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Effectiveness of multidisciplinary early rehabilitation in reducing behaviour-related risk factors.
MedLine Citation:
PMID:  22434391     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Objective: To evaluate the effect of a 4-week primary prevention programme on health-risk behaviours amongst employees at increased risk of work incapacity. Methods: Based on survey data and health records from 53,416 public sector employees in Finland, we identified 872 employees who participated in early rehabilitation after the baseline survey. We selected 2,440 propensity-score-matched controls for these rehabilitants. Changes in the prevalence of physical inactivity, obesity, heavy drinking, and smoking, as well as in the intensity of leisure-time physical activity, weight, and alcohol consumption after the intervention were examined between the baseline and two subsequent surveys representing short-term (mean follow-up 1.7 years) and long-term (mean 5.8 years) follow-ups. Results: There were no statistically significant differences between the rehabilitants and controls in terms of changes in weight, alcohol consumption, intensity of leisure-time physical activity, or prevalence of obesity, heavy drinking and physical inactivity during short-term or long-term follow-ups. During short-term follow-up, a higher rate of smoking cessation was observed for rehabilitants than controls (31.7% vs. 20.2%, p = 0.037). Conclusion: Vocationally oriented multidisciplinary early rehabilitation had little effect on health risk behaviours.
Authors:
Mikhail Saltychev; Katri Laimi; Ashraf El-Metwally; Tuula Oksanen; Jaana Pentti; Marianna Virtanen; Anne Kouvonen; Mika Kivimäki; Jussi Vahtera
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-3-20
Journal Detail:
Title:  Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine     Volume:  -     ISSN:  1651-2081     ISO Abbreviation:  -     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-3-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101088169     Medline TA:  J Rehabil Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Rehabilitation, Turku University Hospital, 20521 Turku, Finland. E-mail: mikhail.saltychev@gmail.com.
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