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dc.contributor.authorLinge, Anita
dc.contributor.authorJensen, Chris
dc.contributor.authorLaake, Petter
dc.contributor.authorBjørkly, Stål
dc.date.accessioned2022-08-30T10:21:37Z
dc.date.available2022-08-30T10:21:37Z
dc.date.created2021-05-18T13:08:54Z
dc.date.issued2021
dc.identifier.citationBMC Public Health. 2021, 21 1-11.
dc.identifier.issn1471-2458
dc.identifier.urihttps://hdl.handle.net/11250/3014316
dc.description.abstractBackground People on or at risk of sick leave from work due to obesity or obesity-related problems participated in a new vocational rehabilitation (VR). The study aimed to examine the outcome changes in the participants’ health-related quality of life (HRQoL), body mass index (BMI), return to work self-efficacy (RTWSE), work ability scale (WAS) and degree of work participation (DWP) after their participation in the 12-month VR programme. The secondary aim was to examine associations between the outcome changes and HRQoL at 12-month follow-up, measured with the HRQoL 15D instrument (15D). Methods This prospective observational study included 95 participants. The one-year multidisciplinary VR programme with an integrated work and lifestyle intervention included 4 weeks of inpatient stay followed-up by 5 meetings. A paired sample t-test was used to examine changes in HRQoL, BMI, RTWSE, WAS, and DWP between baseline and the 12-month follow-up. Multiple linear regression analyses explored associations between changes in HRQoL and the outcome variables. Results The participants achieved statistically significant changes in HRQoL (2.57, 95% CI: 1.35 to 3.79), BMI (− 2.33, 95% CI: − 3.10 to − 1.56), RTWSE (15.89, 95% CI: 4.07 to 27.71), WAS (1.51, 95% CI: 0.83 to 2.20) and DWP (18.69, 95% CI: 8.35 to 29.02). At 12 months, a significant association was found between HRQoL and BMI (B = − 0.34, 95% CI: − 0.65 to − 0.04), RTWSE (B = 0.02, 95% CI: 0.004 to 0.04), WAS (B = 0.91, 95% CI: 0.55 to 1.28), DWP (B = − 0.02, 95% CI: − 0.04 to 0.001) and work absence (B = − 0.01, 95% CI: − 0.02 to − 0.002). The regression model explained 71.8% of the HRQoL variance. Conclusion The results indicated positive changes in HRQoL, BMI, RTWSE, WAS and DWP from baseline to the 12-month follow-up. Factors associated with HRQoL at the 12-month follow-up were decreased BMI, increased RTWSE, improved WAS and reduced work absence. Future studies examining VR programmes with lifestyle interventions for people with obesity are recommended.
dc.language.isoeng
dc.relation.urihttps://doi.org/10.1186/s12889-021-10954-y
dc.titleChanges to body mass index, work self-efficacy, health-related quality of life, and work participation in people with obesity after vocational rehabilitation : a prospective observational study
dc.typePeer reviewed
dc.typeJournal article
dc.description.versionpublishedVersion
dc.source.pagenumber1-11
dc.source.volume21
dc.source.journalBMC Public Health
dc.identifier.doi10.1186/s12889-021-10954-y
dc.identifier.cristin1910509
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


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