Work - Volume 78, issue 4

Authors: Mirzaei, Emadeddin | Kouhnavard, Bahram | Daneshmandi, Hadi | Seif, Mozhgansadat | Zamanian, Zahra

Article Type: Research Article

Abstract: BACKGROUND: Musculoskeletal disorders are one of the most important problems faced by ergonomists today. OBJECTIVE: This study was conducted with the aim of investigating the effect of weather conditions, working conditions and mental workload on musculoskeletal disorders of rescuers and water and sewage company accidents in hot and cold seasons. METHODS: The present study was a longitudinal study that was performed on all employees of rescue and disaster teams of Shiraz Water and Sewerage Company in Iran (184 people) by census. Demographic and Nordic questionnaires, NASA Load Index (NASA-TLX), work environment assessment with temperature screening checklist …and workplace ergonomic risk factor (WERA) assessment method were performed by the researcher. The collected data were analyzed using SPSS version 23 software and parametric and non-parametric statistical tests. RESULTS: The results showed that the highest and lowest prevalence of musculoskeletal disorders related to knee and back in winter and thigh in summer with prevalence of 57.1, 55.4 and 6%. The comparison of exposure to heat stress factors in summer and winter seasons showed that the temperature factors and work clothes of the workers in both seasons are in worse conditions than other factors (P  < 0968). The results of the mental workload of people in two seasons showed that the highest and lowest mental workload is related to physical changes in the winter season and frustration in the summer season, and this relationship was significant (P  < 0.001). Using multiple logistic regression model, the potential risk factors for musculoskeletal injuries including age, height, BMI, level of education and work experience in both hot and cold seasons were compared. The results showed that in summer, work experience (OR = 1.16 (1.06–1.28.)) and height (OR = 1.03(0.98–1.08) had a direct effect on the prevalence of pain and discomfort arranged in the back areas. One year of increase in work experience significantly increases the chance of a disorder in the back by 16% and a one centimeter increase in height increases the chance of a disorder in the lumbar region by 3%, although this relationship is significant. CONCLUSION: It is recommended that suitable solutions such as using appropriate and up-to-date mechanical tools, reducing activity time, increasing rest time, increasing the number of personnel in order to reduce mental workload, using work clothes suitable for the season and type of work, and ergonomics training for workers are on the agenda of company officials. Water and sewage should be placed. Show more

Keywords: Musculoskeletal disease, risk assessment, posture, workplace, workload

DOI: 10.3233/WOR-220372

Citation: Work, vol. 78, no. 4, pp. 969-981, 2024

Authors: Duijs, Saskia Elise | van Wees, Martine | Abma, Tineke | Bourik, Zohra | Plak, Olivia | Jaspers, Yvonne | Jhingoeri, Usha | Senoussi, Naziha | Verdonk, Petra

Article Type: Research Article

Abstract: BACKGROUND: The health of care workers in residential long-term care (LTC) is under pressure. Scholars emphasize the importance of gender-sensitive and intersectional approaches to occupational health. OBJECTIVE: To unravel how the health of nurses and nursing aides is shaped by gender, class, age, sexuality and race. METHODS: A qualitative participatory study. A participatory research team, consisting of academic scholars and nursing aides, conducted semi-structures interviews (N  = 20) and one natural group discussion (N  = 8 participants) to validate our findings. Thematic data-analysis was guided by gender and intersectionality theory. RESULTS: Empirical findings suggest that …gendered norms limit possibilities for self-care for female nurses and nursing aides. Feeling uncared for by society and LTC organizations, paid care workers describe how they take care of each other. These relational health strategies require a feeling of sameness, limiting space for diversity and disability within care teams. Care workers seen as ‘cultural other’, or those who experienced (chronic) health issues, financial struggles or informal caregiving, risked being excluded from relational care within care teams, which negatively impacted their health. CONCLUSIONS: Care workers’ relational health strategies are a gendered and care ethical response to the lack of societal and political care for LTC, but can become mechanisms of exclusion within care teams. This can be understood as a sign of exhaustion, shaped by adverse working conditions and leading to moral stress. The lack of societal appreciation needs to be addressed by occupational health physicians and LTC organizations, to counter mechanisms of exclusion among paid care workers. Show more

Keywords: Low-paid care workers, long-term care, occupational health, gender, intersectionality

DOI: 10.3233/WOR-220653

Citation: Work, vol. 78, no. 4, pp. 983-994, 2024

Authors: Soeker, Mogammad Shaheed | Allie, Mishkah | Arend, Raeesa | Bell, Chelsea | Benjamin, Aqeeda | Cassiem, Tasneem

Article Type: Research Article

Abstract: BACKGROUND: The South African Labour Relations Act, specifically the Code of Good Practice (CGP) advocates against the discrimination and unfair dismissal of individuals with mental health conditions in the workplace. However, little is known about the implementation of these national policies within the workplace, especially from the perspective of the employer rather than the employee. OBJECTIVE: The aim of this study was to explore the experiences and perceptions of how human resource practitioners accommodate and support individuals with mental health conditions in the workplace. METHOD: Eleven participants (Human Resource Professionals) participated in the study. The researchers …utilized semi-structured interviews where the data was analysed by means of thematic analysis to formulate themes. RESULTS: Three themes emerged depicting the participants’ experiences and perceptions of barriers and facilitators which influenced their return to work: The themes that emerged through thematic analysis consisted of 1) Challenges perceived by Human Resource personnel that influences work participation; 2) The influence that workplace accommodations and support structures have on the work participation; 3) The prevalence of policies and laws that are available in theworkplace. CONCLUSION: The study highlighted that Human Resource Professionals struggle to interpret and implement labor related polices that aid in employing individuals with mental health conditions in the workplace. It is important to implement strategies that will assist Human Resource practitioners in understanding how to implement such policies to successfully accommodate individuals with mental health conditions in the workplace. Show more

Keywords: Mental health illness, reasonable accommodation, work setting, enabler, barrier, accommodated and support

DOI: 10.3233/WOR-220688

Citation: Work, vol. 78, no. 4, pp. 995-1009, 2024

Authors: Almandoz, Jaime P. | Xie, Luyu | Tejani, Sanaa | Mathew, M. Sunil | Schellinger, Jeffrey N. | Morales-Marroquin, Elisa | Messiah, Sarah E.

Article Type: Research Article

Abstract: BACKGROUND: The impact of employment and the work-from-home (WFH) setting on body weight among people with obesity is unknown. OBJECTIVE: This study examined the relationship between employment status, WFH setting, and change in body weight among adults with obesity during the COVID-19 pandemic. METHODS: Patients from an obesity medicine clinic completed an online survey in 2022 to assess health, work, and lifestyle behaviors. Multiple regression models examined the association between WFH status and change in body weight. RESULTS: The analytical sample included 380 patients (81.9% female, mean age 52.5 years, mean body mass index …43.25, 50.0% non-Hispanic White, 25.7% non-Hispanic Black, 18.7% Hispanic, 5.7% other ethnicity). During the pandemic, 28.7% were employed in a WFH setting (73.4% of this subgroup were in a WFH setting only), 36.1% were employed but not in a WFH setting, 11.8% were unemployed, and 23.4% were retired. Mean body weight change for participants who partially WFH during the pandemic was +5.4 (±7.2) % compared to those completely WFH –0.3 (±9.8) % (P  = 0.006). After adjusting for key demographics, participants who were partially WFH gained 7.8% more weight compared to those completely WFH (β = 7.28, SE = 1.91, p  < 0.001). The most significant predictors for weight gain after adjusting for WFH frequency (partially vs. completely) included overeating (aOR 11.07, 95% CI 3.33–36.77), more consumption of fast food (aOR 7.59, 95% 2.41–23.91), and depression (aOR 6.07, 95% CI 1.97–18.68). CONCLUSION: These results show that during the COVID-19 pandemic, the WFH hybrid (combination of office and WFH) setting is associated with greater weight gain compared to those who completely WFH in people with obesity. Risk factors include overeating, higher fast food consumption, and depression. Show more

Keywords: Work, obesity, COVID-19, environment, weight gain, behaviour, weight management

DOI: 10.3233/WOR-230055

Citation: Work, vol. 78, no. 4, pp. 1011-1020, 2024

Authors: Soltanzadeh, Ahmad | Mahdinia, Mohsen | Nikbakht, Neda | Hosseinzadeh, Kiana | Sadeghi-Yarandi, Mohsen

Article Type: Research Article

Abstract: BACKGROUND: The hazardous material release has frequently occurred worldwide. As a respiratory stimulant and a toxic substance, ammonia has numerous adverse effects on human health. OBJECTIVE: The purpose of this study was to evaluate the human vulnerability and toxic effects of both chronic and acute respiratory exposure to ammonia. METHODS: This study was conducted in an ice factory. Ammonia reservoirs were selected as the danger center. The scenarios were evaluated from the perspective of the worst-case. The Emergency Response Planning Guidelines 1–3 was used to predict the dangerous concentrations in acute exposure. The probability of human …vulnerability was estimated using the Probit model. PHAST 7.2 software was used to model consequences. As a measure of chronic exposure to ammonia, NMAM 6016 was used. A respiratory symptom questionnaire developed by the American Thoracic Society was used for collecting respiratory symptom histories. RESULTS: The ERPG3 level or concentration of 750 ppm was found at a distance of 617.71 and 411.01 meters from tanks, respectively, as a result of a rupture in reservoir 1 over a period of two halves of the year. It was found that the highest probit values for tank 2 at distances of zero, 25, 50, 75, 100, 125, and 150 meters were 9.55, 5.92, 5.47, 4.82, 4.23, 3.56 and 2.96, respectively. The prevalence of pulmonary symptoms, which include coughing, dyspnea, phlegm, and wheezing, was 28%, 19%, 15%, and 26% in the chronic exposure group. CONCLUSION: In the event that an ammonia reservoir ruptures catastrophically, it may cause human injury at ERPG-2 or ERPG-3 levels. Results revealed that exposure to this substance can impose many pulmonary symptoms on the respiratory system of workers in industries. In order to reduce the vulnerability of humans to potential release scenarios, control measures must be implemented. Also, preventive and mitigation measures can be designed to enhance safety and resilience against the release of hazardous materials. Show more

Keywords: Human vulnerability, consequence modeling, toxicity, respiratory symptoms, ammonia, ice factory

DOI: 10.3233/WOR-230106

Citation: Work, vol. 78, no. 4, pp. 1021-1033, 2024

Authors: Mawari, Govind | Kumar, Naresh | Sarkar, Sayan | Joshi, Tushar Kant | Frank, Arthur L. | Daga, Mradul Kumar | Singh, Mongjam Meghachandra

Article Type: Research Article

Abstract: BACKGROUND: Mercury (Hg) is a toxic heavy metal with multiple uses in various medical devices. Hg is used in dentistry as a restorative material. Such use creates significant exposure to dental practitioners. Hence, it is important to assess the risk created by Hg use in healthcare. OBJECTIVE: To quantify airborne Hg vapour exposure and Hg levels in dental healthcare workers, and determine the association of various symptoms and diseases to Hg exposure. METHODS: Air monitoring of Hg vapours were conducted in dental clinics and amalgam rooms. Urine samples were collected from occupationally exposed …dental healthcare workers and urine Hg levels were measured. A cross-sectional health survey was conducted in 23 healthcare units of Delhi to determine an association between Hg exposure and various health effects. RESULTS: Hg vapour concentration ranged from 0.96μg/m3 to 15μg/m3 , the highest concentration was recorded in the amalgam room (15μg/m3 ). Urine Hg levels in healthcare workers (0.51±0.17μg/L) were higher than the control (0.29±0.05μg/L). A cross-sectional health survey revealed a significant prevalence of confusion, forgetfulness, muscle spasm, and tremors by the respondents. CONCLUSION: Hg concentration in dental clinics may hover above the prescribed safe levels posing a definitive health risk to healthcare workers. Urinary Hg measurements did not reveal an excess of body burden except in one case. Since Hg bio accumulates, it is probable as these workers grow older, they may end up with a higher body burden of Hg that may lead to a variety of adverse health outcomes. Show more

Keywords: Dental, health survey, mercury vapour, occupation, urine mercury

DOI: 10.3233/WOR-230109

Citation: Work, vol. 78, no. 4, pp. 1035-1041, 2024

Authors: Danielsson, Louise | Frantz, Anna | Holmgren, Kristina

Article Type: Research Article

Abstract: BACKGROUND: People seeking care at primary healthcare centres may be exposed to work-related stress, increasing the risk of future sick leave. Thus, it is important to identify work-related stress, and to explore how stress relates to work ability and health. OBJECTIVE: To investigate the association between work-related stress and a) work ability, and b) self-rated health, among working women and men seeking care for physical or mental health complaints. METHODS: This cross-sectional study analyzed baseline data (n  = 232) from a randomized controlled trial investigating the effects of a brief intervention to prevent sick …leave. Data regarding work-related stress, work ability and self-rated health were analyzed using binary logistic regression models. RESULTS: In models adjusted for age, gender and education, high work-related stress measured by the Work Stress Questionnaire was significantly associated with low work ability. The highest odds ratio (OR 3.27, 95% CI 1.66–6.42) was found between the domain “interference between work and leisure time” and work ability, suggesting a more than three times higher odds for low work ability when perceiving that work interferes with leisure time. No significant association was found between work-related stress and self-rated health. CONCLUSION: Health professionals should explore patients’ work-related stress when they seek care for physical or mental complaints in primary healthcare. Patients’ perceived balance between work and leisure time seems particularly important to address. Increased awareness might facilitate timely, relevant strategies to reduce stress and promote work ability. Show more

Keywords: Occupational health, occupational stress, work performance, primary care, primary prevention, mental health

DOI: 10.3233/WOR-230141

Citation: Work, vol. 78, no. 4, pp. 1043-1053, 2024

Authors: Çolakoğlu, Cavit | Öz, C. Selek | Toygar, A.

Article Type: Research Article

Abstract: BACKGROUND: Work to develop a universal tool for the psychological evaluation and measurement of decent work is relatively new. In addition, the Decent Work Questionnaire, which evaluates decent work using a psychological approach, has not yet been adapted and validated in the Turkish sample group. OBJECTIVE: To adapt and validate the Turkish version of the Decent Work Questionnaire and to evaluate the effect of decent work on the job satisfaction among knowledge workers. METHODS: The study sample consisted of 906 knowledge workers. In the process of adapting and validating the Decent Work Questionnaire, the structural validity, …internal consistency, convergent validity, divergent validity, and compatibility of the sample group data were tested. The effect of decent work on job satisfaction of knowledge workers was examined using structural equation modeling. RESULTS: The Decent Work Questionnaire was validated in the Turkish sample. The results showed that the reliability coefficients and dimensions of the Decent Work Questionnaire were highly satisfactory and consistent with the scale developers’ study. According to another result of the study, decent work was found to have a significant and positive effect on Turkish knowledge workers’ job satisfaction. CONCLUSIONS: This study will fill gaps in the literature and will also contribute to the evaluation of decent work in all areas of the labor market, identifying its shortcomings and contributing to the development of effective human resource policies. Show more

Keywords: Occupational health, job satisfaction, workplace stress, workload, psychometrics, surveys and questionnaires

DOI: 10.3233/WOR-230279

Citation: Work, vol. 78, no. 4, pp. 1055-1067, 2024

Authors: Zeverdegani, Sara Karimi | Mohebian, Zohreh

Article Type: Research Article

Abstract: BACKGROUND: Nail salon technicians are susceptible to potential exposure to a diverse array of hazardous chemicals in the form of dust or vapors. One of the main routes of exposure is dermal contact. OBJECTIVE: The aim of present study was to health risk assessment of dermal exposure to dust containing heavy metals in nail salon technicians. METHODS: Dust sampling was done on the work surface of 20 available nail salon technicians. The concentration of five metals including cadmium, lead, chromium, nickel, and manganese were determined using ICP-MS. Afterwards, the United States Environmental Protection Agency (USEPA) guideline …was used to estimate the potential health risks, including carcinogenic and non-carcinogenic risks, associated with the analyzed metals. RESULTS: Results indicated the mean concentrations of Pb, Cd, Ni, Cr and Mn were 0.7953±0.4373, 0.0952±0.0264, 0.7666±0.8629, 0.4900±0.5994 and 1.134±0.4736, respectively. The hazard quotient (HQ) of all metals was within the permissible value, while hazard index (HI) was greater than 1. The probability of cancer risk (CR) resulting from dermal exposure to Ni, Cd and Cr exceeded the acceptable risk levels (10-6 –10–4 ), but CR calculated for Pb was less than allowable value. CONCLUSION: Implementation of engineering controls such as downdraft vented nail tables and portable source capture systems is necessary. Besides, the use of personal protective equipment such as disposable nitrile gloves, N95 respirator masks, and ensuring proper training on safe work practices is recommended. Show more

Keywords: Health risk assessment, dermal exposure, nail technicians, heavy metals, average daily dose, hazard quotient

DOI: 10.3233/WOR-230336

Citation: Work, vol. 78, no. 4, pp. 1069-1079, 2024

Authors: Osmanovic, Sabina | Pajic, Sofija | Petrovic, Ivana B. | Portoghese, Igor

Article Type: Research Article

Abstract: BACKGROUND: The academic environment is known for its high demands in research, teaching, and administration, that along with increasing publish or perish culture can lead to reduced psychological well-being and mental health issues. OBJECTIVE: This study aimed to investigate the associations between workaholism, work engagement, and burnout among academics in Montenegro. METHODS: A cross-sectional design was used to develop anonymous online survey. Data was collected from 131 participants employed as teaching and research staff at public and private universities. To measure the variables of interest we used: ultra-short Utrecht Work Engagement Scale (UWES-3), …the work-related burnout subscale from the Copenhagen Burnout Inventory (CBI-7) and the Dutch Work Addiction Scale (DUWAS-10). Psychometric network analysis was employed to examine the relationships among variables. RESULTS: The findings revealed two distinct clusters: the first containing the dimensions of work engagement and the second containing burnout and the dimensions of workaholism. The two clusters were connected with the dimensions of dedication - burnout having the strongest edge (–0.25 and –0.40). In the cross-sample network the strongest connection was burnout –working excessively (.35). No significant differences in network density (0.80 (12/15 edges)) and global strength (p  = 0.159) in the networks of public and private universities were found. CONCLUSION: Results of the network centrality and the edge strength analyses suggest that the interventions focused at increasing dedication while not fostering a work environment that encourages working excessively might be the key to preventing and reducing burnout in academia across contexts of public and private universities. Show more

Keywords: Workaholism, work engagement, burnout, academia, psychometric network analysis, Montenegro

DOI: 10.3233/WOR-230347

Citation: Work, vol. 78, no. 4, pp. 1081-1092, 2024

Authors: Umair, Sonia | Waqas, Umair | Mrugalska, Beata

Article Type: Research Article

Abstract: BACKGROUND: The success of organizations’ sustainable performance mainly depends on their human resource capital and for this organizations now need to focus on green human capital development programs including green talent management (GTM). GTM entails attracting, nurturing, and retaining those people who can promote the green initiatives of the organization. OBJECTIVE: This paper aims to investigate the impact of GTM, transformational leadership, and employee engagement on the sustainable environmental performance of organizations. METHODS: The data were collected from both academic and administrative employees in five Omani higher education institutions (HEIs). In total 367 questionnaires were collected …using drop-off and pickup methods. RESULTS: The results of the study showed that green hard and green soft talent management (TM) and employee engagement with green initiatives are significant predictors of the sustainable environmental performance of HEIs. Moreover, transformational leadership can moderate the influence of green soft TM on employee engagement with green initiatives by strengthening the relationship. CONCLUSIONS: For sustainable performance and development, organizations especially HEIs need to actively assume their social responsibilities and implement sustainable environmental management. The present study provides meaningful implications for practitioners, educational policymakers, and leaders to promote GTM and employee engagement for sustainable environmental performance. Supporting green skill development, engaging employees with green initiatives, and promoting staff with green skills can help organizations particularly HEIs to increase their sustainable environmental performance and gain a competitive advantage. Show more

Keywords: Human resource management, green talent management, leadership, employee engagement, sustainability, sustainable environmental performance

DOI: 10.3233/WOR-230357

Citation: Work, vol. 78, no. 4, pp. 1093-1105, 2024

Authors: Öztürk, Yunus Emre | Kahveci, Şeyma | Başol, Şeymanur

Article Type: Research Article

Abstract: BACKGROUND: The education process is based on leading the choice of profession in line with the interests and abilities of the individual and helping them with their career plans in these professions. OBJECTIVE: The aim of this study is to investigate the effect of the occupational interest levels of the Health Management Department students on their career commitment. METHODS: In the study, descriptive findings were included by using a quantitative research design. In the research, data were collected from 282 students studying Department of Health Management. SPSS 26.0 package program was used for …statistical analysis of research data. Parametric tests (t -test, analysis of variance, Pearson correlation analysis, normal linear regression analysis) were utilized since the data fit the normal distribution. RESULTS: 57.1% of the individuals participating in the research are female, 47.8% have the age range of 21 to 22. There is a positive, moderate (r  = 0.677 p  < 0.01) significant relationship between professional interest and career commitment scales. The level of professional interest and career dedication varies according to gender, age, income status and the class of the student. CONCLUSION: It is very important that health management students have an interest in their profession. Because this interest will guide them in what kind of a career they should make in their business life after graduation. Show more

Keywords: Profession, career, professional interest, career dedication, health management, students

DOI: 10.3233/WOR-230366

Citation: Work, vol. 78, no. 4, pp. 1107-1113, 2024

Authors: Garrett, Levi R. | Harveson, Andrew T. | Ayars, Candace

Article Type: Research Article

Abstract: BACKGROUND: Firefighter health is of utmost importance both to first responders and the individuals they serve daily. The impact of shift schedule on firefighter health remains poorly understood. OBJECTIVE: The purpose of this study was to examine differences in health and performance outcomes in firefighters across two different shift schedules. METHODS: Firefighter (N  = 1995) body composition, muscular strength, endurance, flexibility, and cardiorespiratory endurance were assessed and described. A Mann-Whitney U test was conducted to compare differences between shift schedules (48/96 and 4’s and 6’s). RESULTS: There was a statistically …significant difference in BMI (U  = 70115, z =–1.988, p  = .047), BF% (U  = 67341, z =–2.779, p  = .005), and trunk flexion score (U  = 81362, z  = 1.979, p  = .048) favoring the 48/96 shift schedule. CONCLUSION: Firefighters following a 48/96 shift schedule exhibited improved body composition and fitness performance in comparison to peers who followed a 4’s and 6’s shift schedule. Findings may guide regional firefighter scheduling to optimize health and performance. Show more

Keywords: Keywords: Firefighter, health, physical fitness, cardiorespiratory disease, shift work

DOI: 10.3233/WOR-230388

Citation: Work, vol. 78, no. 4, pp. 1115-1122, 2024

Authors: Sejdiu, Rrahim | Jashari, Bujar | Zejnullahu, Fakije | Sylejmani, Blertë | Topuzi, Ramadan

Article Type: Research Article

Abstract: BACKGROUND: There are some rules that furniture designers must take into consideration to design ergonomic furniture. The main design principle is the target group for which the furniture will be designed, considering the dimensions of people who use the furniture. OBJECTIVE: The paper presents the correlation between 12 parts of children’s body, as well as the proportion between stature and 11 other parts of the body which are used for the purposes of furniture and interior designers. METHODS: Field measurements include: Stature (S), Sitting height (She), Shoulder height (Sh), Popliteal height (Ph), Hip width (Hb), Elbow …rest height (Erh), Buttock-popliteal length (Bpl), Buttock-knee length (Bkl), Thigh clearance (Tc), Eye height sitting (Eh), Knee height (Kh) and Shoulder breadth (Sb) to pupils aged 6–11 (grades 1 to 5). The measurements were done in 687 children in 12 primary schools in 4 different regions in Kosovo. RESULTS: The data of the study shows that, in general, there is a correlation (in some parts strong and in some medium) for the measured parts. Also, the study presents the proportion between the stature and other parts of the body which are necessary for the design of children’s furniture. CONCLUSION: Using this data will enable furniture designers to easily target the dimensions of the group they will design, even by measuring only one dimension, i.e. stature and then setting the proportions for each piece separately. Show more

Keywords: Body, dimension, proportion, children, furniture, designers

DOI: 10.3233/WOR-230435

Citation: Work, vol. 78, no. 4, pp. 1123-1139, 2024

Authors: Yucel, Hulya

Article Type: Research Article

Abstract: BACKGROUND: Playing performance of musicians may affect their occupational balance. The violin is one of the riskiest string instruments for the musculoskeletal health. OBJECTIVE: To show the effect of socio-demographics, playing posture, pain, and functionality on occupational balance in professional violinists in Istanbul. METHODS: Forty-five violinists aged 29.1±10.6 years were included. The Personal Information Form, the Edinburgh Handedness Inventory, the Wong-Baker Faces Pain Rating Scale, the Disability of Arm, Shoulder and Hand - Sports/Musicians (DASH-SM), the Rapid Upper Limb Assessment, and the 11-item revised version of the Occupational Balance Questionnaire (OBQ11 - T) were used. Spearman …correlation analysis was performed to examine the relationship between the variables and occupational balance. RESULTS: The only significant correlation was found between doing regular exercise and occupational balance (r  = 0.539, p  < 0.001) with those having an exercise habit reporting higher occupational balance scores. The mean pain score of the violinists increased from a pre-performing mean of 1.6±2.3 to a post-performance mean of 3.91±2.4. CONCLUSIONS: Musicians indicate that they practice physical exercise regularly. A strong methodological limitation of this study is that variables like exercise were evaluated with a self-reported survey which limited the analysis and so we hardly find any relationships between them. To the best of our knowledge, this is the first study to evaluate the relationship between playing-related factors and occupational balance in violinists. There may be other factors affecting occupational balance in violinists and also in the other musicians. Similar studies are needed in other countries also using different assessments specific to musicians. Show more

Keywords: Musician, exercise, playing-related pain, posture, occupational balance, violinist

DOI: 10.3233/WOR-230476

Citation: Work, vol. 78, no. 4, pp. 1141-1148, 2024

Authors: Srinivasan, Vignesh | Abathsagayam, Kumaresan | Suganthirababu, Prathap | Alagesan, Jagatheesan | Vishnuram, Surya | Vasanthi, Rajkumar Krishnan

Article Type: Research Article

Abstract: BACKGROUND: Healthcare workers (HCWs) have been significantly impacted by the pandemic. Elderly health care workers carry out a variety of duties at work and have years of clinical expertise. Anxiety and insomnia are among the more commonly encountered problems in senior physicians and other geriatric medical professional populations. OBJECTIVE: The study aims to determine the effect of vagal nerve stimulation on anxiety and sleep disturbances among geriatric medical professionals. METHODS: 42 participants were enrolled in this study based on the inclusion and exclusion criteria. The participants were divided into two groups using the closed envelope approach, …and they took part in therapy sessions lasting 30 minutes, three times per week for a period of four weeks. The Experimental group A received non-invasive transcutaneous auricular vagal nerve stimulation (taVNS) and Control group A received Jacobson’s progressive muscle relaxation technique. RESULTS: With a p value of 0.001, taVNS stimulation significantly improved sleep quality and reduced anxiety after 4 weeks. The post-intervention assessment revealed a highly significant improvement in Group A, with a T value of 251 (p  < 0.001). CONCLUSION: The findings suggest that taVNS may be an effective intervention for addressing anxiety and sleep issues in geriatric medical professionals. These results contribute to the exploration of non-invasive strategies to enhance the well-being of healthcare professionals working in demanding environments. Show more

Keywords: Generalized Anxiety Disorder, insomnia, elderly, health care workers, post COVID-19 pandemic

DOI: 10.3233/WOR-231362

Citation: Work, vol. 78, no. 4, pp. 1149-1156, 2024

Authors: Rice, Valerie J. Berg

Article Type: Editorial

DOI: 10.3233/WOR-246015

Citation: Work, vol. 78, no. 4, pp. 1157-1159, 2024

Authors: Genc, Ezgi | Bulut, Irem

Article Type: Research Article

Abstract: BACKGROUND: Complementary and alternative medicines (CAM) are being uses more often with cancer patients. OBJECTIVE: This study aimed to investigate attitudes, use and influencing factors of CAM among cancer patients during the COVID-19 pandemic. METHODS: This descriptive, cross-sectional study was conducted on 407 cancer patients in Turkey. The study was conducted during July-September 2021 using a Questionnaire that included a Complementary, Alternative and Conventional Medicine Attitude Scale (CACMAS). Pearson’s Chi-Squared Test, Mann-Whitney U, Kruskal Wallis, and logistic regression were all utilized. RESULTS: The findings revealed that 76.2% of the participants …stated that they used CAM methods while undergoing cancer treatment, and 65.2% of those who did so kept from sharing this information to medical professionals. Phytotherapy was the most common CAM method used by patients. The use of CAM was found to be significantly higher among those who were 55–64 years of age, married, secondary school graduates, non-smokers, CAM users before their cancer diagnosis, and who had a family history of cancer (p  < 0.05). The participants’ average CACMAS scores were 112.20±16.53. Among those who used CAM during treatment, non-smoking, overweight-obese participants had higher CACMAS scores (p  < 0.05). CONCLUSION: Due to the high prevalence of CAM usage among cancer patients and possible interaction effects with chemotherapy medications, it is important for healthcare professionals to assess and educate cancer patients regarding CAM use. Additional research is needed to determine potential interactions, as well as pros and cons of CAM use during cancer treatment. Show more

Keywords: Attitude, complementary therapies, COVID-19, neoplasms, patients, phytotherapy, traditional medicine

DOI: 10.3233/WOR-230195

Citation: Work, vol. 78, no. 4, pp. 1161-1172, 2024

Authors: Wickstrom, Rick | Wang, Inga

Article Type: Research Article

Abstract: BACKGROUND: The Active Movement Scale (AMS) is a brief screen for identifying movement impairments affecting functional task performance. OBJECTIVE: To assess inter-rater reliability, test-retest reliability, floor and ceiling effects, and concurrent validity of the AMS in adults with musculoskeletal disorders. METHODS: Fifty-five subjects (mean age: 61.3±15.3 years) transitioning from physical therapy attended two sessions. The 14-item AMS was assessed by two therapists, resulting in a total score (AMST) and two sub-scores: upper body (AMSU) and lower body (AMSL). Moreover, subjects completed PROMIS Physical Function-10a (PPF), Lifestyle Physical Function (LPF), Cardio Activity Level (CAL) surveys, Two Square …Agility Test (TSAT), WorkAbility Rate of Manipulation Turning (WRMT) and Placing (WRMP), Grip Strength (GS), 10-Meter Walk Usual (GSU) and Fast (GSF) pace, and Grooved Pegboard Placing (GPP) and Remove (GPR) tests. RESULTS: Inter-rater reliability coefficients for AMST, AMSU, and AMSL were 0.96, 0.92, and 0.96, respectively, with individual item reliability ranging from 0.58 to 1.0. Test-retest reliability for these assessments yielded coefficients of 0.93, 0.84, and 0.94, with individual item reliability ranging from 0.47 to 0.88. No floor effects were observed, but mild ceiling effects were noted. AMST showed a high correlation with LPF (r  = 0.72) and moderate correlation with PPF (r  = 0.64) surveys. AMSU had moderate correlations with GPP (r  = 0.61) and WRMP (r  = 0.57) tests, while AMSL correlated moderately with GSF (r  = 0.55) and TSAT (r  = 0.50) tests. CONCLUSIONS: This study provides evidence of the reliability and validity of AMS in adults with musculoskeletal disorders to support transitions between rehabilitation and fitness programs. Show more

Keywords: Movement, dyskinesias, functional status, exercise, rehabilitation, physical fitness, musculoskeletal system

DOI: 10.3233/WOR-230626

Citation: Work, vol. 78, no. 4, pp. 1173-1186, 2024

Authors: Barğı, Gülşah | Suner-Keklik, Sinem

Article Type: Research Article

Abstract: BACKGROUND: During the COVID-19 pandemic, physical inactivity and inactivity-related health problems have deepened in many individuals, including office workers. It is not yet known whether there are exercise programs through telerehabilitation that will provide rapid relief in a short time in office workers who apply part or full-time teleworking system. OBJECTIVE: To comparatively investigate influences of short-term upper extremity exercise trainings (UEET) on pain, musculoskeletal discomforts (MSD), physical activity (PA), mood, and quality of life (QOL) in office workers during COVID-19 restrictions. METHODS: Thirty office workers were divided into exercise (EG) (UEET and walking advice) and …control (CG) (walking advice) groups. The UEET was applied for at least 20–40 minutes/day, 5–7 days/week for a one week between February 2022 and June 2022. Office workers’ pain, MSD, PA level, mood and QOL were measured. RESULTS: Baseline characteristics of groups (EG: 37.8±7.04 years, CG: 41.6±7.97 years) were similar (p  > 0.05). Following UEET, scores of office workers in EG on total step count, vigorous PA, moderate-intensity PA, walking, total PA, physical functioning, and body pain subscales of QOL significantly increased compared to scores of office workers in CG, while scores on neck, back and hip discomforts and anxiety and depression significantly decreased (p  < 0.05). CONCLUSIONS: One-week UEET and walking advice can improve office workers’ daily step counts, MSD, PA levels, mood, and QOL. Office workers who have a busy work schedule may do these UEET and walking exercises in break times to relieve perception of discomfort. Show more

Keywords: Exercise, occupational groups, pain, quality of life, telerehabilitation

DOI: 10.3233/WOR-230190

Citation: Work, vol. 78, no. 4, pp. 1187-1199, 2024

Authors: Mitra, Sudeep | Mitra, Mousumi | Nandi, Purna | Saha, Mantu | Nandi, Dilip Kumar

Article Type: Research Article

Abstract: BACKGROUND: Physical exercise participation among female students is significantly compromised throughout the academic periods of college or university due to scholastic demands and also by less parental and community encouragements. Thus, physical inactivity in female college students leads to less musculoskeletal efficiency and work performance. OBJECTIVE: Customized yogic module may be considered to enhance both aerobic and anaerobic power, pulmonary capacity and musculoskeletal efficiency for the improvement of systemic body functions among female college students. METHODS: A randomized, controlled parallel study design (n  = 60; age = 20.16±2.05 years), on sedentary female college students practicing customized …yogic module (n  = 30) for 5 days / week for 3 months (60 min daily in the morning) to observe anthropometric, physiological, cardiopulmonary and muscular endurance indices. RESULTS: After yogic practice, a significant reduction in body fat (p  < 0.05) (%), heart rate (p  < 0.001), systolic blood pressure (p  < 0.001), double product (p‹0.01) and rate pressure product (p  < 0.05) were estimated. Significant improvement (p  < 0.001) in vital capacity, forced expiratory volume in 1 sec was also observed. Evaluation of hand grip strength, maximal oxygen consumption and physical work capacity showed significant increase (p  < 0.01) after yogic intervention. CONCLUSIONS: A three-month customized yogic training improved resting physiological activities, cardiopulmonary functions, musculoskeletal strength and endurance fitness due to focused breathing, mindfulness meditation and by stretching-strengthening patterns for achieving recreational physical activity among female college students. Show more

Keywords: Female, sedentary behaviour, yoga, physical endurance, musculoskeletal development, respiratory function tests

DOI: 10.3233/WOR-230200

Citation: Work, vol. 78, no. 4, pp. 1201-1212, 2024

Authors: Devoy, Róisín | Maguire, Rebecca

Article Type: Research Article

Abstract: BACKGROUND: Increasing levels of distress and barriers to healthcare have coincided with increasing use of Complementary and Alternative Medicine (CAM). While mindfulness and movement interventions may improve wellbeing, little research has compared the effectiveness of these two approaches. OBJECTIVE: This single intervention study aimed to (1) explore the effects of two brief, online, self-administered mindfulness and movement interventions on affect and vitality, and (2) establish whether changes in affect and vitality could be predicted by age, gender, general distress, previous CAM experience and enjoyment of the intervention. METHODS: Participants (n  = 62) were randomly allocated to follow …a brief online mindfulness or movement intervention. Levels of affect (using PANAS) and subjective vitality (using the Subjective Vitality Scale) were measured pre and post intervention. Demographics, experience with CAM and general distress (using the DASS-21) were collected pre intervention, while level of enjoyment (using the ENJOY scale) was measured post intervention. Open-text responses gathered qualitative data on participant experience. RESULTS: Participants completing the mindfulness intervention reported increased vitality and decreased positive and negative affect. Those completing the movement intervention reported increased vitality and positive affect and decreased negative affect. Higher DASS-21 levels were predictive of greater reductions in negative affect. Higher levels of enjoyment were predictive of greater increases in positive affect and vitality. CONCLUSIONS: Differences between mindfulness and movement interventions may indicate that they could have targeted applications. While further research is necessary, these brief, online interventions may provide a sustainable, accessible self-management and wellbeing intervention. Show more

Keywords: Mindfulness, movement, online intervention, health, affect, psychology, mental health

DOI: 10.3233/WOR-230650

Citation: Work, vol. 78, no. 4, pp. 1213-1223, 2024

Authors: Rice, Valerie J. Berg | Schroeder, Paul | Allison, Stephen C.

Article Type: Research Article

Abstract: BACKGROUND: Mindfulness-based, in-person programs are effective at reducing stress and enhancing resilience in military and civilian samples, yet few studies have examined or compared training offered via real-time, interactive social media. Such a program would have a wider-reach and could include those unable to attend in-person. There is also interest in resolving ambiguity about the effects of mindfulness training on individual difference variables, such as self-compassion. OBJECTIVE: The purpose of this research was to compare pre/post self-compassion for three interventions; Mindfulness-based Stress Reduction delivered in-person (IP), mindfulness meditation training delivered via a Virtual World (VW), and a wait-list …Control Group (CG) among active duty and veteran U.S. military. METHODS: A 2 (pre/post)×3 (group) factorial design was conducted with 250 active duty and veteran U.S. Military service members, with self-compassion measures as dependent variables. RESULTS: Self Compassion improved 10% for the IP group and 14% for the VW group, while the CG group did not improve. Combined treatment groups yielded a 10.3% improvement in self-compassion compared with no change in the CG and with a group×time interaction effect (p  < 0.01). Participants with lower initial self-compassion experienced greater benefits than those with higher baseline self-compassion (p  < 0.01). CONCLUSION: IP and VW Mindfulness Meditation training were equally effective in increasing self-compassion. Adding effective on-line mindfulness delivery will promote self-compassion among a more extensive audience, likely yielding improved coping, confidence, connectedness, cheerfulness, steadiness, and self-satisfaction, while lessening anxiety, fear-of-failure, and stress among participants. Show more

Keywords: Complementary health, coping skill, meditation, military, occupational health, psychological resilience, psychological stress, self-compassion, telemedicine, virtual worlds

DOI: 10.3233/WOR-230645

Citation: Work, vol. 78, no. 4, pp. 1225-1245, 2024

Authors: Nazari, Shima | Zamani, Aida | Farokhnezhad Afshar, Pouya

Article Type: Research Article

Abstract: BACKGROUND: Stress is inevitable in the nursing profession, and ways of coping are one of the solutions to reduce stress. Social support is one of the influencing factors on coping strategies, but there is probably a difference between the effects of received or perceived social support on coping strategies. OBJECTIVE: The aim was to investigate the relationship between received and perceived social support with ways of coping in nurses. METHODS: This is a cross-sectional descriptive-correlational study. The sample consisted of 292 nurses by simple random sampling. The data collection tool included Zimmet’s multidimensional perceived social support …scale, McCain and Marklin’s perceived social support questionnaire, and Lazarus’ ways of coping questionnaire. Data were analyzed using Pearson correlation and multiple regression tests in SPSS v.22. RESULTS: The results showed that received social support (β= 0.20, p  < 0.001) and perceived social support (β= 0.35, p  < 0.001) are able to explain changes in the dimension of seeking social support. Received social support (β= 0.16, p  = 0.005) and perceived social support (β= 0.22, p  < 0.001) are able to explain changes after positive reappraisal, but only received social support could explain changes in accepting responsibility (β= 0.15, p  = 0.01). CONCLUSION: This study showed that received and perceived social support have a significant correlation with ways of coping, but only able to explain the changes in social support seeking dimensions, positive reappraisal, accepting responsibility. Both types of social support are necessary, but that received social support covered more adaptive coping strategies. Show more

Keywords: Received social support, perceived social support, coping strategies, nurse, job satisfaction, mental health

DOI: 10.3233/WOR-230337

Citation: Work, vol. 78, no. 4, pp. 1247-1255, 2024