Systematic review of interventions targeting sickness absence among pregnant women in healthcare settings and workplaces

Pernille Pedersen, Merete Labriola, Claus Vinther Nielsen, Rikke Damkjær Maimburg, Ellen Aagaard Nohr, Anne Mette Momsen*

*Kontaktforfatter for dette arbejde

Publikation: Bidrag til tidsskriftReviewForskningpeer review

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Resumé

Objectives The high rate of sickness absence from work during pregnancy is recognised as a problem, and may be higher than necessary from a health perspective. The aim was to evaluate the effectiveness of interventions in healthcare settings and workplaces targeting sickness absence among pregnant women. Methods Studies were eligible if they included pregnant women participating in any intervention in healthcare settings or workplaces. The outcome was length of sickness absence in days or number of episodes. Study design had to be either randomised controlled trials (RCTs) or quasi-experimental studies. The search for studies was conducted in PubMed, Scopus, CINAHL, PsycINFO, ClinicalTrials.gov and WHO trial registry. Risk of bias was assessed by the Joanna Briggs Institute standardised quality assessment instrument. Results A total of nine studies were quality assessed and of these, four were excluded due to insufficient methodological quality. Five RCTs conducted in healthcare settings in Sweden and Norway were included. Due to heterogeneity, meta-analysis was not performed. Two RCTs examined complementary and alternative medicine and three RCTs the effect of physical exercise. In general, the frequency of women on sickness absence was lower in the intervention groups than the control groups, however, only among pregnant women who participated in a 12-week exercise programme, the frequency was significantly lower (22% vs 30%, p=0.04). Conclusion The evidence of interventions targeting sickness absence among pregnant women in healthcare settings is sparse, and no studies were conducted at workplaces. Future interventions including physical activity provided in collaboration with healthcare settings and workplaces are requested. Studies should measure sickness absence based on valid methods, measure compliance to the intervention and provide transparency of statistical methods. PROSPERO registration number CRD42018084802.

OriginalsprogEngelsk
Artikelnummere024032
TidsskriftBMJ Open
Vol/bind8
Udgave nummer10
Antal sider10
ISSN2044-6055
DOI
StatusUdgivet - 25. okt. 2018

Fingeraftryk

Workplace
Pregnant Women
Delivery of Health Care
Randomized Controlled Trials
Exercise
Norway
PubMed
Registries
Meta-Analysis
Control Groups
Health

Citer dette

Pedersen, Pernille ; Labriola, Merete ; Nielsen, Claus Vinther ; Maimburg, Rikke Damkjær ; Nohr, Ellen Aagaard ; Momsen, Anne Mette. / Systematic review of interventions targeting sickness absence among pregnant women in healthcare settings and workplaces. I: BMJ Open. 2018 ; Bind 8, Nr. 10.
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abstract = "Objectives The high rate of sickness absence from work during pregnancy is recognised as a problem, and may be higher than necessary from a health perspective. The aim was to evaluate the effectiveness of interventions in healthcare settings and workplaces targeting sickness absence among pregnant women. Methods Studies were eligible if they included pregnant women participating in any intervention in healthcare settings or workplaces. The outcome was length of sickness absence in days or number of episodes. Study design had to be either randomised controlled trials (RCTs) or quasi-experimental studies. The search for studies was conducted in PubMed, Scopus, CINAHL, PsycINFO, ClinicalTrials.gov and WHO trial registry. Risk of bias was assessed by the Joanna Briggs Institute standardised quality assessment instrument. Results A total of nine studies were quality assessed and of these, four were excluded due to insufficient methodological quality. Five RCTs conducted in healthcare settings in Sweden and Norway were included. Due to heterogeneity, meta-analysis was not performed. Two RCTs examined complementary and alternative medicine and three RCTs the effect of physical exercise. In general, the frequency of women on sickness absence was lower in the intervention groups than the control groups, however, only among pregnant women who participated in a 12-week exercise programme, the frequency was significantly lower (22{\%} vs 30{\%}, p=0.04). Conclusion The evidence of interventions targeting sickness absence among pregnant women in healthcare settings is sparse, and no studies were conducted at workplaces. Future interventions including physical activity provided in collaboration with healthcare settings and workplaces are requested. Studies should measure sickness absence based on valid methods, measure compliance to the intervention and provide transparency of statistical methods. PROSPERO registration number CRD42018084802.",
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Systematic review of interventions targeting sickness absence among pregnant women in healthcare settings and workplaces. / Pedersen, Pernille; Labriola, Merete; Nielsen, Claus Vinther; Maimburg, Rikke Damkjær; Nohr, Ellen Aagaard; Momsen, Anne Mette.

I: BMJ Open, Bind 8, Nr. 10, e024032, 25.10.2018.

Publikation: Bidrag til tidsskriftReviewForskningpeer review

TY - JOUR

T1 - Systematic review of interventions targeting sickness absence among pregnant women in healthcare settings and workplaces

AU - Pedersen, Pernille

AU - Labriola, Merete

AU - Nielsen, Claus Vinther

AU - Maimburg, Rikke Damkjær

AU - Nohr, Ellen Aagaard

AU - Momsen, Anne Mette

PY - 2018/10/25

Y1 - 2018/10/25

N2 - Objectives The high rate of sickness absence from work during pregnancy is recognised as a problem, and may be higher than necessary from a health perspective. The aim was to evaluate the effectiveness of interventions in healthcare settings and workplaces targeting sickness absence among pregnant women. Methods Studies were eligible if they included pregnant women participating in any intervention in healthcare settings or workplaces. The outcome was length of sickness absence in days or number of episodes. Study design had to be either randomised controlled trials (RCTs) or quasi-experimental studies. The search for studies was conducted in PubMed, Scopus, CINAHL, PsycINFO, ClinicalTrials.gov and WHO trial registry. Risk of bias was assessed by the Joanna Briggs Institute standardised quality assessment instrument. Results A total of nine studies were quality assessed and of these, four were excluded due to insufficient methodological quality. Five RCTs conducted in healthcare settings in Sweden and Norway were included. Due to heterogeneity, meta-analysis was not performed. Two RCTs examined complementary and alternative medicine and three RCTs the effect of physical exercise. In general, the frequency of women on sickness absence was lower in the intervention groups than the control groups, however, only among pregnant women who participated in a 12-week exercise programme, the frequency was significantly lower (22% vs 30%, p=0.04). Conclusion The evidence of interventions targeting sickness absence among pregnant women in healthcare settings is sparse, and no studies were conducted at workplaces. Future interventions including physical activity provided in collaboration with healthcare settings and workplaces are requested. Studies should measure sickness absence based on valid methods, measure compliance to the intervention and provide transparency of statistical methods. PROSPERO registration number CRD42018084802.

AB - Objectives The high rate of sickness absence from work during pregnancy is recognised as a problem, and may be higher than necessary from a health perspective. The aim was to evaluate the effectiveness of interventions in healthcare settings and workplaces targeting sickness absence among pregnant women. Methods Studies were eligible if they included pregnant women participating in any intervention in healthcare settings or workplaces. The outcome was length of sickness absence in days or number of episodes. Study design had to be either randomised controlled trials (RCTs) or quasi-experimental studies. The search for studies was conducted in PubMed, Scopus, CINAHL, PsycINFO, ClinicalTrials.gov and WHO trial registry. Risk of bias was assessed by the Joanna Briggs Institute standardised quality assessment instrument. Results A total of nine studies were quality assessed and of these, four were excluded due to insufficient methodological quality. Five RCTs conducted in healthcare settings in Sweden and Norway were included. Due to heterogeneity, meta-analysis was not performed. Two RCTs examined complementary and alternative medicine and three RCTs the effect of physical exercise. In general, the frequency of women on sickness absence was lower in the intervention groups than the control groups, however, only among pregnant women who participated in a 12-week exercise programme, the frequency was significantly lower (22% vs 30%, p=0.04). Conclusion The evidence of interventions targeting sickness absence among pregnant women in healthcare settings is sparse, and no studies were conducted at workplaces. Future interventions including physical activity provided in collaboration with healthcare settings and workplaces are requested. Studies should measure sickness absence based on valid methods, measure compliance to the intervention and provide transparency of statistical methods. PROSPERO registration number CRD42018084802.

KW - absenteeism

KW - intervention

KW - occupational exposure

KW - pregnancy

KW - sick leave

U2 - 10.1136/bmjopen-2018-024032

DO - 10.1136/bmjopen-2018-024032

M3 - Review

C2 - 30366917

AN - SCOPUS:85055664892

VL - 8

JO - B M J Open

JF - B M J Open

SN - 2044-6055

IS - 10

M1 - e024032

ER -