Workplace interventions to improve work ability: A systematic review and meta-analysis of their effectiveness

OBJECTIVE: Extended working lives due to an ageing population will necessitate the maintenance of work ability across the life course. This systematic review aimed to analyze whether workplace interventions positively impact work ability. METHODS: We searched Medline, PsycINFO, CINAHL and Embase dat...

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Main Authors: Jodi Oakman, Subas Neupane, Karin I Proper, Natasha Kinsman, Clas-Håkan Nygård
Format: Article
Language:English
Published: Nordic Association of Occupational Safety and Health (NOROSH) 2018-03-01
Series:Scandinavian Journal of Work, Environment & Health
Subjects:
Online Access: https://www.sjweh.fi/show_abstract.php?abstract_id=3685
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author Jodi Oakman
Subas Neupane
Karin I Proper
Natasha Kinsman
Clas-Håkan Nygård
author_facet Jodi Oakman
Subas Neupane
Karin I Proper
Natasha Kinsman
Clas-Håkan Nygård
author_sort Jodi Oakman
collection DOAJ
description OBJECTIVE: Extended working lives due to an ageing population will necessitate the maintenance of work ability across the life course. This systematic review aimed to analyze whether workplace interventions positively impact work ability. METHODS: We searched Medline, PsycINFO, CINAHL and Embase databases using relevant terms. Work-based interventions were those focused on individuals, the workplace, or multilevel (combination). Work ability – measured using the work ability index (WAI) or the single-item work ability score (WAS) – was the outcome measure. Grading of Recommendations Assessment, Development & Evaluation (GRADE) criteria was used to assess evidence quality, and impact statements were developed to synthesize the results. Meta-analysis was undertaken where appropriate. RESULTS: We reviewed 17 randomized control trials (comprising 22 articles). Multilevel interventions (N=5) included changes to work arrangements and liaisons with supervisors, whilst individual-focused interventions (N=12) involved behavior change or exercise programs. We identified only evidence of a moderate quality for either individual or multilevel interventions aiming to improve work ability. The meta-analysis of 13 studies found a small positive significant effect for interventions on work ability [overall pooled mean 0.12, 95% confidence interval (CI) 0.03–0.21] with no heterogeneity for the effect size (Chi^2=11.28, P=0.51; I^2=0%). CONCLUSIONS: The meta-analysis showed a small positive effect, suggesting that workplace interventions might improve work ability. However, the quality of the evidence base was only moderate, precluding any firm conclusion. Further high quality studies are require to establish the role of interventions on work ability.
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spelling doaj.art-0ac2729b8af04ba3abdd3453c9591c792022-12-21T23:02:46ZengNordic Association of Occupational Safety and Health (NOROSH)Scandinavian Journal of Work, Environment & Health0355-31401795-990X2018-03-0144213414610.5271/sjweh.36853685Workplace interventions to improve work ability: A systematic review and meta-analysis of their effectivenessJodi Oakman0Subas NeupaneKarin I ProperNatasha KinsmanClas-Håkan NygårdCentre for Ergonomics and Human Factors, School of Psychology and Public Health, La Trobe University, Melbourne, Australia.OBJECTIVE: Extended working lives due to an ageing population will necessitate the maintenance of work ability across the life course. This systematic review aimed to analyze whether workplace interventions positively impact work ability. METHODS: We searched Medline, PsycINFO, CINAHL and Embase databases using relevant terms. Work-based interventions were those focused on individuals, the workplace, or multilevel (combination). Work ability – measured using the work ability index (WAI) or the single-item work ability score (WAS) – was the outcome measure. Grading of Recommendations Assessment, Development & Evaluation (GRADE) criteria was used to assess evidence quality, and impact statements were developed to synthesize the results. Meta-analysis was undertaken where appropriate. RESULTS: We reviewed 17 randomized control trials (comprising 22 articles). Multilevel interventions (N=5) included changes to work arrangements and liaisons with supervisors, whilst individual-focused interventions (N=12) involved behavior change or exercise programs. We identified only evidence of a moderate quality for either individual or multilevel interventions aiming to improve work ability. The meta-analysis of 13 studies found a small positive significant effect for interventions on work ability [overall pooled mean 0.12, 95% confidence interval (CI) 0.03–0.21] with no heterogeneity for the effect size (Chi^2=11.28, P=0.51; I^2=0%). CONCLUSIONS: The meta-analysis showed a small positive effect, suggesting that workplace interventions might improve work ability. However, the quality of the evidence base was only moderate, precluding any firm conclusion. Further high quality studies are require to establish the role of interventions on work ability. https://www.sjweh.fi/show_abstract.php?abstract_id=3685 workplace interventionwaiageingsustainable employmentwork ability scoregradereviewmeta-analysiswork abilitywork ability indexemploymentsystematic review
spellingShingle Jodi Oakman
Subas Neupane
Karin I Proper
Natasha Kinsman
Clas-Håkan Nygård
Workplace interventions to improve work ability: A systematic review and meta-analysis of their effectiveness
Scandinavian Journal of Work, Environment & Health
workplace intervention
wai
ageing
sustainable employment
work ability score
grade
review
meta-analysis
work ability
work ability index
employment
systematic review
title Workplace interventions to improve work ability: A systematic review and meta-analysis of their effectiveness
title_full Workplace interventions to improve work ability: A systematic review and meta-analysis of their effectiveness
title_fullStr Workplace interventions to improve work ability: A systematic review and meta-analysis of their effectiveness
title_full_unstemmed Workplace interventions to improve work ability: A systematic review and meta-analysis of their effectiveness
title_short Workplace interventions to improve work ability: A systematic review and meta-analysis of their effectiveness
title_sort workplace interventions to improve work ability a systematic review and meta analysis of their effectiveness
topic workplace intervention
wai
ageing
sustainable employment
work ability score
grade
review
meta-analysis
work ability
work ability index
employment
systematic review
url https://www.sjweh.fi/show_abstract.php?abstract_id=3685
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