Abstract
Introduction The aim of this study is to determine whether a workplace-based early intervention injury prevention program reduces work-related musculoskeletal compensation outcomes in poultry meat processing workers. Methods A poultry meatworks in Queensland, Australia implemented an onsite early intervention which included immediate reporting and triage, reassurance, multidisciplinary participatory consultation, workplace modifica tion and onsite physiotherapy. Secondary pre-post analyses of the meatworks’ compensation data over 4 years were performed, with the intervention commencing 2 years into the study period. Outcome measures included rate of claims, costs per claim and work days absent at an individual claim level. Where possible, similar analyses were performed on data for Queensland’s poultry meat processing industry (excluding the meatworks used in this study). Results At the intervention meatworks, in the post intervention period an 18 % reduction in claims per 1 million working hours (p = 0.017) was observed. Generalized linear modelling revealed a significant reduction in average costs per claim of $831 (OR 0.74; 95 % CI 0.59–0.93; p = 0.009). Median days absent was reduced by 37 % (p = 0.024). For the poultry meat processing industry over the same period, generalized linear modelling revealed no significant change in average costs per claim (OR 1.02; 95 % CI 0.76–1.36; p = 0.91). Median days absent was unchanged (p = 0.93). Conclusion The introduction of an onsite, workplace-based early intervention injury prevention program demonstrated positive effects on compensation outcomes for work-related musculoskeletal disorders in poultry meat processing workers. Prospective studies are needed to confirm the findings of the present study.
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Notes
A serious injury claim is defined as death, permanent incapacity or temporary incapacity with greater than 1 week away from work.
In Queensland, an injury is defined as “…a personal injury arising out of, or in the course of, employment if the employment is a significant contributing factor…” S32 (1a) and an event is defined as “…anything that results in injury, including a latent onset injury, to a worker…” 31 (1) (Queensland Government, 2003).
Abbreviations
- WMSD:
-
Work-related musculoskeletal disorder
- IPP:
-
Injury prevention program
- RTW:
-
Return to work
- TLC:
-
Time lost claim
- MEC:
-
Medical expense claim
- RRTWC:
-
Rehabilitation and return to work co-ordinator
- OHS:
-
Occupational health and safety
- IPT:
-
Injury prevention team
References
Mohammadi G. Risk factors for the prevalence of the upper limb and neck work-related musculoskeletal disorders among poultry slaughter workers. J Musculoskelet Res. 2012;15(1):1–8.
Quandt SA, Grzywacz JG, Marín A, Carrillo L, Coates ML, Burke B, et al. Illnesses and injuries reported by Latino poultry workers in western North Carolina. Am J Ind Med. 2006;49(5):343–51.
Lipscomb H, Epling C, Pompeii L, Dement J. Musculoskeletal symptoms among poultry processing workers and a community comparison group: black women in low-wage jobs in the rural South. Am J Ind Med. 2007;50(5):327–38.
Safe Work Australia. Compendium of Workers’ Compensation Statistics Australia 2010–11. Canberra; 2013. p. 1–132.
Queensland Workers’ Compensation Regulator. Meat and Meat Product Manufacturing claims data. In: Queensland Workers’ Compensation Regulator, editor. Brisbane; 2013.
The Workers’ Compensation Regulatory Authority. Statistics Report 2012–13. In: Q-Comp, editor. Brisbane; 2013.
Office of Fair and Safe Work Queensland. Poultry processing claim rates 2008/09 to 2012/13. In: Office of Fair and Safe Work Queensland, editor. Brisbane; 2015.
Queensland Government. Work Health and Safety Act. Brisbane: Office of the Queensland Parliamentary Counsel; 2011.
Work Health and Safety Queensland. Hazardous manual tasks code of practice. In: General DoJaA, editor. Queensland; 2011.
Australian Safety and Compensation Council. National code of practice for the prevention of musculoskeletal disorders from performing manual tasks at work. vol Book, Whole. Canberra: Commonwealth of Australia; 2007.
Macdonald W, Evans O. Research on the prevention of work-related musculoskeletal disorders stage 1—literature review. In: Department of Employment and Workplace Relations, editor. 2006.
National Standards Authority of Ireland. Occupational health and safety management systems—requirements. S.R. OHSAS 18001:2007. Dublin: NSAI; 2007.
Straker L, Burgess-Limerick R, Pollock C, Egeskov R. A randomized and controlled trial of a participative ergonomics intervention to reduce injuries associated with manual tasks: physical risk and legislative compliance. Ergonomics. 2004;47(2):166–88.
Burgess-Limerick R, Egeskov R, Pollock C, Straker L. A Randomised and Controlled Trial of Participative Ergonomics for Manual Tasks (PErforM). NOIRS intervention contest paper; 2003.
Iles RA, Wyatt M, Pransky G. Multi-faceted case management: reducing compensation costs of musculoskeletal work injuries in Australia. J Occup Rehabil. 2012;22(4):478–88.
Phillips CJ, Phillips R, Main CJ, Watson PJ, Davies S, Farr A, et al. The cost effectiveness of NHS physiotherapy support for occupational health (OH) services. BMC Musculoskelet Disord. 2012;13(1):1–10.
Bültmann U, Sherson D, Olsen J, Hansen CL, Lund T, Kilsgaard J. Coordinated and tailored work rehabilitation: a randomized controlled trial with economic evaluation undertaken with workers on sick leave due to musculoskeletal disorders. J Occup Rehabil. 2009;19(1):81–93.
Odeen M, Ihlebæk C, Indahl A, Wormgoor MEA, Lie SA, Eriksen HR. Effect of peer-based low back pain information and reassurance at the workplace on sick leave: a cluster randomized trial. J Occup Rehabil. 2013;23(2):209–19.
Tompa E, de Oliveira C, Dolinschi R, Irvin E. A systematic review of disability management interventions with economic evaluations. J Occup Rehabil. 2008;18(1):16–26.
van Oostrom SH, Driessen MT, De Vet H, Franche RL, Schonstein E, Loisel P et al. Workplace interventions for preventing work disability. Cochrane Database Syst Rev. 2009.
Lysaght R, Donnelly C, Luong D. Best practices in the rehabilitation of acute musculoskeletal disorders in workers with injuries: an integrative review and analysis of evolving trends. Work. 2010;35(3):319–33.
Carroll C, Rick J, Pilgrim H, Cameron J, Hillage J. Workplace involvement improves return to work rates among employees with back pain on long-term sick leave: a systematic review of the effectiveness and cost-effectiveness of interventions. Disabil Rehabil. 2010;32(8):607–21.
Williams R, Westmorland M, Lin C, Schmuck G, Creen M. Effectiveness of workplace rehabilitation interventions in the treatment of work-related low back pain: a systematic review. Disabil Rehabil. 2007;29(8):607–24.
Lemstra M, Olszynski WP. The effectiveness of standard care, early intervention, and occupational management in worker’s compensation claims. Spine. 2003;28(3):299–304.
Loisel P, Abenhaim L, Durand P, Esdaile JM, Suissa S, Gosselin L, et al. A population-based, randomized clinical trial on back pain management. Spine. 1997;22(24):2911–8.
Yassi A, Tate R, Cooper J, Snow C, Vallentyne S, Khokhar J. Early intervention for back-injured nurses at a large Canadian tertiary care hospital: an evaluation of the effectiveness and cost benefits of a two-year pilot project. Occup Med. 1995;45(4):209–14.
Anema JR, Steenstra IA, Bongers PM, de Vet HC, Knol DL, Loisel P, et al. Multidisciplinary rehabilitation for subacute low back pain: graded activity or workplace intervention or both?: a randomized controlled trial. Spine. 2007;32(3):291–8.
Loisel P, Durand M-J, Diallo B, Vachon B, Charpentier N, Labelle J. From evidence to community practice in work rehabilitation: the Quebec experience. Clin J Pain. 2003;19(2):105–13.
Lippel K. Lötters F (2013) Public insurance systems: a comparison of cause-based and disability-based income support systems. Handbook of work disability. Berlin: Springer; 2013. p. 183–202.
van Mechelen W, Blatter B, van Reenen H, van der Beek A, Bongers P, van der Grinten M. Does musculoskeletal discomfort at work predict future musculoskeletal pain? Ergonomics. 2008;51(5):637–48.
Werner RA, Franzblau A, Gell N, Ulin SS, Armstrong TJ. Predictors of upper extremity discomfort: a longitudinal study of industrial and clerical workers. J Occup Rehabil. 2005;15(1):27–35.
Werner RA, Franzblau A, Gell N, Ulin SS, Armstrong TJ. A longitudinal study of industrial and clerical workers: predictors of upper extremity tendonitis. J Occup Rehabil. 2005;15(1):37–46.
Gatchel RJ, Dougall AL. Psychosocial and psychiatric sequelae of chronic musculoskeletal pain and disability disorders Handbook of musculoskeletal pain and disability disorders in the workplace. Berlin: Springer; 2014. p. 219–33.
Sadi J, MacDermid JC, Chesworth B, Birmingham T. A 13-year cohort study of musculoskeletal disorders treated in an autoplant, on-site physiotherapy clinic. J Occup Rehabil. 2007;17(4):610–22.
Badii M, Keen D, Yu S, Yassi A. Evaluation of a comprehensive integrated workplace-based program to reduce occupational musculoskeletal injury and its associated morbidity in a large hospital. J Occup Environ Med. 2006;48(11):1159–65.
Pinnington MA, Miller J, Stanley I. An evaluation of prompt access to physiotherapy in the management of low back pain in primary care. Fam Pract. 2004;21(4):372–80.
Queensland Government. Workers’ Compensation and Rehabilitation Act 2003. Brisbane: State of Queensland; 2013. p. 1–523.
Ruseckaite R, Collie A, Bohensky M, Brijnath B, Kosny A, Mazza D. Trends in sickness certification of injured workers by general practitioners in Victoria, Australia. J Occup Rehabil. 2014;24(3):525–32.
Collie A, Ruseckaite R, Brijnath B, Kosny AA, Mazza D. Sickness certification of workers compensation claimants by general practitioners in Victoria, 2003–2010. Med J Aust. 2013;199(7):480.
Australian Safety and Compensation Council. Type of occurrence classification system, 3rd edn. Canberra: Commonwealth of Australia; 2008.
Australian Bureau of Statistics. 6401.0 Consumer Price Index, Australia. Commonwealth of Australia; 2014.
Australian Bureau of Statistics. Average weekly earnings, Australia Cat No 6302.0—Average weekly earnings Australia. Commonwealth of Australia; 2012.
Barber J, Thompson S. Multiple regression of cost data: use of generalised linear models. J Health Serv Res Policy. 2004;9(4):197–204.
Moran JL, Solomon PJ, Peisach AR, Martin J. New models for old questions: generalized linear models for cost prediction. J Eval Clin Pract. 2007;13(3):381–9.
Blough D, Madden C, Hornbrook M. Modelling risk using generalized linear models. J Health Econ. 1999;18:153–71.
Rosenbaum DA, Grzywacz JG, Chen H, Arcury TA, Schulz MR, Blocker JN, et al. Prevalence of epicondylitis, rotator cuff syndrome, and low back pain in latino poultry workers and manual laborers. Am J Ind Med. 2013;56(2):226–34.
StataCorp. Stata statistical software: release 13. College Station: StataCorp LP; 2013.
WorkCover Queensland. Calculating Premium. Queensland Government. 2015. https://www.worksafe.qld.gov.au/insurance/which-insurance-product-is-right-for-you/accident-insurance/calculating-premium. Accessed 20 May 2015.
WorkCover Queensland. Queensland Government Gazette No. 27. Queensland Government; 2013.
Moore JS, Garg A. The effectiveness of participatory ergonomics in the red meat packing industry Evaluation of a corporation. Int J Ind Ergon. 1998;21(1):47–58.
Amick BC, Habeck RV, Hunt A, Fossel AH, Chapin A, Keller RB, et al. Measuring the impact of organizational behaviors on work disability prevention and management. J Occup Rehabil. 2000;10(1):21–38.
Neal A, Griffin MA. A study of the lagged relationships among safety climate, safety motivation, safety behavior, and accidents at the individual and group levels. J Appl Psychol. 2006;91(4):946–53.
Wallace A, Neal A. A report on safety in the Queensland meat industry. Report prepared for the Meat Industry Advisory Group and The Australasian Meat Industry Employees Union. 2000.
Chan C, Driscoll T, Ackermann B. The usefulness of on-site physical therapy-led triage services for professional orchestral musicians—a national cohort study. BMC Musculoskelet Disord. 2013;14(1):98.
Anaf S, Sheppard LA. Physiotherapy as a clinical service in emergency departments: a narrative review. Physiotherapy. 2007;93(4):243–52.
Kilner E. What evidence is there that a physiotherapy service in the emergency department improves health outcomes? A systematic review. J Health Serv Res Policy. 2011;16(1):51–8.
McClellan CM, Cramp F, Powell J, Benger JR. Extended scope physiotherapists in the emergency department: a literature review. Phys Ther Rev. 2010;15(2):106–11.
Loisel P, Gosselin L, Durand P, Lemaire J, Poitras S, Abenhaim L. Implementation of a participatory ergonomics program in the rehabilitation of workers suffering from subacute back pain. Appl Ergonom. 2001;32(1):53–60.
Dunstan DA. Are sickness certificates doing our patients harm. Aust Fam Physician. 2009;38(1–2):61–3.
Acknowledgments
The authors would like to acknowledge the Office of Fair and Safe Work Queensland (Formerly known as Q-Comp and the Workers’ Compensation Regulator) for their contribution of data for analysis. The authors would also like to acknowledge the assistance and cooperation of the meatworks where the intervention was implemented. The meatworks requested their anonymity for the purpose of this study and for future reference.
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The corresponding author (MD) was supported by a research scholarship from the Office of Fair and Safe Work Queensland; however, the funding organization had no role in selecting the research project. MD was contracted as an onsite physiotherapist at the P1 meatworks throughout the whole study period. The remaining authors declared no conflict of interest.
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Donovan, M., Khan, A. & Johnston, V. The Effect of a Workplace-Based Early Intervention Program on Work-Related Musculoskeletal Compensation Outcomes at a Poultry Meat Processing Plant. J Occup Rehabil 27, 24–34 (2017). https://doi.org/10.1007/s10926-016-9628-3
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DOI: https://doi.org/10.1007/s10926-016-9628-3