PT - JOURNAL ARTICLE AU - Luise Moelenberg Begtrup AU - Per Malmros AU - Charlotte Brauer AU - Sandra Soegaard Toettenborg AU - Esben Meulengracht Flachs AU - Paula Edeusa Cristina Hammer AU - Jens Peter Bonde TI - Manager-oriented intervention to reduce absence among pregnant employees in the healthcare and daycare sector: a cluster randomised trial AID - 10.1136/oemed-2020-106794 DP - 2021 Jul 01 TA - Occupational and Environmental Medicine PG - 486--493 VI - 78 IP - 7 4099 - http://oem.bmj.com/content/78/7/486.short 4100 - http://oem.bmj.com/content/78/7/486.full SO - Occup Environ Med2021 Jul 01; 78 AB - Objective The aim was to test if targeting managers with an educational intervention reduces absence among pregnant employees.Methods The study was a non-blinded cluster randomised trial conducted in hospitals and daycare institutions from two administrative Danish Regions and two Danish municipalities. Clusters (work units) were assigned randomly and non-blinded to either (1) intervention, where all managers were invited to participate in a 3-hour seminar addressing needs and options for adjustment of work in pregnancy, or (2) control, with practice as usual. The primary outcome based on payroll data was long-term pregnancy-related absence, defined as ≥12.5% cumulated absence during pregnancy weeks 1–32. Intention-to-treat analysis was applied using mixed logistic regression.Results Ninety work units were included (56 hospital departments and 34 daycare units) with 451 pregnant employees in the intervention group and 464 in the control group. Work units had on average 11 pregnant employees with no difference between the groups. 103 of the 216 invited managers (48%) participated in a the 3-hour seminar. In the intervention group, 154 (34%) had long-term pregnancy-related absence during pregnancy weeks 1–32 vs 166 (36%) in the control group. Relative odds of having long-term pregnancy-related absence, when being in the intervention group, was 1.06 (95% CI 0.71 to 1.58), with an interclass correlation coefficient of 0.07.Conclusion An educational intervention targeting managers did not reduce pregnancy-related absence among pregnant employees.Trial registration number NCT03002987.No data are available.