Table 1 Intervention components and activities: descriptions and planned doses
Component | Activities | Description | Dose |
|---|---|---|---|
Participatory ergonomics | – | The ERGO group consisted of the ergonomist, the project champion, a volunteer nurse and nursing aide from each shift (morning, afternoon and two-night shifts), the unit supervisor/s, and one prevention delegate (union representative). They met three times. In the first meeting, the results of the unit questionnaire were presented, and an ergonomics training was carried out. In the second meeting, ergonomic problems in the unit were identified and prioritized. In the third meeting, the proposal of preventive measures and a final report were developed. In between these meetings, the volunteers of the ERGO group involved their co-workers to provide input for the meetings. | The ERGO group held an in-door weekly meeting of one hour each for three weeks. |
Healthy lifestyle promotion programme | Nordic walking | Nordic walking training (outdoor) carried out by an expert trainer. | A 12 sessions weekly programme of 1.5 h/session. |
Mindfulness | Indoor course based on Mindfulness-based Stress Reduction (MBRS) developed by an expert psychologist. | Four sessions of 2 h/session per week. | |
Healthy diet chef session | An indoor-formative session carried out by an expert chef. | One session of 3 h. | |
Tailored case management programme | Motivational follow up | Phone service carried out by the case manager to make sure that the nurse and/or nursing aide was doing the planned service sessions, to monitor his/her emotional and physical status, and to provide positive reinforcement. | Phone call every two weeks. |
Education of Health beliefs | A physiotherapist or an occupational health nurse led a session focused on chronic pain, myths related to pain, understanding the role of drugs, physical activity, and stress in managing MSP. The session started and finished answering the Fear Avoidance Beliefs Questionnaire (FABQ) [29]. During the session the patient watched a chronic pain videoa,b and received a leaflet with all the information of the session. | One session of 45 min. | |
OHS physician | An Occupational Health physician consulted nursing staff when their pain or discomfort was not diagnosed previously, to discard red flags and referred to rehabilitation if appropriate. | One medical consultation of 45 min, and a follow-up of 30 min if the physician considered that was necessary. | |
Rehabilitation | Rehabilitation consisted of a consultation with the rehabilitation physician and a physiotherapy rehabilitation programme. | One first consultation of 12,5 min with the rehabilitation physician, and a daily physiotherapy programme of 50 min sessions (with the possibility of three days face-to-face and two days exercises from home). The physiotherapy programme duration was adapted to each worker. | |
Cognitive-behavioural therapy (CBT) | CBT focused on stress management at work developed by an expert psychologist. | Six sessions of one hour each, every two weeks. The number of sessions could be expanded if needed. |