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      European knowledge alliance for innovative measures in prevention of work-related musculoskeletal pain disorders (Prevent4Work Project): protocol for an international mixed-methods longitudinal study

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          Abstract

          Introduction

          Work-related musculoskeletal (MSK) pain is a highly prevalent condition and one of the main contributors to disability and loss of work capacity. Current approaches to the management and prevention of work-related MSK pain do not consistently integrate current evidence-based knowledge and seem to be outdated. The Prevent4Work (P4W) Project aims to collect and spread evidence-based information to improve the management and prevention of work-related MSK pain. P4W will longitudinally investigate (1) risk factors associated with the prevalence of work-related MSK pain, (2) predictive factors for new events of work-related MSK pain in the short term and (3) the modification of pain beliefs after participating in evidence-based e-learning courses.

          Methods and analysis

          This project employs a mixed-methods design with international cohorts of workers from Spain, Italy and Denmark. All participants will be assessed using self-reported variables at baseline (ie, cross-sectional design) with follow-up after 3 and 6 months (ie, prospective–predictive design). Throughout the first phase (0–3 months), all participants will be offered to self-enrol in e-learning courses on work-related MSK pain. Changes in pain beliefs (if any) will be assessed. The dataset will include sociodemographic characteristics, physical and psychological job demands, lifestyle-related factors, MSK pain history and pain beliefs. At baseline, all participants will additionally complete the P4W questionnaire developed to detect populations at high risk of suffering work-related MSK pain.

          Descriptive statistics, binary logistic regression, and analysis of variance will be used to identify the significant factors that influence the history of work-related MSK pain, evaluate the short-term prediction capacity of the P4W questionnaire, and investigate whether workers’ participation in e-learning courses will modify their pain beliefs.

          Ethics and dissemination

          The study received ethical approval from the Ethical Committee of San Jorge University (USJ011-19/20). The results will be made available via peer-reviewed publications, international conferences and P4W official channels.

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          Most cited references26

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          Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies.

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            Calculating the sample size required for developing a clinical prediction model

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              Prevention and treatment of low back pain: evidence, challenges, and promising directions

              Many clinical practice guidelines recommend similar approaches for the assessment and management of low back pain. Recommendations include use of a biopsychosocial framework to guide management with initial non-pharmacological treatment, including education that supports self-management and resumption of normal activities and exercise, and psychological programmes for those with persistent symptoms. Guidelines recommend prudent use of medication, imaging, and surgery. The recommendations are based on trials almost exclusively from high-income countries, focused mainly on treatments rather than on prevention, with limited data for cost-effectiveness. However, globally, gaps between evidence and practice exist, with limited use of recommended first-line treatments and inappropriately high use of imaging, rest, opioids, spinal injections, and surgery. Doing more of the same will not reduce back-related disability or its long-term consequences. The advances with the greatest potential are arguably those that align practice with the evidence, reduce the focus on spinal abnormalities, and ensure promotion of activity and function, including work participation. We have identified effective, promising, or emerging solutions that could offer new directions, but that need greater attention and further research to determine if they are appropriate for large-scale implementation. These potential solutions include focused strategies to implement best practice, the redesign of clinical pathways, integrated health and occupational interventions to reduce work disability, changes in compensation and disability claims policies, and public health and prevention strategies.
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                Author and article information

                Journal
                BMJ Open
                BMJ Open
                bmjopen
                bmjopen
                BMJ Open
                BMJ Publishing Group (BMA House, Tavistock Square, London, WC1H 9JR )
                2044-6055
                2021
                14 September 2021
                : 11
                : 9
                : e052602
                Affiliations
                [1 ]departmentDepartment of Physiotherapy , San Jorge University , Villanueva de Gallego, Spain
                [2 ]departmentDepartment of Health Science and Technology , Aalborg University , Aalborg, Denmark
                [3 ]departmentDepartment of Physiotherapy , University College of Northern Denmark , Aalborg, Denmark
                [4 ]departmentOrthopedic and Traumatology , IRCCS Galeazzi Orthopedic Institute , Milan, Italy
                [5 ]departmentPhysiatry and Nursing , Zaragoza University , Zaragoza, Spain
                Author notes
                [Correspondence to ] Dr. Victor Domenech-Garcia; vdomenech@ 123456usj.es
                Author information
                http://orcid.org/0000-0003-4750-9077
                http://orcid.org/0000-0002-7007-0368
                http://orcid.org/0000-0002-4418-0133
                http://orcid.org/0000-0002-5879-3600
                http://orcid.org/0000-0002-8639-8480
                http://orcid.org/0000-0002-9201-0120
                Article
                bmjopen-2021-052602
                10.1136/bmjopen-2021-052602
                8442076
                34521678
                fc79b75f-8923-4aae-989e-d08e5ae2e164
                © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

                This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See:  http://creativecommons.org/licenses/by-nc/4.0/.

                History
                : 21 April 2021
                : 18 August 2021
                Funding
                Funded by: Erasmus+ Program;
                Award ID: agreement no. 2018-2381/001-001, project no.19 600
                Funded by: Ministerio de Universidades, Spain.;
                Award ID: FPU19/05237
                Funded by: Italian Ministry of Health;
                Award ID: N/A
                Funded by: FundRef http://dx.doi.org/10.13039/501100010067, Gobierno de Aragón;
                Award ID: CPB09/18
                Categories
                Occupational and Environmental Medicine
                1506
                1716
                Protocol
                Custom metadata
                unlocked

                Medicine
                occupational & industrial medicine,musculoskeletal disorders,pain management
                Medicine
                occupational & industrial medicine, musculoskeletal disorders, pain management

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