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Ergonomics
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Diversity of tasks and information technologies used by


office workers at and away from work
a b c d
Marina Ciccarelli , Leon Straker , Svend Erik Mathiassen & Clare Pollock
a
School of Occupational Therapy & Social Work, Curtin Health Innovation Research
Institute, Curtin University , Perth, Australia
b
School of Physiotherapy, Curtin Health Innovation Research Institute, Curtin University ,
Perth, Australia
c
Department of Occupational and Public Health Sciences , Centre for Musculoskeletal
Research, University of Gävle , Sweden
d
Faculty of Health Sciences, Curtin Health Innovation Research Institute, Curtin University ,
Perth, Australia
Published online: 25 Oct 2011.

To cite this article: Marina Ciccarelli , Leon Straker , Svend Erik Mathiassen & Clare Pollock (2011) Diversity of tasks
and information technologies used by office workers at and away from work, Ergonomics, 54:11, 1017-1028, DOI:
10.1080/00140139.2011.609913

To link to this article: http://dx.doi.org/10.1080/00140139.2011.609913

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Ergonomics
Vol. 54, No. 11, November 2011, 1017–1028

Diversity of tasks and information technologies used by office workers at and away from work
Marina Ciccarellia*, Leon Strakerb, Svend Erik Mathiassenc and Clare Pollockd
a
School of Occupational Therapy & Social Work, Curtin Health Innovation Research Institute, Curtin University, Perth, Australia;
b
School of Physiotherapy, Curtin Health Innovation Research Institute, Curtin University, Perth, Australia; cDepartment of
Occupational and Public Health Sciences, Centre for Musculoskeletal Research, University of Gävle, Sweden; dFaculty of
Health Sciences, Curtin Health Innovation Research Institute, Curtin University, Perth, Australia
(Received 29 August 2010; final version received 28 July 2011)

Background. Computer use is associated with musculoskeletal complaints among office workers. Insufficient
exposure diversity between tasks is a proposed etiological factor, but little information exists on diversity of tasks
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and information and communication technologies (ICT) among office workers. Method. Direct observation and
self-report data were collected on tasks performed and ICT used among 24 office workers, over 12 h in work and
non-work environments. Self-reports were repeated on four additional days. Results. Observations were for a mean
[SD] 642[40] min. Productive tasks comprised 63% of observations, instrumental 17%, self-care 12% and leisure
8%. Non-ICT tasks comprised 44% of observations; New electronic-based ICT 36%; Old paper-based ICT 15%,
and Combined ICT tasks 4%. Proportions of tasks and ICT use differed between environments and days. Conclusion.
Information about diversity in tasks and ICT provides the basis for future investigations into exposure variation
in ICT-intensive environments and possible musculoskeletal health risks.

Statement of relevance: Information and communication technologies (ICT) provide office workers access to
perform work-related tasks after work hours and in away-from-work locations. Musculoskeletal disorder risk
assessment for office workers should account for actual tasks performed over a work day, including away from work
exposures. This study provides rich, detailed data on occurrence of tasks performed and ICT used by office workers
throughout the day.
Keywords: office workers; ICT; tasks; direct observation

1. Introduction were reportedly due to body stressing of the


Many 21st century workers use computers and other musculoskeletal system, although the proportion
forms of new information and communication tech- directly attributable to computer use was not reported
nologies (ICT) at the workplace. Rapid developments (National Occupational Health and Safety
in ICT provide office workers with more powerful and Commission 2006).
faster work tools than their predecessors of less than Most clerical tasks and communications can be
20 years ago. Ninety-four percent of all Australian performed electronically while seated at a workstation.
businesses access the Internet (Australian Bureau of This contributes to growing concerns about the impact
Statistics 2009a). Use of ICT away-from-work is also of inadequate diversity in the task patterns and a
increasingly commonplace. Recently, 78% of all resulting lack of overall variation in working postures
Australian homes reported having at least one on the health and well-being of office workers (Straker
computer and 72% had Internet access (Australian and Mathiassen 2009).
Bureau of Statistics 2009b). Expectations of where,
when and how workers are performing their jobs are
changing due to the spatial and temporal mobility that 1.1. Variation and diversity of exposures
is afforded by the use of electronic ICT. Excessive loading of muscles and joints was widely
Musculoskeletal disorders (MSDs) related to com- thought to be a major cause of computer-related
puter use at work are of international concern (Gerr MSDs with early research and intervention focused on
et al. 2004). While surveys have reported disorder reducing amplitude exposure levels (Grandjean 1969,
prevalence rates among computer users (Gerr et al. Aarås 1987, Jonsson 1988). However, even very low
2002), actual lost-time injury data is scarce. In levels of muscle loading during sedentary work
Australia, 90% of lost-time injuries in ‘clerical’ jobs have been associated with MSDs (Westgaard and

*Corresponding author. Email: m.ciccarelli@curtin.edu.au

ISSN 0014-0139 print/ISSN 1366-5847 online


Ó 2011 Taylor & Francis
http://dx.doi.org/10.1080/00140139.2011.609913
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1018 M. Ciccarelli et al.

Winkel 1996), and currently attention is being given to variation and thus reduce or prevent discomfort
the influence and effects of exposure variation and associated with sustained postural and muscle loads,
diversity rather than to the exposure level per se. even among people working with computers, but the
The term variation in this context describes a evidence has been inconclusive (Mathiassen 2006). One
change in exposure with respect to time (Mathiassen reason is that the effects of these initiatives targeting
2006). Exposure refers to external exposures (‘what is exposure variation have not been assessed in
done’) such as the task performed or type of ICT used, quantitative terms. This in turn illustrates a general
as well as internal exposures (‘how it is done’) need for metrics that quantify diversity and variation,
including posture and muscle activity. Within a given and for the application of such metrics in jobs.
time period, tasks performed may involve different Workers’ exposures can be measured via
actions, postures and muscle activity to different questionnaires, observations and direct measurements
extents, and exposure during that period may thus be (Winkel and Mathiassen 1994). To assess external
more or less variable. In jobs presenting the worker exposure, information on the tasks performed is
with prolonged periods of repetitive actions or required. It has been suggested that worker self-reports
constrained postures, more variation is generally of time spent in different work tasks, and in computer
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believed to be a necessary remedy against MSDs keyboard and mouse usage in particular, may be
(Mathiassen 2006). This conviction is based on both substantially different from that which is identified
epidemiologic evidence and on physiologic hypotheses using observations or activity monitoring (Homan and
proposing that continuous activation of specific muscle Armstrong 2003, Heinrich et al. 2004, Unge et al.
fibres is a causal mechanism for the development of 2005). Therefore, independent observation may be
myalgia (Hägg 1991). Some studies do, indeed, support preferable for assessing task occurrences. However,
that short interruptions in shoulder muscle activity this method is resource intensive and self-report could
(‘gaps’) are beneficial to musculoskeletal health be valuable in many studies if its concordance with
(Veiersted et al. 1993, Hägg and Åström 1997). These independent observation was known.
interruptions, as well as redistributions of muscle While work sampling (sporadic observation and
activity within the muscle may be triggered by identification of tasks) within a day may be effective in
variations in load. determining the structure of very regular jobs,
Diversity describes the difference in exposure continuous all day observations are necessary to
between different tasks or time periods. Combining accurately document the time-line of tasks in
diverse tasks, i.e. tasks which have different actions, non-cyclic or ‘spontaneous’ jobs such as office work.
postures and muscle activities, would result in greater However, task patterns may fluctuate from day to day
overall variation (Mathiassen 2006). For example, and thus a better understanding of differences in tasks
there may be little variation in arm postures while between work days would also be useful. The
performing task A during a given time period. difference between days is a measure of variation in
However, subsequent tasks B and C may involve itself.
different arm postures and thus provide varying
postural patterns overall. Diversity may be measured
between short epochs (i.e. consecutive work cycles 1.2. Exposure variation associated with different ICT
within a day) or over longer periods such as across The type of ICT used may influence variation and
days. Lack of diversity and variation in what workers diversity in exposures. Job enlargement and job
do and how they perform their work tasks has been rotation interventions among office workers are based
suggested as an underlying risk factor for MSDs on the premise that interchanging tasks that are
(Henning et al. 1997, Mclean et al. 2001, Balci and mentally and physically diverse will reduce overall risk
Aghazadeh 2003). levels. The variation in joint and muscle loading
While (lack of) diversity is recognised as an within, and diversity between, computer-based and
important risk factor, surprisingly little research has non-computer-based tasks has been investigated by
been devoted to understanding the occurrence of others (Fernström and Åborg 1999, Arvidsson et al.
diversity and variation in occupational settings, and 2006, Richter et al. 2009); however, more information
the effects of introducing more diverse tasks and more is needed about exposure variation within and diversity
variation into jobs. Work–rest schedules (Henning between other ICT types.
et al. 1997, Mclean et al. 2001), workstation exercise
(Fenety and Walker 2002) and job rotation/job
enlargement (Fernström and Åborg 1999, Mathiassen 1.3. Work vs. non-work exposures
et al. 2003, Möller et al. 2004, Schneider et al. 2005, Prior research on computer-related MSDs has focused
Mathiassen 2006) have been trialled to increase on exposures during work tasks at the workplace.
Ergonomics 1019

However, non-work activities such as self-care, leisure Technology, and participants provided written
and instrumental tasks (e.g. domestic chores) may also informed consent.
influence the risk of MSDs (Van Den Heuvel et al.
2005). However, it is not known whether internal
exposures during these other tasks are different to 2.2. Data collection
exposures during productive tasks, and thus enhance Participants were observed in real time during one
overall diversity, or whether internal exposures during work day, over 12 h duration (9 am–9 pm) to
these other tasks are similar and thus provide no include work and after-work tasks, and within
increase in diversity but rather increase the risk of participants’ natural environments. Direct
MSDs. observations of tasks were recorded in an electronic
Similarly, what individuals do away-from-work task log using time-stamped software
may also impact on their MSD risk. Activities in (PocketCreationsTM, OT International, Perth,
away-from-work locations may increase diversity and Australia), with a minute-to-minute resolution. Tasks
thus promote recovery from the physical and/or of less than 1 min duration were excluded.
mental stressors of the workplace; or may compound Observations were performed by one of two observers,
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the effects of awkward, constrained or prolonged trained during pilot studies to improve inter-rater
postures and sustained muscle loading because of consistency of observations. Direct measurements of
inadequate workstation design and/or non-work- posture and muscle activity were taken simultaneous
related psychological stressors. to observations; however, these results are not
It is therefore important to know how tasks are presented in this article. The monitoring equipment
distributed at work and away-from-work locations, was composed of inclinometers located on the head,
and how different ICT types are used in these tasks and upper back and right upper arm, with
at these locations. Therefore, this study aimed to electromyography electrodes over the right upper
quantify the occurrence of productive, self-care, leisure trapezius, deltoid and forearm extensor muscles along
and instrumental tasks and the different types of ICT with associated leads and data storage device worn
used in work and away-from-work locations among around the waist.
office workers. It also aimed to compare self-report
and independent observer methods for monitoring
tasks, and whether one day of sampling will be 2.3. Classifying tasks
representative for the four following days. Internal The various tasks that people typically engage in
exposures were assessed simultaneously using direct were listed in a task observation template in the task
monitoring of participants’ postures and upper body log. Tasks were grouped into categories including
muscle activity and will be reported separately. productive, self-care, leisure, and instrumental activities
of daily living, as defined by the American
Occupational Therapy Association (Youngstrom et al.
2. Method
2002). Productive tasks included work activities in
2.1. Sample either paid or voluntary employment, or educational
A convenience sample of 24 right-handed adults activities. Self care included tasks related to taking care
(12 female) with a mean [SD] age 38.5 [8.4] years; of one’s own body (e.g. toileting, bathing, dressing,
height 169.0 [8.6] cm and weight 70.3 [14.1] kg was eating, sleep and sexual activity). Leisure included
recruited. non-obligatory, intrinsically-motivated tasks people do
Participants performed office-based work at an for recreation or pleasure, such as playing a sport or
Australian public university, and included 14 admin- reading for pleasure. Instrumental activities of daily
istrative staff, 3 academic staff and 7 doctoral students. living included complex daily tasks that individuals
Participants were eligible for inclusion if they reported complete to sustain and manage their living in the
performing electronics-based tasks (i.e. computer, community, and examples included management of
television, telephone) at work and/or away-from- a household (chores), travel in the community, and
work for at least 30 min per day, and were willing to shopping.
be observed during one entire work day. Participants
who reported having a congenital or acquired MSD
that impacted on functional performance and required 2.4. Classifying categories of information and
on-going medical care, and those who wore bi-focal communication technology (ICT)
lenses were excluded. The different types of ICT that people use, and the
This study was approved by the Human input interface were included as a category of the
Research Ethics Committee at Curtin University of observation template in the task log. The following
1020 M. Ciccarelli et al.

definitions were developed to discriminate between task category (productive, self-care, leisure,
different ICT. New ICT included electronic interfaces instrumental) and type of ICT used (Old, New,
including desktop and laptop computers, hand-held Combined, Non-ICT), was analysed using a
computers or video games, television, telephones, custom-designed program in LabVIEWTM (National
calculators, photocopiers and faxes. Old ICT included Instruments, Austin, Texas). Output included
paper-based methods for completion of tasks such as descriptive statistics about the category of interest
reading a book, and writing or drawing with a pen or (i.e. geographical location, task category or type of
pencil. Combined ICT described tasks involving ICT used), and for each category the accumulated time
simultaneous use of New and Old ICT, for example, was calculated in absolute terms (minutes) and as a
composing a written document using a computer while proportion of the total observation period. Data from
reading from a book or handwritten notes. Non-ICT participants who did not perform particular tasks
described tasks involving neither Old nor New ICT, using the different types of ICT in a particular location
such as sports, board games, eating a meal or self-care were registered as a value of 0 min to calculate group
tasks. means.
Data from the self-reported task diaries were
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used to give information on the amount of time spent


2.5. Documenting observations in the four task categories (productive, self-care,
Observed tasks and the ICT used were logged into a leisure and instrumental activities of daily living) and
time-stamped data file by one of two trained observers, using the different types of ICT (Old, New, Combined
at a 1-min resolution. For each observed task and Non-ICT). Data from task observations on the
performed, detailed information was entered recorded day of recording were compared to self-reported
into the electronic activity log, including: (i) task tasks in the diary completed by participants at the
category (productive, self-care, leisure, instrumental) end of the recording period, using Wilcoxon
and the type of task; (ii) type of ICT being used (Old, signed-rank tests (in SPSS,v.17.0). To assess how
New, Non-ICT), and the device (laptop, desktop, hand- representative the day of recording was, Friedman
held computer) and control (keyboard, mouse, touch- analysis of variance (in SPSS, v.17.0) was performed
pad, buttons); (iii) geographical location in which the on data from the task diaries, comparing time
person was functioning (work or away-from-work); spent performing different tasks and using different
(iv) gross posture (sitting, standing, walking); and (v) ICT on the day of recording (day 1) and each of the
use of upper extremity support from the external next four individual working days; as well as
environment or the person’s own body. comparing time spent during day 1 to the average
Reports of any discomfort experienced were also of days 2–5. A critical alpha probability level of 0.05
collected during natural and scheduled breaks in tasks was used.
over the recording period. A front and rear aspect A variance component analysis (in Excel) was
body map with a scale of 0–10 (with 0 ¼ no discomfort performed on the self-report diary data from the
and 10 ¼ worst possible discomfort) was used to assist non-observed days 2–5, in order to quantify variability
participants identify location and intensity (Straker between days within participants as well as variability
1999). between participants. Variability between days was
also analysed in terms of the dispersion (SD) of
grouped averages of time spent performing tasks and
2.6. Task diary using ICT across the four days.
At the end of the observation, participants completed
a hand-written diary of the tasks they performed that
3. Results
day. The task diary (in 30 min periods) included the
main tasks performed and the ICT type and input 3.1. Tasks performed
device used. Participants were asked if the observed Observation data was obtained for a mean [SD] total
tasks were typical for that work day. Participants of 642[40] min per participant. This is less than the
also completed a hand-written task diary over intended duration of 720 min per participant,
the next four consecutive work days (reported as reflecting the time required to complete procedural
days 2–5). tasks related to the study that were not part of the
participant’s daily routine, including the end of day
diary and questionnaire. Approximately, two-thirds of
2.7. Data analysis the observation time was spent at the workplace
The task log for each participant, containing time- (432[48] min) and one-third (210[28] min) away from
stamped codes for location (at work, away-from-work), the workplace.
Ergonomics 1021

3.1.1. Total time spent in different task categories 3.2.3. Proportion of time using various types of ICT
The group mean [SD] of the participants’ total time at work and away-from-work
spent in productive tasks (405[122] min) accounted for New ICT was used 44% of the time at work
63% of the observation period1, compared to 17% for (191[126] min), compared to only 20% of the time
instrumental (106[57] min), 12% for self-care (75[46] when away-from-work. This included using
min) and 8% for leisure (54[39] min). non-computer-based New ICT such as photocopiers,
fax machines, telephones and television. The
computers used at work were predominantly desktop
3.1.2. Proportion of time spent in different task computers. Laptop computers were used by four
categories at work and away-from-work participants; and hand-held computers by only two.
When at work, participants performed productive tasks Forty percent of the time at work was spent using
for 83% of the time (356[141] min) with little leisure computers, while only 14% of the time away-from-
time (9[16] min). However, 23% of the time away- work was spent using computers. Regardless of the
from-work was also spent performing productive tasks location, when computers were used, it was usually
(49[81] min). This represented more than the propor- without any other ICT.
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tion of time spent in self-care and leisure tasks when Old ICT was used 19% of the time at work
away-from-work. Instrumental tasks comprised 39% (83[63] min), and 8% of the time away-from-work
(79[50] min) of the time away-from-work. (16[39] min). Combined ICT comprised 11% (24[30]
min) of the time at work; and a negligible period
away-from-work (1[3] min). Combined ICT tasks most
often involved the simultaneous use of the telephone
3.2. ICT used
and writing information on paper. Minimal time was
3.2.1. Total time spent using different ICT spent using computer-based Combined ICT (e.g.
New ICT accounted for 36% (234[118] min) of the computer and hard copy text) at the workplace (4%)
observation period; Old ICT accounted for 15% and not at all away-from-work. Non-ICT comprised
(98[73] min), Combined ICT tasks 4% (24[30] min), 70% of the time away-from-work (148[103] min).
and Non-ICT tasks accounted for about 44% (285[89]
min).
3.2.4. Time spent using different ICT when
participating in different task categories
3.2.2. Common tasks using different ICT The mean total time spent using different ICT when
A summary of the tasks performed using New, Old, performing different categories of tasks was
Combined and Non-ICT during the observation period determined (Table 2). The most time was spent in
is presented in Table 1. productive tasks using New ICT. In contrast, New ICT

Table 1. Tasks performed using different ICT during the observation period.

Performed at Performed Performed at work and


ICT type work only away-from-work only away-from-work
Old Meeting Play with children
Teaching
New Teaching Read email
Photocopying Compose email
Compose document
Edit document
Search Internet
Talk on the phone
Watch video/DVD
Film with camera
Combined Compose Edit document
document Talk on the phone
Non Drive car Meeting
Talk to family/friends Eat meal/snack
Sing/act Drink coffee
Play musical instrument Toileting
Tidy house Collect printing
Childcare and play Prepare meal/snack
Laundry Wash dishes
1022 M. Ciccarelli et al.

was rarely used for leisure. Old and Combined ICT 1 is shown in Table 3. There were differences in the
were used mostly for productive tasks. Non-ICT was time participants reported performing productive and
used to perform all four task categories. leisure tasks, and using New and Combined ICT, when
compared to the observed data.

3.2.5. Time spent using different ICT in different task


categories at work and away-from-work 3.4. Comparison of 5-day diary data
The mean total time spent in different task categories Twenty-three of the 24 participants completed the end
using different ICT at work is presented in Figure 1; of day questionnaire. Seventeen participants reported
and away-from-work locations in Figure 2. The large that the tasks performed and their durations on the
standard deviations indicate participants differed in the day of observation were representative of their typical
time spent performing tasks using these ICT, and/or activities on that day of the week. Four participants
that exposure differed considerably between days reported they would have usually participated in
within individuals. New ICT was most used when vigorous physical exercise but did not because they
performing productive tasks at work. Non-ICT was
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used across all task categories in both work and away-


from-work locations.

3.3. Comparison of self-reported and observed


durations of tasks and ICT used
The amount of time (median[SD] hours) spent in each
task category as recorded from the task observations
compared to the self-reported end of day diary on day

Table 2. Group mean [SD between subjects] of individuals’


total time (minutes) by task category and ICT type.

Task Figure 2. Group mean [SD between subjects] of


ICT type Productive Self-care Leisure Instrumental individual total time spent using different ICT during
different categories of tasks away-from-work.
Old 90 [74] 3 [10] 0 [0] 6 [20]
New 211 [105] 4 [17] 16 [26] 3 [14]
Combined 27 [34] 0 [0] 2 [6] 0 [0]
Non 82 [55] 68 [38] 36 [40] 11 [48] Table 3. Comparison of time (median; range among
subjects) (hours) engaged in tasks on day 1 between
observed and self-reported diary data.

Median( range) (h) Wilcoxon


signed-Rank
Task Observed Diary test

Productive 6.6 (3.8–12.3) 7.5 (6.0–10.0) Z ¼ 72.10;


p ¼ .036
Self-care 1.2 (6.0–10.0) 1.2 (0.5–2.5) Z ¼ 70.99;
p ¼ .324
Leisure 0.8 (0.0–2.1) 1.2 (0.0–4.0) Z ¼ 72.38;
p ¼ .017
Instrumental 1.5 (0.3–5.3) 1.0 (0.0–4.0) Z ¼ 71.83;
p ¼ .068
ICT type
Old 1.8 (0.2–3.5) 1.0 (0.0–4.5) Z ¼ 70.763;
p ¼ .445
New 3.9 (1.0–7.2) 5.5 (0.5–8.0) Z ¼ 73.224;
p ¼ .001
Combined 0.3 (0.0–2.1) 0.0 (0.0–4.5) Z ¼ 72.207;
p ¼ .027
Figure 1. Group mean [SD between subjects] of individual Non 4.4 (1.6–7.0) 4.5 (0.0–9.5) Z ¼ 70.122;
total time spent using different ICT during different p ¼ .903
categories of tasks at work.
Ergonomics 1023

thought wearing the direct monitoring equipment task diary. Friedman analysis of variance identified
would restrict their participation. The remaining two no significant differences in exposure to the different
participants reported not going to the grocery store, ICT across days.
and one participant did not attend a religious function Table 5 shows that the variability (measured as SD)
as planned, because they felt embarrassed by wearing between participants in time reportedly spent using
the visible direct monitoring equipment in public. different ICT was least for Combined ICT and most for
New ICT. At a group level, variability between days
was greatest for Non-ICT and New ICT. At an
3.4.1. Self-reported time spent in different task individual level, variability for Combined ICT was
categories across different days only about one quarter that of other ICT types.
Table 4 shows the mean [SD between subjects] time
participants reported performing the different task
4. Discussion
categories during each of five work days. Friedman
analysis of variance identified a systematic difference in 4.1. Task and ICT exposures beyond the workplace
productive tasks between day 1 (the day of observation; Population studies indicate that adults do use
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7.9 h) and day 2 (p ¼ 0.033), day 4 (p ¼ 0.033) and day computers both at work and away from the workplace
5 (p ¼ 0.039). Time spent in productive tasks on day 1 during productive, leisure and instrumental tasks
were also different to the mean of days 2–5 (6.9 h; (Australian Bureau of Statistics 2009a, 2009b);
p ¼ 0.003). For leisure tasks, time spent on day 1 was however, there is limited attention given to exposures
different to the time spent on day 4 (p ¼ 0.022); and during non-productive tasks and in locations away
also to the mean of days 2–5 (p ¼ 0.022). The increase from the workplace. The participants in the current
in leisure time on non-observed days is reflected in an study performed productive tasks away-from-work,
increase in total reported time on days 2–5; however including preparation of teaching materials and
the data in Table 4 also suggests that there may be a research papers. It is not uncommon for many
trend for less time on productive tasks on non-observed academics and researchers to take work home as
days. There were no significant differences in the time needed, and the university in this study offers and
spent performing self-care and instrumental tasks on promotes a formal home-based work agreement for
the day of observation compared to the subsequent employees whose job duties are compatible with
four working days. working from home (Curtin University 2011). Many
At both a group level and individual level, diversity office workers are using ICT to telework in away-from-
across the non-observation non-direct monitoring work locations including the family home (Haddon
days (i.e. days 2–5) was least for self-care tasks, while and Silverstone 1992, Hardill and Green 2003).
productive tasks had the greatest variability (Table 5). Although there is debate as to what amount and type
of ICT use defines telework (Sullivan 2003), most
studies focus on New ICT. However, the current study
3.4.2. Self-reported ICT use across different days showed that different ICTs including New, Old and
Table 4 also shows the mean [SD] time spent using Combined ICT are used to perform productive tasks in
different ICT on the day of observation compared to away-from-work locations. Workers perform
the subsequent four working days as reported in the productive work tasks away-from-work for many

Table 4. Mean[SD between subjects] hours engaged in different tasks and using different ICT as self-reported in the task
diary over 5 days.

Days recorded in task diary


Task 1a 2 3 4 5 Mean of days 2–5
Productive 7.7 [1.4]* 7.1 [1.8] 7.2 [1.9] 6.3 [1.9] 7.3 [1.5] 6.9 [1.1]
Self-care 1.4 [0.6] 1.6 [0.6] 1.4 [0.6] 1.5 [0.7] 1.4 [0.5] 1.5 [0.5]
Leisure 1.4 [1.0]* 1.9 [1.5] 2.2 [1.4] 2.6 [1.9] 2.0 [1.3] 2.1 [1.1]
Instrumental 1.3 [1.0] 1.2 [0.8] 0.9 [0.9] 1.4 [1.5] 1.0 [1.1] 1.3 [0.8]
ICT type
Old 1.7 [2.2] 1.8 [2.3] 1.8 [2.1] 1.4 [1.8] 1.5 [1.6] 1.6[ 1.1]
New 4.8 [2.6] 4.8 [2.8] 4.5 [2.7] 4.4 [2.4] 5.2 [2.5] 4.7 [2.0]
Combined 0.4 [1.1] 0.5 [0.9] 0.8 [1.5] 0.6 [1.6] 0.4 [0.7] 0.6 [0.9]
Non 5.0 [1.9] 4.8 [2.1] 4.7 [2.4] 5.3 [2.4] 4.2 [2.2] 4.8 [1.7]

Note: aDay of observation; *Differences in time spent (p ¼ 0.05) compared to mean of days 2–5.
1024 M. Ciccarelli et al.

Table 5. Variability (SD, hours) between and within workers at work (Marcus et al. 2002, Szeto et al. 2005).
participants, of hours reported on days 2–5 performing Prior studies of office workers have identified computer
different tasks and using different ICT.
use as a risk factor for MSDs (Jensen et al. 2002,
Variability Village 2005, Wahlström 2005, Griffiths et al. 2007);
and specifically hours or intensity of keyboard use
Between Grouped Individual
participants between days between days (Katz et al. 2000) and mouse use (Blatter and
Bongers 2002, Ijmker et al. 2007). The office workers
Task in the current study had mean daily exposures to
Productive 1.14 0.56 1.59
Self-care 0.41 0.08 0.49 computer-based New ICT (2.85 h/day) that were less
Leisure 0.94 0.43 1.23 than the daily exposures associated with the
Instrumental 0.73 0.16 0.88 development of musculoskeletal complaints reported
ICT type in prior studies. However, prior studies have relied on
Old 1.17 0.17 1.85 self-reported estimates of total daily or weekly
New 2.04 0.32 1.74
Combined 0.84 0.14 0.39 computer use (Unge et al. 2005), which are suspected
Non 1.65 0.39 1.66 to result in larger numbers than direct observations as
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used in this study. We only documented the periods in


which the participants were actually using the
computer, rather than just sitting at a computer
reasons including to work unpaid overtime to complete workstation as using New ICT, and this may explain
the demands of the job. why the exposures for computer tasks were
No other studies, to our knowledge, have described comparatively lower in the current study.
the tasks that office workers typically participate in Furthermore, this study shows that when office
beyond work-related tasks at the workplace. This workers are not using computers they are using other
study has described the diversity of external exposure forms of ICT to perform a range of different tasks that
by detailing the participation in different categories of may impact on overall risk. Prior studies of office
tasks and use of different ICT in work and away-from- workers have given little or no attention to the
work locations. Due to the occurrence of ICT work potentially risk-moderating effects of performing
even at away-from-work locations, it may be insuffi- different tasks and using different ICT types than
cient to only assess an office worker’s pattern of daily those associated with core office work, and while we
tasks and exposure to different ICT types only within suggest that the diversity represented by such activities
the workplace and during traditional ‘9–5’ work hours. would be beneficial, this hypothesis needs more
Thus, our study suggests that understanding an research.
individual’s exposure to different daily tasks, including
productive tasks, and ICT use requires observation and
measurement in both at work and away-from-work 4.3. Impact of location on diversity and variation
locations and over extended work hours. On a typical work day, it is expected that productive
tasks will account for much of an office worker’s time
at the workplace, and the time spent in non-productive
4.2. Diversity of tasks and ICT used tasks (self-care, leisure and instrumental tasks) will be
The participants performed a wide range of tasks for greater in away-from-work locations.
different proportions of time within the 12-h observa- However, as this study showed, over and above
tion period. Not all participants used computer-based the time at the workplace, an additional 23% of the
Combined ICT; however, all other ICT types were used observation time in away-from-work locations was
by all participants for different proportions of time also spent performing productive tasks. This time is
during the observation. The diversity of task categories taken from leisure, self-care and instrumental tasks and
performed and ICT used suggests a potential for thus represents a reduction in the contribution these
variation in overall postures and muscle activity at tasks might have to exposure variation. For example,
work and away-from-work, provided that these tasks late night long-distance telephone conferences with
and ICT types entail sufficiently different exposures. international partners may displace leisure or
The distribution of used ICT types depended on the instrumental tasks that would normally be performed
task category. New and Combined ICT were mainly in these after work hours.
used in productive tasks. Computers were used for When at work, participants were observed to
email communications, composing and editing docu- self-select the tasks performed and the order in which
ments and Internet searches, which are similar to the they were done, suggesting a degree of control over
computer tasks reported in other studies of office their job tasks. High job control has been associated
Ergonomics 1025

with worker health (Arvidsson et al. 2008, Tornqvist using ICT over the working week may be a useful
et al. 2009). However, control to schedule the order representation. However, there were some differences
and duration of work tasks may permit unhealthy suggesting caution. Time spent performing productive
work behaviours. For example, since participants and leisure tasks, and New ICT were over-estimated by
scheduled most tasks and breaks at their discretion, self-report compared to observations and Combined
there was the possibility that some individuals ICT time was under-estimated. The 30-min scale in
remained on certain tasks, due to pending deadlines the task diary compared to the minute-to-minute
or interest in the task, resulting in less diversity of tasks sensitivity of the observations may have contributed to
across the day. Similar findings of the impact of these differences. Self-report times using smaller time
deadlines and worker autonomy on task variability has period increments (e.g. 15 min) may improve the
been reported by others investigating task exposures accuracy of time estimates, but may also require the
among office workers (Van Eerd et al. 2009). task diary to be completed more frequently throughout
Although computer-based ICT were used during the day to limit recall error. However, this would
productive tasks at work, more than half of the time at introduce unnatural interruptions to typical task
work was spent performing non-computer based tasks. patterns and durations, and thus change task
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Mean total durations of computer exposure were exposures.


different between work (192 min) and away-from- Direct observation provided accurate detailed
work locations (29 min). Away-from-work locations information of participants’ daily task patterns.
provided less exposure to New ICT but more exposure However, within groups of office workers, e.g.
to Non-ICT tasks, probably enhancing variation. secretaries, administrative assistants, there can be a
ICT exposure was influenced by natural interrup- wide inter-individual variation in tasks performed, and
tions to tasks in all locations; however, location may between groups there may be even greater variation
influence the likelihood of natural interruptions. For with some office workers such as call centre operators
example, one participant, at home alone, performed a that are exposed to the same computer-based short
productive task using a computer without interruption cycle tasks repeatedly, while other groups, like the
for in excess of 2 h. researchers in the present study, may have more
diversified tasks. Therefore, the task and ICT
exposures reported in this study are not representative
4.4. The next step in understanding diversity and of all workers who use computers. Direct observations
variation or video recordings can improve precision of task
Determining the tasks performed and their occurrence identification and duration, but these exposure
across time is only one factor in determining exposure assessment methods are time-consuming and expensive
and thus the risk of MSDs. A change to another task (Van Eerd et al. 2009). Self-report measures are less
may not create sufficient variation in biomechanical burdensome to researchers, but obtaining precise data
exposures if it has similar postural and muscular requires greater commitment by workers to document
demands as the task just performed, i.e. if the tasks are all tasks regularly throughout the day, and thus task
not sufficiently diverse (Richter et al. 2009). Objective diaries are not favoured by workers (Van Eerd et al.
measurement of posture and muscle activity should be 2009). However, self-report measures may be the
matched to tasks and ICT use, at work and away- only available method practicable for large samples,
from-work. Knowledge about tasks performed and unless exposure information can be obtained from
ICT used among office workers, combined with work ICT systems, such as registrations of customer
knowledge of the patterns of postures and muscle contacts at call centres, or from registration software
loading during these tasks, can assist in better under- downloaded to the computers of the participants
standing the relationship between diversity of external (Blangsted et al. 2004, Richter et al. 2008, Chang
and internal exposures, the potential for creating et al. 2010).
exposure variation by combining the tasks, and
possibly the associated risk or no-risk of MSDs.
4.7. Sampling tasks and ICT use on 1 day versus
5 days
4.5. Independent observation versus self-report of tasks At a group level, the time spent using different ICT on
and ICT use the day of observation was similar to that during days
The total time observed in different categories of 2–5, suggesting that the pattern of ICT use did not
tasks and ICT was similar to that reported by the depend to any notable extent on the day of the week.
participants in the task diaries, suggesting that the self- Self-care and instrumental tasks were also
reported time spent performing different tasks and performed for similar amounts across the five work
1026 M. Ciccarelli et al.

days; however, productive tasks on the day of New ICT was used more at the workplace during
observation were performed for significantly longer productive tasks, whilst more Non-ICT was used
than on days 2–5; while time in leisure tasks during when performing instrumental and self-care tasks in
the observation was less than on days 2–5. This may away-from-work locations.
have been due either to systematic effects of having There were differences in self-reported and
an observer present or the inability to participate in independent observations of time spent performing
certain leisure tasks because of the direct monitoring tasks and using ICT. Participant self-reports
equipment worn by participants. When participants over-estimated the time spent using New ICT and
were asked about the day of observation, those who performing productive and leisure tasks, compared to
reported differences stated the monitoring equipment observation data. Differences in the time-resolution of
was the reason. the two measurement methods may have contributed
While the observation day did, in some respects, to over- or under-estimation in the self-report data.
seem to differ systematically in exposure from non- This information about diversity in tasks and ICT,
observation days, we found a generally large varia- as well as their diversity between days, provides an
bility between days in the proportions of task elementary understanding of external exposure to risks
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categories and ICT use of a specific individual. This associated with office work, especially computer-based
suggests that exposure variation for the individual is tasks. This work provides a basis for matching tasks
increased by doing different tasks on different days, as and the ICT used with associated postures and muscle
compared to the variation obtained during one specific loads, which will assist in assessing diversity of internal
day. exposures at work and away-from-work, and
determining relationships between exposure variation
and risks of developing MSDs among office workers.
5. Limitations
The labour intensive nature of the direct observation Acknowledgements
limited observations of each participant to one The authors wish to thank Mr Paul Davey for writing the
work day in the current study. More days of LabVIEWTM software programme used for the data
observation may better determine the ‘typical’ activity processing and Mr James Lyra for assistance with task
observations. A National Health and Medical Research
patterns across the week, if indeed such patterns exist Council of Australia Public Health Scholarship and a research
(Wahlström et al. 2010). Further studies comparing grant from the Occupational Therapists’ Registration Board
tasks and ICT use by office workers on workdays of Western Australia supported this study.
versus non-workdays are also recommended, to
determine if non-work days enhance exposure diversity Note
and thus may reduce the risk of MSDs. 1. The sum of time spent in different task categories was
The study sample was purposively selected from less than the total observation period due to rounding
staff and graduate students at a University. This error.
combined with the small sample size limits the
generalisability of the study results beyond the study References
sample and populations in similar settings. Aarås, A., 1987. Postural load and the development of
musculo-skeletal illness. Scandinavian Journal of
Rehabilitation Medicine, 18, 5–35.
6. Conclusion Arvidsson, I., et al., 2006. Changes in physical workload with
This study has provided the first rich description of the implementation of mouse-based information technology
in air traffic control. International Journal of Industrial
occurrence of productive, self-care, leisure and instru- Ergonomics, 36 (7), 613–622.
mental tasks and ICT use of office workers at work and Arvidsson, I., et al., 2008. Neck postures in air traffic
away-from-work. When performing productive, self- controllers with and without neck/shoulder disorders.
care, leisure and instrumental tasks, the 24 participants Applied Ergonomics, 39 (2), 255–260.
used different ICT. Computer-based New ICT and Australian Bureau of Statistics, 2009a. 8129.0 Business use of
information technology, 2007–08 [online]. Available from:
Combined ICT tasks were alternated with tasks http://www.abs.gov.au/AUSSTATS/abs@.nsf/Lookup/
involving Old and Non-ICT, thereby contributing to 8129.0MainþFeatures12007–08?OpenDocument
the participants’ overall daily diversity of tasks, and [Accessed 8 August 2011].
possibly even increased exposure variation. Australian Bureau of Statistics, 2009b. 8146.0 – Household
The location of office workers influenced the tasks use of information technology, Australia, 2008–09.
Canberra: Australian Bureau of Statistics.
performed and ICT used and thus diversity. The Balci, R. and Aghazadeh, F., 2003. The effect of work-rest
proportion of time spent engaged in the different tasks schedules and type of task on the discomfort and
changed between work and away-from-work locations. performance of VDT users. Ergonomics, 46 (5), 455–465.
Ergonomics 1027

Blangsted, A., Hansen, K., and Jensen, C., 2004. Validation Homan, M. and Armstrong, T., 2003. Evaluation of three
of a commercial software package for quantification methodologies for assessing work activity during
of computer use. International Journal of Industrial computer use. American Industrial Hygiene Association
Ergonomics, 34, 237–241. Journal, 64 (1), 48–55.
Blatter, B. and Bongers, P., 2002. Duration of computer use Ijmker, S., et al., 2007. Should office workers spend fewer
and mouse use in relation to musculoskeletal disorders hours at their computer? A systematic review of the
of neck or upper limb. International Journal of Industrial literature. Occupational and Environmental Medicine, 64
Ergonomics, 30 (4–5), 295–306. (4), 211–222.
Chang, C., et al., 2010. Daily self-reports resulted in Jensen, C., et al., 2002. Musculoskeletal symptoms and
information bias when assessing exposure duration to duration of computer and mouse use. International
computer use. American Journal of Industrial Medicine, Journal of Industrial Ergonomics, 30 (4–5), 265–275.
53, 1142–1149. Jonsson, B., 1988. The static load component in muscle
Curtin University, 2011. Ethics, equity and social justice: work work. European Journal of Applied Physiology, 57 (3),
and family [online]. Available from: http://eesj.curtin. 305–310.
edu.au/employment/workandfamily.html [Accessed 8 Katz, J., et al., 2000. Prevalence of upper extremity
September 2011]. musculoskeletal disorders in college students. American
Fenety, A. and Walker, J., 2002. Short-term effects of Journal of Medicine, 109 (7), 586–588.
workstation exercises on musculoskeletal discomfort and Marcus, M., et al., 2002. A prospective study of computer
postural changes in seated video display unit workers. users: II. Postural risk factors for musculoskeletal
Downloaded by [Kungliga Tekniska Hogskola] at 05:49 07 October 2014

Physical Therapy, 82 (6), 578–589. symptoms and disorders. American Journal of Industrial
Fernström, E. and Åborg, C., 1999. Alterations in shoulder Medicine, 41 (4), 236–249.
muscle activity due to changes in data entry organisation. Mathiassen, S., 2006. Diversity and variation in
International Journal of Industrial Ergonomics, 23 (3), biomechanical exposure: what is it, and why would we
231–240. like to know? Applied Ergonomics, 37 (4), 419–427.
Gerr, F., et al., 2002. A prospective study of computer Mathiassen, S., Möller, T., and Forsman, M., 2003.
users:1. Study design and incidence of musculoskeletal Variability in mechanical exposure within and between
disorders. American Journal of Industrial Medicine, 41 individuals performing a highly constrained industrial
(4), 221–235. work task. Ergonomics, 46 (8), 800–824.
Gerr, F., Marcus, M., and Monteilh, C., 2004. Epidemiology Mclean, L., et al., 2001. Computer terminal work and the
of musculoskeletal disorders among computer users: benefit of microbreaks. Applied Ergonomics, 32 (3),
lesson learned from the role of posture and keyboard 225–237.
use. Journal of Electromyography & Kinesiology, 14 (1), Möller, T., et al., 2004. Job enlargement and mechanical
25–31. exposure variability in cyclic assembly work. Ergonomics,
Grandjean, E., 1969. Fitting the task to the man. London: 47 (1), 19–40.
Taylor & Francis. National Occupational Health and Safety Commission, 2006.
Griffiths, K., Mackey, M., and Adamson, B., 2007. The The national workers’ compensation statistics database
impact of a computerized work environment on profes- [online]. Commonwealth of Australia. Available
sional occupational groups and behavioural and physio- from: http://nosi2.nohsc.gov.au/site.taf?go¼assisted&_
logical risk factors for musculoskeletal symptoms: a UserReference¼1F4B68F43BE6F41F44826574
literature review. Journal of Occupational Rehabilitation, [Accessed 18 May 2006].
17 (4), 743–765. Richter, J., et al., 2009. Differences in muscle load between
Haddon, L. and Silverstone, R., 1992. Information and computer and non-computer work among office workers.
communication technologies in the home: the case for Ergonomics, 52, 1540–1555.
teleworking [online]. Available from: http://www.mot. Richter, J., et al., 2008. Computer work duration and its
chalmers.se/dept/tso/haddon/cict.pdf [Accessed 5 May dependence on the used pause definition. Applied
2006]. Ergonomics, 39, 772–778.
Hägg, G., 1991. Static work loads and occupational myalgia – Schneider, S., Davis, K., and Jorgensen, M., 2005. Pros
a new explanation model. In: P. Anderson, D. Hobart, and cons of job rotation as a means of reducing injury
and J. Danoff, eds. Electromyographical kinesiology. costs. Journal of Occupational and Environmental
Amsterdam, Elsevier Science, 141–144. Hygiene, 2 (1), D1–D3.
Hägg, G. and Åström, A., 1997. Load pattern and pressure Straker, L., 1999. Body discomfort assessment tools. In: W.
pain threshold in the upper trapezius and psychosocial Karwowski and W. Marras, eds. The occupational
factors in medical secretaries with and without shoulder/ ergonomics handbook. 1st ed. Boca Raton, USA: CRC
neck disorders. International Archives of Occupational Press, 1239–1252.
and Environmental Health, 69 (6), 423–432. Straker, L. and Mathiassen, S.E., 2009. Increased
Hardill, I. and Green, A., 2003. Remote working – altering physical work loads in modern work – a necessity for
the spatial contours of work and home in the new better health and performance? Ergonomics, 52 (10),
economy. New Technology, Work and Employment, 18 1215–1225.
(3), 212–222. Sullivan, C., 2003. What’s in a name? Definitions and
Heinrich, J., Blatter, B., and Bongers, P., 2004. A compar- conceptualisations of teleworking and homeworking.
ison of methods for the assessment of postural load and New Technology, Work and Employment, 18 (3), 158–165.
duration of computer use. Occupational and Environ- Szeto, G., Straker, L., and O’sullivan, P., 2005. A
mental Medicine, 61 (12), 1027–1031. comparison of symptomatic and asymptomatic office
Henning, R., et al., 1997. Frequent short rest breaks from workers performing monotonous keyboard work-2:
computer work: effects on productivity and well-being at neck and shoulder kinematics. Manual Therapy, 10 (4),
two field sites. Ergonomics, 40 (1), 78–91. 281–291.
1028 M. Ciccarelli et al.

Tornqvist, E., et al., 2009. The influence of working Wahlström, J., 2005. Ergonomics, musculoskeletal disorders
conditions and individual factors on the incidence of and computer work. Occupational Medicine, 55 (3),
neck and upper limb symptoms among professional 168–176.
computer users. International Archives of Occupational Wahlström, J., et al., 2010. Upper arm postures and
and Environmental Health, 82, 689–702. movements in female hairdressers across four full
Unge, J., et al., 2005. Validity of self-assessed reports of working days. Annals of Occupational Hygiene, 54 (5),
occurrence and duration of occupational tasks. Ergo- 584–594. doi:10.1093/annhyg/meq028.
nomics, 48 (1), 12–24. Westgaard, R. and Winkel, J., 1996. Guidelines for
Van Den Heuvel, S., et al., 2005. The effect of physical occupational musculoskeletal load as a basis for
activity in leisure time on neck and upper limb intervention: a critical review. Applied Ergonomics, 27 (2),
symptoms. Preventive Medicine, 41 (1), 260–267. 79–88.
Van Eerd, D., et al., 2009. Task exposures in an office Winkel, J. and Mathiassen, S., 1994. Assessment of physical
environment: a comparison of methods. Ergonomics, 52 work load in epidemiologic studies: concepts, issues
(10), 1248–1258. and operational considerations. Ergonomics, 37 (6),
Veiersted, K., Westgaard, R., and Andersen, P., 1993. 979–988.
Electromyographic evaluation of muscular work pattern Youngstrom, M., et al., 2002. Occupational therapy practice
as a predictor of trapezius myalgia. Scandinavian Journal framework: domain and process. American Journal of
of Work Environment and Health, 19 (4), 284–290. Occupational Therapy, 56 (6), 609–639.
Village, J., 2005. Musculoskeletal disorders of the upper
Downloaded by [Kungliga Tekniska Hogskola] at 05:49 07 October 2014

extremity associated with computer work: a systematic


review. Occupational Ergonomics, 5 (4), 205.

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