Integrative interventions for MSDs: nature, evidence, challenges & directions.
Cole-DC; Van Eerd-D; Bigelow-P; Rivilis-I
J Occup Rehabil 2006 Sep; 16(3):359-374
BACKGROUND: When applied to workplace interventions, integrative may be seen in various ways, requiring elucidation. METHODS: Identification of primary studies through systematic reviews, limited bibliographic literature searches, the Cochrane Occupational Health Field database on intervention studies, and authors' files. Focus was 2000 on. Categorization according to the Cochrane classes and lenses on integrative. Synthesis as narrative review. RESULTS: Examples of each lens on integrative were uncovered: biomechanical and psychosocial, multiple component, primary and secondary prevention, organizational, and system. Each contributed different understanding to the potential impacts on different knowledge, exposure, behavior, health and administrative outcomes. CONCLUSIONS: Considerable opportunities exist to expand the range of integrative interventions, particularly at the organizational and system levels, and incorporate a combination of knowledge transfer and exchange with intervention evaluation.
Musculoskeletal-system-disorders; Ergonomics; Risk-factors; Occupational-exposure; Occupational-health; Quantitative-analysis; Qualitative-analysis; Psychological-stress; Cumulative-trauma; Cumulative-trauma-disorders
Institute for Work & Health, 481 University Avenue, Suite 800, Toronto, Ontario, M5G 2E9, Canada
Journal of Occupational Rehabilitation
The Institute for Work and Health, Toronto, Ontario, Canada