The evaluation of the effect of self-governing home healthcare teams on the working environment of home healthcare workers

Evaluating the effect of self-governing home healthcare teams on the working environment of home healthcare workers: a quasi-experimental post-test only evaluation of a natural experiment

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

ISRCTN

Registry ID

ISRCTN13586262

Enrollment

106

Registered

2023-08-18

Start date

2023-08-14

Completion date

Unknown

Last updated

2025-04-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Evaluating the effect of self-governing home healthcare teams on the working environment of home healthcare workers Other

Interventions

No intervention will be delivered in this study as it is a natural experiment evaluating the difference in home healthcare (HHC)-workers’ musculoskeletal pain and inter-individual differences in physi

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Employees participating in self-governing HHC-teams who consent to participation. Self-governing HHC-teams are defined as small teams (max. 12 HHC-workers) who participate in the planning of work schedules as a group, and who have regular interdisciplinary meetings that include a needs assessor and nursing staff. These teams must be working during daytime shifts and need to have gone live with self-governing teams for a minimum of 6 months. Teams within the same municipality as an included self-governing team, that do not fulfil the above criteria and have not gone live with self-governing HHC-teams can be included as a control group.

Exclusion criteria

Exclusion criteria: Teams that have gone live with self-governing teams for less than 6 months

Design outcomes

Primary

Measure	Time frame
Lower back pain intensity scores and duration, measured using the Standardised Nordic questionnaire for the analysis of musculoskeletal pain at single time point	—

Secondary

Measure	Time frame
Measured at a single time point unless noted otherwise: 1. Inter-individual physical behaviour between team members measured by accelerometer data collected over 5 consecutive days 2. Levels of sickness absence, measured using a validated question about number of sick days (0-28) within the past month 3. Perceived stress, measured using the Danish Psychosocial Questionnaire and the Perceived Stress Scale 4. Shoulder and neck pain intensity and duration, measured using the Standardised Nordic questionnaire for the analysis of musculoskeletal pain 5. Productivity, measured using The World Health Organization Health and Work Performance Questionnaire	—

Measure

Time frame

Measured at a single time point unless noted otherwise: 1. Inter-individual physical behaviour between team members measured by accelerometer data collected over 5 consecutive days 2. Levels of sickness absence, measured using a validated question about number of sick days (0-28) within the past month 3. Perceived stress, measured using the Danish Psychosocial Questionnaire and the Perceived Stress Scale 4. Shoulder and neck pain intensity and duration, measured using the Standardised Nordic questionnaire for the analysis of musculoskeletal pain 5. Productivity, measured using The World Health Organization Health and Work Performance Questionnaire

—

Countries

Denmark

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026