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The Role of Psychological Wellbeing in a Cross-Provider Worksite Healthcare Management Program for Employees with Musculoskeletal Disorders

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  • Lara Lindert

    (Institute of Medical Sociology, Health Services Research and Rehabilitation Science, Faculty of Medicine, University Hospital Cologne, Faculty of Human Sciences, University of Cologne, Eupener Str. 129, 50933 Cologne, Germany
    Center for Health Services Research, Brandenburg Medical School Theodor Fontane, Fehrbelliner Str. 38, 16816 Neuruppin, Germany)

  • Lara Schlomann

    (Institute of Medical Sociology, Health Services Research and Rehabilitation Science, Faculty of Medicine, University Hospital Cologne, Faculty of Human Sciences, University of Cologne, Eupener Str. 129, 50933 Cologne, Germany)

  • Holger Pfaff

    (Institute of Medical Sociology, Health Services Research and Rehabilitation Science, Faculty of Medicine, University Hospital Cologne, Faculty of Human Sciences, University of Cologne, Eupener Str. 129, 50933 Cologne, Germany)

  • Kyung-Eun (Anna) Choi

    (Institute of Medical Sociology, Health Services Research and Rehabilitation Science, Faculty of Medicine, University Hospital Cologne, Faculty of Human Sciences, University of Cologne, Eupener Str. 129, 50933 Cologne, Germany
    Center for Health Services Research, Brandenburg Medical School Theodor Fontane, Fehrbelliner Str. 38, 16816 Neuruppin, Germany)

Abstract

Background: Musculoskeletal and mental disorders are often comorbid, with complex correlations of pain, impairment due to pain, disability, and psychological wellbeing. This study investigates the role of psychological wellbeing in a worksite healthcare program for employees within a German randomized controlled trial. Methods: For our analyses we used data of the module for minor musculoskeletal complaints (N = 180). The intervention included a workplace-related training and case manager support. Results: Changes over time were significant in the disability score ( t (179) = 9.04, p < 0.001), pain intensity ( t (179) = 9.92, p < 0.001), and psychological wellbeing ( t (179) = −4.65, p < 0.001). Individuals with low vs. high psychological wellbeing showed significant differences in their disability score t0,t1 ( t t0 (178) = −4.230, p t0 < 0.001, t t1 (178) = −2.733, p t1 < 0.001), pain intensity t0,t1 ( t t0 (178) = −3.127, p t0 < 0.01, t t1 (178) = −3.345, p t1 < 0.01, and motivation t0 ( t t0 (178) = 4.223, p t0 < 0.001). The disability score ∆ mediates the impact of pain intensity ∆ on psychological wellbeing t1 (beta = 0.155, p < 0.05). Psychological wellbeing ∆ had an impact on the disability score t1 (beta = −0.161, p < 0.01). Conclusions: The lower the psychological wellbeing is at an intervention’s beginning, the higher the potential is for its improvement, which might affect individuals’ experienced impairment due to pain. In order to achieve the best outcomes, interventions should include both pain-related and psychological aspects. Future research needs to explore the causality of the found interrelationships further.

Suggested Citation

  • Lara Lindert & Lara Schlomann & Holger Pfaff & Kyung-Eun (Anna) Choi, 2022. "The Role of Psychological Wellbeing in a Cross-Provider Worksite Healthcare Management Program for Employees with Musculoskeletal Disorders," IJERPH, MDPI, vol. 19(9), pages 1-12, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:9:p:5452-:d:805802
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    References listed on IDEAS

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    1. Kyung-Eun (Anna) Choi & Lara Lindert & Lara Schlomann & Christina Samel & Martin Hellmich & Holger Pfaff, 2021. "A Cross-Provider Healthcare Management Program for Musculoskeletal Disorders: Results of a Randomized Controlled Trial in 22 German Companies," IJERPH, MDPI, vol. 18(22), pages 1-13, November.
    2. Sabrina Zeike & Kyung-Eun Choi & Lara Lindert & Holger Pfaff, 2019. "Managers’ Well-Being in the Digital Era: Is it Associated with Perceived Choice Overload and Pressure from Digitalization? An Exploratory Study," IJERPH, MDPI, vol. 16(10), pages 1-15, May.
    3. Sabrina Zeike & Katherine Bradbury & Lara Lindert & Holger Pfaff, 2019. "Digital Leadership Skills and Associations with Psychological Well-Being," IJERPH, MDPI, vol. 16(14), pages 1-12, July.
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