TY - JOUR
T1 - Workplace intervention among pregnant hospital employees - a cluster randomised trial evaluating well-being measures
AU - Lauridsen, Jane Bjerregaard
AU - Momsen, Anne-Mette Hedeager
AU - Pedersen, Pernille
AU - Hansen, Mette Lausten
AU - Thulstrup, Ane Marie
AU - Maimburg, Rikke Damkjær
PY - 2025/2
Y1 - 2025/2
N2 - Problem: Pregnant employees may experience work-related challenges, including inadequate attention to their unique needs. Background: Unmet needs for work adjustment are associated with sick leave and reduced well-being, and supportive environments are regarded as a protective factor against sick leave. Aim: To evaluate the effect of midwifery support focusing on work adjustment on pregnant hospital employees' well-being defined by work ability and dimensions of the psychosocial work environment. Methods: A cluster randomised controlled trial was conducted. Well-being-related outcomes at baseline and follow-up were measured with The Copenhagen Psychosocial Questionnaire (COPSOQ) and Work Ability questionnaires. Intermediate outcomes were work adjustments, measured by non-validated survey items. Intention-to-treat analysis was performed with mixed-effect models. Findings: Work adjustments was reported for 16 % (95 % CI 0.07;0.25) more intervention group participants. Group differences in change of mean outcome scores for the COPSOQ items were: 0.02 (95 % CI -0.12;0.09) for Job Satisfaction, 0.05 (95 % CI -0.25;0.35) for Influence, -0.16 (95 % CI -0.41;0.09) for Quality of Leadership, 0.25 (95 % CI -0.05;0.54) for Work-Family Conflict, -0.03 (95 % CI -0.21;0.15) for Self-Rated Health, 0.04 (95 % CI -0.26;0.34) for Burnout. The group difference in mean outcome score for the Work Ability Scale was -0.38 (95 % CI -0.91;0.11). Discussion: The used survey items may not have captured all aspects of well-being and non-participation may have compromised the possibility to detect a difference between groups. Conclusion: Pregnant employees' well-being was not improved with midwifery support. However, work adjustment increased significantly. The trial was registered in ClinicalTrials.gov with ID number 29–2019–03 on June 16, 2022.
AB - Problem: Pregnant employees may experience work-related challenges, including inadequate attention to their unique needs. Background: Unmet needs for work adjustment are associated with sick leave and reduced well-being, and supportive environments are regarded as a protective factor against sick leave. Aim: To evaluate the effect of midwifery support focusing on work adjustment on pregnant hospital employees' well-being defined by work ability and dimensions of the psychosocial work environment. Methods: A cluster randomised controlled trial was conducted. Well-being-related outcomes at baseline and follow-up were measured with The Copenhagen Psychosocial Questionnaire (COPSOQ) and Work Ability questionnaires. Intermediate outcomes were work adjustments, measured by non-validated survey items. Intention-to-treat analysis was performed with mixed-effect models. Findings: Work adjustments was reported for 16 % (95 % CI 0.07;0.25) more intervention group participants. Group differences in change of mean outcome scores for the COPSOQ items were: 0.02 (95 % CI -0.12;0.09) for Job Satisfaction, 0.05 (95 % CI -0.25;0.35) for Influence, -0.16 (95 % CI -0.41;0.09) for Quality of Leadership, 0.25 (95 % CI -0.05;0.54) for Work-Family Conflict, -0.03 (95 % CI -0.21;0.15) for Self-Rated Health, 0.04 (95 % CI -0.26;0.34) for Burnout. The group difference in mean outcome score for the Work Ability Scale was -0.38 (95 % CI -0.91;0.11). Discussion: The used survey items may not have captured all aspects of well-being and non-participation may have compromised the possibility to detect a difference between groups. Conclusion: Pregnant employees' well-being was not improved with midwifery support. However, work adjustment increased significantly. The trial was registered in ClinicalTrials.gov with ID number 29–2019–03 on June 16, 2022.
KW - Guidance
KW - Health personnel
KW - Midwifery
KW - Occupational health
KW - Pregnancy
KW - Support
UR - http://www.scopus.com/inward/record.url?scp=85212211903&partnerID=8YFLogxK
U2 - 10.1016/j.midw.2024.104261
DO - 10.1016/j.midw.2024.104261
M3 - Journal article
C2 - 39693844
SN - 0266-6138
VL - 141
JO - Midwifery
JF - Midwifery
M1 - 104261
ER -