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. 2007 Nov;61(11):945-54.
doi: 10.1136/jech.2006.054965.

The psychosocial and health effects of workplace reorganisation. 1. A systematic review of organisational-level interventions that aim to increase employee control

Matt Egan  1 , Clare Bambra, Sian Thomas, Mark Petticrew, Margaret Whitehead, Hilary Thomson
Affiliations

The psychosocial and health effects of workplace reorganisation. 1. A systematic review of organisational-level interventions that aim to increase employee control

Matt Egan et al. J Epidemiol Community Health. 2007 Nov.

Abstract

Objective: Systematic review of the health and psychosocial effects of increasing employee participation and control through workplace reorganisation, with reference to the "demand-control-support" model of workplace health.

Design: Systematic review (QUORUM) of experimental and quasi-experimental studies (any language) reporting health and psychosocial effects of such interventions.

Data sources: Electronic databases (medical, social science and economic), bibliographies and expert contacts.

Results: We identified 18 studies, 12 with control/comparison groups (no randomised controlled trials). Eight controlled and three uncontrolled studies found some evidence of health benefits (especially beneficial effects on mental health, including reduction in anxiety and depression) when employee control improved or (less consistently) demands decreased or support increased. Some effects may have been short term or influenced by concurrent interventions. Two studies of participatory interventions occurring alongside redundancies reported worsening employee health.

Conclusions: This systematic review identified evidence suggesting that some organisational-level participation interventions may benefit employee health, as predicted by the demand-control-support model, but may not protect employees from generally poor working conditions. More investigation of the relative impacts of different interventions, implementation and the distribution of effects across the socioeconomic spectrum is required.

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Conflict of interest statement

Competing interests: None.

References

    1. Marmot M, Siegrist J, Theorell T. Health and the psychosocial environment at work. In: Marmot M, Wilkinson R, eds. Social determinants of Health. Oxford: Oxford University Press, 1999
    1. Karasek R, Baker D, Marxer F.et al Job decision latitude, job demands and cardiovascular disease: a prospective study of Swedish men. Am J Public Health 198171694–795. - PMC - PubMed
    1. Karasek R, Theorell T.Healthy work: stress, productivity and the reconstruction of working life. New York: Basic Books, 1990
    1. Karasek R. Stress prevention through work reorganisation: a summary of 19 case studies. Conditions of Work Digest 19921123–42.
    1. van Vegchel N, de Jonge J, Lansbergis P A. Occupational stress in (inter)action: the interplay between job demands and job resources. J Organizational Behav 200526535–560.

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