The cost-effectiveness of a back school program in industry. A longitudinal controlled field study

Spine (Phila Pa 1976). 1992 Jan;17(1):22-7. doi: 10.1097/00007632-199201000-00004.


To define the cost-effectiveness of a back school program in industry, a controlled longitudinal field study was carried out in a Dutch bus company. The experimental group received a program consisting of information on back care, physical fitness, nutrition, stress, and relaxation. Objective data on absenteeism were collected and compared during a 6-year period for the control and experimental groups. Results showed that a tailor-made back school program reduced absenteeism by at least 5 days per year per employee, therefore being cost-effective to industry. A reduction was not observed in incidence, but in mean length of absenteeism. This effect turned out to be persistent during a 2-year period following the program.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Absenteeism*
  • Back Pain / epidemiology*
  • Back Pain / prevention & control
  • Cost-Benefit Analysis
  • Health Education*
  • Humans
  • Incidence
  • Longitudinal Studies
  • Netherlands / epidemiology
  • Occupational Diseases / epidemiology*
  • Occupational Diseases / prevention & control
  • Occupational Health Services / economics*
  • Prospective Studies
  • Surveys and Questionnaires