Journal of Occupational Rehabilitation

, Volume 16, Issue 3, pp 351–366 | Cite as

Integrative interventions for MSDs: Nature, evidence, challenges & directions

  • Donald C. Cole
  • Dwayne Van Eerd
  • Philip Bigelow
  • Irina Rivilis
Original Paper

Abstract

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.

Keywords

Repetitive strain injury/cumulative trauma disorders Prevention Disability management Health promotion Program evaluation Review 

Notes

Acknowledgements

The authors would like to acknowledge contributions by other members of the Workplace Health Intervention Research team (Sue Ferrier, Nancy Theberge, Emile Tompa, Richard Wells, Alysha Williams); members of workplaces and health and safety system partners with whom we have developed these ideas as part of a Canadian Institute of Health Research Development press. The Institute for Work & Health, an independent not-for-profit research organization, sponsored the work and in turn receives support from the Ontario Workplace Safety & Insurance Board. Specific funding for the integrative newspaper evaluation cited was provided by the RSI Committee and the U.S. National Institute for Occupational Safety and Health/National Institutes of Health under Research Grant #5 R01 OH003708-03.

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Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Donald C. Cole
    • 1
    • 2
  • Dwayne Van Eerd
    • 1
  • Philip Bigelow
    • 1
    • 2
  • Irina Rivilis
    • 1
    • 2
  1. 1.Institute for Work & HealthTorontoCanada
  2. 2.Department of Public Health SciencesFaculty of Medicine, University of TorontoTorontoCanada

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