager experiences from 300 Working Life Fund projects]. Stockholm, Sweden: Arbetslivsinstitutet [National Institute for Working Life].Google Scholar
Aronsson, G., & Gustafsson, K. (2005). Sickness presenteeism: prevalence, attendence-pressure factors, and an outline of a model for research. Journal of Occupational Environmental Medicine, 47 (9), 958–966.Google Scholar
Axelsson, J. (2000). Quality and ergonomics: Towards successful integration (Doctoral thesis, Linköping University, Sweden).Google Scholar
Black, C. (2008). Working for a healthier tomorrow: Review of the health of Britain's working age population. London, England: TSO.Google Scholar
Commission of the European Communities. (2007). Improved quality and productivity at work: The commission's working environment strategy 2007–2012, COM(2007), 62 final. Brussels, Belgium. Author.Google Scholar
de Lange, A.H., Taris, T.W., Kompier, M.A.J., Houtman, I.L.D., & Bongers, P.M. (2003). The very best of the millenium: Longitudinal research and the demand-control-(support) model. Journal of Occupational Health Psychology, 8 (4), 282–305.Google Scholar
European Network for Workplace Health Promotion (ENWHP). (2007). The Luxembourg declaration on workplace health promotion in the European Union. Essen, Germany: Author.Google Scholar
Fjell, Y., Österberg, M., Alexandersson, K., Karlqvist, L., & Bildt, C. (2007). Appraised leadership styles, psychosocial work factors and musculoskeletal pain among public employees. International Archieves of Occupational Environment Health, 81 (1), 19–30.CrossRefGoogle ScholarPubMed
Graneheim, U., & Lundman, B. (2003). Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Umeå, Sweden: University of Umeå.Google Scholar
Härenstam, A., & MOA Research Group (2005). Different development trends in working life and increasing occupational stress require new working environment strategies. Work: A Journal of Prevention, Assessment and Rehabilitation, 24 (3), 261–277.Google Scholar
Ingelgård, A., & Norrgren, F. (2001). Effects of change strategy and top-management involvement on quality of working life and economic results. International Journal of Industrial Ergonomics, 27 (2), 93–105.Google Scholar
Karasek, R., & Theorell, T. (1990). Healthy work: Job stress, productivity and the reconstruction of working life. New York, NY: Basic Books.Google Scholar
Kelloway, E.K., Teed, M., & Kelley, E. (2008). The psychosocial environment: towards an agenda for research. International Journal of Workplace Health Management, 1 (10), 50–64.Google Scholar
Kline, P. (2000). Handbook of psychological testing. New York, NY: Routledge.Google Scholar
Kompier, A.J., Cooper, C.L., & Geurts, A.E. (2000). A multiple case study approach to work stress prevention in Europe. European Journal of Work and Organizational Psychology, 9 (3), 371–400.CrossRefGoogle Scholar
Kuoppala, J., Lamminpää, A., Liira, J., & Vaino, H. (2008). Leadership, job well-being, and health effects — a systematic review and a meta-analysis. Journal of Occupational and Environmental Medicine, 50 (8), 904–915.Google Scholar
Källestål, C., Bjurvald, M., Menckel, E., Schaerström, A., Schelp, L., & Unge, C. (2004). Hälsofrämjande arbete på arbetsplatser: Effekter av interventioner refererade i systematiska kunskapsöversikter och i svenska rapporter [Workplace health promotion: Effects of interventions reported in systematic reviews and Swedish reports]. Stockholm, Sweden: Statens folkhälsoinstitut [Swedish National Institute of Public Health].Google Scholar
Larsson, J. (2010). Leadership for quality, health and effectiveness in organisations (Doctoral thesis, Östersund, Sweden, Mid Sweden University).Google Scholar
Larsson, J., & Vinberg, S. (2010). Leadership behavior in successful organizations — Universal or situation-dependent? Total Quality Management & Business Excellence, 21 (3), 317–334.Google Scholar
Lidwall, U., & Marklund, S. (2006). What is healthy work for women and men? — A case-control study of gender- and sector-specific effects of psycho-social working conditions on long-term sickness absence. Work: A Journal of Prevention, Assessment & Rehabilitation, 27 (2), 153–163.Google Scholar
Malmquist, C., Vinberg, S., & Larsson, J. (2007). Att styra med hälsa: från statistik till strategi [To control with health: From statistics to strategy]. Degerfors, Sweden: Metodicum.Google Scholar
Ng, T.W.H., & Sorensen, K.L. (2008). Toward a further understanding of the relationships between perceptions of support and work attitudes. Group & Organizational Management, 33 (3)243–368.Google Scholar
Nyberg, A. (2009). The impact of managerial leadership on stress and health among employees (Doctoral thesis, Karolinska Institutet, Stockholm, Sweden).Google Scholar
Oxenstierna, G., Widmark, M., Finnholm, K., & Elofsson, S. (2008). Psykosociala faktorer i dagens arbetsliv och hur man mäter och beskriver dem [Psychosocial factors in today's working life and how these are measured and described]. Stockholm, Sweden: Stress Research Institute.Google Scholar
Pelletier, K.R. (2001). A review and analysis of the clinical- and cost-effectiveness studies of comprehensive health promotion and disease management programs at the worksite: 1998–2000 update. American Journal of Health Promotion, 16 (2), 107–116.CrossRefGoogle ScholarPubMed
Pelletier, K.R. (2009). A review and analysis of the clinical- and cost-effectiveness studies of comprehensive health promotion and disease management programs at the worksite: Update VII 2004–2008. Journal of Occupational Environmental Medicine, 51 (7), 822–837.Google Scholar
Shain, M., & Kramer, D. M. (2004). Health promotion in the workplace: framing the concept; reviewing of evidence. Occupational Environmental Medicine, 61 (7)643–648.Google Scholar
Shrey, D E. (1996). Disability management in industry: the new paradigm in injured worker rehabilitation. Disability and Rehabilitation, 18 (8), 408–414.Google Scholar
Skagert, K., Dellve, L., Eklöf, M., Pousette, A., & Ahlborg, G. (2008). Leaders’ strategies for dealing with own and their subordinates’ stress in public human service organizations. Applied Ergonomics, 39 (6), 803–811.CrossRefGoogle Scholar
SOU [Official Reports of the Swedish Government]. (2009). God arbetsmiljö – en framgångsfaktor? [Good working environment — a success factor, 2009:47]. En skrift från Arbetsmiljöpolitiska kunskapsrådet. Stockholm, Sweden: Fritzes.Google Scholar
Swedish Work Environment Authority. (2010). Working Environment 2009. Stockholm, Sweden: Author.Google Scholar
Tompa, E., de Oliveira, C., Dolinschi, R., & Irvin, E. (2008). A systematic review of disability mangement interventions with economic evaluations. Journal of Occupational Rehabilitation, 18, 16–26.CrossRefGoogle Scholar
Westgaard, R.H., & Winkel, J. (1997). Ergonomic intervention research for improved musculoskeletal health: A critical review. International Journal of Industrial Ergonomics, 20, 463–500.Google Scholar
Westmorland, M., & Buys, N. (2002). Disability management in a sample of Australian self-insured companies. Disability and Rehabilitation, 24 (14), 746–754.CrossRefGoogle Scholar
World Health Organization. (2008). Closing the gap in a generation: Health eguity through action on the social determinants of health. Geneva, Switzerland: Author.Google Scholar
Vinberg, S. (2006). Health and performance in small enterprises: Studies of organizational determinants and change strategy (Doctoral thesis, Luleå University of Technology, Sweden).Google Scholar
Vinberg, S., (2008). Workplace health interventions in small enterprises: A Swedish longitudinal study. Work: A Journal of Prevention, Assessment & Rehabilitation, 30 (4), 473–482.Google ScholarPubMed
Vinberg, S., Larsson, J., Landstad, B., & Malmquist, C. (2012). Hur påverkas verksamhetens effektivitet och lönsamhet av satsningar på de anställdas hälsa? [How influence investments in employee health efficiency in organizations?]. Östersund, Sweden: Mid Sweden University.Google Scholar
Wikman, A., Marklund, S., & Alexanderson, K. (2005). Illness, disease, and sickness absence: an empirical test of differences between concepts of ill health. Journal of Epidemiological Community Health, 59 (6), 450–454.Google Scholar
Yukl, G. (2009). Leadership in organizations. London, England: Prentice Hall.Google Scholar