The Experts below are selected from a list of 59394 Experts worldwide ranked by ideXlab platform
Martin Knapp - One of the best experts on this subject based on the ideXlab platform.
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Importance of Social and Cultural Factors for Attitudes, Disclosure and Time off Work for Depression: Findings from a Seven Country European Study on Depression in the Workplace
PloS one, 2014Co-Authors: Sara Evans-lacko, Martin KnappAbstract:Objectives:- Depression is experienced by a large proportion of the workforce and associated with high costs to employers and employees. There is little research on how the social costs of depression vary by social and cultural context. This study investigates Individual, Workplace and societal factors associated with greater perceived discomfort regarding depression in the Workplace, greater likelihood of employees taking time off of work as a result of depression and greater likelihood of disclosure of depression to one's employer. Methods:- Employees and managers (n = 7,065) were recruited from seven European countries to participate in the IDEA survey. Multivariable logistic regression models were used to examine associations between Individual characteristics and country contextual characteristics in relation to Workplace perceptions, likelihood of taking time off work and disclosing depression to an employer. Results:- Our findings suggest that structural factors such as benefit systems and flexible working hours are important for understanding Workplace perceptions and consequences for employees with depression. However, manager responses that focus on offering help to the employee with depression appear to have stronger associations with positive perceptions in the Workplace, and also with openness and disclosure by employees with depression. Conclusion:- This study highlights the importance of Individual, Workplace and societal factors that may be associated with how people with depression are perceived and treated in the Workplace, and, hence, factors that may be associated with openness and disclosure among employees with depression. Some responses, such as flexible working hours, may be helpful but are not necessarily sufficient, and our findings also emphasise the importance of support and openness of managers in addition to flexible working hours. --- Editor: Yiru Fang, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, China
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importance of social and cultural factors for attitudes disclosure and time off work for depression findings from a seven country european study on depression in the Workplace
PLOS ONE, 2014Co-Authors: Sara Evanslacko, Martin KnappAbstract:Objectives Depression is experienced by a large proportion of the workforce and associated with high costs to employers and employees. There is little research on how the social costs of depression vary by social and cultural context. This study investigates Individual, Workplace and societal factors associated with greater perceived discomfort regarding depression in the Workplace, greater likelihood of employees taking time off of work as a result of depression and greater likelihood of disclosure of depression to one's employer. Methods Employees and managers (n = 7,065) were recruited from seven European countries to participate in the IDEA survey. Multivariable logistic regression models were used to examine associations between Individual characteristics and country contextual characteristics in relation to Workplace perceptions, likelihood of taking time off work and disclosing depression to an employer. Results Our findings suggest that structural factors such as benefit systems and flexible working hours are important for understanding Workplace perceptions and consequences for employees with depression. However, manager responses that focus on offering help to the employee with depression appear to have stronger associations with positive perceptions in the Workplace, and also with openness and disclosure by employees with depression. Conclusion This study highlights the importance of Individual, Workplace and societal factors that may be associated with how people with depression are perceived and treated in the Workplace, and, hence, factors that may be associated with openness and disclosure among employees with depression. Some responses, such as flexible working hours, may be helpful but are not necessarily sufficient, and our findings also emphasise the importance of support and openness of managers in addition to flexible working hours.
Bradley A Evanoff - One of the best experts on this subject based on the ideXlab platform.
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1631b risk factors for carpal tunnel syndrome findings from the niosh upper extremity musculoskeletal disorder consortium
Occupational and Environmental Medicine, 2018Co-Authors: Bradley A Evanoff, Kurt T Hegmann, E Eisen, F Gerr, S Burt, B Silverstein, A Garg, A M Dale, S Bao, C HarrisadamsonAbstract:Starting in 2000, six research groups from the USA were supported by NIOSH to perform large, prospective epidemiologic studies examining associations between Workplace physical risk factors and upper limb musculoskeletal disorders. A total of 4321 workers at 55 employers/plants across a variety of hand-intensive industries were followed for up to six years. Individual Workplace exposure data included direct observation and video analysis. Health data included self-report, physical examination, and nerve conduction measures; our case definition for carpal tunnel syndrome (CTS) required both typical symptoms and nerve conduction abnormalities. Those performing the physical examinations and the video analyses were blinded to exposure and medical condition, respectively. Pooled analyses of consortium data controlled for personal factors (age, body mass index, gender, co-morbid diseases) and non-overlapping physical exposures (force, posture repetition) to study the association between work exposures and carpal tunnel syndrome. We found no independent effects of wrist posture or total repetition rate on the incidence of CTS. In contrast, strong dose-dependent associations were found between incident CTS and peak hand force (Borg CR10 >3), forceful repetition rate (>3 exertions per minute of >9N pinch force or 45N power grip), and the proportion of time spent in forceful exertion (>11%). We also found that the ACGIH Threshold Limit Value for Hand Activity (TLV for HAL) predicted CTS, and that that current ‘action limit’ is too high to adequately protect workers. Varying the formula of the TLV to emphasise force over repetition better predicted incident CTS. Study findings suggest that efforts to reduce Workplace exposures should focus on jobs requiring high hand force and repeated or prolonged forceful exertions. Our study also suggests that the TLV for HAL and other less labour intensive assessment methods are valid and usable tools for Workplace prevention.
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biomechanical risk factors for carpal tunnel syndrome a pooled study of 2474 workers
Occupational and Environmental Medicine, 2015Co-Authors: Carisa Harrisadamson, Ellen A Eisen, Jay Kapellusch, Arun Garg, Kurt T Hegmann, Matthew S Thiese, Ann Marie Dale, Bradley A Evanoff, Susan BurtAbstract:Background Between 2001 and 2010, five research groups conducted coordinated prospective studies of carpal tunnel syndrome (CTS) incidence among US workers from various industries and collected detailed subject-level exposure information with follow-up of symptoms, electrophysiological measures and job changes. Objective This analysis examined the associations between Workplace biomechanical factors and incidence of dominant-hand CTS, adjusting for personal risk factors. Methods 2474 participants, without CTS or possible polyneuropathy at enrolment, were followed up to 6.5 years (5102 person-years). Individual Workplace exposure measures of the dominant hand were collected for each task and included force, repetition, duty cycle and posture. Task exposures were combined across the workweek using time-weighted averaging to estimate job-level exposures. CTS case-criteria were based on symptoms and results of electrophysiological testing. HRs were estimated using Cox proportional hazard models. Results After adjustment for covariates, analyst (HR=2.17; 95% CI 1.38 to 3.43) and worker (HR=2.08; 95% CI 1.31 to 3.39) estimated peak hand force, forceful repetition rate (HR=1.84; 95% CI 1.19 to 2.86) and per cent time spent (eg, duty cycle) in forceful hand exertions (HR=2.05; 95% CI 1.34 to 3.15) were associated with increased risk of incident CTS. Associations were not observed between total hand repetition rate, per cent duration of all hand exertions, or wrist posture and incident CTS. Conclusions In this prospective multicentre study of production and service workers, measures of exposure to forceful hand exertion were associated with incident CTS after controlling for important covariates. These findings may influence the design of Workplace safety programmes for preventing work-related CTS.
Carisa Harrisadamson - One of the best experts on this subject based on the ideXlab platform.
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biomechanical risk factors for carpal tunnel syndrome a pooled study of 2474 workers
Occupational and Environmental Medicine, 2015Co-Authors: Carisa Harrisadamson, Ellen A Eisen, Jay Kapellusch, Arun Garg, Kurt T Hegmann, Matthew S Thiese, Ann Marie Dale, Bradley A Evanoff, Susan BurtAbstract:Background Between 2001 and 2010, five research groups conducted coordinated prospective studies of carpal tunnel syndrome (CTS) incidence among US workers from various industries and collected detailed subject-level exposure information with follow-up of symptoms, electrophysiological measures and job changes. Objective This analysis examined the associations between Workplace biomechanical factors and incidence of dominant-hand CTS, adjusting for personal risk factors. Methods 2474 participants, without CTS or possible polyneuropathy at enrolment, were followed up to 6.5 years (5102 person-years). Individual Workplace exposure measures of the dominant hand were collected for each task and included force, repetition, duty cycle and posture. Task exposures were combined across the workweek using time-weighted averaging to estimate job-level exposures. CTS case-criteria were based on symptoms and results of electrophysiological testing. HRs were estimated using Cox proportional hazard models. Results After adjustment for covariates, analyst (HR=2.17; 95% CI 1.38 to 3.43) and worker (HR=2.08; 95% CI 1.31 to 3.39) estimated peak hand force, forceful repetition rate (HR=1.84; 95% CI 1.19 to 2.86) and per cent time spent (eg, duty cycle) in forceful hand exertions (HR=2.05; 95% CI 1.34 to 3.15) were associated with increased risk of incident CTS. Associations were not observed between total hand repetition rate, per cent duration of all hand exertions, or wrist posture and incident CTS. Conclusions In this prospective multicentre study of production and service workers, measures of exposure to forceful hand exertion were associated with incident CTS after controlling for important covariates. These findings may influence the design of Workplace safety programmes for preventing work-related CTS.
Kurt T Hegmann - One of the best experts on this subject based on the ideXlab platform.
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1631b risk factors for carpal tunnel syndrome findings from the niosh upper extremity musculoskeletal disorder consortium
Occupational and Environmental Medicine, 2018Co-Authors: Bradley A Evanoff, Kurt T Hegmann, E Eisen, F Gerr, S Burt, B Silverstein, A Garg, A M Dale, S Bao, C HarrisadamsonAbstract:Starting in 2000, six research groups from the USA were supported by NIOSH to perform large, prospective epidemiologic studies examining associations between Workplace physical risk factors and upper limb musculoskeletal disorders. A total of 4321 workers at 55 employers/plants across a variety of hand-intensive industries were followed for up to six years. Individual Workplace exposure data included direct observation and video analysis. Health data included self-report, physical examination, and nerve conduction measures; our case definition for carpal tunnel syndrome (CTS) required both typical symptoms and nerve conduction abnormalities. Those performing the physical examinations and the video analyses were blinded to exposure and medical condition, respectively. Pooled analyses of consortium data controlled for personal factors (age, body mass index, gender, co-morbid diseases) and non-overlapping physical exposures (force, posture repetition) to study the association between work exposures and carpal tunnel syndrome. We found no independent effects of wrist posture or total repetition rate on the incidence of CTS. In contrast, strong dose-dependent associations were found between incident CTS and peak hand force (Borg CR10 >3), forceful repetition rate (>3 exertions per minute of >9N pinch force or 45N power grip), and the proportion of time spent in forceful exertion (>11%). We also found that the ACGIH Threshold Limit Value for Hand Activity (TLV for HAL) predicted CTS, and that that current ‘action limit’ is too high to adequately protect workers. Varying the formula of the TLV to emphasise force over repetition better predicted incident CTS. Study findings suggest that efforts to reduce Workplace exposures should focus on jobs requiring high hand force and repeated or prolonged forceful exertions. Our study also suggests that the TLV for HAL and other less labour intensive assessment methods are valid and usable tools for Workplace prevention.
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biomechanical risk factors for carpal tunnel syndrome a pooled study of 2474 workers
Occupational and Environmental Medicine, 2015Co-Authors: Carisa Harrisadamson, Ellen A Eisen, Jay Kapellusch, Arun Garg, Kurt T Hegmann, Matthew S Thiese, Ann Marie Dale, Bradley A Evanoff, Susan BurtAbstract:Background Between 2001 and 2010, five research groups conducted coordinated prospective studies of carpal tunnel syndrome (CTS) incidence among US workers from various industries and collected detailed subject-level exposure information with follow-up of symptoms, electrophysiological measures and job changes. Objective This analysis examined the associations between Workplace biomechanical factors and incidence of dominant-hand CTS, adjusting for personal risk factors. Methods 2474 participants, without CTS or possible polyneuropathy at enrolment, were followed up to 6.5 years (5102 person-years). Individual Workplace exposure measures of the dominant hand were collected for each task and included force, repetition, duty cycle and posture. Task exposures were combined across the workweek using time-weighted averaging to estimate job-level exposures. CTS case-criteria were based on symptoms and results of electrophysiological testing. HRs were estimated using Cox proportional hazard models. Results After adjustment for covariates, analyst (HR=2.17; 95% CI 1.38 to 3.43) and worker (HR=2.08; 95% CI 1.31 to 3.39) estimated peak hand force, forceful repetition rate (HR=1.84; 95% CI 1.19 to 2.86) and per cent time spent (eg, duty cycle) in forceful hand exertions (HR=2.05; 95% CI 1.34 to 3.15) were associated with increased risk of incident CTS. Associations were not observed between total hand repetition rate, per cent duration of all hand exertions, or wrist posture and incident CTS. Conclusions In this prospective multicentre study of production and service workers, measures of exposure to forceful hand exertion were associated with incident CTS after controlling for important covariates. These findings may influence the design of Workplace safety programmes for preventing work-related CTS.
Sara Evanslacko - One of the best experts on this subject based on the ideXlab platform.
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importance of social and cultural factors for attitudes disclosure and time off work for depression findings from a seven country european study on depression in the Workplace
PLOS ONE, 2014Co-Authors: Sara Evanslacko, Martin KnappAbstract:Objectives Depression is experienced by a large proportion of the workforce and associated with high costs to employers and employees. There is little research on how the social costs of depression vary by social and cultural context. This study investigates Individual, Workplace and societal factors associated with greater perceived discomfort regarding depression in the Workplace, greater likelihood of employees taking time off of work as a result of depression and greater likelihood of disclosure of depression to one's employer. Methods Employees and managers (n = 7,065) were recruited from seven European countries to participate in the IDEA survey. Multivariable logistic regression models were used to examine associations between Individual characteristics and country contextual characteristics in relation to Workplace perceptions, likelihood of taking time off work and disclosing depression to an employer. Results Our findings suggest that structural factors such as benefit systems and flexible working hours are important for understanding Workplace perceptions and consequences for employees with depression. However, manager responses that focus on offering help to the employee with depression appear to have stronger associations with positive perceptions in the Workplace, and also with openness and disclosure by employees with depression. Conclusion This study highlights the importance of Individual, Workplace and societal factors that may be associated with how people with depression are perceived and treated in the Workplace, and, hence, factors that may be associated with openness and disclosure among employees with depression. Some responses, such as flexible working hours, may be helpful but are not necessarily sufficient, and our findings also emphasise the importance of support and openness of managers in addition to flexible working hours.