{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T18:47:34Z","timestamp":1792176454973,"version":"4.4.0"},"reference-count":32,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:00:00Z","timestamp":1788480000000},"content-version":"vor","delay-in-days":246,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000646","name":"JSPS KAKENHI","doi-asserted-by":"publisher","award":["JP23K19849"],"award-info":[{"award-number":["JP23K19849"]}],"id":[{"id":"10.13039\/501100000646","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To examine whether an online organizational intervention targeting managers in nursing homes could promote occupational health activities and reduce caregivers\u2019 low back pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This 6-month, prospective, cluster randomized controlled trial was conducted between January and July 2024. Nursing homes in Fukuoka Prefecture, Japan were randomly assigned to an online program-intervention group (n\u2009=\u200925) or an active control group (n\u2009=\u200925). The intervention combined an original tool that comprised practical tips for the prevention of low back pain with a series of meetings delivered via an online meeting system. Caregivers\u2019 low back pain intensity was assessed as the primary outcome using a Numerical Rating Scale. Using the Japanese version of the Utrecht Work Engagement Scale, managers\u2019 work engagement was evaluated as a secondary outcome. Linear mixed models were applied under the intention-to-treat and per-protocol frameworks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 48 managers and 449 caregivers working in the facilities were included in the final analysis. Over the 6-month study period, no significant differences were observed between the intervention and active control groups in caregivers\u2019 low back pain intensity or managers\u2019 work engagement. Participation in the intervention among managers was moderate (61.1%), and only 6 managers attended all the intervention sessions (adherence rate: 25%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Online organizational interventions targeting nursing homes did not significantly improve caregivers\u2019 low back pain or work engagement. High job demands, suboptimal adherence, and constraints inherent in the video conference system potentially attenuated the intervention\u2019s effects.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/joccuh\/uiag051","type":"journal-article","created":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T15:34:30Z","timestamp":1788536070000},"source":"Crossref","is-referenced-by-count":0,"title":["Effects of an online organizational intervention targeting managers in nursing homes on caregivers\u2019 low back pain and managers\u2019 work engagement: a cluster randomized controlled trial"],"prefix":"10.1093","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8317-5273","authenticated-orcid":false,"given":"Naomichi","family":"Tani","sequence":"first","affiliation":[{"name":"Department of Ergonomics, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health , Japan, Iseigaoka 1-1, Yahatanishi-ku, Kitakyushu, Fukuoka ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3342-1058","authenticated-orcid":false,"given":"Takeshi","family":"Ebara","sequence":"additional","affiliation":[{"name":"Department of Ergonomics, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health , Japan, Iseigaoka 1-1, Yahatanishi-ku, Kitakyushu, Fukuoka ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,4]]},"reference":[{"key":"2026101614015740200_ref1","volume-title":"Musculoskeletal health and risk factors in the HeSCare sector\u2014a review of existing information","author":"European Agency for Safety and Health at Work (EU-OSHA)"},{"issue":"1","key":"2026101614015740200_ref2","doi-asserted-by":"publisher","DOI":"10.1002\/1348-9585.12155","article-title":"Low back pain prevalence and risk factors among health workers in Saudi Arabia: a systematic review and meta-analysis","volume":"62","author":"Al Amer","year":"2020","journal-title":"J Occup Health."},{"key":"2026101614015740200_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.amsu.2021.102903","article-title":"Low back pain and its related risk factors in health care providers at hospitals: a systematic review","volume":"70","author":"Rezaei","year":"2021","journal-title":"Ann Med Surg."},{"issue":"6","key":"2026101614015740200_ref4","first-page":"467","article-title":"Prevalence of low back pain in health care workers and comparison with other occupational categories in Iran: a systematic review","volume":"41","author":"Mehrdad","year":"2016","journal-title":"Iran J Med Sci."},{"issue":"1","key":"2026101614015740200_ref5","doi-asserted-by":"publisher","first-page":"99","DOI":"10.15065\/jjsnr.20220509187","article-title":"Literature review on lower back pain among nurses and future issues for prevention and relief. 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