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ErgonomicsSujuKENCT03573674

Improving Work Flow Through Cognitive Ergonomics. An Intervention Study

A study testing CE - Cognitive Ergonomics (KERGO) and RS - Recovery Support (KUORMA) in people with Ergonomics, run by Finnish Institute of Occupational Health at 1 site in Finland.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The main aim of the SujuKE study is to test the effectiveness of workplace cognitive ergonomics development program designed to decrease cognitively disrupting work conditions and work-related cognitive stress, and to improve work flow. Read more about this study

Who is it for?
Ages 18 to 70 yearsHealthy volunteers can take part
Conditions the study is for
Ergonomics
What is being tested?
CE - Cognitive Ergonomics (KERGO) and RS - Recovery Support (KUORMA)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
927 participants
Where
1 siteFinland
Study dates
1 Nov 2017to 31 Oct 2019
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 70 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • The participating organization offers several comparable teams (regarding type of tasks and demands) for study
  • The participating units (in organizations) include knowledge workers, such as office workers and experts
  • Whose
  • work tasks are cognitively rather than physically demanding
  • work requires learning and updating knowledge and skills
  • information and communication technology is the main tool at work.

Who cannot join

None listed.

Trial locations and contacts

1 site in 1 country.

Finland1 site
  • Finnish Institute of Occupational Health

    Helsinki, Etelä-Suomi, 00250

Other trials in Finland

About this study

Official title: SujuKE - Improving Work Flow Through Cognitive Ergonomics. An Intervention Study

The main aim of the SujuKE study is to test the effectiveness of workplace cognitive ergonomics development program designed to decrease cognitively disrupting work conditions and work-related cognitive stress, and to improve work flow. The cognitive ergonomics workplace intervention includes cognitive ergonomics workshop, work experiments, and intervention task questionnaires. Its effect on changes in subjective measures of work conditions, work flow, stress, and work productivity will be studied. The hypothesis is that cognitive ergonomics intervention decreases the level of cognitive strain related to work conditions, and this change is associated with higher level in work flow, well-being, and productivity at work.

Read the detailed description

In the modern work life, performing work tasks rely on cognitive function, i.e. mental processes that are involved in processing information, such as attention, working memory, decision making and learning. Furthermore, the conditions at work include situations that require cognitive capacity. Information overload, multitasking and interruptions are typical features in any work. Thus, in the modern work life, work is knowledge work or information work by nature, and cognitive strain is a notable psychosocial risk factor. Not only task demands per se can exceed natural limitations of human cognitive capacities, but also the conditions at work can make it demanding for a human to perform.

Research shows that psychosocial stress, including cognitive stress, challenges wellbeing, safety and productivity at work. Cognitively straining conditions, such as disruptions, interruptions and information overload are related to higher levels of work stress, occupational accidents, and cognitive failures at work. It is essential to decrease harmful consequences to individual workers, organizations, and the society by managing psychosocial risks typical to cognitively demanding work tasks and conditions.

SujuKE study focuses on ergonomics (or human factors) practices that aim to ensure 'appropriate interaction between work, product and environment, and human needs, capabilities and limitations'. In cognitive ergonomics, the focus is on making human-system interaction compatible with human cognitive abilities and limitations, particularly at work. The aim is to apply general principles and good practices of cognitive ergonomics that help to avoid unnecessary cognitive load at work and that improve human performance.

The aim of the SujuKE study is to improve the conditions of knowledge work and promote the flow of work and reduce work strain. There are studies which show that decreasing disruptions, providing uninterrupted working time, and reducing information may lead to improved work flow and productivity. In the SujuKE-study, several sources of cognitive strain are restricted and concrete methods to help improve cognitive ergonomics will be worked on and implemented at workplace. The objective of the project is to obtain research evidence of the effects of cognitive ergonomics development programme on working conditions, the flow of work, well-being at work, and the productivity at work.

During the SujuKE project, the investigators will implement measures at the workplace that aim to facilitate work and reduce strain. The objective of the project is to obtain research evidence of the effects of these measures on working conditions, the flow of work, well-being at work, and the productivity at work. The study is carried out by the Finnish Institute of Occupational Health (FIOH) and funded by the Finnish Work Environment Fund.

Conditions
Ergonomics
Being tested
CE - Cognitive Ergonomics (KERGO), RS - Recovery Support (KUORMA)
Keywords
Working conditions,, cognitive load, disruptions, interruptions, information overload, Mental contrasting with implementation intentions MCII, Cognitive ergonomics

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • CE - Cognitive Ergonomics (KERGO)Behavioural

    CE "Cognitive ergonomics Intervention" deals with themes such as disruptions, interruptions, information overload.

    A cognitive behaviour change method was applied in the intervention tasks. Both the tasks of discussing and developing new practices within the groups of individuals and the tasks for individuals were constructed to utilize mental contrasting with implementation intentions (MCII) method

  • RS - Recovery Support (KUORMA)Behavioural

    RS "Recovery Support / Stress Management Intervention" deals with themes such as workload management, recovery, work-family balance.

    A cognitive behaviour change method was applied in the intervention tasks. Both the tasks of discussing and developing new practices within the groups of individuals and the tasks for individuals were constructed to utilize mental contrasting with implementation intentions (MCII) method

Study groups in NCT03573674
Study groupRoleWhat they receive
Cognitive ergonomics InterventionExperimentalNot described
Receives: Behavioral: CE - Cognitive Ergonomics (KERGO)
Stress management InterventionActive comparatorNot described
Receives: Behavioral: RS - Recovery Support (KUORMA)
Passive controlNo intervention"Passive Control" groups receive no intervention at all.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in cognitive strain prevalence

    Cognitive strain prevalence measures prevalence of disruptions, interruptions, and information overload.

    There are two items on disruptions, three items on interruptions, and seven items on information overload including memory load, multitasking, and problems with instructions (Brain@Work survey by FIOH).

    Response scale is from 1 to 5, higher number indicating higher prevalence (Scale: More rarely; Monthly; Weekly; Daily, or almost daily; Many times a day) Total score is a factor score including all 12 items.

    Measured: 1: Baseline measurements: 10-16 weeks before the intervention phase. 2: End-of-treatment measurements: 18-28 weeks after the baseline measurements. 3: Follow-up 4m: 16 weeks after the end-of-treatment. 4: Follow-up 10m: 40 weeks after end-of-treatment

Secondary outcomes (8)
  1. Change in subjective Cognitive load

    Measured a) for the main themes of the intervention study. There are two items on disruptions, three items on interruptions, and seven items on information overload including memory load, multitasking, and problems with instructions (Brain@Work survey by FIOH).

    Furthermore, measured b) with all 39 items from FIOH Brain@Work Index questionnaire including 13 subscales.

    Response scale is from -3 to 3 (seven-point), negative values reflecting motivation-energization, positive values reflecting strain, zero reflecting neither. Higher number indicates higher load (Scale: Motivate-Energize Very much; Quite a lot; Somewhat; Cause strain Somewhat; Quite a lot; Very much).

    Total scores are averaged a) over the 12 items (disruptions, interruptions, information overload) and b) over the 39 items (all 13 subscales) weighted with their estimated prevalence (5 point scale, higher values reflecting higher prevalence).

    Measured: 1: Baseline measurements: 10-16 weeks before the intervention phase. 2: End-of-treatment measurements: 18-28 weeks after the baseline measurements. 3: Follow-up 4m: 16 weeks after the end-of-treatment. 4: Follow-up 10m: 40 weeks after end-of-treatment

  2. Change in Recovery

    Includes 1 item recovery measure. Measured with question: "How well do you usually feel that you recover from the strain caused by your work (both mental and physical) after your working day/work shift?". Scale from 0 (very poorly) to 10 (very well).

    Measured: 1: Baseline measurements: 10-16 weeks before the intervention phase. 2: End-of-treatment measurements: 18-28 weeks after the baseline measurements. 3: Follow-up 4m: 16 weeks after the end-of-treatment. 4: Follow-up 10m: 40 weeks after end-of-treatment

  3. Change in stress

    Includes 1 item stress measure. Measured with question "By stress we mean a situation in which a person feels tense, restless, nervous, or anxious, or they find it difficult to sleep because they cannot switch off their thoughts. Do you currently feel this kind of stress? (Choose the option that best suits you)". Scale from 0 (not at all) to 10 (very much).

    Measured: 1: Baseline measurements: 10-16 weeks before the intervention phase. 2: End-of-treatment measurements: 18-28 weeks after the baseline measurements. 3: Follow-up 4m: 16 weeks after the end-of-treatment. 4: Follow-up 10m: 40 weeks after end-of-treatment

  4. Change in Burnout index

    Burnout is measured with The Copenhagen Psychosocial Questionnaire II (COPSOQ-II) Burnout Index (Pejtersen, Kristensen, Borg, \& Bjorner, 2010). The index includes four items. Scale: Not at all; A small part of the time; Part of the time; A large part of the time; All the time). Each item is scored 0-100 (0, 25, 50, 75, and 100), higher values indicating higher level of burnout. Total score is averaged over the four items.

    Measured: 1: Baseline measurements: 10-16 weeks before the intervention phase. 2: End-of-treatment measurements: 18-28 weeks after the baseline measurements. 3: Follow-up 4m: 16 weeks after the end-of-treatment. 4: Follow-up 10m: 40 weeks after end-of-treatment

  5. Change in General health

    Includes 1 item general health measure. Measured with question: "In general: would you say that your health is:" Scale: from 1 to 5, higher number indicating better health (Poor, Fairly poor, Average, Fairly good, Good).

    Measured: 1: Baseline measurements: 10-16 weeks before the intervention phase. 2: End-of-treatment measurements: 18-28 weeks after the baseline measurements. 3: Follow-up 4m: 16 weeks after the end-of-treatment. 4: Follow-up 10m: 40 weeks after end-of-treatment

  6. Change in subjective presenteeism

    Presenteeism / Subjective productivity Health at Work (HPQ) survey (World Health Organization, WHO 2001) questions B14: how would you rate your usual job performance over the past year or two? (Scale 0-10 with 10 being top performance) and B15: how would you rate your overall job performance on the days you worked during the past 4 weeks (28 days)? (Scale 0-10 with 10 being top performance)

    Measured: 1: Baseline measurements: 10-16 weeks before the intervention phase. 2: End-of-treatment measurements: 18-28 weeks after the baseline measurements. 3: Follow-up 4m: 16 weeks after the end-of-treatment. 4: Follow-up 10m: 40 weeks after end-of-treatment

  7. Change in Cognitive stress symptoms

    Cognitive stress symptoms are measured with COPSOPQ-II Cognitive Stress Index (Pejtersen, Kristensen, Borg, \& Bjorner, 2010). The index includes four items (scale: Not at all; A small part of the time; Part of the time; A large part of the time; All the time). Each item is scored 0-100 (0, 25, 50, 75, and 100), higher values indicating higher level of stress symptoms.

    Total score is averaged over the four items.

    Measured: 1: Baseline measurements: 10-16 weeks before the intervention phase. 2: End of treatment measures: 18-28 weeks after baseline.

  8. Change in Work flow

    Work flow is measured as cognitive failure at work with three subscales. a) Workplace Cognitive Failure Scale (WCFS) memory sub-scale includes five items, b) WCFS attention sub-scale includes five items (Wallace \& Chen 2005), and c) FIOH Cognitive failure: Multitasking subscale includes three items.

    The scale is from one to five (More rarely; Monthly; Weekly; Daily, or almost daily; Many times a day), higher number indicating higher prevalence of cognitive failure and lower work flow.

    Total scores are averaged for each subscale: WCFS memory, WCFS attention, and FIOH multitasking.

    Measured: 1: Baseline measurements: 10-16 weeks before the intervention phase. 2: End of treatment measures: 18-28 weeks after baseline. .

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Jun 2018
  2. Study start1 Nov 2017
  3. Primary completion31 Oct 2019
  4. Study completion31 Oct 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Cluster randomization with stratification allocated groups selected by participating organizations to treatment and control groups. Primary stratification was by the organization. Within-organization stratification took into account the size, the type of work tasks and the response rate in the first survey of cluster. Participating organizations entered all together to 36 clusters, each with individuals for the intervention and active control groups (N=638 individuals). The intervention (and active control) receive different types of workshops, individual tasks and team tasks. Additional information is available from non-randomized passive control group (N=289 individuals). Participating organizations were recruited by informing about the study. Participating units included knowledge workers, whose work tasks are cognitively rather than physically demanding.
Masking
None (open label)
Enrolment
927 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03573674
Sponsor's protocol ID
117155
Other IDs
117155
Acronym
SujuKE
Status last verified
Apr 2020
First submitted
24 May 2018
Last updated
6 Apr 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Kalakoski V, Selinheimo S, Valtonen T, Turunen J, Kapykangas S, Ylisassi H, Toivio P, Jarnefelt H, Hannonen H, Paajanen T. Effects of a cognitive ergonomics workplace intervention (CogErg) on cognitive strain and well-being: a cluster-randomized controlled trial. A study protocol. BMC Psychol. 2020 Jan 2;8(1):1. doi: 10.1186/s40359-019-0349-1.

    PubMed 31898551

Questions about this trial

What is this clinical trial studying?

A study testing CE - Cognitive Ergonomics (KERGO) and RS - Recovery Support (KUORMA) in people with Ergonomics, run by Finnish Institute of Occupational Health at 1 site in Finland.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 0 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 6 Apr 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Finland. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in cognitive strain prevalence (time frame: 1: Baseline measurements: 10-16 weeks before the intervention phase. 2: End-of-treatment measurements: 18-28 weeks after the baseline measurements. 3: Follow-up 4m: 16 weeks after the end-of-treatment. 4: Follow-up 10m: 40 weeks after end-of-treatment). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03573674, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Apr 2020.

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