Prevention and Intervention of Neck Pain in Swiss Office-Workers (NEXpro) (NEXpro)
On-site multi-component intervention to improve productivity and reduce the economic and personal burden of neck pain in Swiss office-workers
Description
Background and Aims
Neck pain is among the most common musculoskeletal disorders worldwide. It poses a major burden on office workers, resulting in discomfort and decreased work productivity. Despite the expected growth of the service sector, the current literature does not offer a convincing approach to address this issue. Thus, the need to develop an effective intervention to reduce neck pain in the context of office work became evident. Given the substantial socio-economic consequences of neck pain (i.e., costs resulting from neck pain-related presenteeism), this emerged as the primary interest of our study. Primary Aims:
- To optimise a validated Australian best practice intervention to Swiss office-workers
- To determine the effect of NEXpro on office-worker productivity
Secondary Aims:
- To evaluate the intervention's effectiveness in preventing and reducing neck pain in office workers (primary and secondary prevention)
- To improve intervention adherence in comparison to the Australian study
- To evaluate work stressors and resources in office workers
Methods
Between January 2020 and April 2021, we conducted a stepped-wedge cluster randomized controlled trial. A total of 120 office workers aged 18 to 65 years, and without severe neck problems were recruited from two Swiss organizations in the Canton of Zurich and Aargau. The 12-week multi-component intervention included neck exercises, health-promotion information workshops, and workplace ergonomics. Detailed information about the recruitment process, eligibility criteria, measurements, intervention, and statistical analysis can be found in our study protocol and primary outcome paper.
Conclusion Summary
In summary, we were able to confirm all three hypotheses, namely that the intervention improved productivity in office workers, reduced neck pain disability in office workers, and resulted in better intervention adherence and compliance than reported in the Australian study.
Key findings
We provide evidence for the effectiveness of a 12-week multi-component intervention in reducing neck pain-related work productivity loss, reducing neck pain, and improving quality of life among office workers. Specifically, office workers experienced neck pain less frequently, and when it did occur, it had a milder impact on their daily activities. Not only office workers benefit from reduced pain and disability and improved quality of life, but also employers and the (healthcare) system through decreased neck pain-associated costs (i.e., productivity loss).
Additional findings and COVID-19
We observed differences in intervention requirements and needs between Swiss companies and companies abroad. Adherence to intervention was higher in our study compared to the previous study conducted in Australia. The work stress conditions among our participants were similar to those of a representative Swiss sample across all occupational groups. The COVID-19 pandemic did not affect our sample in terms of physical activity level, neck pain, or work stress conditions. Improved working times or work-life balance may have contributed to this finding. Transfer to practise in the context of office work, we strongly recommend the implementation of our multi-component intervention to reduce the burden of neck pain. Within Switzerland, the multi-component intervention has already been promoted through various media appearances, including television and radio, and a video is planned for sharing on social media to reach patients, healthcare providers, and policymakers.
Key Data
Co-Projectlead
Prof. Dr. Achim Elfering, Prof. Dr. Markus Melloh
Project team
Dr. Andrea Aegerter, Prof. Dr. Marco Barbero, Dr. Beatrice Brunner, Manja Deforth, Markus Ernst, Irene Etzer-Hofer, Michelle Haas, Prof. Dr. Venerina Johnston, Dr. Matthew J. Kerry-Krause, Prof. Dr. Hannu Luomajoki, André Meichtry, Dr. Corinne Nicoletti, Nadine Sax, Monika Schmid, Prof. Dr. Gisela Sjøgaard, Prof. Dr. Thomas Volken
Project partners
Universität Bern; Scuola universitaria professionale della Svizzera italiana SUPSI; University of Southern Denmark / Department of Sports Science and Clinical Biomechanics; University of Queensland / School of Health and Rehabilitation Sciences
Project status
completed, 05/2019 - 09/2023
Funding partner
SNF-Projektförderung / Projekt Nr. 182389
Project budget
496'000 CHF
Further documents and links
Publications
-
Cervical musculoskeletal impairments and pressure pain sensitivity in office workers with headache
2024 Ernst, Markus; Sax, Nadine; Meichtry, André; Aegerter, Andrea; Luomajoki, Hannu; Lüdtke, Kerstin; Gallina, Alessio; Falla, Deborah
-
Effects of neck exercise and health promotion on headache : secondary outcome of the Swiss NEXpro trial
2024 Ernst, Markus; Meichtry, André; Lüdtke, Kerstin; Gallina, Alessio; Falla, Deborah
-
Cervical musculoskeletal impairments and pressure pain sensitivity in office workers with headache
2024 Ernst, Markus J.; Sax, Nadine; Meichtry, André; Aegerter, Andrea Martina; Luomajoki, Hannu; Luedtke, Kerstin; Gallina, Alessio; Falla, Deborah
-
Association of exercise frequency and type with neck pain intensity : a quantitative analysis in office workers
2024 Aegerter, Andrea; Störi, Seraina; Elfering, Achim; Melloh, Markus; Luomajoki, Hannu; Johnston, Venerina; Sjøgaard, Gisela
-
Association of neck pain, neck disability, and fear avoidance beliefs with adherence to exercise : a quantitative analysis in office workers
2024 Aegerter, Andrea; Nüssle, Achim; Elfering, Achim; Melloh, Markus; Johnston, Venerina; Sjøgaard, Gisela; Luomajoki, Hannu
-
Nonspecific neck pain and physical factors of the neck : a quantitative analysis in office workers
2024 Aegerter, Andrea; Felder, Salome; Furrer, Ramona; Elfering, Achim; Melloh, Markus; Sjøgaard, Gisela; Luomajoki, Hannu; Johnston, Venerina
-
A multi-component Intervention (NEXpro) reduces neck pain-related work productivity loss : a randomized controlled trial among Swiss office workers
2024 Aegerter, Andrea; Deforth, Manja; Volken, Thomas; Johnston, Venerina; Luomajoki, Hannu; Dressel, Holger; Dratva, Julia; Ernst, Markus Josef; Distler, Oliver; Brunner, Beatrice; Sjøgaard, Gisela; Melloh, Markus; Elfering, Achim
-
No evidence for an effect of working from home on neck pain and neck disability among Swiss office workers : short-term impact of COVID-19
2024 Aegerter, Andrea; Deforth, Manja; Johnston, Venerina; Sjøgaard, Gisela; Volken, Thomas; Luomajoki, Hannu; Dratva, Julia; Dressel, Holger; Distler, Oliver; Elfering, Achim; Melloh, Markus
-
Correction to: On-site multi-component intervention to improve productivity and reduce the economic and personal burden of neck pain in Swiss office-workers (NEXpro) : protocol for a cluster-randomized controlled trial
2024 Aegerter, Andrea; Deforth, Manja; Johnston, Venerina; Ernst, Markus; Volken, Thomas; Luomajoki, Hannu; Brunner, Beatrice; Dratva, Julia; Sjøgaard, Gisela; Elfering, Achim; Melloh, Markus
-
A multi-component intervention (NEXpro) reduces neck pain : a randomized controlled trial among Swiss office workers
2024 Aegerter, Andrea Martina; Johnston, Venerina; Volken, Thomas; Deforth, Manja; Sjøgaard, Gisela; Luomajoki, Hannu; Elfering, Achim; Melloh, Markus
-
A multi-component intervention (NEXpro) reduces neck pain-related work productivity loss : a randomized controlled trial among Swiss office workers
2024 Aegerter, Andrea Martina; Deforth, Manja; Volken, Thomas; Johnston, Venerina; Luomajoki, Hannu; Brunner, Beatrice; Sjøgaard, Gisela; Elfering, Achim; Melloh, Markus
-
No evidence for a decrease in physical activity among Swiss office workers during COVID-19 : a longitudinal study
2024 Aegerter, Andrea Martina; Deforth, Manja; Sjøgaard, Gisela; Johnston, Venerina; Volken, Thomas; Luomajoki, Hannu; Dratva, Julia; Dressel, Holger; Distler, Oliver; Melloh, Markus; Elfering, Achim
-
Neck pain and work productivity in office workers : effectiveness of a multi-component intervention
2024 Aegerter, Andrea
-
Eine Intervention zur Reduktion von Arbeitsproduktivitätsverlusten aufgrund von Nackenschmerzen bei Schweizer Büroangestellten (NEXpro)
2023 Aegerter, Andrea; Dratva, Julia; Wieber, Frank; Melloh, Markus; Elfering, Achim
-
Does the home office workstation meet recommended guidelines in a sample of Swiss office workers?
2022 Aegerter, Andrea; Johnston, Venerina; Melloh, Markus; Elfering, Achim
-
A multi-component intervention (NEXpro) reduces neck pain-related work productivity loss : an RCT among Swiss office workers
2022 Aegerter, Andrea; Deforth, Manja; Volken, Thomas; Johnston, Venerina; Luomajoki, Hannu; Dressel, Holger; Dratva, Julia; Ernst, Markus; Distler, Oliver; Brunner, Beatrice; Sjøgaard, Gisela; Melloh, Markus; Elfering, Achim
-
No evidence for an effect of the first COVID-19 lockdown on work stress conditions in office workers
2021 Aegerter, Andrea; Deforth, Manja; Johnston, Venerina; Sjøgaard, Gisela; Luomajoki, Hannu; Volken, Thomas; Distler, Oliver; Dressel, Holger; Melloh, Markus; Elfering, Achim
-
No evidence for an effect of the first COVID-19 lockdown on neck pain and neck disability among Swiss office workers
2021 Aegerter, Andrea; Deforth, Manja; Johnston, Venerina; Sjøgaard, Gisela; Ernst, Markus; Luomajoki, Hannu; Volken, Thomas; Dratva, Julia; Dressel, Holger; Distler, Oliver; Elfering, Achim; Melloh, Markus
-
No evidence for an effect of the first COVID-19 lockdown on neck pain and neck disability among Swiss office workers
2021 Aegerter, Andrea; Deforth, Manja; Johnston, Venerina; Sjøgaard, Gisela; Ernst, Markus; Luomajoki, Hannu; Volken, Thomas; Dratva, Julia; Dressel, Holger; Distler, Oliver; Elfering, Achim; Melloh, Markus
-
On-site multi-component intervention to improve productivity and reduce the economic and personal burden of neck pain in Swiss office-workers (NEXpro) : protocol for a cluster-randomized controlled trial
2020 Aegerter, Andrea; Deforth, Manja; Johnston, Venerina; Ernst, Markus; Volken, Thomas; Luomajoki, Hannu; Brunner, Beatrice; Dratva, Julia; Sjøgaard, Gisela; Elfering, Achim; Melloh, Markus