原创力文档are workplace health promotion programs effective at improving presenteeism in workers a systematic review and best evidence synthesis of the literature工作场所健康促进项目有效地改善工人的现象系统回顾和最佳证据合成的文献.pdfVIP
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are workplace health promotion programs effective at improving presenteeism in workers a systematic review and best evidence synthesis of the literature工作场所健康促进项目有效地改善工人的现象系统回顾和最佳证据合成的文献
Cancelliere et al. BMC Public Health 2011, 11:395
/1471-2458/11/395
RESEARCH ARTICLE Open Access
Are workplace health promotion programs
effective at improving presenteeism in workers?
a systematic review and best evidence synthesis
of the literature
Carol Cancelliere1,2*, J David Cassidy2,3,4, Carlo Ammendolia4,5,6 and Pierre Côté2,3,4
Abstract
Background: Presenteeism is highly prevalent and costly to employers. It is defined as being present at work, but
limited in some aspect of job performance by a health problem.
Workplace health promotion (WHP) is a common strategy used to enhance on-the-job productivity. The primary
objective is to determine if WHP programs are effective in improving presenteeism. The secondary objectives are
to identify characteristics of successful programs and potential risk factors for presenteeism.
Methods: The Cochrane Library, Medline, and other electronic databases were searched from 1990 to 2010.
Reference lists were examined, key journals were hand-searched and experts were contacted. Included studies
were original research that contained data on at least 20 participants (≥ 18 years of age), and examined the
impacts of WHP programs implemented at the workplace. The Effective Public Health Practice Project Tool for
Quantitative Studies was used to rate studies. ‘Strong’ and ‘moderate’ studies were abstracted into evidence tables,
and a best evidence synthesis was performed. Interventions were deemed successful if they improved the
outcome of interest. Their program components were identified, as were possible risk factors contributing to
presenteeism.
Results: After 2,032 titles and abstracts were screened, 47 articles were reviewed, and 14 were accepted (4 strong
and 10 moderate studies). These studies contained preliminary evidence for a positive effect of some WHP
progr
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