@Article{Saltychev2013, author = "Saltychev, Mikhail and Laimi, Katri and Oksanen, Tuula and Pentti, Jaana and Kivimäki, Mika and Vahtera, Jussi", title = "Does perceived work ability improve after a multidisciplinary preventive program in a population with no severe medical problems – the Finnish Public Sector Study", journal = "Scandinavian Journal of Work, Environment & Health", year = "2013", month = "Jan", day = "39", number = "1", pages = "57--65", keywords = "Finland; Finnish Public Sector Study; multidisciplinary preventive program; primary prevention; propensity score; vocational rehabilitation; work ability; work ability index; work disability", abstract = "'
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OBJECTIVES ': 'This study examines the short- and long-term effects of a multidisciplinary preventive program on perceived work ability in a population with no severe medical problems.
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METHODS ': 'Altogether 859 public sector employees who participated in the program in 1997–2005 and their 2426 propensity-score-matched controls were studied prospectively. Propensity scores for probability of being granted participation in the program were calculated based on the data on health, health-risk behaviors, and work-related characteristics that were gathered from repeat responses to a survey, national health registers, and employers’ records. Mean scores of perceived work ability (PWA) and prevalence ratios (PR) of suboptimal PWA were calculated after a short-term (mean 1.7 years, up to 4.6 years) and a long-term (mean 5.8 years, up to 9.2 years) follow-up.
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RESULTS ': 'No beneficial effects were observed with respect to work ability. In comparison to controls, the participants’ risk of suboptimal PWA was actually slightly higher after both the short-term [PR 1.23, 95% confidence interval (95% CI) 1.10–1.39] and long-term (PR 1.18, 95% CI 1.06–1.31) follow-ups.
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CONCLUSIONS ': 'These data suggest that the vocationally oriented multidisciplinary preventive program was ineffective in improving work ability among participants with no severe medical problems.
", issn = "0355-3140", doi = "10.5271/sjweh.3298", url = "https://www.sjweh.fi/show_abstract.php?abstract_id=3298", url = "https://doi.org/10.5271/sjweh.3298" }