Appendix 4.E – Components of effective interventions for overall worker health

Table E.1: Multi-component interventions encompassing two of the three target domains for healthy and sustainable RTW **

Domain 1: Health Domain 2: Service Coordination
E.1.1 Health promotion programs
  • Physical activity/exercise? 🕇
  • Education: nutrition, food intake and health as well as company profitability
  • Intervention on the culture of health and well-being at work
  • Health risk assessment with feedback
Domain 2: Service Coordination Domain 3: Work modifications
E.1.2 Programs incorporating workplace accommodations
  • Employee participation
  • Reduction of cognitive and physical demands
E.1.3 Programs incorporating organizational interventions
  • Early intervention, initiated within the first six weeks of the RTW process
  • Reorganization of work

🕇 This intervention used alone is not effective for a healthy and durable RTW

** For a given intervention domain (1. Health; 2. Service Coordination; 3. Work modifications), this table may suggest several components. Determine the most appropriate components based on the worker’s assessment and your organization’s context (resources, etc.). Remember that the optimal combination of components, allowing for the best effects, remains unknown. It is the combination of components across at least 2 intervention domains that remains the most important principle to follow (Cullen et al, 2018)

 

 

Table E.2: Health-focused Interventions***.

Domain 1: Health
E.2.1 Programs incorporating physical activity/exercise
  • Physical activity/exercise, physical training

Note: Although it is recommended that interventions be developed that include at least two out of three domains (Cullen et al., 2018), the case listed here was shown to be effective.

🕇 This intervention used alone is not effective for a healthy and durable RTW

** For a given intervention domain (1. Health; 2. Service Coordination; 3. Work modifications), this table may suggest several components. Determine the most appropriate components based on the worker’s assessment and your organization’s context (resources, etc.). Remember that the optimal combination of components, allowing for the best effects, remains unknown. It is the combination of components across at least 2 intervention domains that remains the most important principle to follow (Cullen et al, 2018).

Table E.3: Service coordination Interventions***.

Domain 2: Service Coordination
E.3.1 Programs incorporating skills training
  • Professional training
  • Participation of the actors
E.3.2 Multidisciplinary/interdisciplinary programs or interventions
  • Contact with workplace, case managers, occupational physician and psychiatrist
E.3.3 Supervision programs
  • Training on types of leadership and workplace health: characteristics of positive leadership, political systems

Note: Although it is recommended that interventions be developed that include at least two out of three domains (Cullen et al., 2018),the three cases listed here have been shown to be effective.

** For a given intervention domain (1. Health; 2. Service Coordination; 3. Work modifications), this table may suggest several components. Determine the most appropriate components based on the worker’s assessment and your organization’s context (resources, etc.). Remember that the optimal combination of components, allowing for the best effects, remains unknown. It is the combination of components across at least 2 intervention domains that remains the most important principle to follow (Cullen et al, 2018).