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Manager-oriented intervention to reduce absence among pregnant employees in the healthcare and daycare sector: a cluster randomised trial

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@article{424182c3446a4c0db5dda80b1cd8d3e6,
title = "Manager-oriented intervention to reduce absence among pregnant employees in the healthcare and daycare sector: a cluster randomised trial",
abstract = "OBJECTIVE: The aim was to test if targeting managers with an educational intervention reduces absence among pregnant employees.METHODS: The study was a non-blinded cluster randomised trial conducted in hospitals and daycare institutions from two administrative Danish Regions and two Danish municipalities. Clusters (work units) were assigned randomly and non-blinded to either (1) intervention, where all managers were invited to participate in a 3-hour seminar addressing needs and options for adjustment of work in pregnancy, or (2) control, with practice as usual. The primary outcome based on payroll data was long-term pregnancy-related absence, defined as ≥12.5% cumulated absence during pregnancy weeks 1-32. Intention-to-treat analysis was applied using mixed logistic regression.RESULTS: Ninety work units were included (56 hospital departments and 34 daycare units) with 451 pregnant employees in the intervention group and 464 in the control group. Work units had on average 11 pregnant employees with no difference between the groups. 103 of the 216 invited managers (48%) participated in a the 3-hour seminar. In the intervention group, 154 (34%) had long-term pregnancy-related absence during pregnancy weeks 1-32 vs 166 (36%) in the control group. Relative odds of having long-term pregnancy-related absence, when being in the intervention group, was 1.06 (95% CI 0.71 to 1.58), with an interclass correlation coefficient of 0.07.CONCLUSION: An educational intervention targeting managers did not reduce pregnancy-related absence among pregnant employees.TRIAL REGISTRATION NUMBER: NCT03002987.",
keywords = "fertility, intervention studies, occupational health practice, organisation of work, sickness absence",
author = "Begtrup, {Luise Moelenberg} and Per Malmros and Charlotte Brauer and {Soegaard Toettenborg}, Sandra and Flachs, {Esben Meulengracht} and Hammer, {Paula Edeusa Cristina} and Bonde, {Jens Peter}",
note = "{\textcopyright} Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.",
year = "2021",
month = jul,
doi = "10.1136/oemed-2020-106794",
language = "English",
volume = "78",
pages = "486--493",
journal = "Occupational and Environmental Medicine",
issn = "1351-0711",
publisher = "B M J Group",
number = "7",

}

RIS

TY - JOUR

T1 - Manager-oriented intervention to reduce absence among pregnant employees in the healthcare and daycare sector

T2 - a cluster randomised trial

AU - Begtrup, Luise Moelenberg

AU - Malmros, Per

AU - Brauer, Charlotte

AU - Soegaard Toettenborg, Sandra

AU - Flachs, Esben Meulengracht

AU - Hammer, Paula Edeusa Cristina

AU - Bonde, Jens Peter

N1 - © Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.

PY - 2021/7

Y1 - 2021/7

N2 - OBJECTIVE: The aim was to test if targeting managers with an educational intervention reduces absence among pregnant employees.METHODS: The study was a non-blinded cluster randomised trial conducted in hospitals and daycare institutions from two administrative Danish Regions and two Danish municipalities. Clusters (work units) were assigned randomly and non-blinded to either (1) intervention, where all managers were invited to participate in a 3-hour seminar addressing needs and options for adjustment of work in pregnancy, or (2) control, with practice as usual. The primary outcome based on payroll data was long-term pregnancy-related absence, defined as ≥12.5% cumulated absence during pregnancy weeks 1-32. Intention-to-treat analysis was applied using mixed logistic regression.RESULTS: Ninety work units were included (56 hospital departments and 34 daycare units) with 451 pregnant employees in the intervention group and 464 in the control group. Work units had on average 11 pregnant employees with no difference between the groups. 103 of the 216 invited managers (48%) participated in a the 3-hour seminar. In the intervention group, 154 (34%) had long-term pregnancy-related absence during pregnancy weeks 1-32 vs 166 (36%) in the control group. Relative odds of having long-term pregnancy-related absence, when being in the intervention group, was 1.06 (95% CI 0.71 to 1.58), with an interclass correlation coefficient of 0.07.CONCLUSION: An educational intervention targeting managers did not reduce pregnancy-related absence among pregnant employees.TRIAL REGISTRATION NUMBER: NCT03002987.

AB - OBJECTIVE: The aim was to test if targeting managers with an educational intervention reduces absence among pregnant employees.METHODS: The study was a non-blinded cluster randomised trial conducted in hospitals and daycare institutions from two administrative Danish Regions and two Danish municipalities. Clusters (work units) were assigned randomly and non-blinded to either (1) intervention, where all managers were invited to participate in a 3-hour seminar addressing needs and options for adjustment of work in pregnancy, or (2) control, with practice as usual. The primary outcome based on payroll data was long-term pregnancy-related absence, defined as ≥12.5% cumulated absence during pregnancy weeks 1-32. Intention-to-treat analysis was applied using mixed logistic regression.RESULTS: Ninety work units were included (56 hospital departments and 34 daycare units) with 451 pregnant employees in the intervention group and 464 in the control group. Work units had on average 11 pregnant employees with no difference between the groups. 103 of the 216 invited managers (48%) participated in a the 3-hour seminar. In the intervention group, 154 (34%) had long-term pregnancy-related absence during pregnancy weeks 1-32 vs 166 (36%) in the control group. Relative odds of having long-term pregnancy-related absence, when being in the intervention group, was 1.06 (95% CI 0.71 to 1.58), with an interclass correlation coefficient of 0.07.CONCLUSION: An educational intervention targeting managers did not reduce pregnancy-related absence among pregnant employees.TRIAL REGISTRATION NUMBER: NCT03002987.

KW - fertility

KW - intervention studies

KW - occupational health practice

KW - organisation of work

KW - sickness absence

UR - http://www.scopus.com/inward/record.url?scp=85107843964&partnerID=8YFLogxK

U2 - 10.1136/oemed-2020-106794

DO - 10.1136/oemed-2020-106794

M3 - Journal article

C2 - 33436380

VL - 78

SP - 486

EP - 493

JO - Occupational and Environmental Medicine

JF - Occupational and Environmental Medicine

SN - 1351-0711

IS - 7

ER -

ID: 62340630