Impact of an intersectoral universal workplace intervention on health related quality of life and wellbeing in a pragmatic cluster randomised trial

Abstract The intersectoral workplace intervention “health in work” (HIW), developed by the Norwegian healthcare service and labour and welfare administration, targets common musculoskeletal and mental health conditions by addressing both health and work environment factors. This study assessed the e...

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Main Authors: Christoffer Lilja Terjesen, Anje Christina Höper, Erlend Hoftun Farbu, Jan Abel Olsen, Nils Fleten
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-12221-1
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author Christoffer Lilja Terjesen
Anje Christina Höper
Erlend Hoftun Farbu
Jan Abel Olsen
Nils Fleten
author_facet Christoffer Lilja Terjesen
Anje Christina Höper
Erlend Hoftun Farbu
Jan Abel Olsen
Nils Fleten
author_sort Christoffer Lilja Terjesen
collection DOAJ
description Abstract The intersectoral workplace intervention “health in work” (HIW), developed by the Norwegian healthcare service and labour and welfare administration, targets common musculoskeletal and mental health conditions by addressing both health and work environment factors. This study assessed the effectiveness of HIW on workers’ health-related quality of life (HRQoL) and subjective wellbeing (SWB) compared to standard inclusive work measures (IWM). A pragmatic cluster randomised controlled trial including 97 workplaces, randomized to either the HIW or IWM intervention over 12 months. HRQoL was measured using the EQ-5D-5L and the EQ-VAS, and SWB by using the satisfaction with life scale and a question on meaningful life. Measurements were taken at baseline, post-intervention period, and at a 12-month follow-up. EQ-5D-5L data were analysed using mixed-effects generalized linear models. No statistically significant difference-in-difference in HRQoL or SWB were found between the HIW and IWM groups at any time point. Participants in both groups reported high baseline levels of HRQoL and SWB. Although HIW did not yield significant improvements or detriments in HRQoL or SWB, this study contributes to addressing the knowledge gap regarding intersectoral collaboration in enhancing work and health. Further research is needed to assess broader outcomes such as healthcare utilisation and sick leave. Trial registration: The trial was prospectively registered with ClinicalTrials.gov on June 24, 2019, under the identifier NCT04000035.
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spelling doaj-art-8d99f13bc18348a5b89750fcb20d1aab2025-08-20T03:46:00ZengNature PortfolioScientific Reports2045-23222025-07-011511910.1038/s41598-025-12221-1Impact of an intersectoral universal workplace intervention on health related quality of life and wellbeing in a pragmatic cluster randomised trialChristoffer Lilja Terjesen0Anje Christina Höper1Erlend Hoftun Farbu2Jan Abel Olsen3Nils Fleten4University Hospital of North NorwayUniversity Hospital of North NorwayDepartment of Community Medicine, UiT The Arctic University of NorwayDepartment of Community Medicine, UiT The Arctic University of NorwayThe Norwegian Labour and Welfare Administration Troms and FinnmarkAbstract The intersectoral workplace intervention “health in work” (HIW), developed by the Norwegian healthcare service and labour and welfare administration, targets common musculoskeletal and mental health conditions by addressing both health and work environment factors. This study assessed the effectiveness of HIW on workers’ health-related quality of life (HRQoL) and subjective wellbeing (SWB) compared to standard inclusive work measures (IWM). A pragmatic cluster randomised controlled trial including 97 workplaces, randomized to either the HIW or IWM intervention over 12 months. HRQoL was measured using the EQ-5D-5L and the EQ-VAS, and SWB by using the satisfaction with life scale and a question on meaningful life. Measurements were taken at baseline, post-intervention period, and at a 12-month follow-up. EQ-5D-5L data were analysed using mixed-effects generalized linear models. No statistically significant difference-in-difference in HRQoL or SWB were found between the HIW and IWM groups at any time point. Participants in both groups reported high baseline levels of HRQoL and SWB. Although HIW did not yield significant improvements or detriments in HRQoL or SWB, this study contributes to addressing the knowledge gap regarding intersectoral collaboration in enhancing work and health. Further research is needed to assess broader outcomes such as healthcare utilisation and sick leave. Trial registration: The trial was prospectively registered with ClinicalTrials.gov on June 24, 2019, under the identifier NCT04000035.https://doi.org/10.1038/s41598-025-12221-1EQ-5DHealth promotionHRQoLMental healthMusculoskeletal complaintOccupational health literacy
spellingShingle Christoffer Lilja Terjesen
Anje Christina Höper
Erlend Hoftun Farbu
Jan Abel Olsen
Nils Fleten
Impact of an intersectoral universal workplace intervention on health related quality of life and wellbeing in a pragmatic cluster randomised trial
Scientific Reports
EQ-5D
Health promotion
HRQoL
Mental health
Musculoskeletal complaint
Occupational health literacy
title Impact of an intersectoral universal workplace intervention on health related quality of life and wellbeing in a pragmatic cluster randomised trial
title_full Impact of an intersectoral universal workplace intervention on health related quality of life and wellbeing in a pragmatic cluster randomised trial
title_fullStr Impact of an intersectoral universal workplace intervention on health related quality of life and wellbeing in a pragmatic cluster randomised trial
title_full_unstemmed Impact of an intersectoral universal workplace intervention on health related quality of life and wellbeing in a pragmatic cluster randomised trial
title_short Impact of an intersectoral universal workplace intervention on health related quality of life and wellbeing in a pragmatic cluster randomised trial
title_sort impact of an intersectoral universal workplace intervention on health related quality of life and wellbeing in a pragmatic cluster randomised trial
topic EQ-5D
Health promotion
HRQoL
Mental health
Musculoskeletal complaint
Occupational health literacy
url https://doi.org/10.1038/s41598-025-12221-1
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