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The Effectiveness of Workplace Health Promotion Programme in Improving Sickness Absenteeism, Medical Cost Claims and Work Engagement Among Manufacturing Workers in Malaysia: A Randomised Control Trial

Ahmad Fairuz Mohamed, Marzuki Isahak, Mohd Zaki Awg Isa and Rusli Nordin

Pertanika Journal of Science & Technology, Volume 30, Issue 3, July 2022

DOI: https://doi.org/10.47836/pjst.30.3.27

Keywords: Employee assistance programme, medical cost claims, sickness absenteeism, work engagement, workplace health promotion programme

Published on: 25 May 2022

Job-related stress at the workplace has a tremendous effect on employees’ work performance. This study aims to evaluate the effectiveness of the Workplace Health Promotion (WHP) programme on employee sickness absenteeism, medical cost claims and work engagement among blue-collar manufacturing workers in Malaysia. The WHP intervention comprised organisational and individual stress management programmes delivered through the Occupational Stress Management Course and Employee Assistance Programme. Data on sickness absenteeism and medical cost claims were gathered from the records of the Human Resource Department. In addition, work engagement data were collected through the Malay Validated Utrecht Work Engagement Scale (UWES). Eighty-eight employees participated in the study. Most employees worked 45 hours a week, with more than 80% working overtime and shifts. Pre-intervention sickness absenteeism among manufacturing workers varied from 0.98 to 2.57 days. At baseline, medical cost claims ranged from RM92 to RM196 for three months and RM127 to RM359 for six months. After six months of participation in the WHP programme, sickness absenteeism was significantly reduced (d = 0.414) and work engagement was significantly enhanced (d = 1.958) in the intervention group. Medical cost claims, on the other hand, increased significantly post-intervention (d = 0.039). These findings are intended to help organisations and government bodies in recognising the potential of WHP to enhance employee work engagement and reduce sickness absenteeism to improve work organisation and personal development.

  • Ajayi, S. (2018). Effect of stress on employee performance and job satisfaction: A case study of Nigerian banking industry. SSRN Electronic Journal, 1-71. https://doi.org/10.2139/ssrn.3160620

  • Balducci, C., Fraccaroli, F., & Schaufeli, W. B. (2010). Psychometric properties of the italian version of the Utrecht Work Engagement Scale (UWES-9). European Journal of Psychological Assessment, 26(2), 143-149. https://doi.org/10.1027/1015-5759/a000020

  • Baldwin, M. L. (2004). Reducing the costs of work-related musculoskeletal disorders: Targeting strategies to chronic disability cases. Journal of Electromyography and Kinesiology, 14(1), 33-41. https://doi.org/10.1016/j.jelekin.2003.09.013

  • Beheshtifar, M., & Nazarian, R. (2013). Role of occupational stress in organizations. Interdisciplinary Journal of Contemporary Research in Business, 4(9), 648-657.

  • Bertera, R. L. (1990). The effects of workplace health promotion on absenteeism and employment costs in a large industrial population. American Journal of Public Health, 80(9), 1101-1105. https://doi.org/10.2105/ajph.80.9.1101

  • Black, J. K., Balanos, G. M., & Whittaker, A. C. (2017). Resilience, work engagement and stress reactivity in a middle-aged manual worker population. International Journal of Psychophysiology, 116, 9-15. https://doi.org/10.1016/j.ijpsycho.2017.02.013

  • Brborovic, H., Brborovic, O., & Mustajbegovic, J. (2016). Looking for the possible association between stress, presenteeism and absenteeism among Croatian nurses: A cross-sectional study. Iranian Journal of Psychiatry and Behavioral Sciences, 10(4), Article e4587. https://doi.org/10.17795/ijpbs-4587

  • Breathworks. (2017). Mindfulness for stress course. Breathworks. https://www.breathworks-mindfulness.org.uk/mindfulness-for-stress

  • Callan, M. J., Kim, H., & Matthews, W. J. (2015). Predicting self-rated mental and physical health: The contributions of subjective socioeconomic status and personal relative deprivation. Frontiers in Psychology, 6, Article 1415. https://doi.org/10.3389/fpsyg.2015.01415

  • Cancelliere, C., Cassidy, J. D., Ammendolia, C., & Côté, P. (2011). Are workplace health promotion programs effective at improving presenteeism in workers? A systematic review and best evidence synthesis of the literature. BMC Public Health, 11(1), Article 395. https://doi.org/10.1186/1471-2458-11-395

  • CDC. (2015). CDC - TWH: Infographic - NIOSH workplace safety & health topics. Centers for Disease Control and Prevention. https://www.cdc.gov/niosh/twh/topreasons/infographic_text.html

  • Chee, H. L. (2003). Relation between sick leave and selected exposure variables among women semiconductor workers in Malaysia. Occupational and Environmental Medicine, 60(4), 262-270. https://doi.org/10.1136/oem.60.4.262

  • Chen, H., Richard, O. C., Dorian Boncoeur, O., & Ford, D. L. (2020). Work engagement, emotional exhaustion, and counterproductive work behavior. Journal of Business Research, 114, 30-41. https://doi.org/10.1016/j.jbusres.2020.03.025

  • Chenoweth, D. (2011). Promoting employee well-being: Wellness strategies to improve health, performance and the bottom line (Rep.). SHRM Foundation.

  • Cifre, E., Salanova, M., & Rodríguez-Sánchez, A. M. (2011). Dancing between theory and practice: Enhancing work engagement through work stress intervention. Human Factors and Ergonomics In Manufacturing, 21(3), 269-286. https://doi.org/10.1002/hfm.20232

  • Côté, K., Lauzier, M., & Stinglhamber, F. (2020). The relationship between presenteeism and job satisfaction: A mediated moderation model using work engagement and perceived organizational support. European Management Journal, 39(2), 270-278. https://doi.org/10.1016/j.emj.2020.09.001

  • De Beer, L., Pienaar, J., & Rothmann Jr, S. (2013). Linking employee burnout to medical aid provider expenditure. SAMJ: South African Medical Journal, 103(2), 89-93.

  • De Bruin, D. P., Hill, C., Henn, C. M., & Muller, K. P. (2013). Dimensionality of the UWES-17: An item response modelling analysis. SA Journal of Industrial Psychology, 39(2), Article a1148. https://doi.org/10.4102/sajip.v39i2.1148

  • DOSH. (2020). Occupational accidents statistics by state January to December 2020 (investigated). Department of Occupational Safety and Health Malaysia. https://www.dosh.gov.my/index.php/statistic-v/occupational-accident-statistics/occupational-accident-statistic-2020/3877-occupational-accidents-statistics-by-state-january-to-december-2020-investigated/file

  • Dunning, K. K., Davis, K. G., Cook, C., Kotowski, S. E., Hamrick, C., Jewell, G., & Lockey, J. (2009). Costs by industry and diagnosis among musculoskeletal claims in a state workers compensation system: 1999 - 2004. American Journal of Industrial Medicine, 53, 276-284. https://doi.org/10.1002/ajim.20774

  • Edimansyah, B. A., Rusli, B. N., Naing, L., Rusli, B. A. M., Winn, T., & Ariff, B. R. H. T. M. (2008). Self-perceived depression, anxiety, stress and their relationships with psychosocial job factors in male automotive assembly workers. Industrial Health, 46(1), 90-100. https://www.ncbi.nlm.nih.gov/pubmed/18270454

  • Gemeda, H. K., & Lee, J. (2020). Leadership styles, work engagement and outcomes among information and communications technology professionals: A cross-national study. Heliyon, 6(4), Article e03699. https://doi.org/10.1016/j.heliyon.2020.e03699

  • Goodman, S. A., & Svyantek, D. J. (1999). Person-organization fit and contextual performance: Do shared values matter. Journal of Vocational Behavior, 55(2), 254-275. https://doi.org/10.1006/jvbe.1998.1682

  • Greaves, C. E., Parker, S. L., Zacher, H., & Jimmieson, N. L. (2017). Working mothers’ emotional exhaustion from work and care: The role of core self-evaluations, mental health, and control. Work & Stress, 31(2), 164-181. https://doi.org/10.1080/02678373.2017.1303760

  • Groeneveld, I. F., Proper, K. I., Van der Beek, A. J., Hildebrandt, V. H., & Van Mechelen, W. (2010). Lifestyle-focused interventions at the workplace to reduce the risk of cardiovascular disease - A systematic review. Scandinavian Journal of Work, Environment & Health, 36(3), 202-215. https://doi.org/10.5271/sjweh.2891

  • Hansen, C. D., & Andersen, J. H. (2008). Going ill to work - What personal circumstances, attitudes and work-related factors are associated with sickness presenteeism? Social Science & Medicine, 67(6), 956-964. https://doi.org/10.1016/j.socscimed.2008.05.022

  • Hendriksen, I. J., Snoijer, M., De Kok, B. P., Van Vilsteren, J., & Hofstetter, H. (2016). Effectiveness of a multilevel workplace health promotion program on vitality, health, and work-related outcomes. Journal of Occupational & Environmental Medicine, 58(6), 575-583. https://doi.org/10.1097/jom.0000000000000747

  • Holmgren, K., Hensing, G., Bültmann, U., Hadzibajramovic, E., & Larsson, M. E. H. (2019). Does early identification of work-related stress, combined with feedback at GP-consultation, prevent sick leave in the following 12 months? A randomized controlled trial in primary health care. BMC Public Health, 19(1), 1-10. https://doi.org/10.1186/s12889-019-7452-3

  • ILO. (2016). Workplace stress, a collective challenge (Vol. 1). International Labour Organization. https://doi.org/10.1017/CBO9781107415324.004

  • Ishtiak-Ahmed, K., Perski, A., & Mittendorfer-Rutz, E. (2013). Predictors of suicidal behaviour in 36,304 individuals sickness absent due to stress-related mental disorders - A Swedish register linkage cohort study. BMC Public Health, 13, Article 492. https://doi.org/10.1186/1471-2458-13-492

  • Jack, A. (2017, September 13). The price of success for Asia’s workers. The Financial Times. https://www.ft.com/content/3e27eae2-3fa9-11e7-82b6-896b95f30f58

  • Jesus, S. N. D., Miguel-Tobal, J. J., Rus, C. L., Viseu, J., & Gamboa, V. (2014). Evaluating the effectiveness of a stress management training on teachers and physicians’ stress related outcomes. Clínica y Salud, 25(2), 111-115. https://doi.org/10.1016/j.clysa.2014.06.004

  • Jindo, T., Kai, Y., Kitano, N., Tsunoda, K., Nagamatsu, T., & Arao, T. (2020). Relationship of workplace exercise with work engagement and psychological distress in employees: A cross-sectional study from the MYLS study. Preventive Medicine Reports, 17, Article 101030. https://doi.org/10.1016/j.pmedr.2019.101030

  • Johns, G. (2009). Presenteeism in the workplace: A review and research agenda. Journal of Organizational Behavior, 31(4), 519-542. https://doi.org/10.1002/job.630

  • Johnston, D. A., Harvey, S. B., Glozier, N., Calvo, R. A., Christensen, H., & Deady, M. (2019). The relationship between depression symptoms, absenteeism and presenteeism. Journal of Affective Disorders, 256, 536-540. https://doi.org/https://doi.org/10.1016/j.jad.2019.06.041

  • Kuoppala, J., Lamminpää, A., & Husman, P. (2008). Work health promotion, job well-being, and sickness absences - A systematic review and meta-analysis. Journal of Occupational & Environmental Medicine, 50(11), 1216-1227. https://doi.org/10.1097/jom.0b013e31818dbf92

  • Manjunatha, R., Kiran, D., & Thankappan, K. R. (2011). Sickness absenteeism, morbidity and workplace injuries among iron and steel workers - A cross sectional study from Karnataka, Southern India. Australasian Medical Journal, 4(3), 143-147. https://doi.org/10.4066/AMJ.2011.576

  • Martin, A., Sanderson, K., & Cocker, F. (2008). Meta-analysis of the effects of health promotion intervention in the workplace on depression and anxiety symptoms. Scandinavian Journal of Work, Environment & Health, 35(1), 7-18. https://doi.org/10.5271/sjweh.1295

  • May, D. R., Gilson, R. L., & Harter, L. M. (2004). The psychological conditions of meaningfulness, safety and availability and the engagement of the human spirit at work. Journal of Occupational and Organizational Psychology, 77(1), 11-37. https://doi.org/10.1348/096317904322915892

  • Mazerall, L. (2002). Stress management within a manufacturing environment (Unpublished Master’s Thesis). National Library of Canada= Bibliothèque nationale du Canada, Ottawa.

  • McConachie, D. A. J., McKenzie, K., Morris, P. G., & Walley, R. M. (2014). Acceptance and mindfulness-based stress management for support staff caring for individuals with intellectual disabilities. Research in Developmental Disabilities, 35(6), 1216-1227. https://doi.org/10.1016/j.ridd.2014.03.005

  • MOH. (2005). Modul minda sihat [Healthy Mind Module]. Ministry of Health Malaysia. https://www.infosihat.gov.my

  • Ministry of Health. (2014). Health expenditure report 1997 - 2012. Ministry of Health Malaysia. https://www.mma.org.my/Portals/0/PDF%202015/Health%20Expenditure%20Report%201997%20-%202012.pdf

  • Muir, C., Prang, K. H., Sheppard, D., & Newnam, S. (2020). Occupational injuries among police workers: Patterns and contributing factors in an Australian jurisdiction. Safety Science, 122, Article 104525. https://doi.org/10.1016/j.ssci.2019.104525

  • Nerstad, C. G., Richardsen, A. M., & Martinussen, M. (2010). Factorial validity of the Utrecht Work Engagement Scale (UWES) across occupational groups in Norway. Scandinavian Journal of Psychology, 51(4), 326-333. https://doi.org/10.1111/j.1467-9450.2009.00770.x

  • NIOSH. (1998). Stress at work. National Institute for Occupational Safety and Health USA. https://www.cdc.gov/niosh

  • Prater, T., & Smith, K. (2011). Underlying factors contributing to presenteeism and absenteeism. Journal of Business & Economics Research, 9(6), 1-14. https://doi.org/10.19030/jber.v9i6.4374

  • Rasmussen, B., Sweeny, K., & Sheehan, P. (2016). Health and economy: The impact of wellness on workforce productivity in global markets [Report to the U.S. Chamber of Commerce’s Global Initiative on Health and Economy, VISES]. Victoria University. https://www.uschamber.com/assets/archived/images/documents/files/global_initiative_on_health_and_the_economy_-_report.pdf

  • Roche, A. M., Pidd, K., Fischer, J. A., Lee, N., Scarfe, A., & Kostadinov, V. (2016). Men, work, and mental health: A systematic review of depression in male-dominated industries and occupations. Safety and Health at Work, 7(4), 268-283. https://doi.org/10.1016/J.SHAW.2016.04.005

  • Rongen, A., Robroek, S. J. W., Van Lenthe, F. J., & Burdorf, A. (2013). Workplace health promotion: A meta-analysis of effectiveness. American Journal of Preventive Medicine, 44(4), 406-415. https://doi.org/10.1016/j.amepre.2012.12.007

  • Schaufeli, W. B. (2012). Work engagement. What do we know and where do we go? Romanian Journal of Applied Psychology, 14(1), 3-10.

  • Schaufeli, W. B., & Bakker, A. B. (2003). Test manual for the Utrecht Work Engagement Scale [Unpublished manuscript]. Utrecht University, the Netherlands. http://www.schaufeli.com

  • Schaufeli, W. B., & Bakker, A. B. (2004). Job demands, job resources, and their relationship with burnout and Engagement: A multi-sample study. Journal of Organizational Behavior, 25(3), 293-315. https://doi.org/10.1002/job.248

  • Shimazu, A., Schaufeli, W. B., Kosugi, S., Suzuki, A., Nashiwa, H., Kato, A., Sakamoto, M., Irimajiri, H., Amano, S., Hirohata, K., Goto, R., & Kitaoka-Higashiguchi, K. (2008). Work engagement in Japan: Validation of the Japanese version of the Utrecht Work Engagement Scale. Applied Psychology, 57(3), 510-523. https://doi.org/10.1111/j.1464-0597.2008.00333.x

  • Shore, L. M. F., & Martin, H. J. (1989). Job satisfaction and organizational commitment in relation to work performance and turnover intentions. Human Relations, 42(7), 625-638. https://doi.org/10.1177/001872678904200705

  • Sulaiman, W., & Zahoni, N. (2016). Validation of the Utrecht Work Engagement Scale (UWES) in the Malaysian context. International Journal of Social, 6(9), 672-676.

  • Suzuki, T., Miyaki, K., Song, Y., Tsutsumi, A., Kawakami, N., Shimazu, A., Takahashi, M., Inoue, A., & Kurioka, S. (2015). Relationship between Sickness presenteeism (WHO-HPQ) with depression and sickness absence due to mental disease in a cohort of Japanese workers. Journal of Affective Disorders, 180, 14-20. https://doi.org/10.1016/j.jad.2015.03.034

  • Swanberg, J. E., McKechnie, S. P., Ojha, M. U., & James, J. B. (2011). Schedule control, supervisor support and work engagement: A winning combination for workers in hourly jobs? Journal of Vocational Behavior, 79(3), 613-624. https://doi.org/10.1016/j.jvb.2011.04.012

  • Tadesse, S., Ebrahim, K., & Gizaw, Z. (2015). Sickness absenteeism and associated factors among horticulture employees in lume district, southeast Ethiopia. Journal of Occupational Medicine and Toxicology, 10(1), 1-6. https://doi.org/10.1186/s12995-015-0074-5

  • Teo, S. T. T., Bentley, T., & Nguyen, D. (2020). Psychosocial work environment, work engagement, and employee commitment: A moderated, mediation model. International Journal of Hospitality Management, 88, Article 102415. https://doi.org/10.1016/j.ijhm.2019.102415

  • Tisu, L., Lupșa, D., Vîrgă, D., & Rusu, A. (2020). Personality characteristics, job performance and mental health the mediating role of work engagement. Personality and Individual Differences, 153, Article 109644. https://doi.org/10.1016/j.paid.2019.109644

  • U.S. Bureau of Labor Statistics. (2020). Labor force statistics from the current population survey. U.S. Bureau of Labor Statistics. https://www.bls.gov/cps/

  • Van De Poll, M. K., Bergström, G., Jensen, I., Nybergh, L., Kwak, L., Lornudd, C., & Lohela-Karlsson, M. (2020). Cost-effectiveness of a problem-solving intervention aimed to prevent sickness absence among employees with common mental disorders or occupational stress. International Journal of Environmental Research and Public Health, 17(14), 1-15. https://doi.org/10.3390/ijerph17145234

  • Van Doornen, L. J., Houtveen, J. H., Langelaan, S., Bakker, A. B., van Rhenen, W., & Schaufeli, W. B. (2009). Burnout versus work engagement in their effects on 24-hour ambulatory monitored cardiac autonomic function. Stress and Health, 25(4), 323-331. https://doi.org/10.1002/smi.1279

  • Viswanathan, H., Sridharan, P., & Thiyagarajan, S. (2012). Absenteeism - A menace in Indian BPO industry. SMART Journal of Business Management Studies, 9, 43-50.

  • Vokić, N. P., & Bogdanić, A. (2007). Individual differences and occupational stress perceived: A Croatian survey. EFZG Working Paper Series, 5, 1-15.

  • Wang, H., Naghavi, M., Allen, C., Barber, R. M., Bhutta, Z. A., Carter, A., Casey, D. C., Charlson, F. J., Chen, A. Z., Coates, M. M., Coggeshall, M., Dandona, L., Dicker, D. J., Erskine, H. E., Ferrari, A. J., Fitzmaurice, C., Foreman, K., Forouzanfar, M. H., Fraser, M. S., … & Murray, C. J. L. (2016). Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980-2015: A systematic analysis for the Global Burden of Disease Study 2015. Lancet, 388(10053), 1459-1544. https://doi.org/10.1016/s0140-6736(16)31012-1

  • Wehrenberg, M. (2008). The 10 best-ever anxiety management techniques (1st Ed.). W.W. Norton & Company Inc.

  • Whitmore, M., Stewart, K., Pollard, J., Belle, J. V., Yang, M., & Stolk, C. V. (2018). Promising practices for health and wellbeing at work. RAND Europe.

  • Zare, R., Choobineh, A., & Keshavarzi, S. (2017). Association of amplitude and stability of circadian rhythm, sleep quality, and occupational stress with sickness absence among a gas company employees - A cross sectional study from Iran. Safety and Health at Work, 8(3), 276-281. https://doi.org/10.1016/j.shaw.2016.09.007

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JST-3113-2021

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