The impact of an employee wellness programme in clothing/textile manufacturing companies: a randomised controlled trial

Naila Edries, Jennifer Jelsma, Soraya Maart, Naila Edries, Jennifer Jelsma, Soraya Maart

Abstract

Background: The prevalence of health risk behaviours is growing amongst South African employees. Health risk behaviours have been identified as a major contributor to reduced health related quality of life (HRQoL) and the increased prevalence of non-communicable diseases. Worksite wellness programmes promise to promote behaviour changes amongst employees and to improve their HRQoL. The aim of this study was to evaluate the short-term effects of an employee wellness programme on HRQoL, health behaviour change, body mass index (BMI) and absenteeism amongst clothing and textile manufacturing employees.

Methods: The study used a randomised control trial design. The sample consisted of 80 subjects from three clothing manufacturing companies in Cape Town, South Africa. The experimental group was subjected to a wellness programme based on the principles of cognitive behaviour therapy (CBT) as well as weekly supervised exercise classes over six weeks. The control group received a once-off health promotion talk and various educational pamphlets, with no further intervention. Measurements were recorded at baseline and at six weeks post-intervention. Outcome measures included the EQ-5D, Stanford Exercise Behaviours Scale, body mass index and absenteeism.Data was analysed with the Statistica-8 software program. Non-parametric tests were used to evaluate the differences in the medians between the two groups and to determine the level of significance. The Sign test was used to determine the within group changes. The Mann-Whitney U test was used to determine the difference between the two groups.

Results: At six weeks post intervention the experimental group (39 subjects) demonstrated improvement in almost every parameter. In contrast, apart from an overall decrease in time off work and a reduction in BMI for all study participants, there was no significant change noted in the behaviour of the control group (41 subjects). Seventy percent of the experimental group had improved HRQoL EQ-5D VAS scores post intervention, indicating improved perceived HRQoL. In comparison, only 58% of the control group had improved HRQoL EQ-5D VAS scores post intervention. There was no significant difference between the two groups at baseline or at six weeks post intervention.

Conclusion: An employee wellness programme based on the principles of CBT combined with weekly aerobic exercise class was beneficial in improving the perceived HRQoL and changing health-related behaviours of clothing manufacturing employees. However, it cannot be concluded that the EWP was more effective than the once off health promotion talk as no significant changes were noted between the two groups at 6-weeks post intervention.This trial has been registered with ClinicalTrials.gov (trial registration number NCT01625039).

References

    1. Hlobil H, Uegaki K, Staal J, De Bruyn M, Smid J, Van Mechelen W. Substantial sick-leave cost savings due to graded activity intervention for workers with non-specific sub-acute low back pain. Euro Spine Journal. 2007;16:919–24. doi: 10.1007/s00586-006-0283-9.
    1. Ostergren O, Hanson B, Balogh I, Ektor-Anderson J, Isaacson A, Orbaek P. Incidence of shoulder and neck pain in a working population: effect modification between mechanical and psychosocial exposures at work. J Epidemiol Community Health. 2005;59:721–28. doi: 10.1136/jech.2005.034801.
    1. Sala E, Albini E, Borghesi S, Gullino A, Romano C, Apostoli P. Work related musculoskeletal disorders of the upper extremity in spinning: lack of risk or of adequate methods for assessing risk. G Ital Med Lav Ergon. 2005;27(1):8–20.
    1. Choobineh M, Lahmi M, Hosseini M, Shahnavaz H, Jazani R. Workstation design in carpet hand weaving operation: guidelines for prevention of musculosketal disorders. Occup Safety Ergon. 2004;10(2):157–68.
    1. Anderson H, Kaergaardt A, Frost P, Frouland-Thomson J, Peter Bond J, Fallentin N. Physical, psychosocial and individual risk factors for neck/shoulder pain with pressure tenderness in the muscles among workers performing monotonous, repetitive work. Spine. 2002;27(6):660–7. doi: 10.1097/00007632-200203150-00017.
    1. Liuke M, Solovieva S, Lamminenem A, Luoma K, Leino-Arais P, Luukkonen R. Disc degeneration of the Lumbar Spine in relation to overweight. International Journal Obese. 2005;29(8):903–8. doi: 10.1038/sj.ijo.0802974.
    1. Novak B. Upper Extremity Work-related Muscoloskeletal Disorders: A treatment perspective. J Orthop Sports Phys Ther. 2004;34:628–37.
    1. Kolbe-Alexander T, Buckmaster C, Nossel C, Dreyer L, Bull F, Noakes D. Chronic disease risk factors, healthy days and medical claims in South African employees presenting for health risk screening. BMC Publ Health. 2008;8:228. doi: 10.1186/1471-2458-8-228.
    1. Hoffman M, Shepanski M, Mackenzi S, Clifford P. Experimentally induced pain perception is acutely reduced by aerobic exercise in people with chronic lower back pain. J Rehabil Res Dev. 2005;42(2):183–90. doi: 10.1682/JRRD.2004.06.0065.
    1. Hewitt J, Whyte G, Moreton M, Van Someren K, Levine T. The effects of a graduated aerobic exercise programme on cardiovascular disease risk factors in the NHS workplace: a randomised controlled trial. Journal of Occupational Medicine and Toxicology. 2008;3(7):7.
    1. Duncan G, Anton S, Syderman S, Newton R, Corsica J, Durning P. Prescribing exercise at varying levels of intensity and frequency. Arch Intern Med. 2005;165(20):2362–9. doi: 10.1001/archinte.165.20.2362.
    1. Martin D, Macleod L. In: Chronic Pain. Donaghy M, Nicol M, Davidson K, editor. Edinburgh, London, New York, Oxford, Philadelphia, St Louis, Sydney, Toronto: Butterworth-Heinemann Elsevier; 2008.
    1. Ackerlind S, Okifuji A. Behavioural Medicine approaches to Pain. Medicinal clinics of North America. 2007;91(1):45–55. doi: 10.1016/j.mcna.2006.10.008.
    1. Larson A, Karlqvist, Gard G. Effects of work ability and health promoting interventions for women with musculoskeletal symptoms: a 9-month prosective study. BMC Musculoskelet Disord. 2008;9:105. doi: 10.1186/1471-2474-9-105.
    1. Dahl J, Nihlsson A. Evaluation of a randomised preventative behavioural medicine worksite intervention for public health workers at risk of developing chronic pain. Euro Journal of Pain. 2001;5(4):421–32. doi: 10.1053/eujp.2001.0264.
    1. Lubbe J, Wilders C. Effect of a worksite wellness programme on the physical capacity profile of workers in an electricity supply company. Occupational Health Southern Africa 2010 26 November 2012. 2008;14(2):3–9.
    1. Nieuwenhuijsen E. Health behaviour change among office workers: an exploratory study to prevent repetitive strain injuries. IOS Press. 2004;23(3):215–24.
    1. Engbers LVPM, Paw MC, Van Mechelen W. The effects of a controlled worksite environmental intervention on determinants of dietary behaviour and self-reported fruit, vegetable and fat intake. BMC Publ Health. 2006;10:253.
    1. Castelnuovo GVM, Tomita M. et al.Development of ALIVE! (A Lifestyle Intervention Via Email), and its Effect on Health-related Quality of Life, Presenteeism, and Other Behavioural outcomes: A randomised controlled trial. Journal of Med Internet Res. 2008;43(10):4.
    1. Cook R, Billings D, Hersch R, Back A, Hendrickson M. A field test of a web-based workplace health promotion program to improve dietary practices, reduce stress, and increase physical activity: randomised controlled trial. Med Internet Res. 2007;9(2):17. doi: 10.2196/jmir.9.2.e17.
    1. Harden A, Peersman G, Oliver S, Mauthner M. A O: A Systematic Review of the Effectiveness of Health Promotion Interventions in the Workplace. Occup Med. 1999;49(8):540–8. doi: 10.1093/occmed/49.8.540.
    1. Leedy P. Practical Research: Planning and Design. USA: McMillan Publishing Co; 1989.
    1. Jelsma J, Ferguson G. In: EQ-5D 19th Plenary Meeting of the Euroqol group. Kind P, Macran S, editor. New York: UK Centre for Health Economics; 2002. The determinants of self reported quality of life among the residents of Woodstock, Cape Town; pp. 205–16.
    1. Whynes D, Tombola G. Correspondence between the EQ-5D health state classifications and EQ-5D VAS scores. Health Qual Life Outcomes. 2008;6:94. doi: 10.1186/1477-7525-6-94.
    1. EuroQuol: EQ-5D. 1990. Available from: ≤ ≥.
    1. Caspersen C, Powell K, Chistenson G. Physical activity, exercise and physical fitness: Definitions and distinctions for health-related research 1985; 100(2)(Mar-April) 1985. Available from:
    1. Lorig K, Stewart A, Ritter P, Gonzalez V, Laurent D, Lynch J. Outcome measures for health education and other health care interventions. Thousand Oaks CA: Sage Publications; 1996. pp. 25–38.
    1. Sajhau J. Labour practices in the footwear, leather, textiles and clothing industries. Geneva: International Labour Organisation; 2000.
    1. Vlok E. The future of the Textile and Clothing Industry in Sub-saharan Africa. Friedrich-Ebert-Stiftung. 2006;3898924971:227–46.
    1. KILM. Employee Participation.; 2000.Employee participation. Retrieved Sept 2009, Benchmark Report Employment:.
    1. SADHS. The South African Demographic and Health Survey. Durban: Department of Health South Africa; 2003.
    1. Schutgens C, Schuring M, Voorham T, Burdorf A. Changes in physical health among participants in a multi-disciplinary health programme for longterm unemployed persons. BMC Publ Health. 2009;9:197. doi: 10.1186/1471-2458-9-197.
    1. Bertera C, Jans M, Van der Heuwel S, Hendriksen I, Houtman I, Bongers P. Can strenuous leisure time physical activity prevent psychological complaints in a working population? Occup Environ Med. 2006;63:10–6. doi: 10.1136/oem.2004.017541.
    1. Baker G, Gray S, Wright A, Fitzsimons C, Nimmo M, Lowry R. The effect of a pedometer based community walking intervention "Walking for Wellbeing in the West" on physical activity levels and health outcomes: a 12 month randomised controlled trial. International Journal of Behavioural Nutrition and Physical Activity. 2008;5:44. doi: 10.1186/1479-5868-5-44.
    1. Jelsma J, Mkoka S, Amosun L, Nieuwveldt J. The reliability and validity of the Xhosa version of the EQ-5D. Disabil Rehabil. 2004;26(2):103–108. doi: 10.1080/09638280310001629705.
    1. Eversden L, Maggs F, Nightingale P, Jobanputra P. A pragmatic randomised controlled trial of hydrotherapy and land exercises on overall wellbeing and quality of life in rheumatoid arthritis. BMC Musculoskelet Disord. 2007;8:23. doi: 10.1186/1471-2474-8-23.
    1. Louwagie G, Backmann M, Meyer K, Booysen F, Fairall L, Heunis C. Highly active antiretroviral treatment and health related quality of life in South African adults with human immuno efficiency virus infection: A cross sectional analytical study. BMC Publ Health. 2007;7:244. doi: 10.1186/1471-2458-7-244.
    1. Hasson D, Arnetz B, Theorell T, Anderberg U. Predictors of Self-rated health: a 12 month prospective study of IT and media workers. Polpulation Health Metrics. 2006;4(8):8.
    1. Huge V, Scholderer M, Steinberger M, Wuenschmann B, Schops P, Beyer A. Impact of a functional restoration program on pain and health related quality of life in patients with chronic lower back pain. American Academy of Pain Medicine. 2006;7(6):501–8. doi: 10.1111/j.1526-4637.2006.00238.x.
    1. Wigers S, Finset A. Rehabilitation of Chronic Myofascial Pain Disorders. Tidsskr Nor Laegeforen. 2007;127(5):604–8.
    1. Galluci N. The effects of goals on the maintenance of exercise programs. Journal of Sport Behaviour. 1995;18(2):1–12.
    1. Shain M, Kramer D. Health promotion in the workplace: framing the concept; reviewing the evidence. Occup Environ Med. 2004;61:643–8. doi: 10.1136/oem.2004.013193.
    1. Aldana S, Greenlaw R, Diehl H, Salberg A, Merril R, Ohmine S. The Effects of a Worksite Chronic Disease Prevention Program. J Occup Environ Med. 2005;47(6):558–64. doi: 10.1097/01.jom.0000165743.18570.66.
    1. Nawaz M. Corporate Wellness Programmes. The Sunday Times 2006, 31(12): Retrieved.

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