Evidence-based occupational health and safety interventions: a comprehensive overview of reviews
Objectives Occupational injuries and diseases are a huge public health problem and cause extensive suffering and loss of productivity. Nevertheless, many occupational health and safety (OHS) guidelines are still not based on the best available evidence. In the last decade, numerous systematic review...
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| Format: | Article |
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BMJ Publishing Group
2019-12-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/9/12/e032528.full |
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| author | Birgit Teufer Irma Klerings Lisa Affengruber Agnes Ebenberger Christina Kien Monika Szelag Ludwig Grillich Ursula Griebler |
| author_facet | Birgit Teufer Irma Klerings Lisa Affengruber Agnes Ebenberger Christina Kien Monika Szelag Ludwig Grillich Ursula Griebler |
| author_sort | Birgit Teufer |
| collection | DOAJ |
| description | Objectives Occupational injuries and diseases are a huge public health problem and cause extensive suffering and loss of productivity. Nevertheless, many occupational health and safety (OHS) guidelines are still not based on the best available evidence. In the last decade, numerous systematic reviews on behavioural, relational and mixed interventions to reduce occupational injuries and diseases have been carried out, but a comprehensive synopsis is yet missing. The aim of this overview of reviews is to provide a comprehensive basis to inform evidence-based decision-making about interventions in the field of OHS.Methods We conducted an overview of reviews. We searched MEDLINE (Ovid), the Cochrane Library (Wiley), epistemonikos.org and Scopus (Elsevier) for relevant systematic reviews published between January 2008 and June 2018. Two authors independently screened abstracts and full-text publications and determined the risk of bias of the included systematic reviews with the ROBIS (Risk of Bias in Systematic Reviews) tool.Results We screened 2287 abstracts and 200 full-texts for eligibility. Finally, we included 25 systematic reviews with a low risk of bias for data synthesis and analysis. We identified systematic reviews on the prevention of occupational injuries, musculoskeletal, skin and lung diseases, occupational hearing impairment and interventions without specific target diseases. Several interventions led to consistently positive results on individual diseases; other interventions did not show any effects, or the studies are contradictory. We provide detailed results on all included interventions.Discussion To our knowledge, this is the first comprehensive overview of behavioural, relational and mixed interventions and their effectiveness in preventing occupational injuries and diseases. It provides policymakers with an important basis for making evidence-based decisions on interventions in this field.PROSPERO registration number CRD42018100341 |
| format | Article |
| id | doaj-art-cdcb71ae3c6c45a8b509e2b710312ed5 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2019-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-cdcb71ae3c6c45a8b509e2b710312ed52024-12-01T12:25:08ZengBMJ Publishing GroupBMJ Open2044-60552019-12-0191210.1136/bmjopen-2019-032528Evidence-based occupational health and safety interventions: a comprehensive overview of reviewsBirgit Teufer0Irma Klerings1Lisa Affengruber2Agnes Ebenberger3Christina Kien4Monika Szelag5Ludwig Grillich6Ursula Griebler7Department for Evidence-based Medicine and Evaluation, Danube University Krems, Krems, AustriaDepartment for Evidence-based Medicine and Evaluation, Danube University Krems, Krems, AustriaDepartment for Evidence-based Medicine and Evaluation, Danube University Krems, Krems, AustriaDepartment for Evidence-based Medicine and Evaluation, Danube University Krems, Krems, AustriaDepartment for Evidence-based Medicine and Evaluation, Danube University Krems, Krems, AustriaDepartment for Evidence-based Medicine and Evaluation, Danube University Krems, Krems, AustriaDepartment for Evidence-based Medicine and Evaluation, Danube University Krems, Krems, Austriasenior research associateObjectives Occupational injuries and diseases are a huge public health problem and cause extensive suffering and loss of productivity. Nevertheless, many occupational health and safety (OHS) guidelines are still not based on the best available evidence. In the last decade, numerous systematic reviews on behavioural, relational and mixed interventions to reduce occupational injuries and diseases have been carried out, but a comprehensive synopsis is yet missing. The aim of this overview of reviews is to provide a comprehensive basis to inform evidence-based decision-making about interventions in the field of OHS.Methods We conducted an overview of reviews. We searched MEDLINE (Ovid), the Cochrane Library (Wiley), epistemonikos.org and Scopus (Elsevier) for relevant systematic reviews published between January 2008 and June 2018. Two authors independently screened abstracts and full-text publications and determined the risk of bias of the included systematic reviews with the ROBIS (Risk of Bias in Systematic Reviews) tool.Results We screened 2287 abstracts and 200 full-texts for eligibility. Finally, we included 25 systematic reviews with a low risk of bias for data synthesis and analysis. We identified systematic reviews on the prevention of occupational injuries, musculoskeletal, skin and lung diseases, occupational hearing impairment and interventions without specific target diseases. Several interventions led to consistently positive results on individual diseases; other interventions did not show any effects, or the studies are contradictory. We provide detailed results on all included interventions.Discussion To our knowledge, this is the first comprehensive overview of behavioural, relational and mixed interventions and their effectiveness in preventing occupational injuries and diseases. It provides policymakers with an important basis for making evidence-based decisions on interventions in this field.PROSPERO registration number CRD42018100341https://bmjopen.bmj.com/content/9/12/e032528.full |
| spellingShingle | Birgit Teufer Irma Klerings Lisa Affengruber Agnes Ebenberger Christina Kien Monika Szelag Ludwig Grillich Ursula Griebler Evidence-based occupational health and safety interventions: a comprehensive overview of reviews BMJ Open |
| title | Evidence-based occupational health and safety interventions: a comprehensive overview of reviews |
| title_full | Evidence-based occupational health and safety interventions: a comprehensive overview of reviews |
| title_fullStr | Evidence-based occupational health and safety interventions: a comprehensive overview of reviews |
| title_full_unstemmed | Evidence-based occupational health and safety interventions: a comprehensive overview of reviews |
| title_short | Evidence-based occupational health and safety interventions: a comprehensive overview of reviews |
| title_sort | evidence based occupational health and safety interventions a comprehensive overview of reviews |
| url | https://bmjopen.bmj.com/content/9/12/e032528.full |
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