wow-inequalities/02-data/intermediate/wos_sample/c801510ffe39979e3edda073b66f7171-joyce-kerry-and-pab/info.yaml

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abstract: 'Background
Flexible working conditions are increasingly popular in developed
countries but the effects on employee health and wellbeing are largely
unknown.
Objectives
To evaluate the effects ( benefits and harms) of flexible working
interventions on the physical, mental and general health and wellbeing
of employees and their families.
Search strategy
Our searches ( July 2009) covered 12 databases including the Cochrane
Public Health Group Specialised Register, CENTRAL; MEDLINE; EMBASE;
CINAHL; PsycINFO; Social Science Citation Index; ASSIA; IBSS;
Sociological Abstracts; and ABI/Inform. We also searched relevant
websites, handsearched key journals, searched bibliographies and
contacted study authors and key experts.
Selection criteria
Randomised controlled trials (RCT), interrupted time series and
controlled before and after studies (CBA), which examined the effects of
flexible working interventions on employee health and wellbeing. We
excluded studies assessing outcomes for less than six months and
extracted outcomes relating to physical, mental and general health/ill
health measured using a validated instrument. We also extracted
secondary outcomes ( including sickness absence, health service usage,
behavioural changes, accidents, work-life balance, quality of life,
health and wellbeing of children, family members and co-workers) if
reported alongside at least one primary outcome.
Data collection and analysis
Two experienced review authors conducted data extraction and quality
appraisal. We undertook a narrative synthesis as there was substantial
heterogeneity between studies.
Main results
Ten studies fulfilled the inclusion criteria. Six CBA studies reported
on interventions relating to temporal flexibility: self-scheduling of
shift work (n = 4), flexitime ( n = 1) and overtime ( n = 1). The
remaining four CBA studies evaluated a form of contractual flexibility:
partial/gradual retirement ( n = 2), involuntary part-time work ( n = 1)
and fixed-term contract ( n = 1). The studies retrieved had a number of
methodological limitations including short follow-up periods, risk of
selection bias and reliance on largely self-reported outcome data.
Four CBA studies on self-scheduling of shifts and one CBA study on
gradual/partial retirement reported statistically significant
improvements in either primary outcomes ( including systolic blood
pressure and heart rate; tiredness; mental health, sleep duration, sleep
quality and alertness; self-rated health status) or secondary health
outcomes (co-workers social support and sense of community) and no ill
health effects were reported. Flexitime was shown not to have
significant effects on self-reported physiological and psychological
health outcomes. Similarly, when comparing individuals working overtime
with those who did not the odds of ill health effects were not
significantly higher in the intervention group at follow up. The effects
of contractual flexibility on self-reported health ( with the exception
of gradual/partial retirement, which when controlled by employees
improved health outcomes) were either equivocal or negative. No studies
differentiated results by socio-economic status, although one study did
compare findings by gender but found no differential effect on
self-reported health outcomes.
Authors'' conclusions
The findings of this review tentatively suggest that flexible working
interventions that increase worker control and choice ( such as
self-scheduling or gradual/partial retirement) are likely to have a
positive effect on health outcomes. In contrast, interventions that were
motivated or dictated by organisational interests, such as fixed-term
contract and involuntary part-time employment, found equivocal or
negative health effects. Given the partial and methodologically limited
evidence base these findings should be interpreted with caution.
Moreover, there is a clear need for well-designed intervention studies
to delineate the impact of flexible working conditions on health,
wellbeing and health inequalities.'
affiliation: 'Bambra, C (Corresponding Author), Univ Durham, Dept Geog, Wolfson Res
Inst, Queens Campus, Stockton On Tees TS17 6BH, Teesside, England.
Bambra, Clare, Univ Durham, Dept Geog, Wolfson Res Inst, Stockton On Tees TS17 6BH,
Teesside, England.
Pabayo, Roman, Univ Montreal, Montreal, PQ, Canada.
Critchley, Julia A., Newcastle Univ, Inst Hlth \& Soc, Newcastle Upon Tyne NE1 7RU,
Tyne \& Wear, England.'
article-number: CD008009
author: Joyce, Kerry and Pabayo, Roman and Critchley, Julia A. and Bambra, Clare
author-email: clare.bambra@durham.ac.uk
author_list:
- family: Joyce
given: Kerry
- family: Pabayo
given: Roman
- family: Critchley
given: Julia A.
- family: Bambra
given: Clare
da: '2023-09-28'
doi: 10.1002/14651858.CD008009.pub2
eissn: 1361-6137
files: []
issn: 1469-493X
journal: COCHRANE DATABASE OF SYSTEMATIC REVIEWS
keywords-plus: 'SELF-RATED HEALTH; BRITISH CIVIL-SERVANTS; CORONARY-HEART-DISEASE;
WORKPLACE REORGANIZATION; SOCIAL INTERVENTIONS; SYSTEMATIC REVIEWS;
GRADUAL RETIREMENT; DECISION LATITUDE; SICKNESS ABSENCE; SHIFT SYSTEM'
language: English
number: '2'
number-of-cited-references: '165'
orcid-numbers: 'P, Roman/0000-0003-4018-4898
Bambra, Clare l/0000-0002-1294-6851
Critchley, Julia/0000-0002-5248-4188'
papis_id: fc9ff0916c31135ab870069b1420b306
ref: Joyce2010flexibleworking
researcherid-numbers: 'P, Roman/AAO-3485-2020
Bambra, Clare l/C-1392-2010
'
tags:
- review
times-cited: '197'
title: Flexible working conditions and their effects on employee health and wellbeing
2023-10-01 08:15:07 +00:00
type: article
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unique-id: WOS:000274654300007
usage-count-last-180-days: '5'
usage-count-since-2013: '260'
web-of-science-categories: Medicine, General \& Internal
year: '2010'