E-health to improve work functioning in employees with rheumatoid arthritis in rheumatology practice: a feasibility study.

OBJECTIVES: To evaluate the feasibility of an e-health intervention in rheumatology practice for employees with rheumatoid arthritis (RA) who experience problems with work functioning. METHOD: Twenty-three out of 90 patients with RA from a hospital rheumatology department, invited by letter, participated in a feasibility study. The 3-month internet e-health programme consisted of a self-management programme using a three-step problem-solving strategy: (step 1) analyse your work problems and opportunities; (step 3) identify solutions; and (step 3) work out a strategy (action plan). Support and personal feedback was provided by a rheumatology nurse. Patients completed assignments, received information, and actively worked on their goals. The main feasibility outcome included satisfaction with the programme. Other feasibility outcomes included usefulness, suitability, website use, and work functioning measured at baseline and/or 3 months using questionnaires, semi-structured interviews, and website data. RESULTS: In total, 95% of the participants were satisfied with the programme, and 96% thought the programme was useful for working RA patients and would recommend the programme to other working RA patients (91%). On the website, all patients at least partially completed the assignments in step 1 and 12 patients completed at least one assignment in step 3. Patients judged the website as well arranged with clear tasks. Patients worked on a range of (individual) goals, resolving work challenges using different strategies and actions. CONCLUSIONS: The e-health intervention is a feasible intervention for rheumatology practice justifying further effectiveness evaluation while allowing for further improvements in the selection of RA patients and shaping the intervention.

Are musculoskeletal complaints, related work impairment and desirable adjustments in work age-specific?

PURPOSE: Musculoskeletal complaints from employees commonly occur and may lead to work impairments. Desirable adjustments in work may differ according to age and the type of complaint. We determined whether the prevalence of musculoskeletal complaints, resulting work impairment and desirable and feasible adjustments in work differs between employees of various age groups at a railway company. METHODS: Employees (n = 2,021) were asked to fill out a questionnaire about musculoskeletal complaints by body regions, the resulting work impairment and the desirable and feasible adjustments in their own work situation. Differences between employees of four age groups (22-35, 36-45, 46-55 and 56-66 years) were tested for significance using the chi-square test. RESULTS: Musculoskeletal complaints in the neck, arm and at least one other body region were most prevalent in the 46-55-year age group compared with the other age groups. Impairments in work due to the musculoskeletal complaints only differed significantly between age groups for lower back complaints, which occurred most often in the oldest age group. Regarding adjustments in work, proportionally more of the youngest employees with musculoskeletal complaints found it desirable and feasible to switch to another job in the company, whereas proportionally more employees within the oldest age group found it desirable and feasible to work fewer days per week. CONCLUSIONS: Employee age groups differed significantly regarding musculoskeletal complaints, resulting work impairment and desirable adjustments in work. Age-specific preventive measures for musculoskeletal complaints could be useful to keep employees healthy to perform their job until retirement and may reduce the costs associated with absenteeism and health care.

The associations between psychosocial workload and mental health complaints in different age groups.

The objective of the present study was to explore associations between psychosocial workload and mental health complaints in different age groups. A questionnaire was sent to 2021 employees of a Dutch railway company. Six aspects of psychosocial workload (work pressure, mental workload, emotional workload, autonomy, social support from colleagues and social support from supervisors) and three mental health outcomes (work-related fatigue, stress and burnout) were assessed. Associations between the aspects of psychosocial workload (distributed into tertiles) and health complaints were analysed by logistic regression analysis in four age groups (22-35, 36-45, 46-55 and 56-66 years old). In all age groups, worse work pressure was a significant risk factor for having mental health complaints. Worse emotional load in the younger employees and lack of social support in older employees were associated with a higher risk of having mental health complaints. Age-specific preventive measures should be implemented on both individual and group levels. STATEMENT OF RELEVANCE: With an ageing workforce, understanding relationships between age and work-related health ailments is increasingly important. This study found that emotional workload in younger and lack of social support in older employees were associated with a higher risk of mental health complaints. Work pressure was a risk factor in all age groups.