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Prevention program at construction worksites aimed at improving health and work ability is cost-saving to the employer: Results from an RCT
Background To prolong sustainable healthy working lives of construction workers, a prevention program was developed which aimed to improve the health and work ability of construction workers. The objective of this study was to analyze the cost‐effectiveness and financial return from the employers�...
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| Published in: | American journal of industrial medicine 2014-01, Vol.57 (1), p.56-68 |
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| container_end_page | 68 |
| container_issue | 1 |
| container_start_page | 56 |
| container_title | American journal of industrial medicine |
| container_volume | 57 |
| creator | Oude Hengel, K.M. Bosmans, J.E. Van Dongen, J.M. Bongers, P.M. Van der Beek, A.J. Blatter, B.M. |
| description | Background
To prolong sustainable healthy working lives of construction workers, a prevention program was developed which aimed to improve the health and work ability of construction workers. The objective of this study was to analyze the cost‐effectiveness and financial return from the employers' perspective of this program.
Methods
A total of 293 workers in 15 departments were randomized to the intervention (n = 8 departments) or control group (n = 7). Data on work ability and health were collected using questionnaires. Sick leave data were obtained from the companies. Both the cost‐effectiveness analyses and return on investment analyses were performed.
Results
After 12 months, the absenteeism costs were significantly lower in the intervention group than in the control group. At 12‐month follow‐up, no significant differences were found with respect to the primary outcomes (work ability, mental and physical health status) and secondary outcomes (musculoskeletal symptoms), meaning that the intervention was not cost‐effective in comparison with the control group. The net‐benefit was €641 per worker, and the intervention generated a positive financial return to the employer.
Conclusion
The intervention in the present study was cost‐saving to the employer due to reduced sickness absenteeism costs in the intervention group compared with the control group. However, the intervention cannot be regarded as cost‐effective as no significant effects were found for work ability and health. Am. J. Ind. Med. 57:56–68, 2014. © 2013 Wiley Periodicals, Inc. |
| doi_str_mv | 10.1002/ajim.22267 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1560117601</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3298103171</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4587-2df01e2d1640dc78884e9335fb50e5e77dd46627e69a5bbd6c68b5c643e398033</originalsourceid><addsrcrecordid>eNqFkc9uEzEQxi0EoiFw4QGQJYSEkLb439qb3qqIlqIWUBTE0fLuzjZOd9fB9rbkGXhpnE1aJA5wmZFmfvONZj6EXlJyTAlh783adseMMakeoQklM5URpsRjNEmJZjwv5BF6FsKaEEqFFE_RERNUSkXpBP366uEW-mhdjzfeXXvTYRNx5foQ_VCN9Tvnb4KNELCxHdS7vu0SfGv7a7wC08YVNn09ctiUtrVxi21IIiFmwYxYdDiuAEO3ad0W_AleQBjaGHDjXdrY48V8-Rw9aUwb4MUhT9G3sw_L-cfs8sv5xfz0MqtEXqiM1Q2hwGoqBakrVRSFgBnneVPmBHJQqq6FlEyBnJm8LGtZyaLMKyk48FlBOJ-it3vddMOPAULUnQ0VtK3pwQ1B01ymT6kU_o8Kmd4r2Ii-_gtdu8H36ZAkyJhKlnCRqHd7qvIuBA-N3njbGb_VlOidm3rnph7dTPCrg-RQpsc_oPf2JeDNATChMm3jTV_Z8IcrGC9kClNE99ydbWH7j5X69NPF1f3ybD9jQ4SfDzPG3-jUVbn-_vlcUzZfLq7OCi34b3rYxkI</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1522727434</pqid></control><display><type>article</type><title>Prevention program at construction worksites aimed at improving health and work ability is cost-saving to the employer: Results from an RCT</title><source>Wiley-Blackwell Read & Publish Collection</source><creator>Oude Hengel, K.M. ; Bosmans, J.E. ; Van Dongen, J.M. ; Bongers, P.M. ; Van der Beek, A.J. ; Blatter, B.M.</creator><creatorcontrib>Oude Hengel, K.M. ; Bosmans, J.E. ; Van Dongen, J.M. ; Bongers, P.M. ; Van der Beek, A.J. ; Blatter, B.M.</creatorcontrib><description>Background
To prolong sustainable healthy working lives of construction workers, a prevention program was developed which aimed to improve the health and work ability of construction workers. The objective of this study was to analyze the cost‐effectiveness and financial return from the employers' perspective of this program.
Methods
A total of 293 workers in 15 departments were randomized to the intervention (n = 8 departments) or control group (n = 7). Data on work ability and health were collected using questionnaires. Sick leave data were obtained from the companies. Both the cost‐effectiveness analyses and return on investment analyses were performed.
Results
After 12 months, the absenteeism costs were significantly lower in the intervention group than in the control group. At 12‐month follow‐up, no significant differences were found with respect to the primary outcomes (work ability, mental and physical health status) and secondary outcomes (musculoskeletal symptoms), meaning that the intervention was not cost‐effective in comparison with the control group. The net‐benefit was €641 per worker, and the intervention generated a positive financial return to the employer.
Conclusion
The intervention in the present study was cost‐saving to the employer due to reduced sickness absenteeism costs in the intervention group compared with the control group. However, the intervention cannot be regarded as cost‐effective as no significant effects were found for work ability and health. Am. J. Ind. Med. 57:56–68, 2014. © 2013 Wiley Periodicals, Inc.</description><identifier>ISSN: 0271-3586</identifier><identifier>EISSN: 1097-0274</identifier><identifier>DOI: 10.1002/ajim.22267</identifier><identifier>PMID: 24166711</identifier><identifier>CODEN: AJIMD8</identifier><language>eng</language><publisher>Hoboken, NJ: Blackwell Publishing Ltd</publisher><subject>Absenteeism ; Adult ; Biological and medical sciences ; Construction Industry - economics ; Cost-Benefit Analysis ; cost-effectiveness ; Female ; Follow-Up Studies ; health ; Health Status ; Humans ; Male ; Medical sciences ; Mental Health ; Middle Aged ; Musculoskeletal Pain - epidemiology ; Musculoskeletal Pain - prevention & control ; Netherlands - epidemiology ; Occupational Diseases - epidemiology ; Occupational Diseases - prevention & control ; Occupational Health - economics ; Occupational medicine ; Prevalence ; Public health. Hygiene-occupational medicine ; return on investment ; Sick Leave - economics ; Surveys and Questionnaires ; Time Factors ; work ability ; Work Capacity Evaluation</subject><ispartof>American journal of industrial medicine, 2014-01, Vol.57 (1), p.56-68</ispartof><rights>2013 Wiley Periodicals, Inc.</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4587-2df01e2d1640dc78884e9335fb50e5e77dd46627e69a5bbd6c68b5c643e398033</citedby><cites>FETCH-LOGICAL-c4587-2df01e2d1640dc78884e9335fb50e5e77dd46627e69a5bbd6c68b5c643e398033</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28238682$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24166711$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Oude Hengel, K.M.</creatorcontrib><creatorcontrib>Bosmans, J.E.</creatorcontrib><creatorcontrib>Van Dongen, J.M.</creatorcontrib><creatorcontrib>Bongers, P.M.</creatorcontrib><creatorcontrib>Van der Beek, A.J.</creatorcontrib><creatorcontrib>Blatter, B.M.</creatorcontrib><title>Prevention program at construction worksites aimed at improving health and work ability is cost-saving to the employer: Results from an RCT</title><title>American journal of industrial medicine</title><addtitle>Am. J. Ind. Med</addtitle><description>Background
To prolong sustainable healthy working lives of construction workers, a prevention program was developed which aimed to improve the health and work ability of construction workers. The objective of this study was to analyze the cost‐effectiveness and financial return from the employers' perspective of this program.
Methods
A total of 293 workers in 15 departments were randomized to the intervention (n = 8 departments) or control group (n = 7). Data on work ability and health were collected using questionnaires. Sick leave data were obtained from the companies. Both the cost‐effectiveness analyses and return on investment analyses were performed.
Results
After 12 months, the absenteeism costs were significantly lower in the intervention group than in the control group. At 12‐month follow‐up, no significant differences were found with respect to the primary outcomes (work ability, mental and physical health status) and secondary outcomes (musculoskeletal symptoms), meaning that the intervention was not cost‐effective in comparison with the control group. The net‐benefit was €641 per worker, and the intervention generated a positive financial return to the employer.
Conclusion
The intervention in the present study was cost‐saving to the employer due to reduced sickness absenteeism costs in the intervention group compared with the control group. However, the intervention cannot be regarded as cost‐effective as no significant effects were found for work ability and health. Am. J. Ind. Med. 57:56–68, 2014. © 2013 Wiley Periodicals, Inc.</description><subject>Absenteeism</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Construction Industry - economics</subject><subject>Cost-Benefit Analysis</subject><subject>cost-effectiveness</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>health</subject><subject>Health Status</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental Health</subject><subject>Middle Aged</subject><subject>Musculoskeletal Pain - epidemiology</subject><subject>Musculoskeletal Pain - prevention & control</subject><subject>Netherlands - epidemiology</subject><subject>Occupational Diseases - epidemiology</subject><subject>Occupational Diseases - prevention & control</subject><subject>Occupational Health - economics</subject><subject>Occupational medicine</subject><subject>Prevalence</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>return on investment</subject><subject>Sick Leave - economics</subject><subject>Surveys and Questionnaires</subject><subject>Time Factors</subject><subject>work ability</subject><subject>Work Capacity Evaluation</subject><issn>0271-3586</issn><issn>1097-0274</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNqFkc9uEzEQxi0EoiFw4QGQJYSEkLb439qb3qqIlqIWUBTE0fLuzjZOd9fB9rbkGXhpnE1aJA5wmZFmfvONZj6EXlJyTAlh783adseMMakeoQklM5URpsRjNEmJZjwv5BF6FsKaEEqFFE_RERNUSkXpBP366uEW-mhdjzfeXXvTYRNx5foQ_VCN9Tvnb4KNELCxHdS7vu0SfGv7a7wC08YVNn09ctiUtrVxi21IIiFmwYxYdDiuAEO3ad0W_AleQBjaGHDjXdrY48V8-Rw9aUwb4MUhT9G3sw_L-cfs8sv5xfz0MqtEXqiM1Q2hwGoqBakrVRSFgBnneVPmBHJQqq6FlEyBnJm8LGtZyaLMKyk48FlBOJ-it3vddMOPAULUnQ0VtK3pwQ1B01ymT6kU_o8Kmd4r2Ii-_gtdu8H36ZAkyJhKlnCRqHd7qvIuBA-N3njbGb_VlOidm3rnph7dTPCrg-RQpsc_oPf2JeDNATChMm3jTV_Z8IcrGC9kClNE99ydbWH7j5X69NPF1f3ybD9jQ4SfDzPG3-jUVbn-_vlcUzZfLq7OCi34b3rYxkI</recordid><startdate>201401</startdate><enddate>201401</enddate><creator>Oude Hengel, K.M.</creator><creator>Bosmans, J.E.</creator><creator>Van Dongen, J.M.</creator><creator>Bongers, P.M.</creator><creator>Van der Beek, A.J.</creator><creator>Blatter, B.M.</creator><general>Blackwell Publishing Ltd</general><general>Wiley-Liss</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7U7</scope><scope>C1K</scope><scope>7X8</scope><scope>7ST</scope><scope>7U2</scope><scope>7U6</scope></search><sort><creationdate>201401</creationdate><title>Prevention program at construction worksites aimed at improving health and work ability is cost-saving to the employer: Results from an RCT</title><author>Oude Hengel, K.M. ; Bosmans, J.E. ; Van Dongen, J.M. ; Bongers, P.M. ; Van der Beek, A.J. ; Blatter, B.M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4587-2df01e2d1640dc78884e9335fb50e5e77dd46627e69a5bbd6c68b5c643e398033</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Absenteeism</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Construction Industry - economics</topic><topic>Cost-Benefit Analysis</topic><topic>cost-effectiveness</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>health</topic><topic>Health Status</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental Health</topic><topic>Middle Aged</topic><topic>Musculoskeletal Pain - epidemiology</topic><topic>Musculoskeletal Pain - prevention & control</topic><topic>Netherlands - epidemiology</topic><topic>Occupational Diseases - epidemiology</topic><topic>Occupational Diseases - prevention & control</topic><topic>Occupational Health - economics</topic><topic>Occupational medicine</topic><topic>Prevalence</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>return on investment</topic><topic>Sick Leave - economics</topic><topic>Surveys and Questionnaires</topic><topic>Time Factors</topic><topic>work ability</topic><topic>Work Capacity Evaluation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oude Hengel, K.M.</creatorcontrib><creatorcontrib>Bosmans, J.E.</creatorcontrib><creatorcontrib>Van Dongen, J.M.</creatorcontrib><creatorcontrib>Bongers, P.M.</creatorcontrib><creatorcontrib>Van der Beek, A.J.</creatorcontrib><creatorcontrib>Blatter, B.M.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><collection>Environment Abstracts</collection><collection>Safety Science and Risk</collection><collection>Sustainability Science Abstracts</collection><jtitle>American journal of industrial medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oude Hengel, K.M.</au><au>Bosmans, J.E.</au><au>Van Dongen, J.M.</au><au>Bongers, P.M.</au><au>Van der Beek, A.J.</au><au>Blatter, B.M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevention program at construction worksites aimed at improving health and work ability is cost-saving to the employer: Results from an RCT</atitle><jtitle>American journal of industrial medicine</jtitle><addtitle>Am. J. Ind. Med</addtitle><date>2014-01</date><risdate>2014</risdate><volume>57</volume><issue>1</issue><spage>56</spage><epage>68</epage><pages>56-68</pages><issn>0271-3586</issn><eissn>1097-0274</eissn><coden>AJIMD8</coden><abstract>Background
To prolong sustainable healthy working lives of construction workers, a prevention program was developed which aimed to improve the health and work ability of construction workers. The objective of this study was to analyze the cost‐effectiveness and financial return from the employers' perspective of this program.
Methods
A total of 293 workers in 15 departments were randomized to the intervention (n = 8 departments) or control group (n = 7). Data on work ability and health were collected using questionnaires. Sick leave data were obtained from the companies. Both the cost‐effectiveness analyses and return on investment analyses were performed.
Results
After 12 months, the absenteeism costs were significantly lower in the intervention group than in the control group. At 12‐month follow‐up, no significant differences were found with respect to the primary outcomes (work ability, mental and physical health status) and secondary outcomes (musculoskeletal symptoms), meaning that the intervention was not cost‐effective in comparison with the control group. The net‐benefit was €641 per worker, and the intervention generated a positive financial return to the employer.
Conclusion
The intervention in the present study was cost‐saving to the employer due to reduced sickness absenteeism costs in the intervention group compared with the control group. However, the intervention cannot be regarded as cost‐effective as no significant effects were found for work ability and health. Am. J. Ind. Med. 57:56–68, 2014. © 2013 Wiley Periodicals, Inc.</abstract><cop>Hoboken, NJ</cop><pub>Blackwell Publishing Ltd</pub><pmid>24166711</pmid><doi>10.1002/ajim.22267</doi><tpages>13</tpages></addata></record> |
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| ispartof | American journal of industrial medicine, 2014-01, Vol.57 (1), p.56-68 |
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| source | Wiley-Blackwell Read & Publish Collection |
| subjects | Absenteeism Adult Biological and medical sciences Construction Industry - economics Cost-Benefit Analysis cost-effectiveness Female Follow-Up Studies health Health Status Humans Male Medical sciences Mental Health Middle Aged Musculoskeletal Pain - epidemiology Musculoskeletal Pain - prevention & control Netherlands - epidemiology Occupational Diseases - epidemiology Occupational Diseases - prevention & control Occupational Health - economics Occupational medicine Prevalence Public health. Hygiene-occupational medicine return on investment Sick Leave - economics Surveys and Questionnaires Time Factors work ability Work Capacity Evaluation |
| title | Prevention program at construction worksites aimed at improving health and work ability is cost-saving to the employer: Results from an RCT |
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