TY - JOUR
AB - Purpose To assess effects of an inpatient multicomponent occupational rehabilitation program compared to less comprehensive outpatient rehabilitation on sickness absence in persons with musculoskeletal- or mental health disorders. Methods Randomized clinical trial with parallel groups. Participants were individuals 18-60 years old on sick-leave for 2-12 months with a sick-leave diagnosis within the musculoskeletal, psychological or general and unspecified chapters of ICPC-2, identified in a national register. The inpatient program (4 + 4 days) consisted of Acceptance and Commitment Therapy (ACT), physical training and work-related problem-solving including creating a return to work plan and a workplace visit if considered relevant. The outpatient program consisted primarily of ACT (6 sessions during 6 weeks). Both programs were group based. Primary outcome was cumulated number of sickness absence days at 6 and 12 months follow-up. Secondary outcome was time until sustainable return to work. Results 168 individuals were randomized to the inpatient program (n = 92) or the outpatient program (n = 76). We found no statistically significant difference between the programs in median number of sickness absence days at 6 and 12 months follow-up. In the outpatient program 57% of the participants achieved sustainable return to work (median time 7 months), in the inpatient program 49% (log rank, p = 0.167). The hazard ratio for sustainable return to work was 0.74 (95% CI 0.48-1.32, p = 0.165), in favor of the outpatient program. Conclusions This study provided no support that the more comprehensive 4 + 4 days inpatient multicomponent occupational rehabilitation program reduced sickness absence compared to the outpatient rehabilitation program.
AD - Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, NTNU, Trondheim, Norway. lene.aasdahl@ntnu.no.
Department of Physical Medicine and Rehabilitation, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway. lene.aasdahl@ntnu.no.
Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, NTNU, Trondheim, Norway.
Department of Physical Medicine and Rehabilitation, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.
Regional Center for health care improvement, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.
Department of Community Medicine, UiT The Artic University of Norway, Tromso, Norway.
Department of Public Health, Aarhus University, Aarhus, Denmark.
Hysnes Rehabilitation Center, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.
AN - 28401441
AU - Aasdahl, L.
AU - Pape, K.
AU - Vasseljen, O.
AU - Johnsen, R.
AU - Gismervik, S.
AU - Halsteinli, V.
AU - Fleten, N.
AU - Nielsen, C. V.
AU - Fimland, M. S.
C1 - CONFLICT OF INTEREST: Marius Steiro Fimland was previously employed at Hysnes Rehabilitation Center, St. Olavs Hospital, and is currently employed at Department of Physical Medicine and Rehabilitation, St. Olavs Hospital. Sigmund Gismervik is employed at Department of Physical Medicine and Rehabilitation, St. Olavs Hospital. The other authors declare that they have no conflict of interest. ETHICAL APPROVAL: All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.
C2 - PMC5820389
CN - Medline 211026
DA - Mar
DB - Medline
DO - 10.1007/s10926-017-9708-z
DP - NLM
IS - 1
J2 - J Occup Rehabil
KW - Acceptance and Commitment Therapy/*methods
Adult
Cognitive Behavioral Therapy/*methods
Female
Humans
Male
Mental Disorders/psychology/*rehabilitation
Middle Aged
Musculoskeletal Diseases/psychology/*rehabilitation
*Return to Work
Sick Leave/statistics & numerical data
Surveys and Questionnaires
Cognitive therapy
Mental health
Musculoskeletal diseases
Return to work
Sick leave
L1 - internal-pdf://4184438090/1078-Aasdahl-2018.pdf
LA - English
M3 - Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Aasdahl, Lene
Pape, Kristine
Vasseljen, Ottar
Johnsen, Roar
Gismervik, Sigmund
Halsteinli, Vidar
Fleten, Nils
Nielsen, Claus Vinther
Fimland, Marius Steiro
eng
238015/H20/Norges Forskningsrad/International
46056821/The Liason Committee between Central Norway Regional Health Authority and The Norwegian University of Science and Technology/International
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Netherlands
2017/04/13
J Occup Rehabil. 2018 Mar;28(1):170-179. doi: 10.1007/s10926-017-9708-z.
PY - 2018
SN - 1573-3688 (Electronic)
1053-0487 (Print)
1053-0487 (Linking)
SP - 170-179
ST - Effect of Inpatient Multicomponent Occupational Rehabilitation Versus Less Comprehensive Outpatient Rehabilitation on Sickness Absence in Persons with Musculoskeletal- or Mental Health Disorders: A Randomized Clinical Trial
T2 - J Occup Rehabil
TI - Effect of Inpatient Multicomponent Occupational Rehabilitation Versus Less Comprehensive Outpatient Rehabilitation on Sickness Absence in Persons with Musculoskeletal- or Mental Health Disorders: A Randomized Clinical Trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/28401441
VL - 28
ID - 1078
ER -
TY - JOUR
AB - Purpose There is a lack of results on long-term effects of return to work interventions. We previously reported that an inpatient multimodal occupational rehabilitation program (I-MORE) was more effective in reducing sickness absence and facilitating return to work (RTW) at 12 months follow-up compared to an outpatient program that consisted mainly of Acceptance and Commitment Therapy (O-ACT). We now report the 2-year outcome data. Methods A randomized clinical trial with parallel groups. Participants were 18-60 years old, sick listed with musculoskeletal, common mental or general/unspecified disorders. I-MORE lasted 3.5 weeks and consisted of ACT, physical training and work-related problem solving. O-ACT consisted mainly of 6 weekly sessions (2.5 h. each) of ACT in groups. Outcomes were cumulated number of days on medical benefits and time until sustainable RTW (1 month without medical benefits) during 2-years of follow-up, measured by registry data. Results For the 166 randomized participants, the median number of days on medical benefits was 159 (IQR 59-342) for I-MORE vs 249 days (IQR 103-379; Mann-Whitney U test, p = 0.07), for O-ACT. At 2 years, 40% in I-MORE received long-term benefits (work assessment allowance) vs 51% in O-ACT. The crude hazard ratio (HR) for sustainable RTW was 1.59 (95% CI 1.04-2.42, p = 0.03) and the adjusted HR 1.77 (95% CI 1.14-2.75, p = 0.01), in favor of I-MORE. Conclusions The 2-year outcomes show that I-MORE had long-term positive effects on increasing work participation for individuals sick listed with musculoskeletal and mental disorders. Further follow-up and economic evaluations should be performed.
AD - Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, NTNU, Postboks 8905, 7491, Trondheim, Norway. lene.aasdahl@ntnu.no.
Unicare Helsefort Rehabilitation Centre, Rissa, Norway. lene.aasdahl@ntnu.no.
Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, NTNU, Postboks 8905, 7491, Trondheim, Norway.
Department of Physical Medicine and Rehabilitation, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.
Unicare Helsefort Rehabilitation Centre, Rissa, Norway.
Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway.
AN - 33765241
AU - Aasdahl, L.
AU - Vasseljen, O.
AU - Gismervik, S. O.
AU - Johnsen, R.
AU - Fimland, M. S.
C1 - The authors declare that they have no competing interests.
C2 - PMC8558177
CN - Medline 211026
DA - Dec
DB - Medline
DO - 10.1007/s10926-021-09969-4
DP - NLM
ET - 20210325
IS - 4
J2 - J Occup Rehabil
KW - *Acceptance and Commitment Therapy
Adolescent
Adult
Follow-Up Studies
Humans
Inpatients
*Mental Disorders
Middle Aged
Outpatients
Sick Leave
Young Adult
Cognitive therapy
Mental health
Musculoskeletal diseases
Return to work
L1 - internal-pdf://2327286681/1080-Aasdahl-2021.pdf
LA - English
N1 - Aasdahl, Lene
Vasseljen, Ottar
Gismervik, Sigmund Ostgard
Johnsen, Roar
Fimland, Marius Steiro
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Netherlands
2021/03/26
J Occup Rehabil. 2021 Dec;31(4):721-728. doi: 10.1007/s10926-021-09969-4. Epub 2021 Mar 25.
PY - 2021
SN - 1573-3688 (Electronic)
1053-0487 (Print)
1053-0487 (Linking)
SP - 721-728
ST - Two-Year Follow-Up of a Randomized Clinical Trial of Inpatient Multimodal Occupational Rehabilitation Vs Outpatient Acceptance and Commitment Therapy for Sick Listed Workers with Musculoskeletal or Common Mental Disorders
T2 - J Occup Rehabil
TI - Two-Year Follow-Up of a Randomized Clinical Trial of Inpatient Multimodal Occupational Rehabilitation Vs Outpatient Acceptance and Commitment Therapy for Sick Listed Workers with Musculoskeletal or Common Mental Disorders
UR - https://www.ncbi.nlm.nih.gov/pubmed/33765241
VL - 31
ID - 1080
ER -
TY - JOUR
AB - BACKGROUND: Musculoskeletal disorders (MSDs) are a frequent cause of work disability, accounting for productivity losses in industrialized societies equivalent to 1.3% of the U.S. gross national product. OBJECTIVE: To evaluate whether a population-based clinical program offered to patients with recent-onset work disability caused by MSDs is cost-effective. DESIGN: Randomized, controlled intervention study. The inclusion and follow-up periods each lasted 12 months. SETTING: Three health districts in Madrid, Spain. PATIENTS: All patients with MSD-related temporary work disability in 1998 and 1999. INTERVENTION: The control group received standard primary care management, with referral to specialized care if needed. The intervention group received a specific program, administered by rheumatologists, in which care was delivered during regular visits and included 3 main elements: education, protocol-based clinical management, and administrative duties. MEASUREMENTS: Efficacy variables were 1) days of temporary work disability and 2) number of patients with permanent work disability. All analyses were done on an intention-to-treat basis. RESULTS: 1,077 patients were included in the study, 7805 in the control group and 5272 in the intervention group, generating 16,297 episodes of MSD-related temporary work disability. These episodes were shorter in the intervention group than in the control group (mean, 26 days compared with 41 days; P < 0.001), and the groups had similar numbers of episodes per patient. Fewer patients received long-term disability compensation in the intervention group (n = 38 [0.7%]) than in the control group (n = 99 [1.3%]) (P < 0.005). Direct and indirect costs were lower in the intervention group than in the control group. To save 1 day of temporary work disability, 6.00 dollars had to be invested in the program. Each dollar invested generated a benefit of 11.00 dollars. The program's net benefit was in excess of 5 million dollars. LIMITATIONS: The study was unblinded. CONCLUSIONS: Implementation of the program, offered to the general population, improves short- and long-term work disability outcomes and is cost-effective.
AD - Hospital Clinico San Carlos, Hospital Ramon y Cajal, Madrid, Spain.
AN - 16172439
AU - Abasolo, L.
AU - Blanco, M.
AU - Bachiller, J.
AU - Candelas, G.
AU - Collado, P.
AU - Lajas, C.
AU - Revenga, M.
AU - Ricci, P.
AU - Lazaro, P.
AU - Aguilar, M. D.
AU - Vargas, E.
AU - Fernandez-Gutierrez, B.
AU - Hernandez-Garcia, C.
AU - Carmona, L.
AU - Jover, J. A.
CN - Medline 211026
DA - Sep 20
DB - Medline
DO - 10.7326/0003-4819-143-6-200509200-00005
DP - NLM
ET - 2005/09/21
IS - 6
J2 - Ann Intern Med
KW - *Absenteeism
Adult
Disabled Persons
*Early Ambulation
*Employment
Ergonomics
*Exercise Therapy
Female
Humans
Male
Middle Aged
Musculoskeletal Diseases/*rehabilitation
*Patient Education as Topic
Patient Satisfaction
Program Evaluation/economics
Spain
Treatment Failure
Treatment Outcome
L1 - internal-pdf://2147250554/1081-Abasolo-2005.pdf
LA - English
M3 - Clinical Trial
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Abasolo, Lydia
Blanco, Margarita
Bachiller, Javier
Candelas, Gloria
Collado, Paz
Lajas, Cristina
Revenga, Marcelino
Ricci, Patricia
Lazaro, Pablo
Aguilar, Maria Dolores
Vargas, Emilio
Fernandez-Gutierrez, Benjamin
Hernandez-Garcia, Cesar
Carmona, Loreto
Jover, Juan A
eng
Clinical Trial
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
2005/09/21
Ann Intern Med. 2005 Sep 20;143(6):404-14. doi: 10.7326/0003-4819-143-6-200509200-00005.
PY - 2005
SN - 1539-3704 (Electronic)
0003-4819 (Linking)
SP - 404-14
ST - A health system program to reduce work disability related to musculoskeletal disorders
T2 - Ann Intern Med
TI - A health system program to reduce work disability related to musculoskeletal disorders
UR - https://www.ncbi.nlm.nih.gov/pubmed/16172439
VL - 143
ID - 1081
ER -
TY - JOUR
AB - STUDY DESIGN: Population-based randomized controlled trial. OBJECTIVE: To assess the effectiveness of workplace intervention and graded activity, separately and combined, for multidisciplinary rehabilitation of low back pain (LBP). SUMMARY OF BACKGROUND DATA: Effective components for multidisciplinary rehabilitation of LBP are not yet established. METHODS: Participants sick-listed 2 to 6 weeks due to nonspecific LBP were randomized to workplace intervention (n = 96) or usual care (n = 100). Workplace intervention consisted of workplace assessment, work modifications, and case management involving all stakeholders. Participants still sick-listed at 8 weeks were randomized for graded activity (n = 55) or usual care (n = 57). Graded activity comprised biweekly 1-hour exercise sessions based on operant-conditioning principles. Outcomes were lasting return to work, pain intensity and functional status, assessed at baseline, and at 12, 26, and 52 weeks after the start of sick leave. RESULTS: Time until return to work for workers with workplace intervention was 77 versus 104 days (median) for workers without this intervention (P = 0.02). Workplace intervention was effective on return to work (hazard ratio = 1.7; 95% CI, 1.2-2.3; P = 0.002). Graded activity had a negative effect on return to work (hazard ratio = 0.4; 95% CI, 0.3-0.6; P < 0.001) and functional status. Combined intervention had no effect. CONCLUSION: Workplace intervention is advised for multidisciplinary rehabilitation of subacute LBP. Graded activity or combined intervention is not advised.
AD - Body@Work, Research Centre Physical Activity, Work and Health, Amsterdam, The Netherlands. h.anema@vumc.nl
AN - 17268258
AU - Anema, J. R.
AU - Steenstra, I. A.
AU - Bongers, P. M.
AU - de Vet, H. C.
AU - Knol, D. L.
AU - Loisel, P.
AU - van Mechelen, W.
CN - Medline 211026
DA - Feb 1
DB - Medline
DO - 10.1097/01.brs.0000253604.90039.ad
DP - NLM
IS - 3
J2 - Spine
KW - Acute Disease
Adult
Female
Follow-Up Studies
Humans
Low Back Pain/*epidemiology/*rehabilitation
Male
Middle Aged
Occupational Diseases/*epidemiology/*rehabilitation
*Occupational Health Services/methods
Sick Leave
Single-Blind Method
Workplace
L1 - internal-pdf://1869490756/1154-Anema-2007.pdf
LA - English
M3 - Comparative Study
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Anema, Johannes R
Steenstra, Ivan A
Bongers, Paulien M
de Vet, Henrica C W
Knol, Dirk L
Loisel, Patrick
van Mechelen, Willem
eng
Comparative Study
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
2007/02/03
Spine (Phila Pa 1976). 2007 Feb 1;32(3):291-8; discussion 299-300. doi: 10.1097/01.brs.0000253604.90039.ad.
PY - 2007
SN - 1528-1159 (Electronic)
0362-2436 (Linking)
SP - 291-8; discussion 299-300
ST - Multidisciplinary rehabilitation for subacute low back pain: graded activity or workplace intervention or both? A randomized controlled trial
T2 - Spine (Phila Pa 1976)
TI - Multidisciplinary rehabilitation for subacute low back pain: graded activity or workplace intervention or both? A randomized controlled trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/17268258
VL - 32
ID - 1154
ER -
TY - JOUR
AB - OBJECTIVES: Workers with common mental disorders (CMDs) frequently experience recurrent sickness absence but scientifically evaluated interventions to prevent recurrences are lacking. The objectives of this study are to evaluate the cost-effectiveness and cost-benefit of a problem solving intervention aimed at preventing recurrent sickness absence in workers with CMDs compared to care as usual. METHODS: An economic evaluation was conducted alongside a cluster-randomised controlled trial with 12 months follow-up. Treatment providers were randomised to either a 2-day training in the SHARP-at work intervention, i.e. a problem solving intervention, or care as usual. Effect outcomes were the incidence of recurrent sickness absence and time to recurrent sickness absence. Self-reported health care utilisation was measured by questionnaires. A cost-effectiveness analysis (CEA) from the societal perspective and a cost-benefit analysis (CBA) from the employer's perspective were conducted. RESULTS: The CEA showed that the SHARP-at work intervention was more effective but also more expensive than care as usual. The CBA revealed that employer's occupational health care costs were significantly higher in the intervention group compared to care as usual. Overall, the SHARP-at work intervention showed no economic benefit compared to care as usual. CONCLUSIONS: As implementation of the SHARP-at work intervention might require additional investments, health care policy makers need to decide if these investments are worthwhile considering the results that can be accomplished in reducing recurrent sickness absence.
AD - Department of Health Sciences, Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands. i.arends@umcg.nl
AN - 23951270
AU - Arends, I.
AU - Bultmann, U.
AU - van Rhenen, W.
AU - Groen, H.
AU - van der Klink, J. J.
C1 - Competing Interests: The authors have declared that no competing interests exist.
C2 - PMC3741213
CN - Medline 211026
DB - Medline
DO - 10.1371/journal.pone.0071937
DP - NLM
ET - 20130812
IS - 8
J2 - PLoS ONE
KW - Adult
Cost-Benefit Analysis
Efficiency, Organizational/economics
Female
Health Care Costs
Humans
Male
Mental Disorders/*economics/epidemiology
Middle Aged
Occupational Health Services/economics
*Problem Solving
Program Evaluation
Sick Leave/*economics
L1 - internal-pdf://3512191499/1175-Arends-2013.pdf
LA - English
M3 - Research Support, Non-U.S. Gov't
N1 - Arends, Iris
Bultmann, Ute
van Rhenen, Willem
Groen, Henk
van der Klink, Jac J L
eng
Research Support, Non-U.S. Gov't
2013/08/21
PLoS One. 2013 Aug 12;8(8):e71937. doi: 10.1371/journal.pone.0071937. eCollection 2013.
PY - 2013
SN - 1932-6203 (Electronic)
1932-6203 (Linking)
SP - e71937
ST - Economic evaluation of a problem solving intervention to prevent recurrent sickness absence in workers with common mental disorders
T2 - PLoS One
TI - Economic evaluation of a problem solving intervention to prevent recurrent sickness absence in workers with common mental disorders
UR - https://www.ncbi.nlm.nih.gov/pubmed/23951270
VL - 8
ID - 1175
ER -
TY - JOUR
AB - OBJECTIVES: Workers with common mental disorders (CMDs) frequently experience recurrent sickness absence but interventions to prevent this are lacking. The goal of this study was to evaluate the effectiveness of the Stimulating Healthy participation And Relapse Prevention at work intervention in preventing recurrent sickness absence in workers who returned to work after sickness absence due to CMDs. METHODS: We performed a cluster-randomised controlled trial with 3 months, 6 months and 12 months follow-up. Treatment providers were randomised to either a 2-day training in the Stimulating Healthy participation And Relapse Prevention at work intervention, that is, a problem-solving intervention, or usual care. Primary outcome measures were the incidence of recurrent sickness absence and time to recurrent sickness absence. Secondary outcome measures were mental health complaints, work functioning and coping behaviour. RESULTS: 80 participants were randomised in the intervention group and 78 in the control group. The adjusted OR for the incidence of recurrent sickness absence was 0.40 (95% CI 0.20 to 0.81) and the adjusted HR for time to recurrent sickness absence was 0.53 (95% CI 0.33 to 0.86) for the intervention group compared with care as usual. CONCLUSIONS: This study demonstrates the 12-month effectiveness of a problem-solving intervention for reducing recurrent sickness absence in workers with CMDs and emphasises the importance of continuous attention in the post return to work phase for workers who have been on sickness absence due to CMDs.
AD - Department of Health Sciences, Community and Occupational Medicine, University Medical Center Groningen/University of Groningen, Groningen, The Netherlands.
AN - 24158311
AU - Arends, I.
AU - van der Klink, J. J.
AU - van Rhenen, W.
AU - de Boer, M. R.
AU - Bultmann, U.
CN - Medline 211026
DA - Jan
DB - Medline
DO - 10.1136/oemed-2013-101412
DP - NLM
ET - 20131024
IS - 1
J2 - Occup Environ Med
KW - *Absenteeism
Adaptation, Psychological
Adult
Female
Humans
Incidence
Male
*Mental Disorders/complications
Middle Aged
Occupational Health Services/*methods
Odds Ratio
Problem Solving
*Return to Work
*Sick Leave
Treatment Outcome
L1 - internal-pdf://2684893286/1177-Arends-2014.pdf
LA - English
M3 - Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Arends, Iris
van der Klink, Jac J L
van Rhenen, Willem
de Boer, Michiel R
Bultmann, Ute
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
England
2013/10/26
Occup Environ Med. 2014 Jan;71(1):21-9. doi: 10.1136/oemed-2013-101412. Epub 2013 Oct 24.
PY - 2014
SN - 1470-7926 (Electronic)
1351-0711 (Linking)
SP - 21-9
ST - Prevention of recurrent sickness absence in workers with common mental disorders: results of a cluster-randomised controlled trial
T2 - Occup Environ Med
TI - Prevention of recurrent sickness absence in workers with common mental disorders: results of a cluster-randomised controlled trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/24158311
VL - 71
ID - 1177
ER -
TY - JOUR
AB - OBJECTIVE: Mental health problems often affect functioning to such an extent that they result in sick leave. The worldwide reported prevalence of mental health problems in the working population is 10%-18%. In developed countries, mental health problems are one of the main grounds for receiving disability benefits. In up to 90% of cases the cause is stress-related, and health-care utilisation is mainly restricted to primary care. The aim of this study was to assess the effectiveness of our Minimal Intervention for Stress-related mental disorders with Sick leave (MISS) in primary care, which is intended to reduce sick leave and prevent chronicity of symptoms. DESIGN: Cluster-randomised controlled educational trial. SETTING: Primary health-care practices in the Amsterdam area, The Netherlands. PARTICIPANTS: A total of 433 patients (MISS n = 227, usual care [UC] n = 206) with sick leave and self-reported elevated level of distress. INTERVENTIONS: Forty-six primary care physicians were randomised to either receive training in the MISS or to provide UC. Eligible patients were screened by mail. OUTCOME MEASURES: The primary outcome measure was duration of sick leave until lasting full return to work. The secondary outcomes were levels of self-reported distress, depression, anxiety, and somatisation. RESULTS: No superior effect of the MISS was found on duration of sick leave (hazard ratio 1.06, 95% confidence interval 0.87-1.29) nor on severity of self-reported symptoms. CONCLUSIONS: We found no evidence that the MISS is more effective than UC in our study sample of distressed patients. Continuing research should focus on the potential beneficial effects of the MISS; we need to investigate which elements of the intervention might be useful and which elements should be adjusted to make the MISS effective.
AD - Institute for Research in Extramural Medicine, VU University Medical Center Amsterdam, Amsterdam, The Netherlands. IM_Bakker@hotmail.com
AN - 17549228
AU - Bakker, I. M.
AU - Terluin, B.
AU - van Marwijk, H. W.
AU - van der Windt, D. A.
AU - Rijmen, F.
AU - van Mechelen, W.
AU - Stalman, W. A.
C1 - Competing Interests: The authors have declared that no competing interests exist.
C2 - PMC1885369
CN - Medline 211026
DA - Jun 1
DB - PubMed-not-MEDLINE
DO - 10.1371/journal.pctr.0020026
DP - NLM
ET - 20070601
IS - 6
J2 - PLoS Clin Trials
L1 - internal-pdf://4289254072/1227-Bakker-2007.pdf
LA - English
N1 - Bakker, Ingrid M
Terluin, Berend
van Marwijk, Harm W J
van der Windt, Danielle A W M
Rijmen, Frank
van Mechelen, Willem
Stalman, Wim A B
eng
England
2007/06/06
PLoS Clin Trials. 2007 Jun 1;2(6):e26. doi: 10.1371/journal.pctr.0020026.
PY - 2007
SN - 1555-5887 (Electronic)
1555-5887 (Linking)
SP - e26
ST - A cluster-randomised trial evaluating an intervention for patients with stress-related mental disorders and sick leave in primary care
T2 - PLoS Clin Trials
TI - A cluster-randomised trial evaluating an intervention for patients with stress-related mental disorders and sick leave in primary care
UR - https://www.ncbi.nlm.nih.gov/pubmed/17549228
VL - 2
ID - 1227
ER -
TY - JOUR
AB - BACKGROUND: More than 50% of breast cancer patients are diagnosed before the age of 65. Returning to work after treatment is, therefore, of interest for both the individual and society. The aim was to study the effect of support group intervention on sick leave and health care utilization in economic terms. MATERIAL AND METHODS: Of 382 patients with newly diagnosed breast cancer, 191 + 191 patients were randomized to an intervention group or to a routine control group, respectively. The intervention group received support intervention on a residential basis for one week, followed by four days of follow-up two months later. The support intervention included informative-educational sections, relaxation training, mental visualization and non-verbal communication. Patients answered a questionnaire at baseline, two, six and 12 months about sick leave and health care utilization. RESULTS: There was a trend towards longer sick leave and more health care utilization in the intervention group. The difference in total costs was statistically significantly higher in the intervention group after 12 months (p = 0.0036). CONCLUSION: Costs to society were not reduced with intervention in its present form.
AD - Department of Oncology, Vastmanland's County Hospital, Vasteras, Sweden. helena.granstam-bjorneklett@ltv.se
AN - 23106175
AU - Bjorneklett, H. G.
AU - Rosenblad, A.
AU - Lindemalm, C.
AU - Ojutkangas, M. L.
AU - Letocha, H.
AU - Strang, P.
AU - Bergkvist, L.
CN - Medline 211026
DA - Jan
DB - Medline
DO - 10.3109/0284186X.2012.734921
DP - NLM
ET - 20121029
IS - 1
J2 - Acta Oncol
KW - Adult
Aged
Aged, 80 and over
Breast Neoplasms/*therapy
Female
Health Services/*economics/*statistics & numerical data
Humans
Imagery, Psychotherapy
Middle Aged
Nonverbal Communication
Patient Education as Topic
Prospective Studies
Relaxation Therapy
*Self-Help Groups
Sick Leave/*economics/*statistics & numerical data
Sweden/epidemiology
L1 - internal-pdf://1636030275/1311-Bjorneklett-2013.pdf
LA - English
M3 - Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Bjorneklett, Helena Granstam
Rosenblad, Andreas
Lindemalm, Christina
Ojutkangas, Marja-Leena
Letocha, Henry
Strang, Peter
Bergkvist, Leif
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
England
2012/10/31
Acta Oncol. 2013 Jan;52(1):38-47. doi: 10.3109/0284186X.2012.734921. Epub 2012 Oct 29.
PY - 2013
SN - 1651-226X (Electronic)
0284-186X (Linking)
SP - 38-47
ST - A randomized controlled trial of support group intervention after breast cancer treatment: results on sick leave, health care utilization and health economy
T2 - Acta Oncol
TI - A randomized controlled trial of support group intervention after breast cancer treatment: results on sick leave, health care utilization and health economy
UR - https://www.ncbi.nlm.nih.gov/pubmed/23106175
VL - 52
ID - 1311
ER -
TY - JOUR
AB - BACKGROUND: Depression is one of the leading causes of disability and affects 10-15% of the population. The majority of people with depressive symptoms seek care and are treated in primary care. Evidence internationally for high quality care supports collaborative care with a care manager. Our aim was to study clinical effectiveness of a care manager intervention in management of primary care patients with depression in Sweden. METHODS: In a pragmatic cluster randomized controlled trial 23 primary care centers (PCCs), urban and rural, included patients aged >/= 18 years with a new (< 1 month) depression diagnosis. Intervention consisted of Care management including continuous contact between care manager and patient, a structured management plan, and behavioral activation, altogether around 6-7 contacts over 12 weeks. Control condition was care as usual (CAU). OUTCOME MEASURES: Depression symptoms (measured by Mongomery-Asberg depression score-self (MADRS-S) and BDI-II), quality of life (QoL) (EQ-5D), return to work and sick leave, service satisfaction, and antidepressant medication. Data were analyzed with the intention-to-treat principle. RESULTS: One hundred ninety two patients with depression at PCCs with care managers were allocated to the intervention group, and 184 patients at control PCCs were allocated to the control group. Mean depression score measured by MADRS-S was 2.17 lower in the intervention vs. the control group (95% CI [0.56; 3.79], p = 0.009) at 3 months and 2.27 lower (95% CI [0.59; 3.95], p = 0.008) at 6 months; corresponding BDI-II scores were 1.96 lower (95% CI [- 0.19; 4.11], p = 0.07) in the intervention vs. control group at 6 months. Remission was significantly higher in the intervention group at 6 months (61% vs. 47%, p = 0.006). QoL showed a steeper increase in the intervention group at 3 months (p = 0.01). During the first 3 months, return to work was significantly higher in the intervention vs. the control group. Patients in the intervention group were more consistently on antidepressant medication than patients in the control group. CONCLUSIONS: Care managers for depression treatment have positive effects on depression course, return to work, remission frequency, antidepressant frequency, and quality of life compared to usual care and is valued by the patients. TRIAL REGISTRATION: Identifier: NCT02378272 . February 2, 2015. Retrospectively registered.
AD - Department of Primary Health Care, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. Cecilia.bjorkelund@allmed.gu.se.
Department of Primary Health Care, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Box 454, 40530, Goteborg, Sweden. Cecilia.bjorkelund@allmed.gu.se.
Department of Primary Health Care, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
School of Education, Health and Social Studies, Dalarna University, Falun, Sweden.
Region Vastra Gotaland, Narhalsan Research and Development Primary Health Care, Gothenburg, Sweden.
Health Metrics Unit, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Department of Public Health and Caring Sciences - Family Medicine and Preventive Medicine, Uppsala University, Uppsala, Sweden.
Department of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden.
Division of Family Medicine, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden.
AN - 29426288
AU - Björkelund, C.
AU - Svenningsson, I.
AU - Hange, D.
AU - Udo, C.
AU - Petersson, E. L.
AU - Ariai, N.
AU - Nejati, S.
AU - Wessman, C.
AU - Wikberg, C.
AU - Andre, M.
AU - Wallin, L.
AU - Westman, J.
C1 - ETHICS APPROVAL AND CONSENT TO PARTICIPATE: The Regional Ethical Review Board in Gothenburg, Sweden approved this study (Dnr 903-13; January 2, 2014; complementary approval for Dalarna January 7, 2015 (T975-14)). Consent to participate: Prior to inclusion and after receiving oral and written information about the study, participants provided written informed consent. Written permission for conduct of study was obtained from the head of the regional primary care health authority and all participating PCCs, which includes conduct of personnel at the PCCs. Oral informed consent was also obtained from GPs and nurses at the participating PCCs. CONSENT FOR PUBLICATION: Not applicable. COMPETING INTERESTS: All authors declare that they have no competing interest. PUBLISHER'S NOTE: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
C2 - PMC5807835
CN - Medline 211026
DA - Feb 9
DB - Medline
DO - 10.1186/s12875-018-0711-z
DP - NLM
ET - 20180209
IS - 1
J2 - BMC Fam Pract
KW - Adult
Antidepressive Agents/therapeutic use
*Case Management
Depression/therapy
Depressive Disorder/*therapy
Female
Humans
Male
Middle Aged
Patient Care Management/*organization & administration
Patient Reported Outcome Measures
*Patient Satisfaction
*Primary Health Care
Remission Induction
Surveys and Questionnaires
Sweden
Care manager
Collaborative care
Depression
Primary care
Quality-of- life
Sick-leave
L1 - internal-pdf://0156433530/1309-Bjorkelund-2018.pdf
LA - English
M3 - Multicenter Study
Pragmatic Clinical Trial
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Bjorkelund, Cecilia
Svenningsson, Irene
Hange, Dominique
Udo, Camilla
Petersson, Eva-Lisa
Ariai, Nashmil
Nejati, Shabnam
Wessman, Catrin
Wikberg, Carl
Andre, Malin
Wallin, Lars
Westman, Jeanette
eng
Multicenter Study
Pragmatic Clinical Trial
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
England
2018/02/11
BMC Fam Pract. 2018 Feb 9;19(1):28. doi: 10.1186/s12875-018-0711-z.
PY - 2018
SN - 1471-2296 (Electronic)
1471-2296 (Linking)
SP - 28
ST - Clinical effectiveness of care managers in collaborative care for patients with depression in Swedish primary health care: a pragmatic cluster randomized controlled trial
T2 - BMC Fam Pract
TI - Clinical effectiveness of care managers in collaborative care for patients with depression in Swedish primary health care: a pragmatic cluster randomized controlled trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/29426288
VL - 19
ID - 1309
ER -
TY - JOUR
AB - This study is a long-term follow-up of a previously published study that used the internet in the rehabilitation of people on long-term sick leave owing to chronic pain and/or burnout. The follow-up was to assess the effects over time of this kind of rehabilitation. The goals of the first study were to improve the participants' health and work capacity. Sixty people were randomly assigned to either a treatment or a waiting-list group. A 20-week rehabilitation programme based on 19 films on different themes was supplemented with written material and a dialogue over the internet. Fifty participants, 25 in each group, were followed up for 1 year after programme completion. They were administered the same questionnaire (SF-36, HAD, Stress Barometer) that they had taken immediately before (pre) and after (post) the rehabilitation programme. No significant differences were found regarding stress and health between the treatment and waiting-list groups at the time of the 12-month follow-up. Significant group differences were, however, seen in work capacity (number of hours worked per week): 52% of the participants in the treatment group reported an increased work capacity, compared with only 13% in the waiting-list group (P=0.005). Rehabilitation of people on long-term sick leave, which is carried out over the internet seems to complement other rehabilitation programmes as well.
AD - Certec, Division of Rehabilitation Engineering Research, Department of Design Sciences, Lund University and Department of Public Health and Caring Sciences, Health Service Research, Uppsala University, Sweden. gunilla.brattberg@varkstaden.se
AN - 17762769
AU - Brattberg, G.
CN - Medline 211026
DA - Sep
DB - Medline
DO - 10.1097/MRR.0b013e32829fa545
DP - NLM
IS - 3
J2 - Int J Rehabil Res
KW - Adult
Anxiety/psychology
Burnout, Professional/*rehabilitation
Chronic Disease
Depression/psychology
Female
Follow-Up Studies
Health Status
Humans
*Internet
Male
Middle Aged
Pain/*rehabilitation
Stress, Psychological/psychology
Sweden
Work
L1 - internal-pdf://0691639959/1367-Brattberg-2007.pdf
LA - English
M3 - Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Brattberg, Gunilla
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
England
2007/09/01
Int J Rehabil Res. 2007 Sep;30(3):231-4. doi: 10.1097/MRR.0b013e32829fa545.
PY - 2007
SN - 0342-5282 (Print)
0342-5282 (Linking)
SP - 231-4
ST - Internet-based rehabilitation for individuals with chronic pain and burnout II: a long-term follow-up
T2 - Int J Rehabil Res
TI - Internet-based rehabilitation for individuals with chronic pain and burnout II: a long-term follow-up
UR - https://www.ncbi.nlm.nih.gov/pubmed/17762769
VL - 30
ID - 1367
ER -
TY - JOUR
AB - OBJECTIVE: This randomized clinical trial was performed to compare the effect of a new multidisciplinary intervention (MI) programme to a brief intervention (BI) programme on return to work (RTW), fully and partly, at a 12-month and 24-month follow-up in patients on long-term sick leave due to musculoskeletal pain. METHODS: Patients (n = 284, mean age 41.3 years, 53.9 % women) who were sick-listed with musculoskeletal pain and referred to a specialist clinic in physical rehabilitation were randomized to MI (n = 141) or BI (n = 143). The MI included the use of a visual educational tool, which facilitated patient-therapist communication and self-management. The MI also applied one more profession, more therapist time and a comprehensive focus on the psychosocial factors, particularly the working conditions, compared to a BI. The main features of the latter are a thorough medical, educational examination, a brief cognitive assessment based on the non-injury model, and a recommendation to return to normal activity as soon as possible. RESULTS: The number of patients with full-time RTW developed similarly in the two groups. The patients receiving MI had a higher probability to partly RTW during the first 7 months of the follow-up compared to the BI-group. CONCLUSIONS: There were no differences between the groups on full-time RTW during the 24 months. However, the results indicate that MI hastens the return to work process in long-term sick leave through the increased use of partial sick leave. TRIAL REGISTRATION: http://www.clinicaltrials.gov with the registration number NCT01346423.
AD - Department of Physical Medicine and Rehabilitation, Innlandet Hospital Trust, Ottestad, Norway. randi.brendbekken@sykehuset-innlandet.no.
Department of Sport and Physical Activity, Bergen University College, Uni Research Health, Bergen, Norway.
Department of Economics, University of Bergen, Bergen, Norway.
Department of Psychosocial Science, Faculty of Psychology, University of Bergen, Bergen, Norway.
Department of Physical Medicine and Rehabilitation, Innlandet Hospital Trust, Ottestad, Norway.
Department of Clinical Medicine, Haukeland University Hospital, University of Bergen, Bergen, Norway.
AN - 26910406
AU - Brendbekken, R.
AU - Eriksen, H. R.
AU - Grasdal, A.
AU - Harris, A.
AU - Hagen, E. M.
AU - Tangen, T.
C2 - PMC5306180
CN - Medline 211026
DA - Mar
DB - Medline
DO - 10.1007/s10926-016-9634-5
DP - NLM
IS - 1
J2 - J Occup Rehabil
KW - Adult
Chronic Pain/diagnosis/*rehabilitation
Disability Evaluation
Female
Humans
Male
Musculoskeletal Pain/diagnosis/*rehabilitation
Patient Care Team
Rehabilitation, Vocational/*methods
*Return to Work
Sick Leave
Chronic pain
Coping
Return to work
Work disability
L1 - internal-pdf://1289023326/1370-Brendbekken-2017.pdf
LA - English
M3 - Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Brendbekken, Randi
Eriksen, Hege R
Grasdal, Astrid
Harris, Anette
Hagen, Eli M
Tangen, Tone
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Netherlands
2016/02/26
J Occup Rehabil. 2017 Mar;27(1):82-91. doi: 10.1007/s10926-016-9634-5.
PY - 2017
SN - 1573-3688 (Electronic)
1053-0487 (Print)
1053-0487 (Linking)
SP - 82-91
ST - Return to Work in Patients with Chronic Musculoskeletal Pain: Multidisciplinary Intervention Versus Brief Intervention: A Randomized Clinical Trial
T2 - J Occup Rehabil
TI - Return to Work in Patients with Chronic Musculoskeletal Pain: Multidisciplinary Intervention Versus Brief Intervention: A Randomized Clinical Trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/26910406
VL - 27
ID - 1370
ER -
TY - JOUR
AB - OBJECTIVE: To assess the predictive effect of a multidisciplinary intervention programme, pain, work-related factors and health, including anxiety/depression and beliefs, on return-to-work for patients sick-listed due to musculoskeletal pain. DESIGN: A randomized clinical study. METHODS: A total of 284 patients were randomized to either a multidisciplinary intervention programme (n = 141) or to a less resource-demanding brief intervention (n = 143). Work participation was estimated monthly from register data for 12 months. Return-to-work was defined as increased work participation in 3 consecutive months. RESULTS: In the adjusted model, return-to-work by 3 months was associated with a multidisciplinary intervention programme (odds ratio (OR) = 2.7, 95% confidence interval (95% CI) = 1.1-6.9), the factor "belief that work was cause of the pain" (OR = 2.2, 95% CI = 1.1-4.3), anxiety and depression (OR = 0.5, 95% CI = 0.2-0.98), and by an interaction between the multidisciplinary intervention and perceived support at work (OR = 0.3, 95% CI = 0.1-0.9). At 12 months, only duration of sick leave was associated with return-to-work (OR = 0.6, 95% CI = 0.5-0.8). CONCLUSION: Multidisciplinary intervention may hasten return-to-work and benefit those who perceive low support at work, but at 12 months only duration of sick leave at baseline was associated with return-to-work.
AD - Department of Physical Medicine and Rehabilitation, Innlandet Hospital Trust, NO-2312 Ottestad, Norway. randi.brendbekken@sykehuset-innlandet.no.
AN - 29206274
AU - Brendbekken, R.
AU - Vaktskjold, A.
AU - Harris, A.
AU - Tangen, T.
CN - Medline 211026
DA - Feb 13
DB - Medline
DO - 10.2340/16501977-2296
DP - NLM
IS - 2
J2 - J Rehabil Med
KW - Adult
Female
Humans
Male
Musculoskeletal Pain/*complications
Prognosis
Return to Work/*statistics & numerical data
Sick Leave/*statistics & numerical data
Treatment Outcome
L1 - internal-pdf://1118241872/1371-Brendbekken-2018.pdf
LA - English
M3 - Randomized Controlled Trial
N1 - Brendbekken, Randi
Vaktskjold, Arild
Harris, Anette
Tangen, Tone
eng
Randomized Controlled Trial
Sweden
2017/12/06
J Rehabil Med. 2018 Feb 13;50(2):193-199. doi: 10.2340/16501977-2296.
PY - 2018
SN - 1651-2081 (Electronic)
1650-1977 (Linking)
SP - 193-199
ST - Predictors of return-to-work in patients with chronic musculoskeletal pain: A randomized clinical trial
T2 - J Rehabil Med
TI - Predictors of return-to-work in patients with chronic musculoskeletal pain: A randomized clinical trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/29206274
VL - 50
ID - 1371
ER -
TY - JOUR
AB - BACKGROUND: Sickness absence often occurs in patients with emotional distress or minor mental disorders. In several European countries, these patients are over-represented among those receiving illness benefits, and interventions are needed. The aim of this study was to evaluate the cost-effectiveness of an intervention conducted by social workers, designed to reduce sick leave duration in patients absent from work owing to emotional distress or minor mental disorders. METHODS: In this Randomized Controlled Trial, patients were recruited by GPs. The intervention group (N = 98) received an activating, structured treatment by social workers, the control group (N = 96) received routine GP care. Sick leave duration, clinical symptoms, and medical consumption (consumption of medical staffs' time as well as consumption of drugs) were measured at baseline and 3, 6, and 18 months later. RESULTS: Neither for sick leave duration nor for clinical improvement over time were significant differences found between the groups. Also the associated costs were not significantly lower in the intervention group. CONCLUSIONS: Compared with usual GP care, the activating social work intervention was not superior in reducing sick leave duration, improving clinical symptoms, and decreasing medical consumption. It was also not cost-effective compared with GP routine care in the treatment of minor mental disorders. Therefore, further implementation of the intervention is not justified. Potentially, programmes aimed at reducing sick leave duration in patients with minor mental disorders carried out closer to the workplace (e.g. by occupational physicians) are more successful than programmes in primary care.
AD - Netherlands Institute for Health Services Research (NIVEL) Utrecht, the Netherlands.
AN - 16837516
AU - Brouwers, E. P.
AU - de Bruijne, M. C.
AU - Terluin, B.
AU - Tiemens, B. G.
AU - Verhaak, P. F.
CN - Medline 211026
DA - Apr
DB - Medline
DO - 10.1093/eurpub/ckl099
DP - NLM
ET - 20060712
IS - 2
J2 - Eur J Public Health
KW - Adaptation, Psychological
Adolescent
Adult
Affective Symptoms/*economics/epidemiology/rehabilitation
Cost-Benefit Analysis
Family Practice/economics/methods
Female
Humans
Male
Mental Disorders/*economics/epidemiology/rehabilitation
Middle Aged
Netherlands/epidemiology
Patient Education as Topic/*methods
Problem Solving
Program Evaluation
Rehabilitation, Vocational/economics/methods
Sick Leave/*statistics & numerical data
Social Work, Psychiatric/economics/*methods
Time Factors
L1 - internal-pdf://1773705116/1379-Brouwers-2007.pdf
LA - English
M3 - Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Brouwers, Evelien P M
de Bruijne, Martine C
Terluin, Berend
Tiemens, Bea G
Verhaak, Peter F M
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
England
2006/07/14
Eur J Public Health. 2007 Apr;17(2):214-20. doi: 10.1093/eurpub/ckl099. Epub 2006 Jul 12.
PY - 2007
SN - 1101-1262 (Print)
1101-1262 (Linking)
SP - 214-20
ST - Cost-effectiveness of an activating intervention by social workers for patients with minor mental disorders on sick leave: a randomized controlled trial
T2 - Eur J Public Health
TI - Cost-effectiveness of an activating intervention by social workers for patients with minor mental disorders on sick leave: a randomized controlled trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/16837516
VL - 17
ID - 1379
ER -
TY - JOUR
AB - OBJECTIVE: The purpose of this study was to evaluate the effectiveness of an activating intervention designed to reduce sick leave duration in patients with emotional distress or minor mental disorders. METHOD: In a 1.5-year randomized controlled trial, 194 patients with minor mental disorders received either an experimental intervention by social workers or general practitioners' usual care. The intervention focused on understanding causes, developing and implementing problem-solving strategies and promoting early work resumption. Outcome measures were sick leave duration, mental health and physical health (questionnaires included the Hospital Anxiety and Depression Scale, the Four-Dimensional Symptom Questionnaire and SF-36), all measured at baseline at and 3, 6 and 18 months later. Multilevel analyses were used to evaluate differences between groups. RESULTS: The groups did not differ significantly on any of the outcome measures, except that the experimental group reported higher satisfaction with treatment. CONCLUSION: Although the intervention has benefits, it was not successful at its primary goal (i.e., to reduce sick leave duration in patients with emotional distress or minor mental disorders). Programs aimed at the reduction of sick leave duration may yield better results if targeted at patients with more severe emotional problems than at those with exclusively emotional distress or minor mental disorders, or if delivered by caregivers who are closer to the work environment than are social workers, such as occupational physicians.
AD - Netherlands Institute for Health Services Research (NIVEL), PO Box 1568, 3500 BN Utrecht, The Netherlands.
AN - 16675365
AU - Brouwers, E. P.
AU - Tiemens, B. G.
AU - Terluin, B.
AU - Verhaak, P. F.
CN - Medline 211026
DA - May-Jun
DB - Medline
DO - 10.1016/j.genhosppsych.2006.02.005
DP - NLM
IS - 3
J2 - Gen Hosp Psychiatry
KW - Adult
Affective Symptoms/*therapy
Female
Humans
Male
Mental Disorders/*therapy
Middle Aged
Netherlands
Physicians, Family
Sick Leave/*trends
Social Work
Surveys and Questionnaires
Treatment Outcome
L1 - internal-pdf://2910511853/1380-Brouwers-2006.pdf
LA - English
M3 - Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Brouwers, Evelien P M
Tiemens, Bea G
Terluin, Berend
Verhaak, Peter F M
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
2006/05/06
Gen Hosp Psychiatry. 2006 May-Jun;28(3):223-9. doi: 10.1016/j.genhosppsych.2006.02.005.
PY - 2006
SN - 0163-8343 (Print)
0163-8343 (Linking)
SP - 223-9
ST - Effectiveness of an intervention to reduce sickness absence in patients with emotional distress or minor mental disorders: a randomized controlled effectiveness trial
T2 - Gen Hosp Psychiatry
TI - Effectiveness of an intervention to reduce sickness absence in patients with emotional distress or minor mental disorders: a randomized controlled effectiveness trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/16675365
VL - 28
ID - 1380
ER -
TY - JOUR
AB - INTRODUCTION: In Denmark, the magnitude and impact of work disability on the individual worker and society has prompted the development of a new "coordinated and tailored work rehabilitation" (CTWR) approach. The aim of this study was to compare the effects of CTWR with conventional case management (CCM) on return-to-work of workers on sick leave due to musculoskeletal disorders (MSDs). METHODS: The study was a randomized controlled trial with economic evaluation undertaken with workers on sick leave for 4-12 weeks due to MSDs. CTWR consists of a work disability screening by an interdisciplinary team followed by the collaborative development of a RTW plan. The primary outcome variable was registered cumulative sickness absence hours during 12 months follow-up. Secondary outcomes were work status as well as pain intensity and functional disability, measured at baseline, 3 and 12 months follow-up. The economic evaluation (intervention costs, productivity loss, and health care utilization costs) was based on administrative data derived from national registries. RESULTS: For the time intervals 0-6 months, 6-12 months, and the entire follow-up period, the number of sickness absence hours was significantly lower in the CTWR group as compared to the control group. The total costs saved in CTWR participants compared to controls were estimated at US $ 1,366 per person at 6 months follow-up and US $ 10,666 per person at 12 months follow-up. CONCLUSIONS: Workers on sick leave for 4-12 weeks due to MSD who underwent "CTWR" by an interdisciplinary team had fewer sickness absence hours than controls. The economic evaluation showed that-in terms of productivity loss-CTWR seems to be cost saving for the society.
AD - Department of Health Sciences, Section of Social Medicine, Work & Health, University Medical Center Groningen, A. Deusinglaan 1, Building 3217, Room 605, 9713 AV, Groningen, The Netherlands. u.bultmann@med.umcg.nl
AN - 19169654
AU - Bultmann, U.
AU - Sherson, D.
AU - Olsen, J.
AU - Hansen, C. L.
AU - Lund, T.
AU - Kilsgaard, J.
CN - Medline 211026
DA - Mar
DB - Medline
DO - 10.1007/s10926-009-9162-7
DP - NLM
ET - 20090124
IS - 1
J2 - J Occup Rehabil
KW - Case Management
Cost Savings
Denmark
Disability Evaluation
Employment/psychology
Humans
Musculoskeletal Diseases/economics/psychology/*rehabilitation
Recovery of Function
*Sick Leave/economics
*Work Capacity Evaluation
L1 - internal-pdf://3525740787/1400-Bultmann-2009.pdf
LA - English
M3 - Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Bultmann, Ute
Sherson, David
Olsen, Jens
Hansen, Carl Lysbeck
Lund, Thomas
Kilsgaard, Jorgen
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Netherlands
2009/01/27
J Occup Rehabil. 2009 Mar;19(1):81-93. doi: 10.1007/s10926-009-9162-7. Epub 2009 Jan 24.
PY - 2009
SN - 1573-3688 (Electronic)
1053-0487 (Linking)
SP - 81-93
ST - Coordinated and tailored work rehabilitation: a randomized controlled trial with economic evaluation undertaken with workers on sick leave due to musculoskeletal disorders
T2 - J Occup Rehabil
TI - Coordinated and tailored work rehabilitation: a randomized controlled trial with economic evaluation undertaken with workers on sick leave due to musculoskeletal disorders
UR - https://www.ncbi.nlm.nih.gov/pubmed/19169654
VL - 19
ID - 1400
ER -
TY - JOUR
AB - Multidisciplinary programmes using a vocational approach can enhance work return in chronic pain patients, but little is known about the long-term effects of rehabilitation. The current study examined the patterns of sickness absence 10 years after participation in 3 treatment groups (physiotherapy, cognitive behavioural therapy, and vocational multidisciplinary rehabilitation) in comparison to a control group receiving treatment-as-usual. Cost-effectiveness was also assessed. Two hundred fourteen patients participated in a randomized controlled trial and were followed-up via register data 10 years after the interventions. On average, persons in multidisciplinary rehabilitation had 42.98 fewer days on sickness absence per year compared to those treated-as-usual (95% confidence interval -82.45 to -3.52, P=0.03). The corresponding reduction of sickness absence after physiotherapy and cognitive behavioural therapy was not significantly different from the control group. The effect of rehabilitation seems to be more pronounced for disability pension than for sick leave. The economic analyses showed substantial cost savings for individuals in the multidisciplinary group compared to the control group.
AD - Division of Intervention and Implementation Research, Department of Public Health, Karolinska Institutet, Sweden.
AN - 21507573
AU - Busch, H.
AU - Bodin, L.
AU - Bergstrom, G.
AU - Jensen, I. B.
CN - Medline 211026
DA - Aug
DB - Medline
DO - 10.1016/j.pain.2011.02.004
DP - NLM
ET - 20110420
IS - 8
J2 - Pain
KW - Adolescent
Adult
Cognitive Behavioral Therapy/economics/methods
Cost-Benefit Analysis
Disabled Children/psychology
Female
Humans
Longitudinal Studies
Male
Middle Aged
Pain/economics/*rehabilitation
Patient Compliance/statistics & numerical data
*Physical Therapy Modalities/economics
Retrospective Studies
*Sick Leave/economics
Sweden/epidemiology
*Treatment Outcome
Young Adult
L1 - internal-pdf://0196237541/1413-Busch-2011.pdf
LA - English
M3 - Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Busch, Hillevi
Bodin, Lennart
Bergstrom, Gunnar
Jensen, Irene B
eng
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
2011/04/22
Pain. 2011 Aug;152(8):1727-1733. doi: 10.1016/j.pain.2011.02.004. Epub 2011 Apr 20.
PY - 2011
SN - 1872-6623 (Electronic)
0304-3959 (Linking)
SP - 1727-1733
ST - Patterns of sickness absence a decade after pain-related multidisciplinary rehabilitation
T2 - Pain
TI - Patterns of sickness absence a decade after pain-related multidisciplinary rehabilitation
UR - https://www.ncbi.nlm.nih.gov/pubmed/21507573
VL - 152
ID - 1413
ER -
TY - JOUR
AB - OBJECTIVE: To study the effects on sick leave from an early multidisciplinary assessment at a primary health care centre. DESIGN: Randomized controlled trial. SETTING: Patients who saw GPs at a primary health care centre in mid-Sweden and asked for a sickness certificate for psychiatric or musculoskeletal diagnoses were invited to participate. Patients included were sick-listed for less than four weeks; 33 patients were randomized either to an assessment within a week by a physiotherapist, a psychotherapist, and an occupational therapist or to "standard care". The therapists used methods and tools they normally use in their clinical work. MAIN OUTCOME MEASURE: Proportion of patients still sick-listed three months after randomization, total and net days on sick leave, and proportion who were on part-time sick leave. Results. At follow-up after three months, in contrast to the pre-trial hypothesis, there was a trend toward a higher proportion of patients still sick-listed in the intervention group (7/18) as compared with the control group (3/15). The intervention group also had significantly longer sick-listing periods (mean 58 days) than the control group (mean 36 days) (p = 0.038). The proportion of patients who were part time sick-listed was significantly higher in the intervention group (10/18) than in the control group (2/15) (p = 0.027). CONCLUSIONS: In this study an early multidisciplinary assessment was associated with longer periods on sick leave and more individuals on part-time sick leave.
AD - Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine Section, Uppsala University, Uppsala, Sweden. lars.carlsson@ltdalarna.se
AN - 23909930
AU - Carlsson, L.
AU - Englund, L.
AU - Hallqvist, J.
AU - Wallman, T.
C2 - PMC3750435
CN - Medline 211026
DA - Sep
DB - Medline
DO - 10.3109/02813432.2013.811943
DP - NLM
ET - 20130805
IS - 3
J2 - Scand J Prim Health Care
KW - Adult
*Disability Evaluation
Female
General Practice
Humans
Male
Mental Disorders
Middle Aged
Musculoskeletal Diseases
Occupational Therapy
Physical Therapists
Primary Health Care
Rehabilitation/*methods
Sick Leave/*trends
Sweden/epidemiology
Time Factors
Treatment Outcome
Workload
L1 - internal-pdf://0279932740/1438-Carlsson-2013.pdf
LA - English
M3 - Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Carlsson, Lars
Englund, Lars
Hallqvist, Johan
Wallman, Thorne
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
2013/08/06
Scand J Prim Health Care. 2013 Sep;31(3):141-6. doi: 10.3109/02813432.2013.811943. Epub 2013 Aug 5.
PY - 2013
SN - 1502-7724 (Electronic)
0281-3432 (Print)
0281-3432 (Linking)
SP - 141-6
ST - Early multidisciplinary assessment was associated with longer periods of sick leave: a randomized controlled trial in a primary health care centre
T2 - Scand J Prim Health Care
TI - Early multidisciplinary assessment was associated with longer periods of sick leave: a randomized controlled trial in a primary health care centre
UR - https://www.ncbi.nlm.nih.gov/pubmed/23909930
VL - 31
ID - 1438
ER -
TY - JOUR
AB - BACKGROUND: Sick leave due to common mental disorders (CMDs) is a public health problem in several countries, including Sweden. Given that symptom relief does not necessarily correspond to return to work, health care interventions focusing on factors that have proven important to influence the return to work process, such as self-efficacy, are warranted. Self-efficacy is also a central concept in person-centered care. OBJECTIVE: The aim of this study is to evaluate the effects of a person-centered eHealth intervention for patients on sick leave due to CMDs. METHODS: A randomized controlled trial of 209 patients allocated to either a control group (107/209, 51.2%) or an intervention group (102/209, 48.8%) was conducted. The control group received usual care, whereas the intervention group received usual care with the addition of a person-centered eHealth intervention. The intervention was built on person-centered care principles and consisted of telephone support and a web-based platform. The primary outcome was a composite score of changes in general self-efficacy (GSE) and level of sick leave at the 6-month follow-up. An intention-to-treat analysis included all participants, and a per-protocol analysis consisted of those using both the telephone support and the web-based platform. RESULTS: At the 3-month follow-up, in the intention-to-treat analysis, more patients in the intervention group improved on the composite score than those in the control group (20/102, 19.6%, vs 10/107, 9.3%; odds ratio [OR] 2.37, 95% CI 1.05-5.34; P=.04). At the 6-month follow-up, the difference was no longer significant between the groups (31/100, 31%, vs 25/107, 23.4%; OR 1.47, 95% CI 0.80-2.73; P=.22). In the per-protocol analysis, a significant difference was observed between the intervention and control groups at the 3-month follow-up (18/85, 21.2%, vs 10/107, 9.3%; OR 2.6, 95% CI 1.13-6.00; P=.02) but not at 6 months (30/84, 35.7%, vs 25/107, 23.4%; OR 1.8, 95% CI 0.97-3.43; P=.06). Changes in GSE drove the effects in the composite score, but the intervention did not affect the level of sick leave. CONCLUSIONS: A person-centered eHealth intervention for patients on sick leave due to CMDs improved GSE but did not affect the level of sick leave. TRIAL REGISTRATION: ClinicalTrials.gov NCT03404583; https://clinicaltrials.gov/ct2/show/NCT03404583.
AD - Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
University of Gothenburg Centre for Person-Centred Care (GPCC), Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Department of Psychiatry, Sahlgrenska University Hospital, Gothenburg, Sweden.
Department of Internal Medicine and Geriatrics, Sahlgrenska University Hospital Ostra, Gothenburg, Sweden.
The Institute of Stress Medicine, Region Vastra Gotaland, Gothenburg, Sweden.
School of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Research and Development, Primary Health Care, Region Vastra Gotaland, Gothenburg, Sweden.
AN - 35289756
AU - Cederberg, M.
AU - Alsen, S.
AU - Ali, L.
AU - Ekman, I.
AU - Glise, K.
AU - Jonsdottir, I. H.
AU - Gyllensten, H.
AU - Swedberg, K.
AU - Fors, A.
C1 - Conflicts of Interest: None declared.
C2 - PMC8965681
CN - Embase rct uppdateringssökning 220511
DA - Mar 15
DB - PubMed-not-MEDLINE
DO - 10.2196/30966
DP - NLM
ET - 20220315
IS - 3
KW - anxiety
depression
intervention
mHealth
mobile phone
patient-centered care
person-centered care
randomized controlled trial
sickness absence
stress
telehealth
L1 - internal-pdf://1861358982/10116-Cederberg-2022.pdf
LA - English
M3 - Article
N1 - Cederberg, Matilda
Alsen, Sara
Ali, Lilas
Ekman, Inger
Glise, Kristina
Jonsdottir, Ingibjorg H
Gyllensten, Hanna
Swedberg, Karl
Fors, Andreas
eng
Canada
2022/03/16
JMIR Ment Health. 2022 Mar 15;9(3):e30966. doi: 10.2196/30966.
PY - 2022
SN - 2368-7959 (Print)
2368-7959 (Electronic)
2368-7959 (Linking)
SP - e30966
ST - Effects of a Person-Centered eHealth Intervention for Patients on Sick Leave Due to Common Mental Disorders (PROMISE Study): Open Randomized Controlled Trial
T2 - JMIR Ment Health
TI - Effects of a Person-Centered eHealth Intervention for Patients on Sick Leave Due to Common Mental Disorders (PROMISE Study): Open Randomized Controlled Trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/35289756
VL - 9
ID - 10116
ER -
TY - JOUR
AB - Objectives This study aimed to evaluate the effect of a stress management intervention (SMI) on lasting return to work (RTW) among patients with work-related stress complaints. Methods Sickness benefit departments from three local municipalities referred patients on sick leave with work-related adjustment disorders or mild depression to the Department of Occupational Medicine, Regional Hospital West Jutland. A 2x randomization procedure allocated patients into one of three groups: intervention (N=58), control A (which received a clinical assessment; N=56), or control B (no assessment; N=49). Treatment comprised individual work-focused cognitive behavioral therapy (CBT) with an optional workplace intervention. The outcome was time until lasting RTW (16 and 44 weeks follow-up) using register data. Results Median number of weeks until lasting RTW was 15, 19, and 32 for the intervention group, control A, and control B respectively. However, for group B, clinical assessment was not part of the inclusion process, which may have introduced selection bias. In the fully-adjusted Cox regression model, the intervention group exhibited significantly faster lasting RTW at 44 weeks; hazard ratio (HR) 1.57 [95% confidence interval (95% CI) 1.01-2.44] relative to control group A, with a non-significant trend evident at 16 weeks; HR 1.70 (95% CI 0.94-3.10), when controlling for age, gender, occupation, sick leave during previous year, full or partial sick leave, and diagnosis. Unadjusted analyses remained directionally consistent but were reduced to marginal significance. Conclusions There was a tendency towards faster lasting RTW in the intervention group compared to control A, which received clinical assessment, in all analyses. The intervention group returned to work about 4 weeks earlier than control A, which could translate into substantial financial gains.
AD - Danish Ramazzini Centre, Dept. of Occupational Medicine, The Regional Hospital West Jutland - University Research Clinic, Gl. Landevej 61, 7400, Herning, Denmark. Vita.Ligaya.Dalgaard@vest.rm.dk.
AN - 28650513
AU - Dalgaard, V. L.
AU - Aschbacher, K.
AU - Andersen, J. H.
AU - Glasscock, D. J.
AU - Willert, M. V.
AU - Carstensen, O.
AU - Biering, K.
CN - Medline 211026
DA - Sep 1
DB - Medline
DO - 10.5271/sjweh.3655
DP - NLM
ET - 20170626
IS - 5
J2 - Scand J Work Environ Health
KW - Adjustment Disorders/psychology
Adult
Cognitive Behavioral Therapy/*methods
Denmark
Female
Humans
Male
Middle Aged
Occupational Stress/psychology/*rehabilitation
*Return to Work
Sick Leave/statistics & numerical data
Time Factors
Workplace/psychology
L1 - internal-pdf://0099966277/1576-Dalgaard-2017.pdf
LA - English
M3 - Randomized Controlled Trial
N1 - Dalgaard, Vita Ligaya
Aschbacher, Kirstin
Andersen, Johan Hviid
Glasscock, David John
Willert, Morten Vejs
Carstensen, Ole
Biering, Karin
eng
K23 HL112955/HL/NHLBI NIH HHS/
Randomized Controlled Trial
Finland
2017/06/27
Scand J Work Environ Health. 2017 Sep 1;43(5):436-446. doi: 10.5271/sjweh.3655. Epub 2017 Jun 26.
PY - 2017
SN - 1795-990X (Electronic)
0355-3140 (Linking)
SP - 436-446
ST - Return to work after work-related stress: a randomized controlled trial of a work-focused cognitive behavioral intervention
T2 - Scand J Work Environ Health
TI - Return to work after work-related stress: a randomized controlled trial of a work-focused cognitive behavioral intervention
UR - https://www.ncbi.nlm.nih.gov/pubmed/28650513
VL - 43
ID - 1576
ER -
TY - JOUR
AB - Work-related stress is widespread and can lead to long-term absenteeism and work disability. Cognitive-behavioral treatment (CBT) has demonstrated effectiveness in treating psychopathology but has only rarely been tested in clinical samples with work-related stress. A randomized controlled trial was conducted to investigate the efficacy of CBT-based stress management training (SMT). Eighty-two patients on sickness leave with work-related stress were randomly assigned to (a) individual SMT, (b) group SMT, or (c) care as usual (CAU). The SMT comprised 12 sessions conducted by a psychologist. Complaints of burnout and distress were measured at baseline, and at 4, 7, and 10 months. Absenteeism was measured during the whole research period. Across treatment conditions, complaints and sickness absence reduced considerably between baseline and 4 months. Thereafter, complaints remained approximately stable, whereas sickness absence further reduced. Hardly any significant group difference emerged, and no consistent pattern could be discerned in favor of any treatment condition. In subgroups with low depressive complaints, though, individual SMT resulted in larger reductions of some complaints than CAU. In conclusion, this study adds to the evidence that CBT-based interventions as currently practiced are not successful in treating patients with clinical levels of work-related stress.
AD - Department of Clinical Psychology, University of Amsterdam, Amsterdam, The Netherlands. w.devente@uva.nl
AN - 18572993
AU - de Vente, W.
AU - Kamphuis, J. H.
AU - Emmelkamp, P. M.
AU - Blonk, R. W.
CN - Medline 211026
DA - Jul
DB - Medline
DO - 10.1037/1076-8998.13.3.214
DP - NLM
IS - 3
J2 - J Occup Health Psychol
KW - *Absenteeism
Adult
Burnout, Professional/diagnosis/psychology/therapy
*Cognitive Behavioral Therapy
Depression/diagnosis/psychology/therapy
Female
Follow-Up Studies
Humans
Male
Middle Aged
Netherlands
Occupational Diseases/diagnosis/psychology/*therapy
*Psychotherapy, Group
*Sick Leave
Somatoform Disorders/diagnosis/psychology/*therapy
Stress, Psychological/*complications
Treatment Outcome
L1 - internal-pdf://3552938015/1611-de Vente-2008.pdf
LA - English
M3 - Comparative Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - de Vente, Wieke
Kamphuis, Jan H
Emmelkamp, Paul M G
Blonk, Roland W B
eng
Comparative Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
2008/06/25
J Occup Health Psychol. 2008 Jul;13(3):214-31. doi: 10.1037/1076-8998.13.3.214.
PY - 2008
SN - 1076-8998 (Print)
1076-8998 (Linking)
SP - 214-31
ST - Individual and group cognitive-behavioral treatment for work-related stress complaints and sickness absence: a randomized controlled trial
T2 - J Occup Health Psychol
TI - Individual and group cognitive-behavioral treatment for work-related stress complaints and sickness absence: a randomized controlled trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/18572993
VL - 13
ID - 1611
ER -
TY - JOUR
AB - BACKGROUND: Dialogue between supervisor and employee is of great importance for occupational rehabilitation. OBJECTIVE: To evaluate the effectiveness of a convergence dialogue meeting (CDM) of employee, therapist and supervisor aimed at facilitating return to work (RTW) as part of cognitive-behavioural treatment. METHODS: Randomized controlled trial including 60 employees sick-listed with common mental disorders and referred for specialized mental healthcare. Employees were randomly allocated either to an intervention group (n = 31) receiving work-focused cognitive-behavioural therapy plus CDM or a control group (n = 29) receiving work-focused cognitive-behavioural therapy without CDM. RESULTS: The time to first RTW was 12 days shorter (p = 0.334) in the intervention group, although full (i.e., at equal earnings as before reporting sick) RTW took 41 days longer (p = 0.122) than the control group. The odds of full RTW at the end of treatment were only 7% higher (p = 0.910) in the intervention group as compared to the control group. CONCLUSIONS: CDM did not significantly reduce the time to RTW. We recommend that therapists who are trained on CDM focus on barriers and solutions for RTW.
AD - Pro Persona, Nijmegen, The Netherlands.
Dimence Mental Health Care Centre, Deventer, The Netherlands.
GGz Breburg, Breda, The Netherlands.
ArboNed Occupational Health Service, Utrecht, The Netherlands.
Radboud Centre Social Sciences, Radboud University and Pro Persona, Nijmegen, The Netherlands.
AN - 27286071
AU - de Weerd, B. J.
AU - van Dijk, M. K.
AU - van der Linden, J. N.
AU - Roelen, C. A.
AU - Verbraak, M. J.
CN - Medline 211026
DA - Jun 4
DB - Medline
DO - 10.3233/WOR-162307
DP - NLM
IS - 3
J2 - Work
KW - Adult
Cognitive Behavioral Therapy/*methods
Communication
Female
*Group Processes
Humans
Male
Mental Disorders/*rehabilitation
Middle Aged
*Return to Work
Time Factors
Absenteeism
cognitive therapy
mental health
return to work
sick leave
L1 - internal-pdf://1554863304/1612-de Weerd-2016.pdf
LA - English
M3 - Randomized Controlled Trial
N1 - de Weerd, Bas J
van Dijk, Maarten K
van der Linden, Jolijn N
Roelen, Corne A M
Verbraak, Marc J P M
eng
Randomized Controlled Trial
Netherlands
2016/06/11
Work. 2016 Jun 4;54(3):647-55. doi: 10.3233/WOR-162307.
PY - 2016
SN - 1875-9270 (Electronic)
1051-9815 (Linking)
SP - 647-55
ST - The effectiveness of a convergence dialogue meeting with the employer in promoting return to work as part of the cognitive-behavioural treatment of common mental disorders: A randomized controlled trial
T2 - Work
TI - The effectiveness of a convergence dialogue meeting with the employer in promoting return to work as part of the cognitive-behavioural treatment of common mental disorders: A randomized controlled trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/27286071
VL - 54
ID - 1612
ER -
TY - JOUR
AB - STUDY DESIGN: A single-blinded, randomized controlled trial. OBJECTIVE: To determine the impact of information and advice during a disability evaluation by medical advisers on the return to work (RTW) rate and recurrence of sick leave of claimants with low back pain (LBP). SUMMARY OF BACKGROUND DATA: There is evidence on the importance of advice during the course of subacute LBP. The effect of informative interventions on RTW rates in workers receiving sickness benefit is not clear. METHODS: A total of 506 claimants with LBP were randomly assigned to the control group (disability evaluation) or the intervention group (combined counseling and disability evaluation). RTW, sick leave recurrence, subsequent surgery, and sick leave duration were measured during a 12-month follow-up. RESULTS: Patients who were provided information and advice showed a higher RTW rate, which was statistically significant at 1 year. That result is mainly attributable to the lower relapse rate in the intervention group (38%) than in the control group (60%). There were no differences between the 2 groups regarding subsequent surgery for LBP and duration of sick leave. CONCLUSION: Claimants should be routinely reassured and advised about LBP to allow early and safe RTW during a disability evaluation before any side effects of being sick-listed have settled.
AD - From the Occupational, Environmental and Insurance Medicine, Department of Public Health, Kapucijnenvoer 35, Leuven, Belgium.
AN - 22343272
AU - Du Bois, M.
AU - Donceel, P.
CN - Medline 211026
DA - Aug 1
DB - Medline
DO - 10.1097/BRS.0b013e31824e4ada
DP - NLM
IS - 17
J2 - Spine
KW - Adult
Counseling/*methods
*Disability Evaluation
Female
Humans
Low Back Pain/diagnosis/*psychology
Male
Middle Aged
Return to Work/*statistics & numerical data
Sick Leave/*statistics & numerical data
Single-Blind Method
Treatment Outcome
L1 - internal-pdf://1465653892/1668-Du Bois-2012.pdf
LA - English
M3 - Randomized Controlled Trial
N1 - Du Bois, Marc
Donceel, Peter
eng
Randomized Controlled Trial
2012/02/22
Spine (Phila Pa 1976). 2012 Aug 1;37(17):1425-31. doi: 10.1097/BRS.0b013e31824e4ada.
PY - 2012
SN - 1528-1159 (Electronic)
0362-2436 (Linking)
SP - 1425-31
ST - Guiding low back claimants to work: a randomized controlled trial
T2 - Spine (Phila Pa 1976)
TI - Guiding low back claimants to work: a randomized controlled trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/22343272
VL - 37
ID - 1668
ER -
TY - JOUR
AB - Background: Most patients with long term sick leave due to musculoskeletal diseases are treated by general practitioners. The aim of this study was to test the hypothesis that early intervention by a specialist in physical medicine and rehabilitation will reduce the duration of long term sick leave due to musculoskeletal diseases. Material and methods: In collaboration with 14 National Insurance Offices in the Norwegian county of Vestfold, 829 patients aged 25-50 years with 8-12 weeks of sick leave for musculoskeletal diseases were included and randomized into an intervention group (n=409) and a control group (n=420). Exclusion criteria were no job, rheumatic diseases, fractures and joint diseases. The intervention group was examined by a specialist in Physical Medicine and Rehabilitation at the Hospital of Rehabilitation in Stavern, Norway, where they were examined and treated. The patients in the control group were treated by general practitioners as usual. Some of these patients were also referred to the same hospital or other specialists for examination as part of the general practitioner's own initiative. Data on sick leave, disability pension, and other social benefits were collected from the National Insurance Offices. Number of days of sick leave, rehabilitation benefits and vocational rehabilitation were used as end points. After two years of follow-up the end points were examined. The data were analyzed according to the "intention to treat" principle. Results: In the intervention group the average number of sick days was 138 as compared to 147 days in the control group. The difference of nine days of sick leave was not statistically significant (p=0,163). Regarding rehabilitation benefits and vocational rehabilitation, the two groups did not differ. Conclusion: Early intervention by a specialist in physical medicine and rehabilitation did not reduce the duration of long term sick leave for patients with musculoskeletal diseases in this study. After two years of observation no difference was found between the two groups in rehabilitation benefits and vocational rehabilitation.
AD - H. Elvsåshagen, Gusland, 3294 Stavern, Norway
AU - Elvsåshagen, H.
AU - Tellnes, G.
AU - Abdelnoor, M. H.
CN - Embase 211110
DB - Embase
IS - 2
KW - absenteeism
adult
arthropathy
article
clinical examination
clinical trial
controlled clinical trial
controlled study
disability
disease duration
fracture
general practitioner
hospital
human
insurance
intervention study
long term care
major clinical study
medical leave
medical specialist
multicenter study
musculoskeletal disease
Norway
pension
physical medicine
physiotherapist
randomized controlled trial
rehabilitation care
rheumatic disease
social insurance
treatment duration
treatment outcome
vocational rehabilitation
work
L1 - internal-pdf://1785664437/593-Article Text-2253-1-10-20100106.pdf
LA - Norwegian
M3 - Article
N1 - L358349803
2010-03-03
2010-03-24
PY - 2009
SN - 0803-2491
SP - 219-222
ST - Does early intervention by a specialist in physical medicine and rehabilitation reduce the duration of long term sick leave among persons with musculoskeletal diseases?
T2 - Norsk Epidemiologi
TI - Does early intervention by a specialist in physical medicine and rehabilitation reduce the duration of long term sick leave among persons with musculoskeletal diseases?
UR - https://www.embase.com/search/results?subaction=viewrecord&id=L358349803&from=export
VL - 19
ID - 5038
ER -
TY - JOUR
AB - Mental disorders contribute to high rates of sickness absence (SA) and impaired work functioning. The aim of the present study was to evaluate the efficacy of 3 interventions targeting SA of workers. Participants (n = 352; 78.4% females) of working age with current employment, and SA due to depression, anxiety disorders, or exhaustion disorder, were recruited to the study and randomized to (a) acceptance and commitment therapy (ACT), (b) a workplace dialogue intervention (WDI), (c) a combination of ACT and WDI, or (d) treatment as usual (TAU). For SA days, there was a significant interaction effect for the follow-up period, in which ACT + WDI generated more SA compared with TAU. When diagnostic group was included as a moderator, participants with exhaustion disorder had less SA days in the WDI group compared with TAU. For symptoms of depression, anxiety, and stress-related ill health, there were significant interaction effects for ACT and ACT + WDI, when compared with TAU, from pre- to postmeasurement (small to moderate between-groups effect sizes). Within-group effect sizes pre- to postmeasurement (Cohen's d) ranged from .55 to 1.17 (ACT), .40 to .94 (WDI), .26 to 1.13 (ACT + WI), and -.06 to .70 (TAU). There were no differences between groups during follow-up for symptoms. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
AD - Division of Psychology, Department of Clinical Neuroscience, Karolinska Institutet.
Department of Clinical Neuroscience, Karolinska Institutet.
Department of Psychology, Uppsala University.
Department of Neurobiology, Care Sciences and Society, Division of Family Medicine, Karolinska Institutet.
AN - 28956942
AU - Finnes, A.
AU - Ghaderi, A.
AU - Dahl, J.
AU - Nager, A.
AU - Enebrink, P.
CN - Medline 211026
DA - Feb
DB - Medline
DO - 10.1037/ocp0000097
DP - NLM
ET - 20170928
IS - 1
J2 - J Occup Health Psychol
KW - Acceptance and Commitment Therapy/*methods
Adult
Analysis of Variance
Anxiety/*therapy
Depression/*therapy
Fatigue/psychology/*therapy
Female
Humans
Interview, Psychological
Male
Mental Disorders/therapy
Middle Aged
Patient Satisfaction
Sick Leave/*statistics & numerical data
Stress, Psychological/*therapy
Sweden
Treatment Outcome
Workplace/psychology
Young Adult
L1 - internal-pdf://2314917682/1775-Finnes-2019.pdf
LA - English
M3 - Randomized Controlled Trial
N1 - Finnes, Anna
Ghaderi, Ata
Dahl, JoAnne
Nager, Anna
Enebrink, Pia
eng
REHSAM/
Randomized Controlled Trial
2017/09/29
J Occup Health Psychol. 2019 Feb;24(1):198-212. doi: 10.1037/ocp0000097. Epub 2017 Sep 28.
PY - 2019
SN - 1939-1307 (Electronic)
1076-8998 (Linking)
SP - 198-212
ST - Randomized controlled trial of acceptance and commitment therapy and a workplace intervention for sickness absence due to mental disorders
T2 - J Occup Health Psychol
TI - Randomized controlled trial of acceptance and commitment therapy and a workplace intervention for sickness absence due to mental disorders
UR - https://www.ncbi.nlm.nih.gov/pubmed/28956942
VL - 24
ID - 1775
ER -
TY - JOUR
AB - BACKGROUND: The lack of efficient medical interventions for combating increasing sickness absence rates has lead to the introduction of alternative measures initiated by the Norwegian National Insurance Service or at workplaces. AIM: To determine whether minimal postal intervention had any effect on the length of sick leave. METHODS: Randomised, controlled trial with a one year follow up in Northern Norway in 1997 and 1998; 990 consecutive newly sick-listed persons with musculoskeletal or mental disorders were studied. Within the intervention group, 495 eligible sick-listed persons received a general information letter and a questionnaire as their sick leave passed 14 days. Possible intervention effects were analysed by survival analysis of the probability of returning to work within one year, and logistic regressions with benefits at one year as the dependent variable. RESULTS: The overall reduction of 8.3 (95% CI -22.5 to 6.0) calendar days in mean length of sick leaves in the intervention group compared to controls, was not statistically significant. However, intervention significantly reduced length of sick leaves in subgroups with mental disorders, and with rheumatic disorders and arthritis, and overall for sick leaves lasting 12 weeks or more. Young people with low back pain showed an adverse effect to intervention. The overall relative risk of receiving benefits due to sickness after one year in the intervention group was 0.69 (95% CI 0.51 to 0.93) compared to controls. CONCLUSION: The results should encourage employers, insurance institutions, and authorities to initiate challenges as questions on the length of sick leave and possible modified work measures, during the first few weeks of sick leave, for at least some groups of sick-listed persons.
AD - Department of Community Medicine, University of Tromso, Norway. nils.fleten@ism.uit.no
AN - 16644897
AU - Fleten, N.
AU - Johnsen, R.
C1 - Competing interests: none declared
C2 - PMC2078047
CN - Medline 211026
DA - Oct
DB - Medline
DO - 10.1136/oem.2005.020438
DP - NLM
ET - 20060427
IS - 10
J2 - Occup Environ Med
KW - *Absenteeism
Adolescent
Adult
Aged
Chi-Square Distribution
Female
Humans
Male
Mental Disorders/epidemiology/*rehabilitation
Middle Aged
Musculoskeletal Diseases/epidemiology/*rehabilitation
Norway
Prospective Studies
Rehabilitation, Vocational/*methods
Self-Assessment
*Sick Leave/statistics & numerical data
Surveys and Questionnaires
Time Factors
Work Capacity Evaluation
L1 - internal-pdf://0936791045/1783-Fleten-2006.pdf
LA - English
M3 - Randomized Controlled Trial
N1 - Fleten, N
Johnsen, R
eng
Randomized Controlled Trial
England
2006/04/29
Occup Environ Med. 2006 Oct;63(10):676-82. doi: 10.1136/oem.2005.020438. Epub 2006 Apr 27.
PY - 2006
SN - 1470-7926 (Electronic)
1351-0711 (Print)
1351-0711 (Linking)
SP - 676-82
ST - Reducing sick leave by minimal postal intervention: a randomised, controlled intervention study
T2 - Occup Environ Med
TI - Reducing sick leave by minimal postal intervention: a randomised, controlled intervention study
UR - https://www.ncbi.nlm.nih.gov/pubmed/16644897
VL - 63
ID - 1783
ER -
TY - JOUR
AB - Objectives This study aimed to investigate whether inpatient multimodal occupational rehabilitation (I-MORE) reduces sickness absence (SA) more than outpatient acceptance and commitment therapy (O-ACT) among individuals with musculoskeletal and mental health disorders. Methods Individuals on sick leave (2-12 months) due to musculoskeletal or common mental health disorders were randomized to I-MORE (N=86) or O-ACT (N=80). I-MORE lasted 3.5 weeks in which participants stayed at the rehabilitation center. I-MORE included ACT, physical exercise, work-related problem solving and creating a return to work plan. O-ACT consisted mainly of 6 weekly 2.5 hour group-ACT sessions. We assessed the primary outcome cumulative SA within 6 and 12 months with national registry-data. Secondary outcomes were time to sustainable return to work and self-reported health outcomes assessed by questionnaires. Results SA did not differ between the interventions at 6 months, but after one year individuals in I-MORE had 32 fewer SA days compared to O-ACT (median 85 [interquartile range 33-149] versus 117 [interquartile range 59-189)], P=0.034). The hazard ratio for sustainable return to work was 1.9 (95% confidence interval 1.2-3.0) in favor of I-MORE. There were no clinically meaningful between-group differences in self-reported health outcomes. Conclusions Among individuals on long-term SA due to musculoskeletal and common mental health disorders, a 3.5-week I-MORE program reduced SA compared with 6 weekly sessions of O-ACT in the year after inclusion. Studies with longer follow-up and economic evaluations should be performed.
AD - Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), P.B. 8905 MTFS, 7491 Trondheim, Norway. sigmund.gismervik@ntnu.no.
AN - 31901945
AU - Gismervik, S. O.
AU - Aasdahl, L.
AU - Vasseljen, O.
AU - Fors, E. A.
AU - Rise, M. B.
AU - Johnsen, R.
AU - Hara, K.
AU - Jacobsen, H. B.
AU - Pape, K.
AU - Fleten, N.
AU - Jensen, C.
AU - Fimland, M. S.
C1 - The authors declare no conflicts of interest.
C2 - PMC8506316
CN - Medline 211026
DA - Jul 1
DB - Medline
DO - 10.5271/sjweh.3882
DP - NLM
ET - 20200105
IS - 4
J2 - Scand J Work Environ Health
KW - Adolescent
Adult
Female
Humans
*Inpatients
Male
Mental Disorders/*rehabilitation
Middle Aged
Musculoskeletal Diseases/*rehabilitation
*Occupational Health Services
*Outpatients
Return to Work/*statistics & numerical data
Sick Leave/*statistics & numerical data
Young Adult
L1 - internal-pdf://2773882185/1868-Gismervik-2020.pdf
LA - English
M3 - Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Gismervik, Sigmund O
Aasdahl, Lene
Vasseljen, Ottar
Fors, Egil A
Rise, Marit B
Johnsen, Roar
Hara, Karen
Jacobsen, Henrik B
Pape, Kristine
Fleten, Nils
Jensen, Chris
Fimland, Marius S
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Finland
2020/01/07
Scand J Work Environ Health. 2020 Jul 1;46(4):364-372. doi: 10.5271/sjweh.3882. Epub 2020 Jan 5.
PY - 2020
SN - 1795-990X (Electronic)
0355-3140 (Print)
0355-3140 (Linking)
SP - 364-372
ST - Inpatient multimodal occupational rehabilitation reduces sickness absence among individuals with musculoskeletal and common mental health disorders: a randomized clinical trial
T2 - Scand J Work Environ Health
TI - Inpatient multimodal occupational rehabilitation reduces sickness absence among individuals with musculoskeletal and common mental health disorders: a randomized clinical trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/31901945
VL - 46
ID - 1868
ER -
TY - JOUR
AB - PURPOSE: Randomized controlled trials (RCTs) of interventions aimed at reducing work-related stress indicate that cognitive behavioural therapy (CBT) is more effective than other interventions. However, definitions of study populations are often unclear and there is a lack of interventions targeting both the individual and the workplace. The aim of this study was to determine whether a stress management intervention combining individual CBT and a workplace focus is superior to no treatment in the reduction of perceived stress and stress symptoms and time to lasting return to work (RTW) in a clinical sample. METHODS: Patients with work-related stress reactions or adjustment disorders were randomly assigned to an intervention group (n = 57, 84.2% female) or a control group (n = 80, 83.8% female). Subjects were followed via questionnaires and register data. The intervention contained individual CBT and the offer of a workplace meeting. We examined intervention effects by analysing group differences in score changes on the Perceived Stress Scale (PSS-10) and the General Health Questionnaire (GHQ-30). We also tested if intervention led to faster lasting RTW. RESULTS: Mean baseline values of PSS were 24.79 in the intervention group and 23.26 in the control group while the corresponding values for GHQ were 21.3 and 20.27, respectively. There was a significant effect of time. 10 months after baseline, both groups reported less perceived stress and improved mental health. 4 months after baseline, we found significant treatment effects for both perceived stress and mental health. The difference in mean change in PSS after 4 months was - 3.09 (- 5.47, - 0.72), while for GHQ it was - 3.91 (- 7.15, - 0.68). There were no group differences in RTW. CONCLUSIONS: The intervention led to faster reductions in perceived stress and stress symptoms amongst patients with work-related stress reactions and adjustment disorders. 6 months after the intervention ended there were no longer differences between the groups.
AD - Department of Occupational Medicine, Danish Ramazzini Centre, Regional Hospital West Jutland-University Research Clinic, Gl. Landevej 61, 7400, Herning, Denmark. davgla@rm.dk.
Department of Occupational Medicine, Danish Ramazzini Centre, Regional Hospital West Jutland-University Research Clinic, Gl. Landevej 61, 7400, Herning, Denmark.
AN - 29808433
AU - Glasscock, D. J.
AU - Carstensen, O.
AU - Dalgaard, V. L.
CN - Medline 211026
DA - Aug
DB - Medline
DO - 10.1007/s00420-018-1314-7
DP - NLM
ET - 20180528
IS - 6
J2 - Int Arch Occup Environ Health
KW - Cognitive Behavioral Therapy/*methods
Denmark
Female
Humans
Male
Occupational Diseases
Occupational Stress/diagnosis/prevention & control/psychology/*therapy
Regression Analysis
Return to Work
Stress, Psychological
Surveys and Questionnaires
Treatment Outcome
Workplace/*psychology
Adjustment disorders
Cognitive behavioural therapy
Occupational stress
Rct
Stress management intervention
L1 - internal-pdf://0664056499/1873-Glasscock-2018.pdf
LA - English
M3 - Randomized Controlled Trial
N1 - Glasscock, David J
Carstensen, Ole
Dalgaard, Vita Ligaya
eng
34-2007-03/Danish Working Environment Research Fund/International
Randomized Controlled Trial
Germany
2018/05/29
Int Arch Occup Environ Health. 2018 Aug;91(6):675-687. doi: 10.1007/s00420-018-1314-7. Epub 2018 May 28.
PY - 2018
SN - 1432-1246 (Electronic)
0340-0131 (Linking)
SP - 675-687
ST - Recovery from work-related stress: a randomized controlled trial of a stress management intervention in a clinical sample
T2 - Int Arch Occup Environ Health
TI - Recovery from work-related stress: a randomized controlled trial of a stress management intervention in a clinical sample
UR - https://www.ncbi.nlm.nih.gov/pubmed/29808433
VL - 91
ID - 1873
ER -
TY - JOUR
AB - PURPOSE: Major depression is associated with high levels of absence and reduced productivity. Therefore the costs to society are high. The aim of this study was to evaluate the cost-utility of collaborative care for major depressive disorder (MDD) compared to care as usual in an occupational healthcare setting. A societal perspective was taken. METHODS: In this randomised controlled trial, 126 sick-listed workers with MDD were included (65 collaborative care, 61 care as usual). Baseline measurements and follow up measures (3, 6, 9 and 12 months) were assessed by questionnaire. We applied the Trimbos/iMTA questionnaire for costs associated with psychiatric illness, the SF-HQL and the EQ-5D respectively measuring the health care utilization, production losses and general health related quality of life. RESULTS: The average annual healthcare costs in the collaborative care group were euro3,874 (95 % CI euro2,778-euro 5,718) compared to euro4,583 (95 % CI euro3,108-euro6,794) in the care as usual group. The average quality of life years (QALY's) gained were lower in the collaborative care group, 0.05 QALY. The majority of the ICERS (69 %) indicate that collaborative care is less costly but also less effective than care as usual. Including the productivity costs did not change this result. CONCLUSIONS: The cost-utility analysis showed that collaborative care generated reduced costs and a reduction in effects compared to care as usual and was therefore not a cost-effective intervention.
AD - Institute for Medical Technology Assessment, Institute of Health Policy and Management, Burgermeester Oudlaan 50, PO Box 1738, 3000 DR, Rotterdam, The Netherlands, Goorden@bmg.eur.nl.
AN - 24085535
AU - Goorden, M.
AU - Vlasveld, M. C.
AU - Anema, J. R.
AU - van Mechelen, W.
AU - Beekman, A. T.
AU - Hoedeman, R.
AU - van der Feltz-Cornelis, C. M.
AU - Hakkaart-van Roijen, L.
CN - Medline 211026
DA - Sep
DB - Medline
DO - 10.1007/s10926-013-9483-4
DP - NLM
IS - 3
J2 - J Occup Rehabil
KW - Adult
*Cooperative Behavior
*Cost-Benefit Analysis
Depressive Disorder, Major/*economics/*therapy
Efficiency, Organizational
Female
Health Care Costs
Humans
Male
Mental Health Services/*economics
Netherlands
Occupational Health Services/*economics
Quality of Life
Sick Leave
Surveys and Questionnaires
L1 - internal-pdf://1102068595/1895-Goorden-2014.pdf
LA - English
M3 - Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Goorden, Maartje
Vlasveld, Moniek C
Anema, Johannes R
van Mechelen, Willem
Beekman, Aartjan T F
Hoedeman, Rob
van der Feltz-Cornelis, Christina M
Hakkaart-van Roijen, Leona
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Netherlands
2013/10/03
J Occup Rehabil. 2014 Sep;24(3):555-62. doi: 10.1007/s10926-013-9483-4.
PY - 2014
SN - 1573-3688 (Electronic)
1053-0487 (Linking)
SP - 555-62
ST - Cost-utility analysis of a collaborative care intervention for major depressive disorder in an occupational healthcare setting
T2 - J Occup Rehabil
TI - Cost-utility analysis of a collaborative care intervention for major depressive disorder in an occupational healthcare setting
UR - https://www.ncbi.nlm.nih.gov/pubmed/24085535
VL - 24
ID - 1895
ER -
TY - JOUR
AB - OBJECTIVE: To examine whether use of functional capacity evaluation (FCE) leads to better outcomes for injured workers. DESIGN: Cluster randomized controlled trial conducted with analysis at level of claimant. SETTING: Rehabilitation facility. PARTICIPANTS: Participants included claimants (N=203); of these, 103 were tested with FCE. Data were collected on all claimants undergoing RTW assessment at the facility for musculoskeletal conditions. Participants were predominantly employed (59%) men (73%) with chronic musculoskeletal conditions (median duration, 496d). INTERVENTIONS: FCEs are commonly used to identify work abilities and inform return-to-work (RTW) decisions. Therefore, FCE results have important consequences. Clinicians who were trained and experienced in performing FCEs were randomized into 2 groups. One group included 14 clinicians who were trained to conduct a semistructured functional interview; the other group (control group) continued to use standard FCE procedures. MAIN OUTCOME MEASURES: Outcomes included RTW recommendations after assessment, functional work level at time of assessment and 1, 3, and 6 months after assessment, and compensation outcomes. Analysis included Mann-Whitney U, chi-square, and t tests. RESULTS: All outcomes were similar between groups, and no statistically or clinically significant differences were observed. Mean differences between groups on functional work levels at assessment and follow-up ranged from 0.1 to 0.3 out of 4 (3%-8% difference, P>.05). CONCLUSIONS: Performance-based FCEs did not appear to enhance RTW outcomes beyond information gained from semistructured functional interviewing. Use of functional interviewing has the potential to improve efficiency of RTW assessment without compromising clinical, RTW, or compensation outcomes.
AD - Department of Physical Therapy, University of Alberta, Edmonton, Alberta; Workers' Compensation Board-Alberta/Millard Health, Edmonton, Alberta. Electronic address: dgross@ualberta.ca.
Alberta Health Services, Calgary Zone, Calgary, Alberta.
Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta.
Department of Physical Therapy, University of Alberta, Edmonton, Alberta.
School of Public Health Sciences, University of Alberta, Edmonton, Alberta, Canada.
Workers' Compensation Board-Alberta/Millard Health, Edmonton, Alberta.
AN - 24502839
AU - Gross, D. P.
AU - Asante, A. K.
AU - Miciak, M.
AU - Battie, M. C.
AU - Carroll, L. J.
AU - Sun, A.
AU - Mikalsky, M.
AU - Huellstrung, R.
AU - Niemelainen, R.
CN - Medline 211026
DA - May
DB - Medline
DO - 10.1016/j.apmr.2014.01.017
DP - NLM
ET - 20140203
IS - 5
J2 - Arch Phys Med Rehabil
KW - Female
Follow-Up Studies
Humans
Interview, Psychological/*methods
Male
Middle Aged
Motor Activity/*physiology
Musculoskeletal Diseases/physiopathology/*rehabilitation
*Physical Therapy Modalities
Prognosis
Retrospective Studies
Return to Work/*trends
*Work Capacity Evaluation
Insurance, disability
Outcome and process assessment (health care)
Rehabilitation
Return to work
Workers' compensation
L1 - internal-pdf://1925009383/1920-Gross-2014.pdf
LA - English
M3 - Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Gross, Douglas P
Asante, Alexander K
Miciak, Maxi
Battie, Michele C
Carroll, Linda J
Sun, Ambrose
Mikalsky, Marti
Huellstrung, Rene
Niemelainen, Riikka
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
2014/02/08
Arch Phys Med Rehabil. 2014 May;95(5):807-815.e1. doi: 10.1016/j.apmr.2014.01.017. Epub 2014 Feb 3.
PY - 2014
SN - 1532-821X (Electronic)
0003-9993 (Linking)
SP - 807-815 e1
ST - Are performance-based functional assessments superior to semistructured interviews for enhancing return-to-work outcomes?
T2 - Arch Phys Med Rehabil
TI - Are performance-based functional assessments superior to semistructured interviews for enhancing return-to-work outcomes?
UR - https://www.ncbi.nlm.nih.gov/pubmed/24502839
VL - 95
ID - 1920
ER -
TY - JOUR
AB - PURPOSE: Functional capacity evaluations (FCE) are used to identify work abilities and are commonly integrated into rehabilitation programs. We studied whether integrating FCE into rehabilitation leads to better outcomes for injured workers. METHODS: A cluster randomised controlled trial was conducted at a workers' compensation rehabilitation facility (registration ISRCTN61284905). Clinicians were randomised into 2 groups: 1 group used FCE while another conducted semi-structured functional interviews. Outcomes included recommendations following assessment, rehabilitation program outcomes including functional work levels and pain intensity, as well as compensation outcomes at 1, 3, and 6 months after assessment. Analysis included Mann-Whitney U, Chi square and t tests. RESULTS: Subjects included 225 claimants of whom 105 were tested with FCE. Subjects were predominantly employed (84 %) males (63 %) with sub-acute musculoskeletal conditions (median duration 67 days). Claimants undergoing FCE had ~15 % higher average functional work levels recommended at time of assessment (Mann-Whitney U = 4,391.0, p < 0.001) but differences at other follow-up times were smaller (0-8 %), in favour of functional interviewing, and not statistically significant. Clinically important improvement during rehabilitation in functional work level (0.9/4, SRM = 0.94), pain intensity (2.0/10, SRM = 0.88) and self-reported disability (21.8/100, SRM = 1.45) were only observed in those undergoing the functional interview. CONCLUSIONS: Performance-based FCE integrated into occupational rehabilitation appears to lead to higher baseline functional work levels compared to a semi-structured functional interview, but not improved RTW rates or functional work levels at follow-up. Functional interviewing has potential for efficiency gains and higher likelihood of clinically important improvement following rehabilitation, however further research is needed.
AD - Department of Physical Therapy, University of Alberta, 2-50 Corbett Hall, Edmonton, AB, T6G 2G4, Canada, dgross@ualberta.ca.
AN - 24374369
AU - Gross, D. P.
AU - Asante, A. K.
AU - Miciak, M.
AU - Battie, M. C.
AU - Carroll, L. J.
AU - Sun, A.
AU - Mikalsky, M.
AU - Huellstrung, R.
AU - Niemelainen, R.
CN - Medline 211026
DA - Dec
DB - Medline
DO - 10.1007/s10926-013-9491-4
DP - NLM
IS - 4
J2 - J Occup Rehabil
KW - Adult
Alberta
Female
Follow-Up Studies
Humans
*Interviews as Topic
Male
Middle Aged
Musculoskeletal Diseases/*rehabilitation
Musculoskeletal Pain/rehabilitation
Occupational Diseases/*rehabilitation
Pain Measurement
*Return to Work
Self Report
*Work Capacity Evaluation
Workers' Compensation
L1 - internal-pdf://2091189710/1921-Gross-2014.pdf
LA - English
M3 - Comparative Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Gross, Douglas P
Asante, Alexander K
Miciak, Maxi
Battie, Michele C
Carroll, Linda J
Sun, Ambrose
Mikalsky, Marti
Huellstrung, Rene
Niemelainen, Riikka
eng
Comparative Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Netherlands
2014/01/01
J Occup Rehabil. 2014 Dec;24(4):617-30. doi: 10.1007/s10926-013-9491-4.
PY - 2014
SN - 1573-3688 (Electronic)
1053-0487 (Linking)
SP - 617-30
ST - A cluster randomized clinical trial comparing functional capacity evaluation and functional interviewing as components of occupational rehabilitation programs
T2 - J Occup Rehabil
TI - A cluster randomized clinical trial comparing functional capacity evaluation and functional interviewing as components of occupational rehabilitation programs
UR - https://www.ncbi.nlm.nih.gov/pubmed/24374369
VL - 24
ID - 1921
ER -
TY - JOUR
AB - STUDY DESIGN: A controlled randomized clinical trial was performed. OBJECTIVE: To investigate the effect of a light mobilization program on the duration of sick leave for patients with subacute low back pain. SUMMARY OF BACKGROUND DATA: Early intervention with information, diagnostics, and light mobilization may be a cost-effective method for returning patients quickly to normal activity. In this experiment, patients were referred to a low back pain clinic and given this simple and systematic program as an outpatient treatment. METHODS: In this study, 457 patients sick-listed 8 to 12 weeks for low back pain, as recorded by the National Insurance Offices, were randomized into two groups: an intervention group (n = 237) and a control group (n = 220). The intervention group was examined at a spine clinic and given information and advice to stay active. The control group was not examined at the clinic, but was treated with conventional primary health care. RESULTS: At 12-month follow-up assessment, 68.4% in the intervention group had returned to full-duty work, as compared with 56.4% in the control group. CONCLUSIONS: Early intervention with examination, information, and recommendations to stay active showed significant effects in reducing sick leave for patients with low back pain.
AD - Spine Clinic, Central Hospital in Hedmark, Ottestad, Norway. emhagen@online.no
AN - 10908942
AU - Hagen, E. M.
AU - Eriksen, H. R.
AU - Ursin, H.
CN - Medline 211026
DA - Aug 1
DB - Medline
DO - 10.1097/00007632-200008010-00017
DP - NLM
IS - 15
J2 - Spine
KW - Adolescent
Adult
Disability Evaluation
*Exercise Therapy
Female
Follow-Up Studies
Humans
Low Back Pain/*rehabilitation
Lumbosacral Region/physiology
Male
Middle Aged
Outpatients
Patient Education as Topic
*Sick Leave
Work Capacity Evaluation
Workers' Compensation
L1 - internal-pdf://0633383031/1952-Hagen-2000.pdf
LA - English
M3 - Clinical Trial
Randomized Controlled Trial
N1 - Hagen, E M
Eriksen, H R
Ursin, H
eng
Clinical Trial
Randomized Controlled Trial
2000/07/26
Spine (Phila Pa 1976). 2000 Aug 1;25(15):1973-6. doi: 10.1097/00007632-200008010-00017.
PY - 2000
SN - 0362-2436 (Print)
0362-2436 (Linking)
SP - 1973-6
ST - Does early intervention with a light mobilization program reduce long-term sick leave for low back pain?
T2 - Spine (Phila Pa 1976)
TI - Does early intervention with a light mobilization program reduce long-term sick leave for low back pain?
UR - https://www.ncbi.nlm.nih.gov/pubmed/10908942
VL - 25
ID - 1952
ER -
TY - JOUR
AB - AIMS: To investigate if a standardised physical exercise programme given in addition to a brief intervention at a spine clinic had an effect on return to work. METHODS: A total of 246 patients sick-listed 8-12 weeks for non-specific low back pain were offered a brief intervention programme at the spine clinic with examination, information, reassurance, and encouragement to engage in physical activity as normal as possible, before they were randomised into an intervention group (n = 124) and a control group (n = 122). Patients in the intervention group participated in a physical exercise programme at the spine clinic. RESULTS: During the 2-year follow-up, there were no significant differences between the groups on sick leave, pain, use of analgesics, psychological distress, coping strategies, fear-avoidance beliefs, self-reported disability, or walking distances. However, both groups increased return to work, reported less pain and better function, and reduced fear-avoidance beliefs for physical activity during the follow-up period. Fear-avoidance beliefs for work were not changed. CONCLUSIONS: A physical exercise programme for low back pain patients given after a brief intervention at a spine clinic did not have any additional effect on sick leave or fear-avoidance beliefs. Both groups reported less pain, better physical function, and increased return to work during follow-up. The treatment at the spine clinic did not contain a vocational rehabilitation programme directed towards individual work-related problems, which might explain no change in fear-avoidance beliefs for work.
AD - Spine Clinic, Sykehuset Innlandet HF, Ottestad, Norway. emhagen@online.no
AN - 20817653
AU - Hagen, E. M.
AU - Odelien, K. H.
AU - Lie, S. A.
AU - Eriksen, H. R.
CN - Medline 211026
DA - Nov
DB - Medline
DO - 10.1177/1403494810382472
DP - NLM
ET - 20100903
IS - 7
J2 - Scand J Public Health
KW - Absenteeism
Adaptation, Psychological
Adolescent
Adult
*Exercise
*Exercise Therapy
Fear
Female
Follow-Up Studies
Humans
Low Back Pain/psychology/*rehabilitation
Male
Middle Aged
Outcome Assessment, Health Care
*Rehabilitation, Vocational
Sick Leave
Socioeconomic Factors
Surveys and Questionnaires
Time Factors
Young Adult
L1 - internal-pdf://0411157700/1953-Hagen-2010.pdf
LA - English
M3 - Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Hagen, Eli Molde
Odelien, Kirsti Hokkanen
Lie, Stein Atle
Eriksen, Hege R
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Sweden
2010/09/08
Scand J Public Health. 2010 Nov;38(7):731-8. doi: 10.1177/1403494810382472. Epub 2010 Sep 3.
PY - 2010
SN - 1651-1905 (Electronic)
1403-4948 (Linking)
SP - 731-8
ST - Adding a physical exercise programme to brief intervention for low back pain patients did not increase return to work
T2 - Scand J Public Health
TI - Adding a physical exercise programme to brief intervention for low back pain patients did not increase return to work
UR - https://www.ncbi.nlm.nih.gov/pubmed/20817653
VL - 38
ID - 1953
ER -
TY - JOUR
AB - In general, randomized controlled studies concerning return to work have failed to demonstrate significant treatment effects for long-lasting musculoskeletal pain, and most treatments examined have not been economically beneficial. Individuals (n=654) sick-listed for at least 8 weeks with musculoskeletal pain, selected from the Norwegian mandatory sickness insurance system and volunteering to participate, were categorized into three groups differing in a prognosis score (good, medium, poor) for return to work, based on a brief, standardized screening of psychological and physiotherapy findings. They were then randomly assigned to three outpatient treatments with three different levels of intensity (ordinary treatment, light multidisciplinary, and extensive multidisciplinary treatment). The evaluation was based on 14 months follow-up data on return to work collected from social security records. The patients with good prognosis for return to work do equally well with ordinary treatment as with the two more intensive treatments. The patients with medium prognosis benefit equally from the two multidisciplinary treatments. The patients with poor prognosis receiving extensive multidisciplinary treatment returned to work at a higher rate than patients with poor prognosis receiving ordinary treatment, 55 vs. 37% (P<0.05) at 14 months. Multidisciplinary treatment is effective concerning return to work, when given to patients who are most likely to benefit from that treatment. Measures of pain or quality of life are not included in this study. The cost-benefit analysis of the economic returns of the light multidisciplinary and the extensive multidisciplinary treatment programs yields a positive net present social value of the treatment. A simple, standardized, screening instrument including only psychological and physiotherapeutic observations may be a useful clinical tool for allocating patients with musculoskeletal pain to the right level of treatment.
AD - The Outpatient Spine Clinic, Haukeland University Hospital, Box 1, 5021 Bergen, Norway. ellen.haldorsen@haukeland.no
AN - 11790467
AU - Haldorsen, E. M.
AU - Grasdal, A. L.
AU - Skouen, J. S.
AU - Risa, A. E.
AU - Kronholm, K.
AU - Ursin, H.
CN - Medline 211026
DA - Jan
DB - Medline
DO - 10.1016/s0304-3959(01)00374-8
DP - NLM
IS - 1-2
J2 - Pain
KW - Adult
Aged
Analysis of Variance
Chi-Square Distribution
Cost-Benefit Analysis/methods/statistics & numerical data
Female
Humans
Male
Middle Aged
Musculoskeletal Diseases/diagnosis/*therapy
Pain/diagnosis
*Pain Management
Prognosis
Sick Leave/*statistics & numerical data
Treatment Outcome
L1 - internal-pdf://0846994961/1958-Haldorsen-2002.pdf
LA - English
M3 - Clinical Trial
Comparative Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Haldorsen, Ellen M Haland
Grasdal, Astrid L
Skouen, Jan Sture
Risa, Alf Erling
Kronholm, Karsten
Ursin, Holger
eng
Clinical Trial
Comparative Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
2002/01/16
Pain. 2002 Jan;95(1-2):49-63. doi: 10.1016/s0304-3959(01)00374-8.
PY - 2002
SN - 0304-3959 (Print)
0304-3959 (Linking)
SP - 49-63
ST - Is there a right treatment for a particular patient group? Comparison of ordinary treatment, light multidisciplinary treatment, and extensive multidisciplinary treatment for long-term sick-listed employees with musculoskeletal pain
T2 - Pain
TI - Is there a right treatment for a particular patient group? Comparison of ordinary treatment, light multidisciplinary treatment, and extensive multidisciplinary treatment for long-term sick-listed employees with musculoskeletal pain
UR - https://www.ncbi.nlm.nih.gov/pubmed/11790467
VL - 95
ID - 1958
ER -
TY - JOUR
AB - Purpose Transfer from on-site rehabilitation to the participant's daily environment is considered a weak link in the rehabilitation chain. The main objective of this study is to see if adding boosted telephone follow-up directly after completing an occupational rehabilitation program effects work participation. Methods A randomized controlled study included participants with chronic pain, chronic fatigue or common mental disorders on long-term sick leave. After completing 3(1/2) weeks of acceptance and commitment therapy based occupational rehabilitation, participants were randomized to boosted follow-up or a control group before returning to their daily environment. The intervention was delivered over 6 months by on-site RTW coordinators mainly via telephone. Primary outcome was RTW categorized as participation in competitive work >/=1 day per week on average over 8 weeks. Results There were 213 participants of mean age 42 years old. Main diagnoses of sick leave certification were mental disorders (38%) and musculoskeletal disorders (30%). One year after discharge the intervention group had 87% increased odds (OR 1.87, 95% confidence interval 1.06-3.31, p = 0.031), of (re)entry to competitive work >/=1 day per week compared with the controls, with similar positive results for sensitivity analysis of participation half time (>/=2.5 days per week). The cost of boosted follow-up was 390.5 EUR per participant. Conclusion Participants receiving boosted RTW follow-up had higher (re)entry to competitive work >/=1 day per week at 1 year when compared to the control group. Adding low-cost boosted follow-up by telephone after completing an occupational rehabilitation program augmented the effect on return-to-work.
AD - Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Postbox 8905, 7491, Trondheim, Norway. karen.w.hara@ntnu.no.
Norwegian Advisory Unit on Complex Symptom Disorders, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway. karen.w.hara@ntnu.no.
Department of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway. karen.w.hara@ntnu.no.
The Norwegian Labour and Welfare Service of Sor-Trondelag, Trondheim, Norway. karen.w.hara@ntnu.no.
Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Postbox 8905, 7491, Trondheim, Norway.
Forensic Department and Research Centre Broset, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.
The Norwegian Directorate for Labour and Welfare, Oslo, Norway.
Norwegian Advisory Unit on Complex Symptom Disorders, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.
Department of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
Hysnes Rehabilitation Center, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.
Centre for Health Care Improvement, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.
Department of Psychology, Faculty of Social and Educational Sciences, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
AN - 28597308
AU - Hara, K. W.
AU - Bjorngaard, J. H.
AU - Brage, S.
AU - Borchgrevink, P. C.
AU - Halsteinli, V.
AU - Stiles, T. C.
AU - Johnsen, R.
AU - Woodhouse, A.
C1 - CONFLICT OF INTEREST: The authors declare that they have no conflict of interest. ETHICAL APPROVAL: All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study. The study has been approved by the Regional Committee for Medical and Health Research Ethics in Central Norway (No.: 2010/2404).
C2 - PMC5978834
CN - Medline 211026
DA - Jun
DB - Medline
DO - 10.1007/s10926-017-9711-4
DP - NLM
IS - 2
J2 - J Occup Rehabil
KW - Acceptance and Commitment Therapy/*methods
Adult
Chronic Pain/psychology/rehabilitation
Fatigue/psychology/rehabilitation
Female
Humans
Male
Mental Disorders/psychology/*rehabilitation
Musculoskeletal Diseases/psychology/*rehabilitation
Rehabilitation, Vocational/methods
Reminder Systems/*instrumentation
Return to Work/psychology/*statistics & numerical data
Telephone
Time Factors
Work Capacity Evaluation
Acceptance and commitment therapy
Mental disorders
Musculoskeletal pain
Telerehabilitation
Vocational rehabilitation
L1 - internal-pdf://2796862884/1980-Hara-2018.pdf
LA - English
M3 - Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Hara, Karen Walseth
Bjorngaard, Johan Hakon
Brage, Soren
Borchgrevink, Petter Christian
Halsteinli, Vidar
Stiles, Tore Charles
Johnsen, Roar
Woodhouse, Astrid
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Netherlands
2017/06/10
J Occup Rehabil. 2018 Jun;28(2):265-278. doi: 10.1007/s10926-017-9711-4.
PY - 2018
SN - 1573-3688 (Electronic)
1053-0487 (Print)
1053-0487 (Linking)
SP - 265-278
ST - Randomized Controlled Trial of Adding Telephone Follow-Up to an Occupational Rehabilitation Program to Increase Work Participation
T2 - J Occup Rehabil
TI - Randomized Controlled Trial of Adding Telephone Follow-Up to an Occupational Rehabilitation Program to Increase Work Participation
UR - https://www.ncbi.nlm.nih.gov/pubmed/28597308
VL - 28
ID - 1980
ER -
TY - JOUR
AB - BACKGROUND AND OBJECTIVE: Cognitive-behavioural treatments (CBT) and physical group exercise (PE) have both shown promising effects in reducing disability and increasing work participation among chronic low back pain (CLBP) patients. A brief cognitive intervention (BI) has previously been demonstrated to reduce work disability in CLBP. The aim of this study was to test if the effect of BI could be further increased by adding either group CBT or group PE. METHODS: A total of 214 patients, all sick listed 2-10 months due to CLBP, were randomized to BI (n = 99), BI + group CBT (n = 55) or BI + group PE (n = 60). Primary outcome was increased work participation at 12 months, whereas secondary outcomes included pain-related disability, subjective health complaints, anxiety, depression, coping and fear avoidance. RESULTS: There were no significant differences between the groups in work participation at 12 months follow-up (chi(2) = 1.15, p = 0.56). No significant differences were found on the secondary outcomes either, except for a statistically significant reduction (time by group) in pseudoneurology one domain of subjective health complaints (sleep problems, tiredness, dizziness, anxiety, depression, palpitation, heat flushes) (F(2,136) = 3.109, p = 0.048) and anxiety (F(2,143) = 4.899, p = 0.009) for the groups BI + group CBT and BI + group PE, compared to BI alone. However, these differences were not significant in post hoc analyses (Scheffe adjusted). CONCLUSION: There was no support for an effect of the added group CBT or group PE treatments to a brief cognitive intervention in this study of patients on sick leave due to low back pain. SIGNIFICANCE: Our study demonstrates that treatments that previously were found to be effective and are included in most treatment guidelines, such as group cognitive-behavior therapy and exercise, were not effective in this given context compared to a brief, cognitive intervention. This implies that an optimized brief intervention is difficult to outperform in patients on sick leave due to low back pain.
AD - Department of Psychosocial Science, Faculty of Psychology, University of Bergen, Norway.
Oslo University Hospital, Norway.
Uni Research Health, Bergen, Norway.
Department of Sport and Physical Activity, Bergen University College, Norway.
Department of Clinical Medicine, Section of Psychiatry, Haukeland University Hospital, Bergen, Norway.
Department of Clinical Dentistry, University of Bergen, Norway.
Department of Health Promotion, University College of Southeast Norway, Horten, Norway.
Department of Pain Management and Research, Oslo University Hospital, Norway.
Department of Psychology, Faculty of Social Sciences, University of Oslo, Norway.
AN - 28449303
AU - Harris, A.
AU - Moe, T. F.
AU - Eriksen, H. R.
AU - Tangen, T.
AU - Lie, S. A.
AU - Tveito, T. H.
AU - Reme, S. E.
CN - Medline 211026
DA - Sep
DB - Medline
DO - 10.1002/ejp.1041
DP - NLM
ET - 20170427
IS - 8
J2 - Eur J Pain
KW - Adaptation, Psychological
Adult
Chronic Pain/*therapy
*Cognitive Behavioral Therapy
Disability Evaluation
*Exercise Therapy
Female
Humans
Low Back Pain/*therapy
Male
Middle Aged
*Psychotherapy, Brief
*Psychotherapy, Group
Sick Leave
Treatment Outcome
L1 - internal-pdf://3008194762/1987-Harris-2017.pdf
LA - English
M3 - Multicenter Study
Randomized Controlled Trial
N1 - Harris, A
Moe, T F
Eriksen, H R
Tangen, T
Lie, S A
Tveito, T H
Reme, S E
eng
Multicenter Study
Randomized Controlled Trial
England
2017/04/28
Eur J Pain. 2017 Sep;21(8):1397-1407. doi: 10.1002/ejp.1041. Epub 2017 Apr 27.
PY - 2017
SN - 1532-2149 (Electronic)
1090-3801 (Linking)
SP - 1397-1407
ST - Brief intervention, physical exercise and cognitive behavioural group therapy for patients with chronic low back pain (The CINS trial)
T2 - Eur J Pain
TI - Brief intervention, physical exercise and cognitive behavioural group therapy for patients with chronic low back pain (The CINS trial)
UR - https://www.ncbi.nlm.nih.gov/pubmed/28449303
VL - 21
ID - 1987
ER -
TY - JOUR
AB - OBJECTIVES: To evaluate whether adjuvant occupational therapy (OT) can improve the effectiveness of treatment-as-usual (TAU) in sick-listed employees with major depression. METHODS: In total, 117 employees sick-listed for a median duration of 4.8 months (IQR=2.6 to 10.1 months) because of major depression were randomised to TAU (n=39) or adjuvant OT (TAU+OT; n=78). OT (18 sessions) focussed on a fast return to work (RTW) and improving work-related coping and self-efficacy. The primary outcome was work participation (hours of absenteeism+duration until partial/full RTW). Secondary outcomes were depression, at-work functioning, and health-related functioning. Intermediate outcomes were work-related, coping and self-efficacy. Blinded assessments occurred at baseline and 6, 12 and 18 months follow-up. RESULTS: The groups did not significantly differ in their overall work participation (adjusted group difference=-1.9, 95% CI -19.9 to +16.2). However, those in TAU+OT did show greater improvement in depression symptoms (-2.8, -5.5 to -0.2), an increased probability of long-term symptom remission (+18%, +7% to +30%), and increased probability of long-term RTW in good health (GH) (+24%, 12% to 36%). There were no significant group differences in the remaining secondary/intermediate outcomes. CONCLUSIONS: In a highly impaired population, we could not demonstrate significant benefit of adjuvant OT for improving overall work participation. However, adjuvant OT did increase long-term depression recovery and long-term RTW in GH (ie, full RTW while being remitted, and with better work and role functioning). TRIAL REGISTRATION DUTCH TRIAL REGISTER: NTR2057.
AD - Program for Mood Disorders, Department of Psychiatry, Academic Medical Center, University of Amsterdam, Meibergdreef 5, Amsterdam 1105 AZ, The Netherlands. H.L.Hees@amc.uva.nl
AN - 23117218
AU - Hees, H. L.
AU - de Vries, G.
AU - Koeter, M. W.
AU - Schene, A. H.
CN - Medline 211026
DA - Apr
DB - Medline
DO - 10.1136/oemed-2012-100789
DP - NLM
ET - 20121101
IS - 4
J2 - Occup Environ Med
KW - *Absenteeism
Adaptation, Psychological
Adult
Depression/*therapy
Depressive Disorder, Major/*therapy
Female
Follow-Up Studies
*Health
Humans
Male
Middle Aged
*Occupational Therapy
Program Evaluation
Remission Induction
*Return to Work
Self Efficacy
Sick Leave
Treatment Outcome
L1 - internal-pdf://2436728665/2009-Hees-2013.pdf
LA - English
M3 - Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Hees, Hiske L
de Vries, Gabe
Koeter, Maarten W J
Schene, Aart H
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
England
2012/11/03
Occup Environ Med. 2013 Apr;70(4):252-60. doi: 10.1136/oemed-2012-100789. Epub 2012 Nov 1.
PY - 2013
SN - 1470-7926 (Electronic)
1351-0711 (Linking)
SP - 252-60
ST - Adjuvant occupational therapy improves long-term depression recovery and return-to-work in good health in sick-listed employees with major depression: results of a randomised controlled trial
T2 - Occup Environ Med
TI - Adjuvant occupational therapy improves long-term depression recovery and return-to-work in good health in sick-listed employees with major depression: results of a randomised controlled trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/23117218
VL - 70
ID - 2009
ER -
TY - JOUR
AB - STUDY DESIGN: Randomized controlled trial. OBJECTIVES: To compare high- and low-intensity back schools with usual care in occupational health care. SUMMARY OF BACKGROUND DATA: The content and intensity of back schools vary widely and the methodologic quality of randomized controlled trials is generally weak. Until now, no back school has proven to be superior for workers sick-listed because of subacute nonspecific low back pain. METHODS: Workers (n = 299) sick-listed for a period of 3 to 6 weeks because of nonspecific low back pain were recruited by the occupational physician and randomly assigned to a high-intensity back school, a low-intensity back school, or care as usual. Outcome measures were days until return to work, total days of sick-leave, pain, functional status, kinesiophobia, and perceived recovery and were assessed at baseline and at 3 and 6 months of follow-up. Principal analyses were performed according to the intention-to-treat principle. RESULTS: We randomly allocated 299 workers. Workers in the low-intensity back school returned to work faster compared with usual care and the high-intensity back school, with hazard ratios of 1.4 (P = 0.06) and 1.3 (P = 0.09), respectively. The comparison between high-intensity back school and usual care resulted in a hazard ratio of 1.0 (P = 0.83). The median number of sick-leave days was 68, 75, and 85 in the low-intensity back school, usual care, and high-intensity back school, respectively. Beneficial effects on functional status and kinesiophobia were found at 3 months in favor of the low-intensity back school. No substantial differences on pain and perceived recovery were found between groups. CONCLUSIONS: The low-intensity back school was most effective in reducing work absence, functional disability, and kinesiophobia, and more workers in this group scored a higher perceived recovery during the 6-month follow-up.
AD - Body@Work, Research Center Physical Activity, Work and Health, TNO-VUmc, Amsterdam, The Netherlands.
AN - 16648740
AU - Heymans, M. W.
AU - de Vet, H. C.
AU - Bongers, P. M.
AU - Knol, D. L.
AU - Koes, B. W.
AU - van Mechelen, W.
CN - Medline 211026
DA - May 1
DB - Medline
DO - 10.1097/01.brs.0000216443.46783.4d
DP - NLM
IS - 10
J2 - Spine
KW - Adult
Disability Evaluation
Female
Humans
Low Back Pain/physiopathology/*therapy
Male
*Occupational Health Services
Pain Measurement
Patient Education as Topic/*methods
*Physical Therapy Modalities
Sick Leave/statistics & numerical data
Treatment Outcome
Work Capacity Evaluation
L1 - internal-pdf://1306511062/2035-Heymans-2006.pdf
LA - English
M3 - Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Heymans, Martijn W
de Vet, Henrica C W
Bongers, Paulien M
Knol, Dirk L
Koes, Bart W
van Mechelen, Willem
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
2006/05/02
Spine (Phila Pa 1976). 2006 May 1;31(10):1075-82. doi: 10.1097/01.brs.0000216443.46783.4d.
PY - 2006
SN - 1528-1159 (Electronic)
0362-2436 (Linking)
SP - 1075-82
ST - The effectiveness of high-intensity versus low-intensity back schools in an occupational setting: a pragmatic randomized controlled trial
T2 - Spine (Phila Pa 1976)
TI - The effectiveness of high-intensity versus low-intensity back schools in an occupational setting: a pragmatic randomized controlled trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/16648740
VL - 31
ID - 2035
ER -
TY - JOUR
AB - INTRODUCTION: Behaviorally oriented graded activity interventions have been suggested for sick-listed workers with low back pain on return to work, but have not been extensively evaluated. METHODS: One hundred and thirty-four workers were randomly assigned to either a graded activity intervention (n = 67) or usual care (n = 67) and followed-up for 12 months. RESULTS: The graded activity group returned back to work faster with a median of 54 days compared to 67 days in the usual care group. The graded activity intervention was more effective after approximately 50 days post-randomization (HRR = 1.9, CI = 1.2-3.1, p = 0.01). Differences between the groups in number of recurrent episodes, total number of days of sick leave due to low back pain, and total number of days of sick leave due to all diagnoses, were in favor of the graded activity group, although not statistically significant. No effects of the graded activity intervention were found for functional status or pain. CONCLUSION: Graded activity intervention is a valuable strategy to enhance short-term return to work outcomes.
AD - Department of Public and Occupational Health, VU University Medical Centre, Amsterdam, The Netherlands.
AN - 16254756
AU - Hlobil, H.
AU - Staal, J. B.
AU - Twisk, J.
AU - Koke, A.
AU - Ariens, G.
AU - Smid, T.
AU - van Mechelen, W.
CN - Medline 211026
DA - Dec
DB - Medline
DO - 10.1007/s10926-005-8035-y
DP - NLM
ET - 2005/10/29
IS - 4
J2 - J Occup Rehabil
KW - Activities of Daily Living
*Exercise
Humans
Low Back Pain/*rehabilitation
Multivariate Analysis
Netherlands
Occupational Diseases/*rehabilitation
Proportional Hazards Models
Recurrence
Sick Leave/statistics & numerical data
Single-Blind Method
Survival Analysis
L1 - internal-pdf://3565563224/2048-Hlobil-2005.pdf
LA - English
M3 - Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Hlobil, Hynek
Staal, J Bart
Twisk, Jos
Koke, Albere
Ariens, Geertje
Smid, Tjabe
van Mechelen, Willem
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Netherlands
2005/10/29
J Occup Rehabil. 2005 Dec;15(4):569-80. doi: 10.1007/s10926-005-8035-y.
PY - 2005
SN - 1053-0487 (Print)
1053-0487 (Linking)
SP - 569-80
ST - The effects of a graded activity intervention for low back pain in occupational health on sick leave, functional status and pain: 12-month results of a randomized controlled trial
T2 - J Occup Rehabil
TI - The effects of a graded activity intervention for low back pain in occupational health on sick leave, functional status and pain: 12-month results of a randomized controlled trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/16254756
VL - 15
ID - 2048
ER -
TY - JOUR
AB - OBJECTIVE: Stress-related disorders are common, associated with substantial individual suffering, and place a large economic burden on society. While treatment appears to be able to reduce symptoms, evidence of interventions to improve vocational outcomes is flimsy. Lack of integration of vocational rehabilitation and healthcare services has been suspected to be a major potential barrier in return-to-work (RTW) processes; therefore, we aimed to test the effectiveness of such integration. METHODS: We randomized participants who were on sick leave for >/= 4 weeks with a stress-related disorder. They were allocated to (i) service as usual (SAU), (ii) improved mental healthcare (MHC), or (iii) integrated interventions (INT). The primary outcome was RTW rates measured at 12 months. Secondary outcome were RTW rates measured at 6 months, proportion in work at 12 months, and levels of stress, anxiety, depression, and functioning at 6 months. RESULTS: We included 666 participants. On the primary outcome and almost all other vocational outcomes, SAU was superior to both INT and MHC. MHC and INT did not differ on any vocational outcome. On several symptom scales, MHC showed lower values than SAU, whilst INT did not differ from the two other groups. CONCLUSION: Both the INT and the MHC intervention lowered RTW rates compared with SAU, and thereby yielded a worse outcome. However, the MHC group showed a tendency towards having lower symptom levels compared with those in the SAU group; accordingly, the SAU group is not unequivocally superior. MHC and INT showed no general differences.
AD - Copenhagen Research Institute for Mental Health [CORE], Mental Health Services Capital Region of Denmark, Copenhagen. andreas.hoff@regionh.dk.
AN - 35373306
AU - Hoff, A.
AU - Fisker, J.
AU - Poulsen, R. M.
AU - Hjorthoj, C.
AU - Rosenberg, N. K.
AU - Nordentoft, M.
AU - Bojesen, A. B.
AU - Eplov, L. F.
C1 - The authors declare no conflict of interests
C2 - PMC9527782
CN - Cochrane Trials uppdateringssökning 220512
DA - Jul 1
DB - Medline
DO - 10.5271/sjweh.4021
DP - NLM
ET - 20220401
IS - 5
KW - Delivery of Health Care
Humans
*Mental Disorders/therapy
*Mental Health Services
Rehabilitation, Vocational
Return to Work
Sick Leave
L1 - internal-pdf://3368894096/10219-Hoff-2022.pdf
M3 - Journal: Article in Press
N1 - Hoff, Andreas
Fisker, Jonas
Poulsen, Rie Mandrup
Hjorthoj, Carsten
Rosenberg, Nicole Kristjansen
Nordentoft, Merete
Bojesen, Anders Bo
Eplov, Lene Falgaard
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Finland
2022/04/05
Scand J Work Environ Health. 2022 Jul 1;48(5):361-371. doi: 10.5271/sjweh.4021. Epub 2022 Apr 1.
PY - 2022
SN - 1795-990X (Electronic)
0355-3140 (Print)
0355-3140 (Linking)
SP - 361-371
ST - Integrating vocational rehabilitation and mental healthcare to improve the return-to-work process for people on sick leave with stress-related disorders: results from a randomized trial
T2 - Scand J Work Environ Health
TI - Integrating vocational rehabilitation and mental healthcare to improve the return-to-work process for people on sick leave with stress-related disorders: results from a randomized trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/35373306
VL - 48
ID - 10219
ER -
TY - JOUR
AB - OBJECTIVE: The aim of this study was to investigate an integrated mental healthcare and vocational rehabilitation intervention to improve and hasten the process of return-to-work of people on sick leave with anxiety and depression. METHODS: In this three-arm, randomised trial, participants were assigned to (1) integrated intervention (INT), (2) improved mental healthcare (MHC) or (3) service as usual (SAU). The primary outcome was time to return-to-work measured at 12-month follow-up. The secondary outcomes were time to return-to-work measured at 6-month follow-up; levels of anxiety, depression, stress symptoms, and social and occupational functioning at 6 months; and return-to-work measured as proportion in work at 12 months. RESULTS: 631 individuals were randomised. INT yielded a higher proportion in work compared with both MHC (56.2% vs 43.7%, p=0.012) and SAU (56.2% vs 45%, p=0.029) at 12-month follow-up. We found no differences in return-to-work in terms of sick leave duration at either 6-month or 12-month follow-up, with the latter being the primary outcome. No differences in anxiety, depression or functioning between INT, MHC and SAU were identified, but INT and MHC showed lower scores on Cohen's Perceived Stress Scale compared with SAU at 12-month follow-up. CONCLUSIONS: Although INT did not hasten the process of return-to-work, it yielded better outcome with regard to proportion in work compared with MHC and SAU. The findings suggest that INT compared with SAU is associated with a few, minor health benefits. Overall, INT yielded slightly better vocational and health outcomes, but the clinical significance of the health advantage is questionable. TRIAL REGISTRATION NUMBER: NCT02872051.
AD - Copenhagen Research Centre for Mental Health (CORE), Hellerup, Denmark andreas.hoff@regionh.dk.
National Board of Social Services, Odense, Denmark.
Hejmdal Private Hospital, Copenhagen, Denmark.
Mental Health Centre Copenhagen, Copenhagen, Denmark.
Copenhagen Research Centre for Mental Health (CORE), Hellerup, Denmark.
AN - 34916330
AU - Hoff, A.
AU - Poulsen, R. M.
AU - Fisker, J.
AU - Hjorthoj, C.
AU - Rosenberg, N.
AU - Nordentoft, M.
AU - Bojesen, A. B.
AU - Eplov, L. F.
C1 - Competing interests: None declared.
C2 - PMC8785062
CN - Medline rct uppdateringssökning 220506
DA - Feb
DB - Medline
DO - 10.1136/oemed-2021-107894
DP - NLM
ET - 20211216
IS - 2
J2 - Occup Environ Med
KW - Adult
Anxiety Disorders/*rehabilitation
Depression/*rehabilitation
Female
Humans
Male
Mental Health Services/organization & administration
Middle Aged
Rehabilitation, Vocational/*methods
Return to Work/*statistics & numerical data
Sick Leave/statistics & numerical data
Stress, Psychological
occupational health
psychiatry
L1 - internal-pdf://2939830688/10218-Hoff-2022.pdf
LA - English
M3 - Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Hoff, Andreas
Poulsen, Rie Mandrup
Fisker, Jonas
Hjorthoj, Carsten
Rosenberg, Nicole
Nordentoft, Merete
Bojesen, Anders Bo
Eplov, Lene Falgaard
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
England
2021/12/18
Occup Environ Med. 2022 Feb;79(2):134-142. doi: 10.1136/oemed-2021-107894. Epub 2021 Dec 16.
PY - 2022
SN - 1470-7926 (Electronic)
1351-0711 (Print)
1351-0711 (Linking)
SP - 134-142
ST - Integrating vocational rehabilitation and mental healthcare to improve the return-to-work process for people on sick leave with depression or anxiety: results from a three-arm, parallel randomised trial
T2 - Occup Environ Med
TI - Integrating vocational rehabilitation and mental healthcare to improve the return-to-work process for people on sick leave with depression or anxiety: results from a three-arm, parallel randomised trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/34916330
VL - 79
ID - 10218
ER -
TY - JOUR
AB - BACKGROUND: Fatigue is a common complaint that may lead to long-term sick leave and work disability. AIMS: To assess the efficacy of cognitive-behavioural therapy by general practitioners for unexplained, persistent fatigue among employees. METHOD: A randomised controlled trial, using a pre-randomisation design in primary care, investigated 151 employees on sick leave with fatigue. Participants in the experimental group were offered five to seven 30 min sessions of cognitive-behavioural therapy by a general practitioner; those in the control group were offered no treatment. Main outcome measures (fatigue severity, self-reported absenteeism, registered absenteeism and clinical recovery) were assessed at 4 months, 8 months and 12 months. RESULTS: At baseline, 44% of the patients already met research criteria for chronic fatigue syndrome. There was no significant difference between the experimental group and the control group on primary or secondary outcomes at any point. CONCLUSIONS: Cognitive-behavioural therapy by general practitioners for unexplained, persistent fatigue did not prove to be an effective intervention. Since these doctors were unable to deliver this therapy effectively under ideal circumstances, it is unlikely that doctors in routine practice would be more successful in doing so.
AD - Department of Epidemiology, Maastricht University, The Netherlands. m.huibers@dmkep.unimaas.nl
AN - 14990522
AU - Huibers, M. J.
AU - Beurskens, A. J.
AU - Van Schayck, C. P.
AU - Bazelmans, E.
AU - Metsemakers, J. F.
AU - Knottnerus, J. A.
AU - Bleijenberg, G.
CN - Medline 211026
DA - Mar
DB - Medline
DO - 10.1192/bjp.184.3.240
DP - NLM
J2 - Br J Psychiatry
KW - Adult
Chronic Disease
Cognitive Behavioral Therapy/*methods
Family Practice/*methods
Fatigue/*therapy
Female
Humans
Male
Middle Aged
Primary Health Care/methods
Sick Leave
Treatment Outcome
L1 - internal-pdf://0611363793/2089-Huibers-2004.pdf
LA - English
M3 - Clinical Trial
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Huibers, Marcus J H
Beurskens, Anna J H M
Van Schayck, Constant P
Bazelmans, Ellen
Metsemakers, Job F M
Knottnerus, J Andre
Bleijenberg, Gijs
eng
Clinical Trial
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
England
2004/03/03
Br J Psychiatry. 2004 Mar;184:240-6. doi: 10.1192/bjp.184.3.240.
PY - 2004
SN - 0007-1250 (Print)
0007-1250 (Linking)
SP - 240-6
ST - Efficacy of cognitive-behavioural therapy by general practitioners for unexplained fatigue among employees: Randomised controlled trial
T2 - Br J Psychiatry
TI - Efficacy of cognitive-behavioural therapy by general practitioners for unexplained fatigue among employees: Randomised controlled trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/14990522
VL - 184
ID - 2089
ER -
TY - JOUR
AB - STUDY DESIGN: Randomized clinical trial comparing two interventions in employees sick-listed 3 to 16 weeks because of low back pain (LBP). OBJECTIVE: To compare 1-year return to work (RTW), pain, disability and physical and mental health dimensions in subjects offered a hospital-based multidisciplinary intervention or a brief intervention. SUMMARY OF BACKGROUND DATA: Previous studies in sick-listed employees with LBP have indicated efficacy of both brief and more comprehensive multidisciplinary interventions. However, it remains unknown, which is the more effective, and which elements are instrumental in furthering RTW, and improving health. METHODS: The brief intervention comprised clinical examination and advice offered by a rehabilitation physician and a physiotherapist. In the multidisciplinary intervention, this intervention was supplemented with the expertise of a team and the assignment of a case manager who drew up a rehabilitation plan in collaboration with the patient and the multidisciplinary team. One-year RTW was estimated by data from a comprehensive national database of social transfer payments. Questionnaires were used to obtain baseline and 1-year data on Roland Morris disability score, LBP Rating Scale, SF36, and fear-avoidance. RESULTS: A total of 351 patients were included and randomized and 344 (98%) patients participated in all the consultations according to the study protocol. RTW was achieved by 125 (71.0%) participants in the multidisciplinary and 133 (76.0%) participants in the brief intervention group. The hazard ratio was 0.84 after adjustment for sex, age, smoking, compensation claims, disability score, and diagnosis (95% confidence interval [CI]: 0.65-1.08,P = 0.18). Multiple linear regression analysis displayed no differences in secondary outcomes, except for the mental health score (SF36), which was a little higher in the multidisciplinary intervention group than in the brief intervention group. CONCLUSION: Hospital-based multidisciplinary intervention may be no better than brief intervention to increase RTW and improve health in sick-listed employees with low back pain.
AD - Department of Clinical Social Medicine, Centre of Public Health, Central Denmark Region and Department of Clinical Social Medicine and Rehabilitation, Institute of Public Health, University of Aarhus, Denmark. chris.jensen@stab.rm.dk
AN - 21217456
AU - Jensen, C.
AU - Jensen, O. K.
AU - Christiansen, D. H.
AU - Nielsen, C. V.
CN - Medline 211026
DA - Jul 1
DB - Medline
DO - 10.1097/BRS.0b013e3181eba711
DP - NLM
IS - 15
J2 - Spine
KW - Adult
Disability Evaluation
Female
Follow-Up Studies
Humans
Linear Models
Low Back Pain/diagnosis/*rehabilitation
Male
Middle Aged
Multivariate Analysis
*Pain Clinics
Pain Measurement
*Physical Therapy Modalities
Sick Leave/*statistics & numerical data
Surveys and Questionnaires
Time Factors
Treatment Outcome
L1 - internal-pdf://3508283695/2153-Jensen-2011.pdf
LA - English
M3 - Comparative Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Jensen, Chris
Jensen, Ole Kudsk
Christiansen, David Hoyrup
Nielsen, Claus Vinther
eng
Comparative Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
2011/01/11
Spine (Phila Pa 1976). 2011 Jul 1;36(15):1180-9. doi: 10.1097/BRS.0b013e3181eba711.
PY - 2011
SN - 1528-1159 (Electronic)
0362-2436 (Linking)
SP - 1180-9
ST - One-year follow-up in employees sick-listed because of low back pain: randomized clinical trial comparing multidisciplinary and brief intervention
T2 - Spine (Phila Pa 1976)
TI - One-year follow-up in employees sick-listed because of low back pain: randomized clinical trial comparing multidisciplinary and brief intervention
UR - https://www.ncbi.nlm.nih.gov/pubmed/21217456
VL - 36
ID - 2153
ER -
TY - JOUR
AB - BACKGROUND: Sick-listed employees with low back pain had similar return to work (RTW) rates at one-year follow-up in a randomized trial comparing two interventions, but the effects were modified by specific workplace related factors. The present study addressed the sustainability of the intervention effects by performing a two-year follow-up and by using different outcome measures. METHODS: A total of 351 employees sick-listed for 3-16 weeks due to LBP were recruited from their general practitioners and were randomly allocated to a hospital-based brief or multidisciplinary intervention. Outcome measures were based on sick leave registered in a national database of social and health-related benefits. RTW rates, RTW status, sick leave weeks and sick leave relapse were studied. RESULTS: During the two-year follow-up 80.0% and 77.3% had RTW for at least four weeks continuously, and the percentages with RTW at the 104th week were 61.1% and 58.0% in the brief and multidisciplinary intervention groups, respectively. At the 104th week 16.6% and 18.8% were on sick leave in the two groups, respectively, and about 12% were employed in modified jobs or participated in job training. The number of weeks on sick leave in the first year was significantly lower in the brief intervention group (median 14 weeks) than in the multidisciplinary intervention group (median 20 weeks), but during the second year the number of weeks on sick leave were not significantly different between intervention groups. Subgroups characterised by specific work related factors modified the effect of the intervention groups on RTW rates (p = 0.017). No difference in sick leave relapse was found between the intervention groups. CONCLUSION: The effects of the brief and multidisciplinary interventions at the two-year follow-up were in general similar to the effects at one-year follow-up. TRIAL REGISTRATION: Current Controlled Trials ISRCTN18609003.
AD - Department of Clinical Social Medicine, Public Health and Quality Management, Central Denmark Region and Section of Clinical Social Med, and Rehabilitation, School of Public Health, University of Aarhus, Aarhus, Denmark. chris.jensen@stab.rm.dk
AN - 22920158
AU - Jensen, C.
AU - Jensen, O. K.
AU - Nielsen, C. V.
C2 - PMC3488486
CN - Medline 211026
DA - Aug 25
DB - Medline
DO - 10.1186/1471-2474-13-156
DP - NLM
ET - 20120825
J2 - BMC Musculoskelet Disord
KW - Adult
Denmark
Female
*General Practice
Humans
Inservice Training
Interdisciplinary Communication
Job Description
Logistic Models
Low Back Pain/diagnosis/physiopathology/*therapy
Magnetic Resonance Imaging
Male
Middle Aged
Pain Measurement
*Patient Care Team
Proportional Hazards Models
Recurrence
Registries
*Return to Work
*Sick Leave
Time Factors
Treatment Outcome
Unemployment
Workplace
L1 - internal-pdf://3944448474/2154-Jensen-2012.pdf
LA - English
M3 - Comparative Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Jensen, Chris
Jensen, Ole Kudsk
Nielsen, Claus Vinther
eng
Comparative Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
England
2012/08/28
BMC Musculoskelet Disord. 2012 Aug 25;13:156. doi: 10.1186/1471-2474-13-156.
PY - 2012
SN - 1471-2474 (Electronic)
1471-2474 (Linking)
SP - 156
ST - Sustainability of return to work in sick-listed employees with low-back pain. Two-year follow-up in a randomized clinical trial comparing multidisciplinary and brief intervention
T2 - BMC Musculoskelet Disord
TI - Sustainability of return to work in sick-listed employees with low-back pain. Two-year follow-up in a randomized clinical trial comparing multidisciplinary and brief intervention
UR - https://www.ncbi.nlm.nih.gov/pubmed/22920158
VL - 13
ID - 2154
ER -
TY - JOUR
AB - The aim of the present study was to evaluate the long-term outcome of a behavioural medicine rehabilitation programme and the outcome of its two main components, compared to a 'treatment-as-usual' control group. The study employed a 4 x 5 repeated-measures design with four groups and five assessment periods during a 3-year follow-up. The group studied consisted of blue-collar and service/care workers on sick leave, identified in a nationwide health insurance scheme in Sweden. After inclusion, the subjects were randomised to one of the four conditions: behaviour-oriented physiotherapy (PT), cognitive behavioural therapy (CBT), behavioural medicine rehabilitation consisting of PT+CBT (BM) and a 'treatment-as-usual' control group (CG). Outcome variables were sick leave, early retirement and health-related quality of life. A cost-effectiveness analysis, comparing the programmes, was made. The results showed, consistently, the full-time behavioural medicine programme being superior to the three other conditions. The strongest effect was found on females. Regarding sick leave, the mean difference in the per-protocol analysis between the BM programme and the control group was 201 days, thus reducing sick leave by about two-thirds of a working year. Rehabilitating women has a substantial impact on costs for production losses, whereas rehabilitating men seem to be effortless with no significant effect on either health or costs. In conclusion, a full-time behavioural medicine programme is a cost-effective method for improving health and increasing return to work in women working in blue-collar or service/care occupations and suffering from back/neck pain.
AD - Section for Personal Injury Prevention, Karolinska Institutet, Box 127 18, 112 94 Stockholm, Sweden Unit of Statistics and epidemiology, Clinical Research Center, Orebro University Hospital, 701 82 Orebro, Sweden.
AN - 15911154
AU - Jensen, I. B.
AU - Bergstrom, G.
AU - Ljungquist, T.
AU - Bodin, L.
CN - Medline 211026
DA - Jun
DB - Medline
DO - 10.1016/j.pain.2005.03.005
DP - NLM
ET - 20050419
IS - 3
J2 - Pain
KW - Adult
Back Pain/economics/*rehabilitation
*Cognitive Behavioral Therapy
Cost-Benefit Analysis
Delivery of Health Care/statistics & numerical data
Employment
Female
Follow-Up Studies
Health Care Costs
Humans
Male
Middle Aged
Neck Pain/economics/*rehabilitation
Pensions
Physical Therapy Specialty/economics/*organization & administration
Program Evaluation
Quality of Life
Rehabilitation/economics/*organization & administration
Sick Leave
L1 - internal-pdf://1076115755/2157-Jensen-2005.pdf
LA - English
M3 - Clinical Trial
Comparative Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Jensen, Irene B
Bergstrom, Gunnar
Ljungquist, Therese
Bodin, Lennart
eng
Clinical Trial
Comparative Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
2005/05/25
Pain. 2005 Jun;115(3):273-283. doi: 10.1016/j.pain.2005.03.005. Epub 2005 Apr 19.
PY - 2005
SN - 0304-3959 (Print)
0304-3959 (Linking)
SP - 273-283
ST - A 3-year follow-up of a multidisciplinary rehabilitation programme for back and neck pain
T2 - Pain
TI - A 3-year follow-up of a multidisciplinary rehabilitation programme for back and neck pain
UR - https://www.ncbi.nlm.nih.gov/pubmed/15911154
VL - 115
ID - 2157
ER -
TY - JOUR
AB - The aim of the present study was to evaluate the outcome of a behavioral medicine (BM) rehabilitation program and the outcome of its two main components, compared to a 'treatment-as-usual' control group (CG). The study employed a 4x4 repeated-measures design with four groups and four assessment periods (pre-treatment, post-treatment, 6-month follow-up, and 18-month follow-up). The group studied consisted of subjects on sick leave identified in a nationwide health insurance scheme in Sweden. After inclusion, the subjects were randomized to one of four conditions, which were: (1) behavior-oriented physical therapy (PT); (2) cognitive behavioral therapy (CBT); (3) BM rehabilitation consisting of PT+CBT (BM); (4) a 'treatment-as-usual' CG. The treatments were given over a period of 4 weeks, PT and CBT on a part-time basis and BM on a full-time basis. Outcome variables were sick leave, early retirement, and health-related quality of life (measured using the Short Form Health Survey, SF-36). The results showed that the risk of being granted full-time early retirement was significantly lower for females in PT and CBT compared to the CG during the 18-month follow-up period. However, the total absence from work (sick listing plus early retirement) in days over the 18-month follow-up period was not significantly different in the CG compared to the treatments. On the SF-36, women in CBT and BM reported a significantly better health-related quality of life than women in the CG at the 18-month follow-up. No significant differences for men were found on the SF-36 scales. In conclusion, the results revealed gender differences in the outcome of the treatments and that the components of this BM program yielded as good results as the whole program.
AD - Karolinska Institute, Section for Personal Injury Prevention, Box 127 18, 112 94, Stockholm, Sweden.
AN - 11240079
AU - Jensen, I. B.
AU - Bergstrom, G.
AU - Ljungquist, T.
AU - Bodin, L.
AU - Nygren, A. L.
CN - Medline 211026
DA - Mar
DB - Medline
DO - 10.1016/s0304-3959(00)00420-6
DP - NLM
ET - 2001/03/10
IS - 1-2
J2 - Pain
KW - Absenteeism
Adult
Behavioral Medicine/*methods
Chronic Disease
Cognitive Behavioral Therapy
Female
Humans
Male
Middle Aged
Pain/rehabilitation
*Palliative Care
Patient Compliance
Physical Therapy Modalities
Quality of Life
Reference Values
*Sex Characteristics
Spinal Diseases/physiopathology/*rehabilitation
L1 - internal-pdf://0166210467/2158-Jensen-2001.pdf
LA - English
M3 - Clinical Trial
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Jensen, I B
Bergstrom, G
Ljungquist, T
Bodin, L
Nygren, A L
eng
Clinical Trial
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
2001/03/10
Pain. 2001 Mar;91(1-2):65-78. doi: 10.1016/s0304-3959(00)00420-6.
PY - 2001
SN - 0304-3959 (Print)
0304-3959 (Linking)
SP - 65-78
ST - A randomized controlled component analysis of a behavioral medicine rehabilitation program for chronic spinal pain: are the effects dependent on gender?
T2 - Pain
TI - A randomized controlled component analysis of a behavioral medicine rehabilitation program for chronic spinal pain: are the effects dependent on gender?
UR - https://www.ncbi.nlm.nih.gov/pubmed/11240079
VL - 91
ID - 2158
ER -
TY - JOUR
AB - OBJECTIVES: Common mental disorders (CMDs) are among the main causes of sickness absence and can lead to suffering and high costs for individuals, employers and the society. The occupational health service (OHS) can offer work-directed interventions to support employers and employees. The aim of this study was to evaluate the effect on sickness absence and health of a work-directed intervention given by the OHS to employees with CMDs or stress-related symptoms. METHODS: Randomisation was conducted at the OHS consultant level and each consultant was allocated into either giving a brief problem-solving intervention (PSI) or care as usual (CAU). The study group consisted of 100 employees with stress symptoms or CMDs. PSI was highly structured and used a participatory approach, involving both the employee and the employee's manager. CAU was also work-directed but not based on the same theoretical concepts as PSI. Outcomes were assessed at baseline, at 6 and at 12 months. Primary outcome was registered sickness absence during the 1-year follow-up period. Among the secondary outcomes were self-registered sickness absence, return to work (RTW) and mental health. RESULTS: A statistical interaction for group x time was found on the primary outcome (p=0.033) and PSI had almost 15 days less sickness absence during follow-up compared with CAU. Concerning the secondary outcomes, PSI showed an earlier partial RTW and the mental health improved in both groups without significant group differences. CONCLUSION: PSI was effective in reducing sickness absence which was the primary outcome in this study.
AD - Division of Intervention and Implementation Research in Worker Health, Institute of Environmental Medicine, Karolinska Institute, Stockholm, Sweden marijke.keus.van.de.poll@ki.se.
Centre for Musculoskeletal Research, Department of Occupational Health Sciences and Psychology, University of Gavle, Gavle, Sweden.
Division of Intervention and Implementation Research in Worker Health, Institute of Environmental Medicine, Karolinska Institute, Stockholm, Sweden.
Department of Learning, Informatics, Management and Ethics (LIME), Karolinska Institute, Stockholm, Sweden.
Department of Medical Sciences, Uppsala University, Uppsala, Sweden.
AN - 32291291
AU - Keus van de Poll, M.
AU - Nybergh, L.
AU - Lornudd, C.
AU - Hagberg, J.
AU - Bodin, L.
AU - Kwak, L.
AU - Jensen, I.
AU - Lohela-Karlsson, M.
AU - Torgen, M.
AU - Bergstrom, G.
C1 - Competing interests: None declared.
C2 - PMC7306872
CN - Medline 211026
DA - Jul
DB - Medline
DO - 10.1136/oemed-2019-106353
DP - NLM
ET - 20200414
IS - 7
J2 - Occup Environ Med
KW - Adult
Female
Humans
Male
Mental Disorders/*therapy
Middle Aged
Occupational Health Services/methods
Occupational Stress/*therapy
*Problem Solving
Return to Work/statistics & numerical data
Sick Leave/*statistics & numerical data
Sweden
OH services
intervention studies
mental health
public health
sickness absence
L1 - internal-pdf://3246147774/2253-Keus van de Poll-2020.pdf
LA - English
M3 - Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Keus van de Poll, Marijke
Nybergh, Lotta
Lornudd, Caroline
Hagberg, Jan
Bodin, Lennart
Kwak, Lydia
Jensen, Irene
Lohela-Karlsson, Malin
Torgen, Margareta
Bergstrom, Gunnar
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
England
2020/04/16
Occup Environ Med. 2020 Jul;77(7):454-461. doi: 10.1136/oemed-2019-106353. Epub 2020 Apr 14.
PY - 2020
SN - 1470-7926 (Electronic)
1351-0711 (Print)
1351-0711 (Linking)
SP - 454-461
ST - Preventing sickness absence among employees with common mental disorders or stress-related symptoms at work: a cluster randomised controlled trial of a problem-solving-based intervention conducted by the Occupational Health Services
T2 - Occup Environ Med
TI - Preventing sickness absence among employees with common mental disorders or stress-related symptoms at work: a cluster randomised controlled trial of a problem-solving-based intervention conducted by the Occupational Health Services
UR - https://www.ncbi.nlm.nih.gov/pubmed/32291291
VL - 77
ID - 2253
ER -
TY - JOUR
AB - OBJECTIVE: To compare the effect of function-centered treatment (FCT) and pain-centered treatment (PCT) on the number of work days, permanent disability, and the unemployment rate. DESIGN: Randomized controlled trial. SETTING: Inpatient rehabilitation center. PARTICIPANTS: Patients (N=174; 79% male; mean age, 42 y) with previous sick leave of 6 weeks or more. INTERVENTIONS: FCT (4 h/d for 3 wk) emphasized activity despite pain by using work simulation, strength, endurance, and cardiovascular training. PCT (2.5h/d for 3 wk) emphasized pain reduction and included passive and active mobilization, stretching, strength training, and a 4-hour mini back school with education and exercise. Analysis was by intention to treat. MAIN OUTCOME MEASURES: Work days, return to work, rate of patients receiving financial compensation for permanent disability, and unemployment rate. Effect sizes (Cohen d) were defined as small (0.2-0.5), moderate (0.5-0.8), and large (>0.8). RESULTS: After 1 year, the FCT group had significantly more work days (mean, 118; median, 39.5; interquartile range [IQR], 0-198) than the PCT group (mean, 74; median, 0; IQR, 0-160; Mann-Whitney U test, P=.011). The odds ratio of returning to work in the FCT group relative to the PCT group was 2.1 (95% confidence interval, 1.1-3.9). The differences in unemployment rates and in the numbers of patients receiving compensation for permanent disability were not significant. CONCLUSIONS: FCT is more effective than PCT for increasing work days.
AD - Department of Rheumatology, Rehabilitation Centre Valens, Valens, Switzerland. jan.kool@zhwin.ch
AN - 17826451
AU - Kool, J.
AU - Bachmann, S.
AU - Oesch, P.
AU - Knuesel, O.
AU - Ambergen, T.
AU - de Bie, R.
AU - van den Brandt, P.
CN - Medline 211026
DA - Sep
DB - Medline
DO - 10.1016/j.apmr.2007.05.022
DP - NLM
IS - 9
J2 - Arch Phys Med Rehabil
KW - Adult
Exercise Therapy/*methods
Female
Follow-Up Studies
Humans
Inpatients
Low Back Pain/physiopathology/*rehabilitation
Male
Occupational Diseases/physiopathology/*rehabilitation
Patient Compliance
*Rehabilitation Centers
Sick Leave/trends
Time Factors
Treatment Outcome
Work Schedule Tolerance/*physiology
*Workload
L1 - internal-pdf://3535793930/2303-Kool-2007.pdf
LA - English
M3 - Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Kool, Jan
Bachmann, Stefan
Oesch, Peter
Knuesel, Otto
Ambergen, Ton
de Bie, Rob
van den Brandt, Piet
eng
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
2007/09/11
Arch Phys Med Rehabil. 2007 Sep;88(9):1089-94. doi: 10.1016/j.apmr.2007.05.022.
PY - 2007
SN - 0003-9993 (Print)
0003-9993 (Linking)
SP - 1089-94
ST - Function-centered rehabilitation increases work days in patients with nonacute nonspecific low back pain: 1-year results from a randomized controlled trial
T2 - Arch Phys Med Rehabil
TI - Function-centered rehabilitation increases work days in patients with nonacute nonspecific low back pain: 1-year results from a randomized controlled trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/17826451
VL - 88
ID - 2303
ER -
TY - JOUR
AB - OBJECTIVE: To evaluate the cost effectiveness, cost utility, and cost-benefit of an integrated care programme compared with usual care for sick listed patients with chronic low back pain. DESIGN: Economic evaluation alongside a randomised controlled trial with 12 months' follow-up. SETTING: Primary care (10 physiotherapy practices, one occupational health service, one occupational therapy practice) and secondary care (five hospitals) in the Netherlands, 2005-9. PARTICIPANTS: 134 adults aged 18-65 sick listed because of chronic low back pain: 66 were randomised to integrated care and 68 to usual care. INTERVENTIONS: Integrated care consisted of a workplace intervention based on participatory ergonomics, with involvement of a supervisor, and a graded activity programme based on cognitive behavioural principles. Usual care was provided by general practitioners and occupational physicians according to Dutch guidelines. MAIN OUTCOME MEASURES: The primary outcome was duration until sustainable return to work. The secondary outcome was quality adjusted life years (QALYs), measured using EuroQol. RESULTS: Total costs in the integrated care group ( pound13 165, SD pound13 600) were significantly lower than in the usual care group ( pound18 475, SD pound13 616). Cost effectiveness planes and acceptability curves showed that integrated care was cost effective compared with usual care for return to work and QALYs gained. The cost-benefit analyses showed that every pound1 invested in integrated care would return an estimated pound26. The net societal benefit of integrated care compared with usual care was pound5744. CONCLUSIONS: Implementation of an integrated care programme for patients sick listed with chronic low back pain has a large potential to significantly reduce societal costs, increase effectiveness of care, improve quality of life, and improve function on a broad scale. Integrated care therefore has large gains for patients and society as well as for employers.
AD - Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, Netherlands.
AN - 21118874
AU - Lambeek, L. C.
AU - Bosmans, J. E.
AU - Van Royen, B. J.
AU - Van Tulder, M. W.
AU - Van Mechelen, W.
AU - Anema, J. R.
C1 - Competing interests: All authors have completed the Unified Competing Interest form at www.icmje.org/coi_disclosure.pdf (available on request from the corresponding author) and declare: no support from any company for the submitted work; no financial relationships with any companies that might have an interest in the submitted work in the previous 3 years; no other relationships or activities that could appear to have influenced the submitted work.
C2 - PMC2995018
CN - Medline 211026
DA - Nov 30
DB - Medline
DO - 10.1136/bmj.c6414
DP - NLM
ET - 20101130
J2 - Bmj
KW - Absenteeism
Adolescent
Adult
Aged
Chronic Disease
Cost-Benefit Analysis
Delivery of Health Care, Integrated
Health Resources/statistics & numerical data
Humans
Low Back Pain/economics/*rehabilitation
Middle Aged
Netherlands
Occupational Therapy
Physical Therapy Modalities
Quality-Adjusted Life Years
Rehabilitation, Vocational/economics
Sick Leave
Young Adult
L1 - internal-pdf://4094758728/2362-Lambeek-2010.pdf
LA - English
M3 - Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Lambeek, Ludeke C
Bosmans, Judith E
Van Royen, Barend J
Van Tulder, Maurits W
Van Mechelen, Willem
Anema, Johannes R
eng
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
England
2010/12/02
BMJ. 2010 Nov 30;341:c6414. doi: 10.1136/bmj.c6414.
PY - 2010
SN - 1756-1833 (Electronic)
0959-8138 (Print)
0959-8138 (Linking)
SP - c6414
ST - Effect of integrated care for sick listed patients with chronic low back pain: economic evaluation alongside a randomised controlled trial
T2 - BMJ
TI - Effect of integrated care for sick listed patients with chronic low back pain: economic evaluation alongside a randomised controlled trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/21118874
VL - 341
ID - 2362
ER -
TY - JOUR
AB - OBJECTIVE: To evaluate the effectiveness of an integrated care programme, combining a patient directed and a workplace directed intervention, for patients with chronic low back pain. DESIGN: Population based randomised controlled trial. SETTING: Primary care (10 physiotherapy practices, one occupational health service, one occupational therapy practice) and secondary care (five hospitals). PARTICIPANTS: 134 adults aged 18-65 sick listed for at least 12 weeks owing to low back pain. INTERVENTION: Patients were randomly assigned to usual care (n=68) or integrated care (n=66). Integrated care consisted of a workplace intervention based on participatory ergonomics, involving a supervisor, and a graded activity programme based on cognitive behavioural principles. MAIN OUTCOME MEASURES: The primary outcome was the duration of time off work (work disability) due to low back pain until full sustainable return to work. Secondary outcome measures were intensity of pain and functional status. RESULTS: The median duration until sustainable return to work was 88 days in the integrated care group compared with 208 days in the usual care group (P=0.003). Integrated care was effective on return to work (hazard ratio 1.9, 95% confidence interval 1.2 to 2.8, P=0.004). After 12 months, patients in the integrated care group improved significantly more on functional status compared with patients in the usual care group (P=0.01). Improvement of pain between the groups did not differ significantly. CONCLUSION: The integrated care programme substantially reduced disability due to chronic low back pain in private and working life. Trial registration Current Controlled Trials ISRCTN28478651.
AD - Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, Netherlands.
AN - 20234040
AU - Lambeek, L. C.
AU - van Mechelen, W.
AU - Knol, D. L.
AU - Loisel, P.
AU - Anema, J. R.
C1 - Competing interests: None declared.
C2 - PMC2840223
CN - Medline 211026
DA - Mar 16
DB - Medline
DO - 10.1136/bmj.c1035
DP - NLM
ET - 20100316
J2 - Bmj
KW - Adolescent
Adult
Aged
Chronic Disease
Delivery of Health Care, Integrated/*statistics & numerical data
Disabled Persons
Female
Hospitalization/statistics & numerical data
Humans
Low Back Pain/*rehabilitation
Male
Middle Aged
Occupational Health Services/statistics & numerical data
Occupational Therapy/statistics & numerical data
Patient Compliance
Physical Therapy Modalities/statistics & numerical data
Program Evaluation
Rehabilitation, Vocational
Surveys and Questionnaires
Treatment Outcome
Young Adult
L1 - internal-pdf://1752752918/2364-Lambeek-2010.pdf
LA - English
M3 - Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Lambeek, Ludeke C
van Mechelen, Willem
Knol, Dirk L
Loisel, Patrick
Anema, Johannes R
eng
FRN: 53909/Canadian Institutes of Health Research/Canada
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
England
2010/03/18
BMJ. 2010 Mar 16;340:c1035. doi: 10.1136/bmj.c1035.
PY - 2010
SN - 1756-1833 (Electronic)
0959-8138 (Print)
0959-8138 (Linking)
SP - c1035
ST - Randomised controlled trial of integrated care to reduce disability from chronic low back pain in working and private life
T2 - BMJ
TI - Randomised controlled trial of integrated care to reduce disability from chronic low back pain in working and private life
UR - https://www.ncbi.nlm.nih.gov/pubmed/20234040
VL - 340
ID - 2364
ER -
TY - JOUR
AB - OBJECTIVE: To compare return to work (RTW) rates among patients with low back pain (LBP) and different job relations randomized to brief or multidisciplinary intervention. DESIGN: A randomized controlled trial with 1-year follow-up. SETTING: Silkeborg Regional Hospital, Denmark. SUBJECTS: Four hundred seventy-six participants were divided into two groups concerning job relations: strong (influence on job and no fear of losing it) or weak (no influence on job and/or fear of losing it), and afterwards randomized to brief or multidisciplinary intervention. INTERVENTIONS: Brief intervention included examination and advice by a rheumatologist and a physiotherapist. Multidisciplinary intervention included brief intervention plus coaching by a case manager making a plan for RTW with the patient. MAIN MEASURES: Primary outcome was 1-year RTW rate. Secondary outcomes included pain intensity (LBP rating scale), disability (Roland Morris disability scale), and psychological measures (Common Mental Disorder Questionnaire, Major Depression Inventory, and EQ-5D-3L). RESULTS: Mean (SD) age was 43.1 (9.8) years. Among 272 participants with strong job relations, RTW was achieved for 104/137 (76%) receiving brief intervention compared to 89/135 (66%) receiving multidisciplinary intervention, hazard ratio 0.73 (CI: 0.55-0.96). Corresponding results for 204 participants with weak job relations were 69/102 (68%) in both interventions, hazard ratio 1.07 (CI: 0.77-1.49). For patients with strong job relations, depressive symptoms and quality of life were more improved after brief intervention. CONCLUSION: Brief intervention resulted in higher RTW rates than multidisciplinary intervention for employees with strong job relations. There were no differences in RTW rates between interventions for employees with weak job relations.
AD - Diagnostic Center, University Research Clinic for Innovative Patient Pathways, Silkeborg Regional Hospital, Silkeborg, Denmark.
Department of Clinical Social Medicine and Rehabilitation, Godstrup Hospital, Herning, Denmark.
Section of Clinical Social Medicine and Rehabilitation, Department of Public Health, Aarhus University, Aarhus, Denmark.
DEFACTUM, Central Denmark Region, Aarhus, Denmark.
Department of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway.
National Advisory Unit on Occupational Rehabilitation, Rauland, Norway.
Norwegian Research Center A/S, Bergen, Norway.
AN - 33843296
AU - Langagergaard, V.
AU - Jensen, O. K.
AU - Nielsen, C. V.
AU - Jensen, C.
AU - Labriola, M.
AU - Sorensen, V. N.
AU - Pedersen, P.
CN - Medline 211026
DA - Sep
DB - Medline
DO - 10.1177/02692155211005387
DP - NLM
ET - 20210411
IS - 9
J2 - Clin Rehabil
KW - Humans
*Low Back Pain/therapy
Quality of Life
Return to Work
*Sick Leave
Treatment Outcome
Low back pain
brief intervention
multidisciplinary intervention
radiculopathy
sick leave
L1 - internal-pdf://1820091284/2378-Langagergaard-2021.pdf
LA - English
M3 - Randomized Controlled Trial
N1 - Langagergaard, Vivian
Jensen, Ole Kudsk
Nielsen, Claus Vinther
Jensen, Chris
Labriola, Merete
Sorensen, Vibeke Neergaard
Pedersen, Pernille
eng
Randomized Controlled Trial
England
2021/04/13
Clin Rehabil. 2021 Sep;35(9):1290-1304. doi: 10.1177/02692155211005387. Epub 2021 Apr 11.
PY - 2021
SN - 1477-0873 (Electronic)
0269-2155 (Linking)
SP - 1290-1304
ST - The comparative effects of brief or multidisciplinary intervention on return to work at 1 year in employees on sick leave due to low back pain: A randomized controlled trial
T2 - Clin Rehabil
TI - The comparative effects of brief or multidisciplinary intervention on return to work at 1 year in employees on sick leave due to low back pain: A randomized controlled trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/33843296
VL - 35
ID - 2378
ER -
TY - JOUR
AB - OBJECTIVE: In an earlier study, we found that cognitive-behavioral therapy (CBT) delivered by general practitioners (GPs) for fatigue among employees on sick leave was not effective after 12 months. In this study we aim to assess the long-term efficacy of CBT by GPs for fatigue. It was hypothesized that the intervention could prevent deterioration as well as relapse of fatigue complaints and relapse into absenteeism in the long term. METHODS: Patients who participated in the original randomized controlled trial were followed up 4 years later. Fatigue and absenteeism were the main outcomes. RESULTS: Fatigue and absenteeism were high in the intervention and control groups at the 4-year follow-up. There was no significant difference between the intervention group and the control group on fatigue and absenteeism. The intervention group however tended toward less-favorable outcomes as compared with the control group. CONCLUSIONS: Like that of chronic fatigue syndrome, the prognosis of less-advanced fatigue is rather poor. CBT delivered by GPs is not effective in the long term.
AD - Department of Epidemiology, Maastricht University, Maastricht, The Netherlands. stephanie.leone@epid.unimaas.nl
AN - 17084137
AU - Leone, S. S.
AU - Huibers, M. J.
AU - Kant, I.
AU - van Amelsvoort, L. G.
AU - van Schayck, C. P.
AU - Bleijenberg, G.
AU - Knottnerus, J. A.
CN - Medline 211026
DA - Nov
DB - Medline
DO - 10.1016/j.jpsychores.2006.04.010
DP - NLM
IS - 5
J2 - J Psychosom Res
KW - Absenteeism
Adult
*Cognitive Behavioral Therapy
Family Practice
Fatigue/psychology/*therapy
Female
Follow-Up Studies
Humans
Internal-External Control
Male
Middle Aged
Prognosis
Rehabilitation, Vocational/psychology
Secondary Prevention
Sick Leave
L1 - internal-pdf://0594943682/2417-Leone-2006.pdf
LA - English
M3 - Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Leone, Stephanie S
Huibers, Marcus J H
Kant, Ijmert
van Amelsvoort, Ludovic G P M
van Schayck, Constant P
Bleijenberg, Gijs
Knottnerus, J Andre
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
England
2006/11/07
J Psychosom Res. 2006 Nov;61(5):601-7. doi: 10.1016/j.jpsychores.2006.04.010.
PY - 2006
SN - 0022-3999 (Print)
0022-3999 (Linking)
SP - 601-7
ST - Long-term efficacy of cognitive-behavioral therapy by general practitioners for fatigue: a 4-year follow-up study
T2 - J Psychosom Res
TI - Long-term efficacy of cognitive-behavioral therapy by general practitioners for fatigue: a 4-year follow-up study
UR - https://www.ncbi.nlm.nih.gov/pubmed/17084137
VL - 61
ID - 2417
ER -
TY - JOUR
AB - AIMS: Analysing and presenting data on different outcomes after sick-leave is challenging. The use of extended statistical methods supplies additional information and allows further exploitation of data. METHODS: Four hundred and fifty-seven patients, sick-listed for 8-12 weeks for low back pain, were randomized to intervention (n=237) or control (n=220). Outcome was measured as: "sick-listed'', "returned to work'', or "disability pension''. The individuals shifted between the three states between one and 22 times (mean 6.4 times). In a multi-state model, shifting between the states was set up in a transition intensity matrix. The probability of being in any of the states was calculated as a transition probability matrix. The effects of the intervention were modelled using a non-parametric model. RESULTS: There was an effect of the intervention for leaving the state sick-listed and shifting to returned to work (relative risk (RR)=1.27, 95% confidence interval (CI) 1.09- 1.47). The nonparametric estimates showed an effect of the intervention for leaving sick-listed and shifting to returned to work in the first 6 months. We found a protective effect of the intervention for shifting back to sick-listed between 6 and 18 months. The analyses showed that the probability of staying in the state returned to work was not different between the intervention and control groups at the end of the follow-up (3 years). CONCLUSIONS: We demonstrate that these alternative analyses give additional results and increase the strength of the analyses. The simple intervention did not decrease the probability of being on sick-leave in the long term; however, it decreased the time that individuals were on sick-leave.
AD - Norwegian Network for Back Pain, The Research Unit, Department of Health, University Research Bergen, Bergen, Norway. Stein.Lie@unifob.uib.no
AN - 18519297
AU - Lie, S. A.
AU - Eriksen, H. R.
AU - Ursin, H.
AU - Hagen, E. M.
CN - Medline 211026
DA - May
DB - Medline
DO - 10.1177/1403494807086979
DP - NLM
ET - 2008/06/04
IS - 3
J2 - Scand J Public Health
KW - Chronic Disease
Disability Evaluation
Follow-Up Studies
Humans
Low Back Pain/diagnosis/*rehabilitation
Models, Theoretical
Outcome Assessment, Health Care/methods
Pensions
Probability
Rehabilitation, Vocational
*Sick Leave
Time Factors
L1 - internal-pdf://3046985930/2444-Lie-2008.pdf
LA - English
M3 - Randomized Controlled Trial
N1 - Lie, Stein Atle
Eriksen, Hege R
Ursin, Holger
Hagen, Eli Molde
eng
Randomized Controlled Trial
Sweden
2008/06/04
Scand J Public Health. 2008 May;36(3):279-83. doi: 10.1177/1403494807086979.
PY - 2008
SN - 1403-4948 (Print)
1403-4948 (Linking)
SP - 279-83
ST - A multi-state model for sick-leave data applied to a randomized control trial study of low back pain
T2 - Scand J Public Health
TI - A multi-state model for sick-leave data applied to a randomized control trial study of low back pain
UR - https://www.ncbi.nlm.nih.gov/pubmed/18519297
VL - 36
ID - 2444
ER -
TY - JOUR
AB - BACKGROUND: In the industrial world, non-specific back and neck pain (BNP) is the largest diagnostic group underlying sick-listing. For patients with subacute and chronic (= full-time sick-listed for 43 - 84 and 85 - 730 days, respectively) BNP, cognitive-behavioural rehabilitation was compared with primary care. The specific aim was to answer the question: within an 18-month follow-up, will the outcomes differ in respect of sick-listing and number of health-care visits? METHODS: After stratification by age (< or = 44/> or = 45 years) and subacute/chronic BNP, 125 Swedish primary-care patients were randomly allocated to cognitive-behavioural rehabilitation (rehabilitation group) or continued primary care (primary-care group). Outcome measures were Return-to-work share (percentage) and Return-to-work chance (hazard ratios) over 18 months, Net days (crude sick-listing days x degree), and the number of Visits (to physicians, physiotherapists etc.) over 18 months and the three component six-month periods. Descriptive statistics, Cox regression and mixed-linear models were used. RESULTS: All patients: Return-to-work share and Return-to-work chance were equivalent between the groups. Net days and Visits were equivalent over 18 months but decreased significantly more rapidly for the rehabilitation group over the six-month periods (p < .05). Subacute patients: Return-to-work share was equivalent. Return-to-work chance was significantly greater for the rehabilitation group (hazard ratio 3.5 [95%CI1.001 - 12.2]). Net days were equivalent over 18 months but decreased significantly more rapidly for the rehabilitation group over the six-month periods and there were 31 days fewer in the third period. Visits showed similar though non-significant differences and there were half as many in the third period. Chronic patients: Return-to-work share, Return-to-work chance and Net days were equivalent. Visits were equivalent over 18 months but tended to decrease more rapidly for the rehabilitation group and there were half as many in the third period (non-significant). CONCLUSION: The results were equivalent over 18 months. However, there were indications that cognitive-behavioural rehabilitation in the longer run might be superior to primary care. For subacute BNP, it might be superior in terms of sick-listing and health-care visits; for chronic BNP, in terms of health-care visits only. More conclusive results concerning this possible long-term effect might require a longer follow-up.
AD - Center for Family and Community Medicine, Karolinska Institutet, Alfred Nobels alle 12, SE-141 83 Huddinge, Sweden. odd.lindell@ki.se
AN - 19116007
AU - Lindell, O.
AU - Johansson, S. E.
AU - Strender, L. E.
C2 - PMC2649916
CN - Medline 211026
DA - Dec 30
DB - Medline
DO - 10.1186/1471-2474-9-172
DP - NLM
ET - 20081230
J2 - BMC Musculoskelet Disord
KW - Acute Disease
Adult
Back Pain/*psychology/rehabilitation/*therapy
Chronic Disease
Cognitive Behavioral Therapy/*methods
Female
Follow-Up Studies
Humans
Male
Middle Aged
Neck Pain/*psychology/rehabilitation/*therapy
Pain Measurement/methods
Primary Health Care/*methods
Treatment Outcome
L1 - internal-pdf://4042712626/2454-Lindell-2008.pdf
LA - English
M3 - Comparative Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Lindell, Odd
Johansson, Sven-Erik
Strender, Lars-Erik
eng
Comparative Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
England
2009/01/01
BMC Musculoskelet Disord. 2008 Dec 30;9:172. doi: 10.1186/1471-2474-9-172.
PY - 2008
SN - 1471-2474 (Electronic)
1471-2474 (Linking)
SP - 172
ST - Subacute and chronic, non-specific back and neck pain: cognitive-behavioural rehabilitation versus primary care. A randomized controlled trial
T2 - BMC Musculoskelet Disord
TI - Subacute and chronic, non-specific back and neck pain: cognitive-behavioural rehabilitation versus primary care. A randomized controlled trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/19116007
VL - 9
ID - 2454
ER -
TY - JOUR
AB - Stress-related exhaustion has been associated with selective and enduring cognitive impairments. However, little is known about how to address cognitive deficits in stress rehabilitation and how this influences stress recovery over time. The aim of this open-label, parallel randomized controlled trial (ClinicalTrials.gov: NCT03073772) was to investigate the long-term effects of 12 weeks cognitive or aerobic training on cognitive function, psychological health, and work ability for patients diagnosed with exhaustion disorder (ED). One-hundred-and-thirty-two patients (111 women) participating in multimodal stress rehabilitation were randomized to receive additional cognitive training (n = 44), additional aerobic training (n = 47), or no additional training (n = 41). Treatment effects were assessed before, immediately after and one-year post intervention. The primary outcome was global cognitive function. Secondary outcomes included domain-specific cognition, self-reported burnout, depression, anxiety, fatigue and work ability, aerobic capacity, and sick-leave levels. Intention-to-treat analysis revealed a small but lasting improvement in global cognitive functioning for the cognitive training group, paralleled by a large improvement on a trained updating task. The aerobic training group showed improvements in aerobic capacity and episodic memory immediately after training, but no long-term benefits. General improvements in psychological health and work ability were observed, with no difference between interventional groups. Our findings suggest that cognitive training may be a viable method to address cognitive impairments for patients with ED, whereas the effects of aerobic exercise on cognition may be more limited when performed during a restricted time period. The implications for clinical practice in supporting patients with ED to adhere to treatment are discussed.
AD - a Department of Psychology , Umea University , Umea , Sweden.
b Department of Community Medicine and Rehabilitation, Physiotherapy , Umea University , Umea , Sweden.
c Danish Research Centre for Magnetic Resonance, Centre for Functional and Diagnostic Imaging and Research , Copenhagen University Hospital Hvidovre , Hvidovre , Denmark.
d Centre for Demographic and Aging Research (CEDAR) , Umea University , Umea , Sweden.
e Department of Social and Psychological Studies , Karlstad University , Karlstad , Sweden.
f Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine , Umea University , Umea , Sweden.
AN - 29693483
AU - Malmberg Gavelin, H.
AU - Eskilsson, T.
AU - Boraxbekk, C. J.
AU - Josefsson, M.
AU - Stigsdotter Neely, A.
AU - Slunga Jarvholm, L.
CN - PsycInfo 211028
DA - Jul
DB - Medline
DO - 10.1080/10253890.2018.1461833
DP - NLM
ET - 20180425
IS - 4
KW - Adult
Anxiety/psychology/therapy
Cognition/*physiology
Cognition Disorders/psychology/*rehabilitation
Depression/psychology/therapy
Executive Function
Exercise
Fatigue/psychology/*rehabilitation
Female
Humans
Male
Memory, Episodic
*Mental Health
Middle Aged
Neuropsychological Tests
Sick Leave
Stress, Psychological/psychology/*rehabilitation
Young Adult
Burnout
aerobic training
cognitive training
exhaustion disorder
randomized controlled trial
stress rehabilitation
L1 - internal-pdf://0417843320/3900-Malmberg Gavelin-2018.pdf
N1 - Malmberg Gavelin, Hanna
Eskilsson, Therese
Boraxbekk, Carl-Johan
Josefsson, Maria
Stigsdotter Neely, Anna
Slunga Jarvholm, Lisbeth
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
England
2018/04/26
Stress. 2018 Jul;21(4):279-291. doi: 10.1080/10253890.2018.1461833. Epub 2018 Apr 25.
PY - 2018
SN - 1607-8888 (Electronic)
1025-3890 (Linking)
SP - 279-291
ST - Rehabilitation for improved cognition in patients with stress-related exhaustion disorder: RECO - a randomized clinical trial
T2 - Stress
TI - Rehabilitation for improved cognition in patients with stress-related exhaustion disorder: RECO - a randomized clinical trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/29693483
VL - 21
ID - 3900
ER -
TY - JOUR
AB - BACKGROUND: Neck and back pain are among the most common causes of prolonged disability, and development of interventions with effect on pain, disability and return to work is important. Reduction of fear avoidance might be one mechanism behind improvement after interventions. The aim of the present study was to evaluate changes in pain and disability at the 12-month follow-up of patients with neck and back pain treated with a work-focused intervention compared to patients treated with standard interventions, and the influence of improvement fear avoidance beliefs during the interventions on pain, disability and return to work at 12-month follow-up. METHODS: 413 employed patients with back or neck pain referred to secondary care, and sick-listed between 4 weeks and 12 months, were randomized to a work-focused rehabilitation or control interventions. Follow-up was conducted 4 and 12 months after inclusion. The groups were compared (independent sample t-test) regarding differences in disability scores (Oswestry disability index/neck disability index) and pain (numeric rating scale) from baseline to 12-month follow-up. Changes in fear avoidance beliefs (FABQ) from baseline to 4 month follow-up were calculated, and the association between this change and return to work, pain and disability at 12 months were tested in stepwise multiple logistic regression models. RESULTS: Pain and, disability scores decreased to in both the work-focused and control intervention to 12-month follow-up, and there were no significant differences between the groups. FABQ decreased similarly in both groups to 4 month follow-up. The logistic regression model revealed an association between a reduced FABQ work score at 4 months and return to work within one year (adjusted OR 3.60, 95% CI 1.19 to 10.88). Reduced FABQ physical activity score at 4 months was associated with decreased disability after 12 months (adjusted OR (3.65. 95% CI 1.43 to 9.28). CONCLUSIONS: Short work-focused rehabilitation had the same effect on pain and disability as control interventions. Reduction in FABQ-W score after treatment seems to be an important predictor for return to work in both groups. TRIAL REGISTRATION: Clinicaltrials.gov NCT00840697.
AD - Department of Neuroscience, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway. gunn.hege.marchand@ntnu.no.
Department of Physical Medicine and Rehabilitation, St. Olav's Hospital, Trondheim University Hospital, Trondheim, Norway. gunn.hege.marchand@ntnu.no.
Department of Physical Medicine and Rehabilitation, Oslo University Hospital, Ulleval, Oslo, Norway. kjersti.myhre@medisin.uio.no.
Department of Neuroscience, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway. gunnar.leivseth@uit.no.
Institute of Clinical Medicine, Neuromuscular Disorders Research Group, UiT The Arctic University of Norway, Tromso, Norway. gunnar.leivseth@uit.no.
Department of Biostatistics and Epidemiology, Oslo University Hospital, Ulleval, Oslo, Norway. leiv.sandvik@ous-hf.no.
Lovisenberg Diakonale Hospital, Oslo, Norway. bjornlau2002@yahoo.no.
National Institute of Occupational Health, Oslo, Norway. bjornlau2002@yahoo.no.
Department of Physical Medicine and Rehabilitation, Oslo University Hospital, Ulleval, Oslo, Norway. erik.bautz-holter@medisin.uio.no.
Faculty of Medicine, University of Oslo, Oslo, Norway. erik.bautz-holter@medisin.uio.no.
Department of Physical Medicine and Rehabilitation, Oslo University Hospital, Ulleval, Oslo, Norway. e.c.t.roe@medisin.uio.no.
Faculty of Medicine, University of Oslo, Oslo, Norway. e.c.t.roe@medisin.uio.no.
AN - 25896785
AU - Marchand, G. H.
AU - Myhre, K.
AU - Leivseth, G.
AU - Sandvik, L.
AU - Lau, B.
AU - Bautz-Holter, E.
AU - Roe, C.
C2 - PMC4410457
CN - Medline 211026
DA - Apr 21
DB - Medline
DO - 10.1186/s12891-015-0553-y
DP - NLM
ET - 20150421
J2 - BMC Musculoskelet Disord
KW - Adult
Avoidance Learning
Back Pain/diagnosis/psychology/*rehabilitation
*Disability Evaluation
Disabled Persons/psychology/*rehabilitation
*Fear/psychology
Female
Humans
Male
Middle Aged
Neck Pain/diagnosis/psychology/*rehabilitation
*Occupational Health
L1 - internal-pdf://0271145157/2550-Marchand-2015.pdf
LA - English
M3 - Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Marchand, Gunn Hege
Myhre, Kjersti
Leivseth, Gunnar
Sandvik, Leiv
Lau, Bjorn
Bautz-Holter, Erik
Roe, Cecilie
eng
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
England
2015/04/22
BMC Musculoskelet Disord. 2015 Apr 21;16:94. doi: 10.1186/s12891-015-0553-y.
PY - 2015
SN - 1471-2474 (Electronic)
1471-2474 (Linking)
SP - 94
ST - Change in pain, disability and influence of fear-avoidance in a work-focused intervention on neck and back pain: a randomized controlled trial
T2 - BMC Musculoskelet Disord
TI - Change in pain, disability and influence of fear-avoidance in a work-focused intervention on neck and back pain: a randomized controlled trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/25896785
VL - 16
ID - 2550
ER -
TY - JOUR
AB - A cognitive-behavioral return-to-work focused program was evaluated in a randomized controlled design, and the effects were compared between two groups of women with musculoskeletal pain. One group of patients (n=36) had a history of long-term sick leave (>12 months) at the start of the program and the other (n=36) had a history of short-term sick leave (2-6 months). The outpatient treatment program, conducted by a psychologist, included 12 sessions with the primary aim to help the patients return-to-work. The treatment first included teaching of coping strategies such as applied relaxation, stress management, graded activity training and pacing. Thereafter the patients were taught how to manage difficulties at their return-to-work and how to generalize coping strategies to different risk factors at their work places. The control condition received treatment-as-usual. The results showed that the cognitive-behavioral return-to-work program was more effective than the treatment-as-usual control condition in reducing the number of days on sick leave for patients on short-term sick leave, but not for patients on long-term sick leave. The treatment program also helped the patients on short-term sick leave to increase their ability to control and decrease pain and to increase their general activity level compared to the control condition. These results underscore the need for an early return-to-work focused rehabilitation to prevent long-term sick leave and disability.
AD - Department of Psychology, Uppsala University, Box 1225, SE 751 42, Uppsala, Sweden. charlotta.marhold@psyk.uu.se
AN - 11240088
AU - Marhold, C.
AU - Linton, S. J.
AU - Melin, L.
CN - Medline 211026
DA - Mar
DB - Medline
DO - 10.1016/s0304-3959(00)00431-0
DP - NLM
IS - 1-2
J2 - Pain
KW - *Absenteeism
Adaptation, Psychological
Adult
*Cognitive Behavioral Therapy
Depression/psychology
Disability Evaluation
Female
Humans
Middle Aged
Pain/physiopathology
*Pain Management
Pain Measurement
Psychiatric Status Rating Scales
Sick Leave
Surveys and Questionnaires
Time Factors
Treatment Outcome
L1 - internal-pdf://0635824588/2551-Marhold-2001.pdf
LA - English
M3 - Clinical Trial
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Marhold, C
Linton, S J
Melin, L
eng
Clinical Trial
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
2001/03/10
Pain. 2001 Mar;91(1-2):155-63. doi: 10.1016/s0304-3959(00)00431-0.
PY - 2001
SN - 0304-3959 (Print)
0304-3959 (Linking)
SP - 155-63
ST - A cognitive-behavioral return-to-work program: effects on pain patients with a history of long-term versus short-term sick leave
T2 - Pain
TI - A cognitive-behavioral return-to-work program: effects on pain patients with a history of long-term versus short-term sick leave
UR - https://www.ncbi.nlm.nih.gov/pubmed/11240088
VL - 91
ID - 2551
ER -
TY - JOUR
AB - Purpose The aim of this study was to evaluate the effect of a multidisciplinary intervention (MDI) compared to a brief intervention (BI) with respect to return to work (RTW), pain and disability in workers on sick leave because of neck or shoulder pain. Methods 168 study participants with sickness absence for 4-16 weeks due to neck or shoulder pain were enrolled in a hospital-based clinical study and randomized to either MDI or BI. The primary outcome was RTW obtained by a national registry on public transfer payments. Secondary outcomes were self-reported pain and disability levels. One-year follow-up RTW rates were estimated by Cox proportional hazard regression adjusted for gender, age, sick leave prior to inclusion, part-time sick leave and clinical diagnosis. Secondary outcomes were analysed using logistic and linear regression analysis for pain and disability, respectively. Results In the MDI group, 50 participants (59%) experienced four or more continuous weeks of RTW while 48 (58%) returned to work in the BI group during the 1 year of follow-up. Results showed a statistically non significant tendency towards a lower rate of RTW in the MDI group than in the BI group (adjusted HR = 0.84, 95% CI 0.54, 1.31). There were no statistically significant differences in secondary outcomes between the MDI and BI groups. Conclusion The brief and the multidisciplinary interventions performed equally with respect to both primary and secondary outcomes. The added focus on RTW in the multidisciplinary group did not improve RTW rates in this group.
AD - DEFACTUM, Central Denmark Region, P.P. Oerums Gade 11, bygn. 1B, 8000, Aarhus C, Denmark. linethor@rm.dk.
Section of Clinical Social Medicine and Rehabilitation, Department of Public Health, Aarhus University, P.P. Oerums Gade 9-11, bygn. 1B, 8000, Aarhus C, Denmark. linethor@rm.dk.
Spine Centre, Diagnostic Centre, Silkeborg Regional Hospital, Falkevej 1-3, 8600, Silkeborg, Denmark. linethor@rm.dk.
Spine Centre, Diagnostic Centre, Silkeborg Regional Hospital, Falkevej 1-3, 8600, Silkeborg, Denmark.
Spine Centre of Southern Denmark, Hospital Lillebaelt Middelfart and Institute of Regional Health Research, University of Southern Denmark, Oestre Hougvej 55, 5500, Middelfart, Denmark.
DEFACTUM, Central Denmark Region, P.P. Oerums Gade 11, bygn. 1B, 8000, Aarhus C, Denmark.
Section of Clinical Social Medicine and Rehabilitation, Department of Public Health, Aarhus University, P.P. Oerums Gade 9-11, bygn. 1B, 8000, Aarhus C, Denmark.
Department of Occupational Medicine, University Research Clinic, Regional Hospital West Jutland, Gl. Landevej 61, 7400, Herning, Denmark.
AN - 28836120
AU - Moll, L. T.
AU - Jensen, O. K.
AU - Schiottz-Christensen, B.
AU - Stapelfeldt, C. M.
AU - Christiansen, D. H.
AU - Nielsen, C. V.
AU - Labriola, M.
C1 - CONFLICT OF INTEREST: Line Thorndal Moll, Christina Malmose Stapelfeldt, Berit Schiottz-Christensen, David Hoyrup-Christiansen, Ole Kudsk Jensen, Claus Vinther Nielsen, Merete Labriola declare that they have no conflict of interests. ETHICAL APPROVAL: All procedures followed were in accordance with the ethical standards of the regional ethical committee and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all participants included in the study.
C2 - PMC5978826
CN - Medline 211026
DA - Jun
DB - Medline
DO - 10.1007/s10926-017-9727-9
DP - NLM
IS - 2
J2 - J Occup Rehabil
KW - Adult
*Exercise Therapy
Female
Follow-Up Studies
Humans
Male
Middle Aged
Neck Pain/psychology/*rehabilitation
Pain Measurement/methods
Proportional Hazards Models
Return to Work/*statistics & numerical data
Shoulder Pain/psychology/*rehabilitation
Sick Leave/statistics & numerical data
Time Factors
Treatment Outcome
Neck pain
Rehabilitation
Return to work
Shoulder pain
Sick leave
L1 - internal-pdf://0293496238/2642-Moll-2018.pdf
LA - English
M3 - Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Moll, Line Thorndal
Jensen, Ole Kudsk
Schiottz-Christensen, Berit
Stapelfeldt, Christina Malmose
Christiansen, David Hoyrup
Nielsen, Claus Vinther
Labriola, Merete
eng
987537 Danish Kroner/TrygFonden (DK)/International
10000 Danish kroner/Helga og Peter Kornings Fond (DK)/International
20000 Danish Kroner/Gigtforeningen (DK)/International
433000 Danish kroner/Aarhus Universitet (DK)/International
100000/Aase og Ejnar Danielsens Fond (DK)/International
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Netherlands
2017/08/25
J Occup Rehabil. 2018 Jun;28(2):346-356. doi: 10.1007/s10926-017-9727-9.
PY - 2018
SN - 1573-3688 (Electronic)
1053-0487 (Print)
1053-0487 (Linking)
SP - 346-356
ST - Return to Work in Employees on Sick Leave due to Neck or Shoulder Pain: A Randomized Clinical Trial Comparing Multidisciplinary and Brief Intervention with One-Year Register-Based Follow-Up
T2 - J Occup Rehabil
TI - Return to Work in Employees on Sick Leave due to Neck or Shoulder Pain: A Randomized Clinical Trial Comparing Multidisciplinary and Brief Intervention with One-Year Register-Based Follow-Up
UR - https://www.ncbi.nlm.nih.gov/pubmed/28836120
VL - 28
ID - 2642
ER -
TY - JOUR
AB - STUDY DESIGN: Multicenter randomized trial with patients listed as sick for 1 to 12 months due to neck or back pain and referred to secondary care. OBJECTIVE: To compare the return-to-work (RTW) rate among patients offered work-focused rehabilitation or multidisciplinary rehabilitation. SUMMARY OF BACKGROUND DATA: A growing number of studies have focused on the RTW processes associated with patients with back pain. Many studies have combined a workplace focus with multidisciplinary treatments; however, this focus has not been evaluated in Norway among patients with neck and back pain thus far. METHODS: A total of 405 patients who were referred to the spine clinics at 2 university hospitals in Norway were randomly assigned into work-focused and control intervention groups. The existing treatments at each hospital were used as the control interventions, which entailed either a comprehensive multidisciplinary intervention or a brief multidisciplinary intervention. The RTW rates and proportions were compared at 12 months. RESULTS: During the first 12 months after inclusion, 142 (70%) participants in the work-focused rehabilitation group and 152 (75%) participants in the control group returned to work. The median time to RTW was 161 days in the work-focused group and 158 days in the control group. A comparison of the work-focused and control interventions revealed a relative RTW probability (hazard ratio) of 0.94 (95% confidence interval = 0.75-1.17) after adjusting for age, sex, and education. CONCLUSION: The results suggest that a focus on the workplace in specialist care does not substantially alter the RTW rate compared with standard multidisciplinary treatments.
AD - *Department of Physical Medicine and Rehabilitation, Oslo University Hospital, Ulleval, Oslo, Norway daggerFaculty of Medicine, Department of Neuroscience, Norwegian University of Science and Technology (NTNU), Trondheim, Norway double daggerDepartment of Physical Medicine and Rehabilitation, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway section signCopenhagen Centre for Back Research (COPEBACK), Centre for Rheumatology and Spine Diseases, Glostrup Hospital, University of Copenhagen, Denmark paragraph signFaculty of Medicine, University of Oslo, Oslo, Norway ||Department of Biostatistics and Epidemiology, Oslo University Hospital, Ulleval, Oslo, Norway **National Institute of Occupational Health, Oslo, Norway; and daggerdaggerLovisenberg Hospital, Oslo, Norway.
AN - 25271499
AU - Myhre, K.
AU - Marchand, G. H.
AU - Leivseth, G.
AU - Keller, A.
AU - Bautz-Holter, E.
AU - Sandvik, L.
AU - Lau, B.
AU - Roe, C.
CN - Medline 211026
DA - Nov 15
DB - Medline
DO - 10.1097/BRS.0000000000000610
DP - NLM
IS - 24
J2 - Spine
KW - Adult
Back Pain/*rehabilitation
Female
Humans
Male
Middle Aged
Neck Pain/*rehabilitation
Prospective Studies
Rehabilitation/methods
*Return to Work
Sick Leave
Time Factors
L1 - internal-pdf://0438927245/2683-Myhre-2014.pdf
LA - English
M3 - Comparative Study
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Myhre, Kjersti
Marchand, Gunn Hege
Leivseth, Gunnar
Keller, Anne
Bautz-Holter, Erik
Sandvik, Leiv
Lau, Bjorn
Roe, Cecilie
eng
Comparative Study
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
2014/10/02
Spine (Phila Pa 1976). 2014 Nov 15;39(24):1999-2006. doi: 10.1097/BRS.0000000000000610.
PY - 2014
SN - 1528-1159 (Electronic)
0362-2436 (Linking)
SP - 1999-2006
ST - The effect of work-focused rehabilitation among patients with neck and back pain: a randomized controlled trial
T2 - Spine (Phila Pa 1976)
TI - The effect of work-focused rehabilitation among patients with neck and back pain: a randomized controlled trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/25271499
VL - 39
ID - 2683
ER -
TY - JOUR
AB - BACKGROUND: Chronic work-related stress is quite prevalent in the working population and is in some cases accompanied by long-term sick leave. These stress complaints highly impact employees and are costly due to lost productivity and medical expenses. A new treatment platform with light therapy plus Pulsed Electro Magnetic Fields (PEMF) in combination with coaching was used to assess whether more positive effects on return to work, stress, work-related fatigue, and quality of life could be induced compared to coaching alone. METHODS: A placebo-controlled trial was executed after inclusion of 96 workers, aged 18-65 with work-related chronic stress complaints and who were on sick leave (either part-time or full-time). Participants were divided into three arms at random. Group 1 (n = 28) received the treatment and coaching (Intervention group), group 2 (n = 28) received the treatment with the device turned off and coaching (Placebo group) and group 3 (n = 28) received coaching only (Control group). The data were collected at baseline, and after 6, 12 and 24 weeks. The primary outcome was % return to work, and secondary outcomes were work-related fatigue (emotional exhaustion and need for recovery after work), stress (distress and hair cortisol), and quality of life (SF-36 dimensions: vitality, emotional role limitation, and social functioning). RESULTS: Eighty-four workers completed all measurements, 28 in each group. All groups improved significantly over time in the level of return to work, as well as on all secondary outcomes. No statistical differences between the three groups were found either on the primary outcome or on any of the secondary outcomes. CONCLUSIONS: Light therapy with Pulsed Electro Magnetic Fields PEMF therapy has no additional effect on return to work, stress, fatigue, and quality of live compared to coaching alone. TRIAL REGISTRATION: NTR4794 , registration date: 18-sep-2014.
AD - Department: Coronel Institute of Occupational Health, Academic Medical Center, University of Amsterdam, Amsterdam Public Health research institute, Amsterdam, the Netherlands. k.nieuwenhuijsen@amc.nl.
FluxPlus BV, Saal van Zwanenbergweg 11, 5026 RM, Tilburg, the Netherlands.
Department: Coronel Institute of Occupational Health, Academic Medical Center, University of Amsterdam, Amsterdam Public Health research institute, Amsterdam, the Netherlands.
AN - 28969697
AU - Nieuwenhuijsen, K.
AU - Schoutens, A. M. C.
AU - Frings-Dresen, M. H. W.
AU - Sluiter, J. K.
C1 - ETHICS APPROVAL AND CONSENT TO PARTICIPATE: The study has been approved by the Medical Ethics Assessment Committee of the Academic Medical Center (University of Amsterdam; Ref. METC 2014_260 #B2014922). Written informed consent was provided by all participants prior to enrolment. There are no risks associated with participating in the study due to the light intensity being lower than daylight and not including Ultra Violet or Infra Red wavelengths and the use of weak electromagnetic fields. No restrictions to other care of usual were in place for any study participant. CONSENT FOR PUBLICATION: Not applicable COMPETING INTERESTS: The authors declare that they have no competing interests. PUBLISHER'S NOTE: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
C2 - PMC5625706
CN - Medline 211026
DA - Oct 2
DB - Medline
DO - 10.1186/s12889-017-4720-y
DP - NLM
ET - 20171002
IS - 1
J2 - BMC Public Health
KW - Adolescent
Adult
Aged
Chronic Disease
Combined Modality Therapy
*Counseling
Female
Humans
Magnetic Field Therapy/*methods
Male
Middle Aged
Occupational Stress/*therapy
*Phototherapy
Return to Work/*statistics & numerical data
Treatment Outcome
Young Adult
Burnout
Fatigue
Light therapy
Pemf
Quality of life
Return to work
Stress
Work-related chronic stress
L1 - internal-pdf://0103750700/2719-Nieuwenhuijsen-2017.pdf
LA - English
M3 - Randomized Controlled Trial
N1 - Nieuwenhuijsen, Karen
Schoutens, Antonius M C
Frings-Dresen, Monique H W
Sluiter, Judith K
eng
Randomized Controlled Trial
England
2017/10/04
BMC Public Health. 2017 Oct 2;17(1):761. doi: 10.1186/s12889-017-4720-y.
PY - 2017
SN - 1471-2458 (Electronic)
1471-2458 (Linking)
SP - 761
ST - Evaluation of a randomized controlled trial on the effect on return to work with coaching combined with light therapy and pulsed electromagnetic field therapy for workers with work-related chronic stress
T2 - BMC Public Health
TI - Evaluation of a randomized controlled trial on the effect on return to work with coaching combined with light therapy and pulsed electromagnetic field therapy for workers with work-related chronic stress
UR - https://www.ncbi.nlm.nih.gov/pubmed/28969697
VL - 17
ID - 2719
ER -
TY - JOUR
AB - OBJECTIVES: In case of long-term sick leave, gradually increasing workload appears to be an effective component of work-directed interventions to reduce sick leave due to common mental disorders (CMD). CMD are defined as stress-related, adjustment, anxiety, or depressive disorders. We developed an exposure-based return-to-work (RTW-E) intervention and evaluated the effect on time-to-full return to work (RTW) among workers who were on sick leave due to CMD in comparison to those treated with care-as-usual (CAU). CAU is guideline-directed and consists of problem-solving strategies and graded activities. METHODS: Using a two-armed cluster-randomized trial, we randomized 56 occupational physicians (OP). Of these, 35 OP treated 160 workers at the start of their sick leave; 75 workers received RTW-E and 85 workers received CAU. These workers were followed over a 12-month follow-up period. The time-to-full RTW lasting >/=28 days without recurrence was the primary outcome measure. To evaluate differences between groups, we used intention-to-treat and multilevel Cox's regression analysis. RESULTS: The median time-to-full RTW differed significantly between groups [hazard ratio (HR) 0.55; 95% confidence interval (95% CI) 0.33-0.89]. The workers receiving RTW-E (209 days; 95% CI 62-256) had a prolonged time-to-full RTW compared to workers receiving CAU (153 days; 95% CI 128-178). CONCLUSIONS: Workers on sick leave due to CMD treated with RTW-E showed a prolonged time-to-full RTW compared to those treated with CAU. We recommend that OP do not apply RTW-E but continue counseling workers on sick leave due to CMD according to CAU.
AD - Coronel Institute of Occupational Health, Academic Medical Center (AMC), University of Amsterdam, Amsterdam, The Netherlands. f.w.noordik@amc.nl
AN - 22951572
AU - Noordik, E.
AU - van der Klink, J. J.
AU - Geskus, R. B.
AU - de Boer, M. R.
AU - van Dijk, F. J.
AU - Nieuwenhuijsen, K.
CN - Medline 211026
DA - Mar 1
DB - Medline
DO - 10.5271/sjweh.3320
DP - NLM
ET - 20120905
IS - 2
J2 - Scand J Work Environ Health
KW - Adult
Female
Humans
Male
*Mental Disorders
Middle Aged
Return to Work/*psychology
Sick Leave/*statistics & numerical data
L1 - internal-pdf://0550426636/2737-Noordik-2013.pdf
LA - English
M3 - Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Noordik, Erik
van der Klink, Jac J
Geskus, Ronald B
de Boer, Michiel R
van Dijk, Frank J H
Nieuwenhuijsen, Karen
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Finland
2012/09/07
Scand J Work Environ Health. 2013 Mar 1;39(2):144-54. doi: 10.5271/sjweh.3320. Epub 2012 Sep 5.
PY - 2013
SN - 1795-990X (Electronic)
0355-3140 (Linking)
SP - 144-54
ST - Effectiveness of an exposure-based return-to-work program for workers on sick leave due to common mental disorders: a cluster-randomized controlled trial
T2 - Scand J Work Environ Health
TI - Effectiveness of an exposure-based return-to-work program for workers on sick leave due to common mental disorders: a cluster-randomized controlled trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/22951572
VL - 39
ID - 2737
ER -
TY - JOUR
AB - BACKGROUND: Long-term sick leave has been of concern to politicians and decision-makers in Norway for several years. In the current study we assess the efficacy of a solution-focused follow-up for sick-listed employees. METHODS: Employees on long-term sick leave due to psychological problems or muscle skeletal pain (n = 703) were invited to participate in the project. Following self-recruitment, 103 were randomly allocated to receive solution-focused follow-up (n = 53) or "treatment as usual" (n = 50). The intervention was integrated within the regular follow up of six social security offices and organised as eight weekly solution focused work sessions. Effectiveness was measured by rate of return to work and health related quality of life (SF-36). RESULTS: Intention to treat analysis showed no significant differences between the two groups for any of the outcome measures. Secondary analysis, comparing those who attended at least 50% of the sessions with the control group revealed a significant difference in favour of the active intervention group in the SF-36 subscale of mental health (Effect Size 0.56, p = 0.05). When comparing the subgroup of participants with psychological problems there was a significant difference in mental health in favour of the intervention group (Effect Size 0.71, p = 0.041). CONCLUSION: A voluntary solution-focused intervention offered by social-security offices is no more effective than regular follow up for employees on long-term sick leave due to psychological problems or muscle skeletal pain.
AD - Psykologbistand as, Kristian Augusts gate 13, 0164 Oslo, Norway. pal@psykologbistand.no
AN - 16542443
AU - Nystuen, P.
AU - Hagen, K. B.
C2 - PMC1459128
CN - Medline 211026
DA - Mar 16
DB - Medline
DO - 10.1186/1471-2458-6-69
DP - NLM
ET - 20060316
J2 - BMC Public Health
KW - Adult
Burnout, Professional/*therapy
Directive Counseling/*organization & administration/statistics & numerical data
Female
Follow-Up Studies
Humans
Male
Mental Disorders/*therapy
Middle Aged
Musculoskeletal Diseases/complications/*therapy
Norway
Occupational Diseases/classification/psychology/*therapy
Occupational Health Services/*organization & administration/statistics &
numerical data
Pain/etiology
*Pain Management
Problem Solving
Program Evaluation
Quality of Life
Sick Leave/*statistics & numerical data
Social Security/*organization & administration
Treatment Outcome
Voluntary Programs
L1 - internal-pdf://1965962150/2762-Nystuen-2006.pdf
LA - English
M3 - Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Nystuen, Pal
Hagen, Kare B
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
England
2006/03/18
BMC Public Health. 2006 Mar 16;6:69. doi: 10.1186/1471-2458-6-69.
PY - 2006
SN - 1471-2458 (Electronic)
1471-2458 (Linking)
SP - 69
ST - Solution-focused intervention for sick listed employees with psychological problems or muscle skeletal pain: a randomised controlled trial [ISRCTN39140363]
T2 - BMC Public Health
TI - Solution-focused intervention for sick listed employees with psychological problems or muscle skeletal pain: a randomised controlled trial [ISRCTN39140363]
UR - https://www.ncbi.nlm.nih.gov/pubmed/16542443
VL - 6
ID - 2762
ER -
TY - JOUR
AB - BACKGROUND: There is moderate quality evidence that integrating work-directed interventions and components from psychological therapies reduces sickness absence in the medium term. We aimed to extend this evidence by examining objectively ascertained income and work participation status up to 4 years after an intervention to improve outcomes among people who struggle with work from common mental disorder. METHODS: The intervention combined components from cognitive behavioural therapy with principles from supported employment, and compared its efficacy with usual care. Outcomes were derived from registry data with no attrition, in a pragmatic multisite randomised controlled trial (N=1193). RESULTS: The intervention group had higher income, higher work participation and more months without receiving benefits over the 10-month to 46-month long-term follow-up period after end of treatment, but differences were not statistically significant. For the group on long-term benefits at inclusion, effect sizes were larger and statistically significant. CONCLUSION: There were no statistically significant differences between the two groups in the primary outcome in the total population. In a secondary analysis for the subgroup most at risk of permanent work exclusion, long-term outcomes were favourable in the intervention group compared with usual care. The results support integrated work and health services for people on the severe end of work participation challenges. TRIAL REGISTRATION NUMBER: NCT01146730.
AD - Division of Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway.
Department of Psychosocial Science, University of Bergen, Bergen, Norway.
Department of Economics, University of Bergen, Bergen, Norway.
Uni Research Health, Uni Research, Bergen, Norway.
Department of Psychology, University of Oslo, Oslo, Norway.
AN - 30032103
AU - Overland, S.
AU - Grasdal, A. L.
AU - Reme, S. E.
C1 - Competing interests: None declared.
CN - Medline 211026
DA - Oct
DB - Medline
DO - 10.1136/oemed-2018-105137
DP - NLM
ET - 20180721
IS - 10
J2 - Occup Environ Med
KW - *Absenteeism
Adult
*Cognitive Behavioral Therapy
Employment, Supported/*methods
Female
Humans
*Income
Insurance Benefits/*statistics & numerical data
Insurance, Health/*statistics & numerical data
Male
Mental Disorders/*therapy
Middle Aged
Norway
Young Adult
mental health
sickness absence
supported employment
work disability
work-focused CBT
L1 - internal-pdf://2793678282/2823-Overland-2018.pdf
LA - English
M3 - Multicenter Study
N1 - Overland, Simon
Grasdal, Astrid Louise
Reme, Silje Endresen
eng
Multicenter Study
England
2018/07/23
Occup Environ Med. 2018 Oct;75(10):703-708. doi: 10.1136/oemed-2018-105137. Epub 2018 Jul 21.
PY - 2018
SN - 1470-7926 (Electronic)
1351-0711 (Linking)
SP - 703-708
ST - Long-term effects on income and sickness benefits after work-focused cognitive-behavioural therapy and individual job support: a pragmatic, multicentre, randomised controlled trial
T2 - Occup Environ Med
TI - Long-term effects on income and sickness benefits after work-focused cognitive-behavioural therapy and individual job support: a pragmatic, multicentre, randomised controlled trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/30032103
VL - 75
ID - 2823
ER -
TY - JOUR
AB - PURPOSE: To study return to work (RTW) at 2-year follow-up in a randomised controlled trial comparing brief intervention (BI) and multidisciplinary intervention (MDI) in employees on sick leave due to low back pain (LBP) stratified for job relations. METHODS: In total 476 employees on sick leave for 4-12 weeks due to LBP were divided into strata with weak or strong job relations, based on perceived risk of losing job and influence on job planning. In each stratum participants were allocated to BI or MDI. All participants received BI, i.e. a clinical examination by a rheumatologist and physiotherapist. In addition, MDI involved a case manager who made a rehabilitation plan in collaboration with the participant. The primary outcome was time to RTW. Secondary outcomes were median weeks in different employment status and selfreported pain, disability and psychological health. Sustained RTW was estimated by work status the last 4 weeks before the 2-year date. RESULTS: Participants with strong job relations who received BI had a higher RTW rate (hazard ratio = 0.74 (95% CI 0.57; 0.96)) and spent more weeks working than participants who received MDI. In the stratum of weak job relations, no difference was seen regarding RTW and weeks working. For health-related outcomes and sustained RTW no significant results were found in neither stratum. CONCLUSIONS: Employees with strong job relations achieved higher RTW rates when receiving BI compared to MDI, while no difference was found between intervention groups for employees with weak job relations. TRIAL REGISTRATION: Current Controlled Trials ISRCTN14136384. Registered 4 August.
AD - DEFACTUM, Central Denmark Region, Aarhus, Denmark.
Diagnostic Centre, University Research Clinic for Innovative Patient Pathways, Silkeborg Regional Hospital, Silkeborg, Denmark.
Department of Clinical Social Medicine and Rehabilitation, Regional Hospital Godstrup, Herning, Denmark.
Department of Public Health, Aarhus University, Aarhus, Denmark.
DEFACTUM, Central Denmark Region, Aarhus, Denmark. pelped@rm.dk.
Department of Public Health, Aarhus University, Aarhus, Denmark. pelped@rm.dk.
AN - 35147899
AU - Pedersen, K. K. W.
AU - Langagergaard, V.
AU - Jensen, O. K.
AU - Nielsen, C. V.
AU - Sorensen, V. N.
AU - Pedersen, P.
CN - Cochrane Trials uppdateringssökning 220512
DA - Dec
DB - Medline
DO - 10.1007/s10926-022-10030-1
DP - NLM
ET - 20220211
IS - 4
KW - Humans
*Sick Leave
*Low Back Pain/psychology
Return to Work
Follow-Up Studies
Treatment Outcome
Employment
Low back pain
Multidisciplinary intervention
Rehabilitation
Sick leave
Vocational rehabilitation
L1 - internal-pdf://2157979755/10412-Pedersen-2022.pdf
M3 - Journal: Article in Press
N1 - Pedersen, Kathrine K W
Langagergaard, Vivian
Jensen, Ole K
Nielsen, Claus V
Sorensen, Vibeke N
Pedersen, Pernille
eng
Randomized Controlled Trial
Netherlands
2022/02/12
J Occup Rehabil. 2022 Dec;32(4):697-704. doi: 10.1007/s10926-022-10030-1. Epub 2022 Feb 11.
PY - 2022
SN - 1573-3688 (Electronic)
1053-0487 (Linking)
SP - 697-704
ST - Two-Year Follow-Up on Return to Work in a Randomised Controlled Trial Comparing Brief and Multidisciplinary Intervention in Employees on Sick Leave Due to Low Back Pain
T2 - J Occup Rehabil
TI - Two-Year Follow-Up on Return to Work in a Randomised Controlled Trial Comparing Brief and Multidisciplinary Intervention in Employees on Sick Leave Due to Low Back Pain
UR - https://www.ncbi.nlm.nih.gov/pubmed/35147899
VL - 32
ID - 10412
ER -
TY - JOUR
AB - AIMS: To evaluate differences in employment status, during a five-year follow-up period in patients on sick leave due to low back pain who had participated in a trial comparing a brief and a multidisciplinary intervention. METHODS: From 2004 to 2008, 535 patients were referred to the Spine Centre at the Regional Hospital in Silkeborg if they had been on sick leave for 3-16 weeks due to low back pain. All patients underwent a clinical examination by a rehabilitation physician and a physiotherapist, and were randomised to either the brief intervention or the multidisciplinary intervention. The outcome was employment status from randomisation to five years of follow-up and was measured by the mean number of weeks in four different groups of employment status (sequence analysis) and a fraction of the number of weeks working (work participation score) that were accumulated over the years. RESULTS: A total of 231 patients were randomised to the brief intervention and 233 patients to the multidisciplinary intervention. No statistically significant differences in the mean weeks spent within the different employment statuses were found between the two intervention groups. After five years of follow-up, participants in the multidisciplinary intervention had a 19% higher risk of not having a work participation score above 75% compared to participants in the brief intervention. CONCLUSIONS: After five years of follow-up no differences in employment status were found between participants in the brief and the multidisciplinary intervention.
AD - 1 DEFACTUM, Central Denmark Region, Denmark.
2 Section of Clinical Social Medicine and Rehabilitation, University of Aarhus, Denmark.
3 Spine Centre, Regional Hospital Silkeborg, Denmark.
4 Department of Public Health and General Practice, Norwegian University of Science and Technology, Norway.
5 National Centre for Occupational Rehabilitation, Norway.
AN - 28767002
AU - Pedersen, P.
AU - Nielsen, C. V.
AU - Jensen, O. K.
AU - Jensen, C.
AU - Labriola, M.
CN - Medline 211026
DA - May
DB - Medline
DO - 10.1177/1403494817722290
DP - NLM
ET - 20170802
IS - 3
J2 - Scand J Public Health
KW - Adolescent
Adult
Denmark
Employment/*statistics & numerical data
Follow-Up Studies
Humans
Low Back Pain/*rehabilitation
Middle Aged
Rehabilitation/methods
Return to Work/statistics & numerical data
Sick Leave/*statistics & numerical data
Time Factors
Treatment Outcome
Young Adult
Return to work
brief intervention
low back pain
multidisciplinary intervention
relapse
sequence analysis
sick leave
L1 - internal-pdf://0183138296/2845-Pedersen-2018.pdf
LA - English
M3 - Randomized Controlled Trial
N1 - Pedersen, Pernille
Nielsen, Claus Vinther
Jensen, Ole Kudsk
Jensen, Chris
Labriola, Merete
eng
Randomized Controlled Trial
Sweden
2017/08/03
Scand J Public Health. 2018 May;46(3):383-388. doi: 10.1177/1403494817722290. Epub 2017 Aug 2.
PY - 2018
SN - 1651-1905 (Electronic)
1403-4948 (Linking)
SP - 383-388
ST - Employment status five years after a randomised controlled trial comparing multidisciplinary and brief intervention in employees on sick leave due to low back pain
T2 - Scand J Public Health
TI - Employment status five years after a randomised controlled trial comparing multidisciplinary and brief intervention in employees on sick leave due to low back pain
UR - https://www.ncbi.nlm.nih.gov/pubmed/28767002
VL - 46
ID - 2845
ER -
TY - JOUR
AB - BACKGROUND: The aim of this study was to evaluate the effect of psychoeducation on return to work as an adjunct to standard case management in individuals on sick leave at risk of having a mental disorder. The participants could have different diagnoses but were all at risk of having a mental disorder. METHODS: Between 2012 and 2014, 430 participants on sick leave were randomly allocated to either an intervention or control group. The psychoeducation consisted of 2-h sessions once a week for 6 weeks. The sessions focused on stress and work life and was based on problem-solving techniques and coping strategies. The main outcome, the relative risk (RR) of a full return to work based on register data from the job centres, was determined during the first 3 and 6 months after participation in the psychoeducation programme. At baseline and at 3 and 6 months after the intervention, the participants received a questionnaire on psychological symptoms, mental health-related quality of life, and locus of control. RESULTS: During the first 6 months after inclusion, the two groups had almost the same RR of a full return to work (RR:0.97, 95% CI: 0.78;1.21), but during the first 3 months, the individuals in the intervention group had a significantly higher risk of not having fully returned to work (RR:0.68, 95% CI:0.47;0.98). The individuals in the intervention group who had participated in at least four of the six psychoeducational sessions returned to work considerably slower at both time points than did the control group. The intervention did not decrease the level of psychological symptoms or improve mental health-related quality of life; however, individuals in the intervention group improved their scores on internal locus of control at both 3 and 6 months. CONCLUSION: Offering psychoeducation to individuals on sick leave at risk of having a mental disorder had no influence on the chance of a full return to work during the first 6 months; however, it did result in a higher relative risk of not returning to work after 3 months. Therefore, we do not recommend offering psychoeducation in this form to facilitate return to work. TRIAL REGISTRATION: Clinical Trial.gov NCT01637363. Registered 6 July 2012.
AD - Psychiatric Research Unit West, Regional Psychiatric Services West, Central Denmark Region, Gl. Landevej 49, 7400, Herning, Denmark. Pernille.Pedersen@stab.rm.dk.
Institute of Clinical Medicine, University of Aarhus, Aarhus, Denmark. Pernille.Pedersen@stab.rm.dk.
Public Health and Quality Improvement, Central Denmark Region, Aarhus, Denmark. Pernille.Pedersen@stab.rm.dk.
Psychiatric Research Unit West, Regional Psychiatric Services West, Central Denmark Region, Gl. Landevej 49, 7400, Herning, Denmark. Hans.Soegaard@ps.rm.dk.
Institute of Clinical Medicine, University of Aarhus, Aarhus, Denmark. Hans.Soegaard@ps.rm.dk.
Public Health and Quality Improvement, Central Denmark Region, Aarhus, Denmark. Merete.Labriola@stab.rm.dk.
Section of Clinical Social Medicine and Rehabilitation, School of Public Health, University of Aarhus, Aarhus, Denmark. Merete.Labriola@stab.rm.dk.
Institute of Clinical Research, University of Southern Denmark, Odense, Denmark. eanohr@health.sdu.dk.
Department of Public Health and General Practice, Norwegian University of Science and Technology, NTNU, Trondheim, Norway. Chris.Jensen@air.no.
National Centre for Occupational Rehabilitation, Rauland, Norway. Chris.Jensen@air.no.
AN - 26253219
AU - Pedersen, P.
AU - Sogaard, H. J.
AU - Labriola, M.
AU - Nohr, E. A.
AU - Jensen, C.
C2 - PMC4529726
CN - Medline 211026
DA - Aug 8
DB - Medline
DO - 10.1186/s12889-015-2087-5
DP - NLM
ET - 20150808
J2 - BMC Public Health
KW - Adaptation, Psychological
Adult
Counseling/*methods
Female
Humans
Male
Mental Disorders/psychology/*therapy
*Mental Health
Middle Aged
Quality of Life
*Sick Leave
Stress, Psychological/psychology/therapy
Surveys and Questionnaires
Work/*psychology
Young Adult
L1 - internal-pdf://3095975293/2846-Pedersen-2015.pdf
LA - English
M3 - Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Pedersen, Pernille
Sogaard, Hans Jorgen
Labriola, Merete
Nohr, Ellen A
Jensen, Chris
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
England
2015/08/09
BMC Public Health. 2015 Aug 8;15:763. doi: 10.1186/s12889-015-2087-5.
PY - 2015
SN - 1471-2458 (Electronic)
1471-2458 (Linking)
SP - 763
ST - Effectiveness of psychoeducation in reducing sickness absence and improving mental health in individuals at risk of having a mental disorder: a randomised controlled trial
T2 - BMC Public Health
TI - Effectiveness of psychoeducation in reducing sickness absence and improving mental health in individuals at risk of having a mental disorder: a randomised controlled trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/26253219
VL - 15
ID - 2846
ER -
TY - JOUR
AB - OBJECTIVE: To evaluate the effectiveness of guideline-based care (GBC) of workers with mental health problems, which promotes counseling by the occupational physician (OP) facilitating return to work (RTW). METHODS: In a randomized controlled trial with police workers on sick leave due to mental health problems (n = 240), trained OPs delivered GBC in the intervention group. Time to RTW and recurrences during 1-year follow-up, analyzed using Cox proportional hazards models, were compared with usual care (UC) with easy access to a psychologist. RESULTS: GBC by OPs did not result in earlier RTW than UC. Subgroup analysis showed a small effect in favor of GBC for workers with administrative functions and/or "minor" stress-related symptoms. CONCLUSIONS: GBC did not differ in RTW compared with UC, but may be beneficial for the majority of workers with minor stress-related disorders.
AD - Departments of Public and Occupational Health, EMGO Institute, VU University Medical Center, Amsterdam, The Netherlands.
AN - 19225417
AU - Rebergen, D. S.
AU - Bruinvels, D. J.
AU - Bezemer, P. D.
AU - van der Beek, A. J.
AU - van Mechelen, W.
CN - Medline 211026
DA - Mar
DB - Medline
DO - 10.1097/JOM.0b013e3181990d32
DP - NLM
ET - 2009/02/20
IS - 3
J2 - J Occup Environ Med
KW - Adult
Female
Humans
Male
Mental Disorders/*therapy
Middle Aged
Netherlands
*Occupational Health
*Outcome Assessment, Health Care
Police
Practice Guidelines as Topic
Proportional Hazards Models
Psychology
Sick Leave
L1 - internal-pdf://0388009837/2961-Rebergen-2009.pdf
LA - English
M3 - Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Rebergen, D S
Bruinvels, D J
Bezemer, P D
van der Beek, A J
van Mechelen, W
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
2009/02/20
J Occup Environ Med. 2009 Mar;51(3):305-12. doi: 10.1097/JOM.0b013e3181990d32.
PY - 2009
SN - 1536-5948 (Electronic)
1076-2752 (Linking)
SP - 305-12
ST - Guideline-based care of common mental disorders by occupational physicians (CO-OP study): a randomized controlled trial
T2 - J Occup Environ Med
TI - Guideline-based care of common mental disorders by occupational physicians (CO-OP study): a randomized controlled trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/19225417
VL - 51
ID - 2961
ER -
TY - JOUR
AB - OBJECTIVE: To evaluate the cost-effectiveness of an activating guideline-based care (GBC) by occupational physicians (OPs). METHODS: An economic evaluation was conducted in a randomized controlled trial with police workers on sick leave due to mental health problems (n = 240). In the intervention group trained OPs provided GBC, compared with usual care with easy access to a psychologist. Sick leave data and health care costs were gathered after 1-year follow-up. Analyses comprised bootstrap techniques, cost-effectiveness planes, and acceptability curves. RESULTS: Health care utilization costs (euro574.532 in total) were significantly lower in the intervention group (mean difference -euro520; 95% CI -euro980 to euro59), whereas there were no significant differences in days of sick leave and productivity loss costs. CONCLUSIONS: GBC could be cost-effective, as lower direct costs lead to equal treatment outcomes of workers with common mental disorders.
AD - Department of Public and Occupational Health, EMGO Institute, VU University Medical Center, Amsterdam, The Netherlands.
AN - 19225416
AU - Rebergen, D. S.
AU - Bruinvels, D. J.
AU - van Tulder, M. W.
AU - van der Beek, A. J.
AU - van Mechelen, W.
CN - Medline 211026
DA - Mar
DB - Medline
DO - 10.1097/JOM.0b013e3181990d8e
DP - NLM
ET - 2009/02/20
IS - 3
J2 - J Occup Environ Med
KW - Adult
Cost-Benefit Analysis
Efficiency
Female
Guidelines as Topic
Health Services/economics/statistics & numerical data
Health Services Accessibility
Humans
Male
Mental Disorders/*therapy
Middle Aged
*Occupational Health
Practice Guidelines as Topic
Randomized Controlled Trials as Topic
Sick Leave
L1 - internal-pdf://1184323522/2964-Rebergen-2009.pdf
LA - English
M3 - Research Support, Non-U.S. Gov't
N1 - Rebergen, D S
Bruinvels, D J
van Tulder, M W
van der Beek, A J
van Mechelen, W
eng
Research Support, Non-U.S. Gov't
2009/02/20
J Occup Environ Med. 2009 Mar;51(3):313-22. doi: 10.1097/JOM.0b013e3181990d8e.
PY - 2009
SN - 1536-5948 (Electronic)
1076-2752 (Linking)
SP - 313-22
ST - Cost-effectiveness of guideline-based care for workers with mental health problems
T2 - J Occup Environ Med
TI - Cost-effectiveness of guideline-based care for workers with mental health problems
UR - https://www.ncbi.nlm.nih.gov/pubmed/19225416
VL - 51
ID - 2964
ER -
TY - JOUR
AB - OBJECTIVES: Common mental disorders (CMDs) are a major cause of rising disability benefit expenditures. We urgently need evidence on programmes that can increase work participation in CMDs. The aim of this study was to evaluate the effectiveness of work-focused cognitive-behavioural therapy (CBT) and individual job support for people struggling with work participation due to CMDs. METHODS: A randomised controlled multicentre trial (RCT) including 1193 participants was conducted. Participants were on sick leave, at risk of going on sick leave or on long-term benefits. The intervention integrated work-focused CBT with individual job support. The control group received usual care. The main outcome was objectively ascertained work participation at 12 months follow-up, with changes in mental health and health-related quality of life as secondary outcomes. RESULTS: A larger proportion of participants in the intervention group had increased or maintained their work participation at follow-up compared to the control group (44.2% vs 37.2%, p=0.015). The difference remained significant after 18 months (difference 7.8%, p=0.018), and was even stronger for those on long-term benefits (difference 12.2%, p=0.007). The intervention also reduced depression (t=3.23, p</=0.001) and anxiety symptoms (t=2.52, p=0.012) and increased health-related quality of life (t=2.24, p=0.026) more than usual care. CONCLUSIONS: A work-focused CBT and individual job support was more effective than usual care in increasing or maintaining work participation for people with CMDs. The effects were profound for people on long-term benefits. This is the first large-scale RCT to demonstrate an effect of a behavioural intervention on work participation for the large group of workers with CMDs. TRIAL REGISTRATION NUMBER: ClinicalTrials.gov, registration number: NCT01146730.
AD - Uni Research Health, Bergen, Norway.
Department of Economics, University of Bergen, Bergen, Norway.
Uni Research Health, Bergen, Norway Department of Psychosocial Science, University of Bergen, Bergen, Norway.
Department of Public Mental Health, Norwegian Institute of Public Health, Bergen, Norway Department of Psychosocial Science, University of Bergen, Bergen, Norway.
AN - 26251065
AU - Reme, S. E.
AU - Grasdal, A. L.
AU - Lovvik, C.
AU - Lie, S. A.
AU - Overland, S.
C2 - PMC4602235
CN - Medline 211026
DA - Oct
DB - Medline
DO - 10.1136/oemed-2014-102700
DP - NLM
ET - 20150806
IS - 10
J2 - Occup Environ Med
KW - Adult
Age Factors
Cognitive Behavioral Therapy/*organization & administration
Employment, Supported/*methods
Female
Humans
Logistic Models
Male
Mental Disorders/diagnosis/epidemiology/*therapy
Middle Aged
Multivariate Analysis
Norway
Program Evaluation
Risk Assessment
Sex Factors
Sick Leave/*statistics & numerical data
Sickness Impact Profile
Treatment Outcome
Young Adult
LA - English
M3 - Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Reme, Silje Endresen
Grasdal, Astrid Louise
Lovvik, Camilla
Lie, Stein Atle
Overland, Simon
eng
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
England
2015/08/08
Occup Environ Med. 2015 Oct;72(10):745-52. doi: 10.1136/oemed-2014-102700. Epub 2015 Aug 6.
PY - 2015
SN - 1470-7926 (Electronic)
1351-0711 (Print)
1351-0711 (Linking)
SP - 745-52
ST - Work-focused cognitive-behavioural therapy and individual job support to increase work participation in common mental disorders: a randomised controlled multicentre trial
T2 - Occup Environ Med
TI - Work-focused cognitive-behavioural therapy and individual job support to increase work participation in common mental disorders: a randomised controlled multicentre trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/26251065
VL - 72
ID - 2979
ER -
TY - JOUR
AB - STUDY DESIGN: A randomized controlled trial. OBJECTIVE: The aim of this study was to evaluate whether a tailored and manualized cognitive behavior therapy (CBT) or nutritional supplements of seal oil and soy oil had any additional benefits over a brief cognitive intervention (BI) on return to work (RTW). SUMMARY OF BACKGROUND DATA: Brief intervention programs are clinically beneficial and cost-effective for patients with low back pain (LBP). CBT is recommended for LBP, but evidence on RTW is lacking. Seal oil has previously been shown to have a possible effect on muscle pain, but no randomized controlled trials have so far been carried out in LBP patients. METHODS: Four hundred thirteen adults aged 18 to 60 years were included. Participants were sick-listed 2 to 10 months due to LBP. Main outcome was objectively ascertained work participation at 12-month follow-up. Participants were randomly assigned to BI (n = 100), BI and CBT (n = 103), BI and seal oil (n = 105), or BI and soy oil (n = 105). BI is a two-session cognitive, clinical examination program followed by two booster sessions, while the CBT program is a tailored, individual, seven-session manual-based treatment. RESULTS: At 12-month follow-up, 60% of the participants in the BI group, 50% in the BI and CBT group, 51% in the BI and seal oil group, and 53% in the BI and soy oil group showed reduced sick leave from baseline, and had either partly or fully RTW. The differences between the groups were not statistically significant (chi = 2.54, P = 0.47). There were no significant differences between the treatment groups at any of the other follow-up assessments either, except for a significantly lower sick leave rate in the BI group than the other groups during the first 3 months of follow-up (chi = 9.50, P = 0.02). CONCLUSION: CBT and seal oil had no additional benefits over a brief cognitive intervention on sick leave. The brief cognitive intervention alone was superior in facilitating a fast RTW. LEVEL OF EVIDENCE: 2.
AD - Uni Research Health, Bergen, Norway.
Oslo University Hospital, Oslo, Norway.
Department of Psychology, Faculty of Social Sciences, University of Oslo, Oslo.
Department of Health Promotion, University College of Southeast Norway, Oslo, Norway.
Department of Health Promotion and Development, University of Bergen, Bergen, Norway.
Department of of Clinical Dentistry, University of Bergen, Bergen, Norway.
Department of Economics, University of Bergen, Bergen, Norway.
Department of Research and Development, Clinic Physical Medicine and Rehabilitation, Vestfold Hospital Trust, T solidus in circlensberg, Norway.
Department of Psychiatry, Haukeland University Hospital, Bergen, Norway.
Department of Physical Medicine and Rehabilitation, Innlandet Hospital Trust, Ottestad, Norway.
Department of Physical Medicine and Rehabilitation, St Olav University Hospital, Trondheim, Norway.
The Department of Public Health and General Practice, Norwegian University of Science and Technology, Trondheim, Norway.
Unicare, Friskvernklinikken, Asker, Norway.
National Institute of Nutrition and Seafood Research (NIFES), Bergen, Norway.
National Competence Centre for Complex Disorders, St Olav's Hospital, Trondheim, Norway.
Department of Psychological Medicine, King's College London, London, UK.
Department of Sport and Physical Activity, Bergen University College, Bergen, Norway.
AN - 27760062
AU - Reme, S. E.
AU - Tveito, T. H.
AU - Harris, A.
AU - Lie, S. A.
AU - Grasdal, A.
AU - Indahl, A.
AU - Brox, J. I.
AU - Tangen, T.
AU - Hagen, E. M.
AU - Gismervik, S.
AU - Odegard, A.
AU - Fr Yland, L.
AU - Fors, E. A.
AU - Chalder, T.
AU - Eriksen, H. R.
CN - Medline 211026
DA - Oct 15
DB - Medline
DO - 10.1097/BRS.0000000000001596
DP - NLM
IS - 20
J2 - Spine
KW - Adult
*Cognitive Behavioral Therapy
Combined Modality Therapy
*Dietary Supplements
Female
Humans
Low Back Pain/drug therapy/psychology/*therapy
Male
Middle Aged
*Sick Leave
Treatment Outcome
Young Adult
L1 - internal-pdf://0384965535/2983-Reme-2016.pdf
LA - English
M3 - Comparative Study
Multicenter Study
Randomized Controlled Trial
N1 - Reme, Silje E
Tveito, Torill H
Harris, Anette
Lie, Stein Atle
Grasdal, Astrid
Indahl, Aage
Brox, Jens Ivar
Tangen, Tone
Hagen, Eli Molde
Gismervik, Sigmund
Odegard, Arit
Fr Yland, Livar
Fors, Egil A
Chalder, Trudie
Eriksen, Hege R
eng
Comparative Study
Multicenter Study
Randomized Controlled Trial
2016/10/21
Spine (Phila Pa 1976). 2016 Oct 15;41(20):1557-1564. doi: 10.1097/BRS.0000000000001596.
PY - 2016
SN - 1528-1159 (Electronic)
0362-2436 (Linking)
SP - 1557-1564
ST - Cognitive Interventions and Nutritional Supplements (The CINS Trial): A Randomized Controlled, Multicenter Trial Comparing a Brief Intervention With Additional Cognitive Behavioral Therapy, Seal Oil, and Soy Oil for Sick-Listed Low Back Pain Patients
T2 - Spine (Phila Pa 1976)
TI - Cognitive Interventions and Nutritional Supplements (The CINS Trial): A Randomized Controlled, Multicenter Trial Comparing a Brief Intervention With Additional Cognitive Behavioral Therapy, Seal Oil, and Soy Oil for Sick-Listed Low Back Pain Patients
UR - https://www.ncbi.nlm.nih.gov/pubmed/27760062
VL - 41
ID - 2983
ER -
TY - JOUR
AB - Study Design: A randomized controlled trial comparing usual care with a program for the coordination of primary health care (CORE) for the treatment of subacute low-back pain patients.Objectives: To measure the effectiveness of the CORE program as a mean for implementing clinical practice guidelines for low-back pain in an urban community.Summary Of Background Data: Clinical practice guidelines have been developed for primary care physicians and patients on the clinical management of low-back pain. The implementation of the guidelines in a large community is difficult with the multiplicity of medical and nonmedical back care providers and products. The CORE program was designed to make the guidelines fit in this complex environment.Methods: One hundred ten workers compensated for low-back pain for 4 to 8 weeks in metropolitan Montreal were randomized in two groups: usual care (N = 56) and the CORE program (N = 54). Coordination of primary health care was performed by two primary care physicians and a nurse in liaison with the treating physicians, and included a complete examination, recommendations for the clinical management, and support to carry out the recommendations. All workers were followed for 6 months. Back pain and functional status were assessed at baseline, 3 months, and 6 months.Results: In the 6-month follow-up, the CORE group returned to work 6.6 days (standard error = 8.9) quicker than the control group, a difference that was not statistically significant. However, the CORE group showed a sustained improvement in pain and functional status with two-fold differences at the end of the 6 months of follow-up. This represented nine points on the Oswestry scale (P = 0.02) and 12 points on the Quebec Back Pain Disability Scale (P = 0.01). The CORE group also used three times less specialized imaging tests of the spine at 3 months (P < 0.01) and exercised twice as much at 6 months (P < 0.05) than the controls.Conclusions: The therapeutic results for workers with low-back pain could be improved by implementing the clinical practice guidelines with primary care physicians in a large community, without delaying the return to work. The CORE intervention for back pain patients is highly relevant to primary care practice. It is simple in its application, flexible to accommodate physicians' and- patients' preferences in health care, and it is effective on patients' clinical outcome.
AD - Montreal Department of Public Health, Quebec, Canada
Department of Public Health, 1301 Sherbrooke Street East, Montreal, Quebec, Canada H2L 1M3; e-mail: mrossign@santepub-mtl.qc.ca
AN - 107102023. Language: English. Entry Date: 20000401. Revision Date: 20190818. Publication Type: journal article
AU - Rossignol, M.
AU - Abenhaim, L.
AU - Séguin, P.
AU - Neveu, A.
AU - Collet, J.
AU - Ducruet, T.
AU - Shapiro, S.
AU - Rossignol, M.
AU - Abenhaim, L.
AU - Séguin, P.
AU - Neveu, A.
AU - Collet, J. P.
AU - Ducruet, T.
AU - Shapiro, S.
CN - Cinahl 211119
DB - c8h
DO - 10.1097/00007632-200001150-00018
DP - EBSCOhost
IS - 2
KW - Low Back Pain -- Epidemiology
Low Back Pain -- Therapy
Primary Health Care
Clinical Trials
Questionnaires
Visual Analog Scaling
Research Instruments
Neuropsychological Tests
Job Re-Entry
Kaplan-Meier Estimator
Cox Proportional Hazards Model
Health Resource Utilization
Descriptive Statistics
Outcomes Research
Adult
Male
Female
Funding Source
Human
L1 - internal-pdf://0366752969/9407-Rossignol-2000.pdf
N1 - commentary; research; tables/charts; randomized controlled trial. Commentary: Schonstein E. Co-ordinating health care for workers with compensable back pain improves long term functional status. (AUST J PHYSIOTHER) 2001; 47 (2): 151-151. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Instrumentation: Quebec Back Pain Disability Scale (QBPDS); Fear-Avoidance Beliefs Questionnaire; Dallas Pain Questionnaire; Oswestry Questionnaire; Visual Analog Scaling. Grant Information: Quebec Research Institute in Occupational Health and Safety. NLM UID: 7610646.
PMID: NLM10685491.
PY - 2000
SN - 0362-2436
SP - 251-259
ST - Coordination of primary health care for back pain. A randomized controlled trial
T2 - Spine (03622436)
TI - Coordination of primary health care for back pain. A randomized controlled trial
UR - https://search.ebscohost.com/login.aspx?direct=true&db=c8h&AN=107102023&site=ehost-live
VL - 25
ID - 9407
ER -
TY - JOUR
AB - The aim of this study was to evaluate specific effects for patients with adjustment or exhaustion disorder, the Stress subgroup (n = 152), regarding symptom severity and sick leave after CBT, a return-to-work intervention (RTW-I), and a combination of them (COMBO), using data from a randomized trial. In the original study, primary care patients on sick leave (N = 211) were randomized to CBT (n = 64), RTW-I (n = 67), or COMBO (n = 80). Blinded Clinician Severity Rating (CSR) of symptoms and sick leave registry data were primary outcomes. Subgroup analyses showed that for the Stress subgroup, CBT led to greater reduction of symptoms than RTW-I posttreatment, but COMBO did not differ from CBT or RTW-I. Regarding sick leave, there was no difference between treatments in the Stress subgroup. An exploratory analysis of the treatment effects in a subgroup of patients with depression, anxiety or insomnia indicates that RTW-I reduced sick leave faster than CBT. We conclude that CBT may be promising as an effective treatment of stress and exhaustion disorder.
AD - Center for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Department of Clinical Neuroscience, Division of Psychology, Karolinska Institutet, Stockholm, Sweden.
Department of Neurobiology, Division of Family medicine, Care Sciences and Society (NVS), H1, Karolinska Institutet, Stockholm, Sweden.
Department of Clinical Neuroscience, Osher Center for Integrative Medicine, Karolinska Institutet, Stockholm, Sweden.
Department of Psychology, Stockholm University, Stockholm, Sweden.
Stress Research Institute, Stockholm University, Stockholm, Sweden.
AN - 31691305
AU - Salomonsson, S.
AU - Santoft, F.
AU - Lindsater, E.
AU - Ejeby, K.
AU - Ingvar, M.
AU - Ljotsson, B.
AU - Ost, L. G.
AU - Lekander, M.
AU - Hedman-Lagerlof, E.
CN - Medline 211026
DA - Apr
DB - Medline
DO - 10.1111/sjop.12590
DP - NLM
ET - 20191106
IS - 2
J2 - Scand J Psychol
KW - Adult
*Cognitive Behavioral Therapy
Female
Humans
Male
Mental Disorders/psychology/*therapy
Middle Aged
*Return to Work
*Sick Leave
Treatment Outcome
Young Adult
Cbt
Stress
adjustment disorder
depression
exhaustion disorder
return-to-work
L1 - internal-pdf://1136071366/3087-Salomonsson-2020.pdf
LA - English
M3 - Randomized Controlled Trial
N1 - Salomonsson, Sigrid
Santoft, Fredrik
Lindsater, Elin
Ejeby, Kersti
Ingvar, Martin
Ljotsson, Brjann
Ost, Lars-Goran
Lekander, Mats
Hedman-Lagerlof, Erik
eng
This study was funded by Karolinska Institutet and by research grants from Stockholm County Council/
Randomized Controlled Trial
England
2019/11/07
Scand J Psychol. 2020 Apr;61(2):281-289. doi: 10.1111/sjop.12590. Epub 2019 Nov 6.
PY - 2020
SN - 1467-9450 (Electronic)
0036-5564 (Linking)
SP - 281-289
ST - Effects of cognitive behavioural therapy and return-to-work intervention for patients on sick leave due to stress-related disorders: Results from a randomized trial
T2 - Scand J Psychol
TI - Effects of cognitive behavioural therapy and return-to-work intervention for patients on sick leave due to stress-related disorders: Results from a randomized trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/31691305
VL - 61
ID - 3087
ER -
TY - JOUR
AB - OBJECTIVES: Common mental disorders (CMDs) cause great individual suffering and long-term sick leave. Cognitive-behavioural therapy (CBT) effectively treats CMDs, but sick leave is not reduced to the same extent as psychiatric symptoms. Research results regarding return-to-work interventions (RTW-Is) and their effect on sick leave are inconclusive. The aim of this study was to evaluate CBT, a RTW-I and combined CBT and RTW-I (COMBO) for primary care patients on sick leave due to CMDs. METHODS: Patients with CMDs (n=211) were randomised to CBT (n=64), RTW-I (n=67) or COMBO (n=80). Sick-leave registry data after 1 year and blinded Clinician's Severity Rating (CSR) of symptoms post-treatment and at follow-ups after 6 and 12 months were primary outcomes. RESULTS: There was no significant difference between treatments in days on sick leave 1 year after treatment start (mean difference in sick-leave days range=9-27). CBT led to larger reduction of symptoms post-treatment (CSR; Cohen's d=0.4 (95% CI 0.1 to 0.8)) than RTW-I, whereas COMBO did not differ from CBT or RTW-I. At follow-up, after 1 year, there was no difference between groups. All treatments were associated with large pre-treatment to post-treatment improvements, and results were maintained at 1-year follow-up. CONCLUSION: No treatment was superior to the other regarding reducing sick leave. All treatments effectively reduced symptoms, CBT in a faster pace than RTW-I, but at 1-year follow-up, all groups had similar symptom levels. Further research is needed regarding how CBT and RTW-I can be combined more efficiently to produce a larger effect on sick leave while maintaining effective symptom reduction.
AD - Department of Clinical Neuroscience, Division of Psychology, Karolinska Institutet, Stockholm, Sweden.
Department of Neurobiology, Care Sciences and Society (NVS), H1, Division of Family Medicine, Karolinska Institutet, Stockholm, Sweden.
Department of Psychology, Stockholm University, Stockholm, Sweden.
Department of Clinical Neuroscience, Osher Center for Integrative Medicine, Karolinska Institutet, Stockholm, Sweden.
Department of Neuroradiology, Karolinska University Hospital Stockholm, Stockholm, Sweden.
Stress Research Institute, Stockholm University, Stockholm, Sweden.
AN - 28756415
AU - Salomonsson, S.
AU - Santoft, F.
AU - Lindsater, E.
AU - Ejeby, K.
AU - Ljotsson, B.
AU - Ost, L. G.
AU - Ingvar, M.
AU - Lekander, M.
AU - Hedman-Lagerlof, E.
C1 - Competing interests: None declared.
CN - Medline 211026
DA - Dec
DB - Medline
DO - 10.1136/oemed-2017-104342
DP - NLM
ET - 20170729
IS - 12
J2 - Occup Environ Med
KW - Adult
Behavior Therapy/*methods
Cognitive Behavioral Therapy
Female
Humans
Male
Mental Disorders/*therapy
Middle Aged
*Return to Work
*Sick Leave
Treatment Outcome
Young Adult
cognitive behavioural therapy
common mental disorders
return-to-work
L1 - internal-pdf://3768761666/3088-Salomonsson-2017.pdf
LA - English
M3 - Randomized Controlled Trial
N1 - Salomonsson, Sigrid
Santoft, Fredrik
Lindsater, Elin
Ejeby, Kersti
Ljotsson, Brjann
Ost, Lars-Goran
Ingvar, Martin
Lekander, Mats
Hedman-Lagerlof, Erik
eng
Randomized Controlled Trial
England
2017/08/02
Occup Environ Med. 2017 Dec;74(12):905-912. doi: 10.1136/oemed-2017-104342. Epub 2017 Jul 29.
PY - 2017
SN - 1470-7926 (Electronic)
1351-0711 (Linking)
SP - 905-912
ST - Cognitive-behavioural therapy and return-to-work intervention for patients on sick leave due to common mental disorders: a randomised controlled trial
T2 - Occup Environ Med
TI - Cognitive-behavioural therapy and return-to-work intervention for patients on sick leave due to common mental disorders: a randomised controlled trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/28756415
VL - 74
ID - 3088
ER -
TY - JOUR
AB - STUDY DESIGN: A cluster-randomized controlled trial. OBJECTIVE: To evaluate the effects of two strategies to increase the use of active sick leave (ASL) among patients with low back pain (LBP) on improved return to work and quality of life. SUMMARY OF BACKGROUND DATA: Active sick leave is an option provided by the Norwegian National Insurance Administration that enables employees to return to modified duties at the workplace with 100% of normal wages. A proactive implementation strategy increased the use of ASL for LBP patients from 11.5% to 17.7% compared with a passive intervention and a control group ( = 0.006). METHODS: Sixty-five municipalities were randomly assigned to a passive intervention, a proactive intervention, or a control group. The interventions, which were designed to improve the use of ASL, were targeted at patients on sick leave for LBP for more than 16 days (n = 6179), their general practitioners, employers, and local insurance officers. The main outcome measures were the average number of days off work, the proportion of patients returning to work within 1 year, and self-reported quality of life while on sick leave. RESULTS: The median number of days on sick leave was similar in the proactive intervention group (70 days), the passive intervention group (68 days), and the control group (71 days) ( = 0.8). The proportion of patients returning to work before 50 weeks was also similar in the proactive (89%), passive (89.5%), and control groups (89.1%). Response rates for the questionnaires that were sent to patients were low (38%), and no significant differences were observed across the three groups for quality of life or patient satisfaction. CONCLUSIONS: It is not likely that efforts to increase the use of ASL will result in measurable economic benefits or improved health outcomes at the population level. The benefits of ASL for individual patients with LBP are not known.
AD - Department of Social Services Research, Norwegian Directorate for Health and Social Welfare, Oslo, Norway. inger.scheel@shdir.no
AN - 12461401
AU - Scheel, I. B.
AU - Hagen, K. B.
AU - Herrin, J.
AU - Carling, C.
AU - Oxman, A. D.
CN - Medline 211026
DA - Dec 1
DB - Medline
DO - 10.1097/00007632-200212010-00014
DP - NLM
IS - 23
J2 - Spine
KW - Back Pain/*rehabilitation
Cluster Analysis
Humans
Norway
*Outcome and Process Assessment, Health Care
Patient Satisfaction
Program Evaluation/economics/*statistics & numerical data
Quality of Life
*Rehabilitation, Vocational
Sick Leave/classification/economics/*statistics & numerical data
Surveys and Questionnaires
*Workload
L1 - internal-pdf://3817656851/3130-Scheel-2002.pdf
LA - English
M3 - Clinical Trial
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Scheel, Inger B
Hagen, Kare Birger
Herrin, Jeph
Carling, Cheryl
Oxman, Andrew D
eng
Clinical Trial
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
2002/12/04
Spine (Phila Pa 1976). 2002 Dec 1;27(23):2734-40. doi: 10.1097/00007632-200212010-00014.
PY - 2002
SN - 1528-1159 (Electronic)
0362-2436 (Linking)
SP - 2734-40
ST - Blind faith? The effects of promoting active sick leave for back pain patients: a cluster-randomized controlled trial
T2 - Spine (Phila Pa 1976)
TI - Blind faith? The effects of promoting active sick leave for back pain patients: a cluster-randomized controlled trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/12461401
VL - 27
ID - 3130
ER -
TY - JOUR
AB - OBJECTIVE: To investigate return to work and cost-effectiveness of the addition of cognitive-behavioral treatment to standard therapy compared to standard 3-week inpatient rehabilitation for patients with chronic low back pain. METHODS: A prospective economic evaluation alongside a randomized controlled trial was performed. Outcomes included days off work due to spinal complaints, health-related quality of life, and direct and indirect disease-related costs. RESULTS: A total of 409 patients with chronic low back pain, who were admitted to a 3-week inpatient rehabilitation, were randomly assigned to usual care or usual care plus cognitive behavioral treatment. Average incremental costs for psychological treatment during rehabilitation were Euros 127 (95% CI 125.6, 130.9; p < 0.001). Six months after rehabilitation, patients in the intervention group were absent from work an average of 5.4 (95% CI -1.4, 12.1; p = 0.12) days less than patients receiving usual treatment. Between groups, there were no significant differences in quality-adjusted life-years gained or in direct medical or nonmedical costs. The cognitive behavioral treatment showed lower indirect costs: Euros 751 (95% CI -145, 1641; p = 0.097). CONCLUSION: Adding a cognitive behavioral component to standard therapy may reduce work days lost and thus decrease indirect costs. From a societal perspective, the cost of the psychological treatment was compensated by lower indirect costs.
AD - GSF - National Research Center for Environment and Health, Institute of Health Economics and Health Care Management, Neuherberg. Germany. bernd.schweikert@gsf.de
AN - 17143986
AU - Schweikert, B.
AU - Jacobi, E.
AU - Seitz, R.
AU - Cziske, R.
AU - Ehlert, A.
AU - Knab, J.
AU - Leidl, R.
CN - Medline 211026
DA - Dec
DB - Medline
DP - NLM
IS - 12
J2 - J Rheumatol
KW - Chronic Disease
Cognitive Behavioral Therapy/*economics
Combined Modality Therapy
Cost-Benefit Analysis
Employment
Health Care Costs
Humans
Low Back Pain/physiopathology/*psychology/*rehabilitation
Prospective Studies
Quality of Life
Sick Leave
Treatment Outcome
L1 - internal-pdf://2794649868/3168-Schweikert-2006.pdf
LA - English
M3 - Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Schweikert, Bernd
Jacobi, Eckart
Seitz, Robert
Cziske, Reinhard
Ehlert, Antje
Knab, Julia
Leidl, Reiner
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Canada
2006/12/05
J Rheumatol. 2006 Dec;33(12):2519-26.
PY - 2006
SN - 0315-162X (Print)
0315-162X (Linking)
SP - 2519-26
ST - Effectiveness and cost-effectiveness of adding a cognitive behavioral treatment to the rehabilitation of chronic low back pain
T2 - J Rheumatol
TI - Effectiveness and cost-effectiveness of adding a cognitive behavioral treatment to the rehabilitation of chronic low back pain
UR - https://www.ncbi.nlm.nih.gov/pubmed/17143986
VL - 33
ID - 3168
ER -
TY - JOUR
AB - Objectives This study aimed to evaluate the effectiveness of a workplace intervention (WI) added to an inpatient multimodal occupational rehabilitation program (I-MORE) on sickness absence. Methods In this researcher-blinded randomized controlled trial with parallel groups, individuals on sick leave due to musculoskeletal, unspecified- or common mental health disorders were randomized to I-MORE (N=87) or I-MORE+WI (N=88). I-MORE lasted 2+1 weeks (with one week at home in between) and consisted of "acceptance and commitment therapy", physical exercise, and work-related problem solving. The additional WI consisted of a preparatory part, a workplace meeting involving the sick-listed worker, the employer, and the primary rehabilitation therapist at the rehabilitation center, and follow-up work related to the meeting. The primary outcomes were number of sickness absence days and time until sustainable return to work (RTW) during 12 months of follow-up, measured by registry data. Results The median number of sickness absence days during the 12-month follow-up for I-MORE was 115 days [interquartile range (IQR) 53-183] versus 130 days (IQR 81-212) for I-MORE+WI. The difference between groups was not statistically significant (P=0.084). The hazard ratio for sustainable RTW was 0.74 (95% confidence interval 0.48-1.16; P=0.192) in favor of I-MORE. Conclusions This study provided no evidence in favor of I-MORE+WI compared to only I-MORE for long-term sickness absent individuals with musculoskeletal-, common mental- or unspecified disorders.
AD - Norwegian University of Science and Technology, Faculty of Medicine and Health Sciences, Department of Public Health and Nursing, Postboks 8905, 7491 Trondheim, Norway. mskagseth@gmail.com.
AN - 31834410
AU - Skagseth, M.
AU - Fimland, M. S.
AU - Rise, M. B.
AU - Johnsen, R.
AU - Borchgrevink, P. C.
AU - Aasdahl, L.
C1 - The authors declare no conflicts of interest.
C2 - PMC8506308
CN - Medline 211026
DA - Jul 1
DB - Medline
DO - 10.5271/sjweh.3873
DP - NLM
ET - 20191213
IS - 4
J2 - Scand J Work Environ Health
KW - Adolescent
Adult
Female
Humans
Inpatients
Male
Mental Disorders/*rehabilitation
Middle Aged
Musculoskeletal Diseases/*rehabilitation
*Occupational Health Services
Return to Work/*statistics & numerical data
Sick Leave/*statistics & numerical data
Single-Blind Method
*Workplace
Young Adult
L1 - internal-pdf://3155940772/3233-Skagseth-2020.pdf
LA - English
M3 - Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Skagseth, Martin
Fimland, Marius S
Rise, Marit B
Johnsen, Roar
Borchgrevink, Petter C
Aasdahl, Lene
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Finland
2019/12/14
Scand J Work Environ Health. 2020 Jul 1;46(4):356-363. doi: 10.5271/sjweh.3873. Epub 2019 Dec 13.
PY - 2020
SN - 1795-990X (Electronic)
0355-3140 (Print)
0355-3140 (Linking)
SP - 356-363
ST - Effectiveness of adding a workplace intervention to an inpatient multimodal occupational rehabilitation program: A randomized clinical trial
T2 - Scand J Work Environ Health
TI - Effectiveness of adding a workplace intervention to an inpatient multimodal occupational rehabilitation program: A randomized clinical trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/31834410
VL - 46
ID - 3233
ER -
TY - JOUR
AB - Former studies have questioned the quality and effectiveness of multidisciplinary rehabilitation for working-age adults with fibromyalgia and chronic widespread pain (CWP). High-quality trials are needed, and return to work should also be included as an outcome variable. This randomized study evaluated the return-to-work outcome of an extensive and a light multidisciplinary treatment program combining cognitive strategies and exercise versus treatment-as-usual initiated by a general practitioner, for CWP patients. The patients (n=208), on sick leave for 3 months on average, were randomized to the extensive program including group sessions, a light and more individual program, and to treatment-as-usual. The number of days absent from work and full return to work were used as an outcome, and follow-up lasted 54 months after the programs ended. The regression analysis showed that the extensive program was associated with significantly fewer days absent from work among women. For women, the mean effect of extensive treatment versus treatment-as-usual on total number of days absent from work was estimated to -206.95 days. Among men, the light program was associated with significantly more days absent from work compared to treatment-as-usual. Both among men and women, independent of type of treatment, patients with poorer health (poor prognosis) were absent from work more days than patients with good prognosis. In our sample, higher age significantly increased the number of days absent from work, but only for women. The extensive outpatient multidisciplinary treatment program was effective in returning women to work.
AD - Outpatient Spine Clinic, Department of Physical Medicine and Rehabilitation, Haukeland University Hospital, N-5021 Bergen, Norway. jssk@helse-bergen.no
AN - 16310718
AU - Skouen, J. S.
AU - Grasdal, A.
AU - Haldorsen, E. M.
CN - Medline 211026
DA - Feb
DB - Medline
DO - 10.1016/j.ejpain.2005.02.005
DP - NLM
IS - 2
J2 - Eur J Pain
KW - Adult
Age Distribution
Ambulatory Care/methods/organization & administration
Chronic Disease
*Employment
Family Practice/*methods
Female
Fibromyalgia/complications/*therapy
Follow-Up Studies
Humans
Male
Middle Aged
Pain/etiology
Pain Clinics/*organization & administration
*Pain Management
Primary Health Care/methods
Program Evaluation
Regression Analysis
Sex Distribution
Sick Leave
L1 - internal-pdf://0649463020/3241-Skouen-2006.pdf
LA - English
M3 - Comparative Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Skouen, Jan Sture
Grasdal, Astrid
Haldorsen, Ellen M H
eng
Comparative Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
England
2005/11/29
Eur J Pain. 2006 Feb;10(2):145-52. doi: 10.1016/j.ejpain.2005.02.005.
PY - 2006
SN - 1090-3801 (Print)
1090-3801 (Linking)
SP - 145-52
ST - Return to work after comparing outpatient multidisciplinary treatment programs versus treatment in general practice for patients with chronic widespread pain
T2 - Eur J Pain
TI - Return to work after comparing outpatient multidisciplinary treatment programs versus treatment in general practice for patients with chronic widespread pain
UR - https://www.ncbi.nlm.nih.gov/pubmed/16310718
VL - 10
ID - 3241
ER -
TY - JOUR
AB - STUDY DESIGN: A subgroup of 195 patients with chronic low back pain, being part of a larger study of other musculoskeletal patients, were included in a randomized controlled prospective clinical study. OBJECTIVES: To evaluate the outcome in terms of return to work and cost-effectiveness of a light multidisciplinary treatment program with an extensive multidisciplinary program and treatment as usual initiated by their general practitioner. SUMMARY OF BACKGROUND DATA: Light multidisciplinary programs seem to reduce sick leave in patients with subacute low back pain. There are few, if any, previous studies of the effectiveness of light versus extensive multidisciplinary treatment on return to work in patients with chronic low back pain. METHODS: Patients with chronic low back pain (n = 195), on an average sick-listed for 3 months, were included. The patients were randomized to a light multidisciplinary treatment program, an extensive multidisciplinary program, or treatment as usual by their primary physician. Full return to work was used as outcome response, and follow-up was 26 months after the end of treatment. Cost-benefit was calculated for the treatment programs. RESULTS: In men significantly better results for full return to work were found for the light multidisciplinary treatment compared with treatment as usual, but no differences were found between extensive multidisciplinary treatment and treatment as usual. No significant differences between any of the two multidisciplinary treatment programs and the controls were found for women. Productivity gains for the society from light multidisciplinary treatment versus "treatment as usual" of 57 male patients with low back pain would during the first 2 years accumulate to U.S. $852.000. CONCLUSIONS: The light multidisciplinary treatment model is a cost-effective treatment for men with chronic low back pain.
AD - Outpatient Spine Clinic, Haukeland University Hospital, Norway. jssk@haukeland.no
AN - 11979157
AU - Skouen, J. S.
AU - Grasdal, A. L.
AU - Haldorsen, E. M.
AU - Ursin, H.
CN - Medline 211026
DA - May 1
DB - Medline
DO - 10.1097/00007632-200205010-00002
DP - NLM
IS - 9
J2 - Spine
KW - Adult
Aged
Chronic Disease
Cost-Benefit Analysis
Female
Follow-Up Studies
Health Care Costs/*statistics & numerical data
Humans
Low Back Pain/*economics/*rehabilitation
Male
Middle Aged
Norway
Odds Ratio
Outcome Assessment, Health Care/*economics/statistics & numerical data
Pain Clinics/statistics & numerical data
Risk
Sex Factors
*Sick Leave/statistics & numerical data
Time
L1 - internal-pdf://2451052835/3242-Skouen-2002.pdf
LA - English
M3 - Clinical Trial
Comparative Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Skouen, Jan S
Grasdal, Astrid L
Haldorsen, Ellen M H
Ursin, Holger
eng
Clinical Trial
Comparative Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
2002/04/30
Spine (Phila Pa 1976). 2002 May 1;27(9):901-9; discussion 909-10. doi: 10.1097/00007632-200205010-00002.
PY - 2002
SN - 1528-1159 (Electronic)
0362-2436 (Linking)
SP - 901-9; discussion 909-10
ST - Relative cost-effectiveness of extensive and light multidisciplinary treatment programs versus treatment as usual for patients with chronic low back pain on long-term sick leave: randomized controlled study
T2 - Spine (Phila Pa 1976)
TI - Relative cost-effectiveness of extensive and light multidisciplinary treatment programs versus treatment as usual for patients with chronic low back pain on long-term sick leave: randomized controlled study
UR - https://www.ncbi.nlm.nih.gov/pubmed/11979157
VL - 27
ID - 3242
ER -
TY - JOUR
AB - BACKGROUND: Low back pain is a common medical and social problem frequently associated with disability and absence from work. However, data on effective return to work after interventions for low back pain are scarce. OBJECTIVE: To determine the effectiveness of a behavior-oriented graded activity program compared with usual care. DESIGN: Randomized, controlled trial. SETTING: Occupational health services department of an airline company in the Netherlands. PATIENTS: 134 workers who were absent from work because of low back pain were randomly assigned to either graded activity (n = 67) or usual care (n = 67). INTERVENTION: Graded activity, a physical exercise program based on operant-conditioning behavioral principles, to stimulate a rapid return to work. MEASUREMENTS: Outcomes were the number of days of absence from work because of low back pain, functional status (Roland Disability Questionnaire), and severity of pain (11-point numerical scale). RESULTS: The median number of days of absence from work over 6 months of follow-up was 58 days in the graded activity group and 87 days in the usual care group. From randomization onward, graded activity was effective after 50 days of absence from work (hazard ratio, 1.9 [95% CI, 1.2 to 3.2]; P = 0.009). The graded activity group was more effective in improving functional status and pain than the usual care group. The effects, however, were small and not statistically significant. CONCLUSIONS: Graded activity was more effective than usual care in reducing the number of days of absence from work because of low back pain.
AD - Institute for Research in Extramural Medicine and the Department of Social Medicine, VU University Medical Center, Amsterdam, The Netherlands.
AN - 14734329
AU - Staal, J. B.
AU - Hlobil, H.
AU - Twisk, J. W.
AU - Smid, T.
AU - Koke, A. J.
AU - van Mechelen, W.
CN - Medline 211026
DA - Jan 20
DB - Medline
DO - 10.7326/0003-4819-140-2-200401200-00007
DP - NLM
ET - 2004/01/22
IS - 2
J2 - Ann Intern Med
KW - Absenteeism
Behavior Therapy/*methods
Conditioning, Operant
Disability Evaluation
*Exercise Therapy
Humans
Low Back Pain/physiopathology/*therapy
Occupational Diseases/physiopathology/*therapy
Occupational Health Services/*methods
Single-Blind Method
Treatment Outcome
L1 - internal-pdf://2435619505/3289-Staal-2004.pdf
LA - English
M3 - Clinical Trial
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Staal, J Bart
Hlobil, Hynek
Twisk, Jos W R
Smid, Tjabe
Koke, Albere J A
van Mechelen, Willem
eng
Clinical Trial
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
2004/01/22
Ann Intern Med. 2004 Jan 20;140(2):77-84. doi: 10.7326/0003-4819-140-2-200401200-00007.
PY - 2004
SN - 1539-3704 (Electronic)
0003-4819 (Linking)
SP - 77-84
ST - Graded activity for low back pain in occupational health care: a randomized, controlled trial
T2 - Ann Intern Med
TI - Graded activity for low back pain in occupational health care: a randomized, controlled trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/14734329
VL - 140
ID - 3289
ER -
TY - JOUR
AB - BACKGROUND: Low back pain is a common medical and social problem associated with disability and absence from work. Knowledge on effective return to work (RTW) interventions is scarce. OBJECTIVE: To determine the effectiveness of graded activity as part of a multistage RTW programme. DESIGN: Randomised controlled trial. SETTING: Occupational healthcare. SUBJECTS: 112 workers absent from work for more than eight weeks due to low back pain were randomised to either graded activity (n = 55) or usual care (n = 57). INTERVENTION: Graded activity, a physical exercise programme aimed at RTW based on operant-conditioning behavioural principles. MAIN OUTCOME MEASURES: The number of days off work until first RTW for more then 28 days, total number of days on sick leave during follow up, functional status, and severity of pain. Follow up was 26 weeks. RESULTS: Graded activity prolonged RTW. Median time until RTW was equal to the total number of days on sick leave and was 139 (IQR = 69) days in the graded activity group and 111 (IQR = 76) days in the usual care group (hazard ratio = 0.52, 95% CI 0.32 to 0.86). An interaction between a prior workplace intervention and graded activity, together with a delay in the start of the graded activity intervention, explained most of the delay in RTW (hazard ratio = 0.86, 95% CI 0.40 to 1.84 without prior intervention and 0.39, 95% CI 0.19 to 0.81 with prior intervention). Graded activity did not improve pain or functional status clinically significantly. CONCLUSIONS: Graded activity was not effective for any of the outcome measures. Different interventions combined can lead to a delay in RTW. Delay in referral to graded activity delays RTW. In implementing graded activity special attention should be paid to the structure and process of care.
AD - Coronel Institute for Occupational and Environmental Health, Academic Medical Center University of Amsterdam, Amsterdam, The Netherlands.
AN - 16847036
AU - Steenstra, I. A.
AU - Anema, J. R.
AU - Bongers, P. M.
AU - de Vet, H. C.
AU - Knol, D. L.
AU - van Mechelen, W.
C1 - Competing interests: none.
C2 - PMC2077992
CN - Medline 211026
DA - Nov
DB - Medline
DO - 10.1136/oem.2005.021675
DP - NLM
ET - 20060717
IS - 11
J2 - Occup Environ Med
KW - Adolescent
Adult
Aged
Behavior Therapy/methods
Disability Evaluation
*Exercise Therapy
Female
Humans
Low Back Pain/diagnosis/*rehabilitation
Male
Middle Aged
Occupational Health Services/*methods
Pain Measurement
Sick Leave
L1 - internal-pdf://3923158907/3305-Steenstra-2006.pdf
LA - English
M3 - Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Steenstra, I A
Anema, J R
Bongers, P M
de Vet, H C W
Knol, D L
van Mechelen, W
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
England
2006/07/19
Occup Environ Med. 2006 Nov;63(11):718-25. doi: 10.1136/oem.2005.021675. Epub 2006 Jul 17.
PY - 2006
SN - 1470-7926 (Electronic)
1351-0711 (Print)
1351-0711 (Linking)
SP - 718-25
ST - The effectiveness of graded activity for low back pain in occupational healthcare
T2 - Occup Environ Med
TI - The effectiveness of graded activity for low back pain in occupational healthcare
UR - https://www.ncbi.nlm.nih.gov/pubmed/16847036
VL - 63
ID - 3305
ER -
TY - JOUR
AB - OBJECTIVE: To evaluate the cost-effectiveness and cost-utility of a return to work (RTW) program for workers on sick-leave due to low back pain (LBP), comparing a workplace intervention implemented between 2 to 8 weeks of sick-leave with usual care, and a clinical intervention after 8 weeks of sick-leave with usual care. DESIGN: Economic evaluation alongside a randomised controlled trial (RCT). STUDY POPULATION: Workers sick-listed for a period of 2 to 6 weeks due to LBP. INTERVENTIONS: 1. workplace assessment, work modifications and case management). 2. physiotherapy based on operant behavioural principles. 3. usual care: provided by an occupational physician. OUTCOMES: The primary outcome was return to work (RTW). Other outcomes were pain intensity, functional status, quality of life and general health. The economic evaluation was conducted from a societal perspective. Outcomes were assessed at baseline (after 2-6 weeks on sick-leave), and 12 weeks, 26 weeks, and 52 weeks after the first day of sick-leave. RESULTS: The workplace intervention group returned to work 30.0 days (95% CI=[3.1, 51.3]) earlier on average than the usual care group at slightly higher direct costs (ratio of 1 day: 19 euro). Workers in the clinical intervention group that had received usual care in the first 8 weeks returned to work 21.3 days (95% CI= [-74.1, 29.2]) later on average. The group that had received the workplace intervention in the first 8 weeks and the clinical intervention after 8 weeks returned to work 50.9 days (95% CI=[-89.4, -2.7]) later on average. A workplace intervention was more effective than usual care in RTW at slightly higher costs and was equally effective as usual care at equal costs on other outcomes. A clinical intervention was less effective than usual care and associated with higher costs. CONCLUSION: The workplace intervention results in a safe and faster RTW than usual care at reasonable costs for workers on sick-leave for two to six weeks due to LBP.
AD - Institute for Research in Extramural Medicine, VU University Medical Center, Amsterdam, The Netherlands.
AN - 17086503
AU - Steenstra, I. A.
AU - Anema, J. R.
AU - van Tulder, M. W.
AU - Bongers, P. M.
AU - de Vet, H. C.
AU - van Mechelen, W.
CN - Medline 211026
DA - Dec
DB - Medline
DO - 10.1007/s10926-006-9053-0
DP - NLM
IS - 4
J2 - J Occup Rehabil
KW - Adolescent
Adult
Aged
Behavior Therapy/*economics/methods
Cost of Illness
Cost-Benefit Analysis
Ergonomics
Female
*Health Care Costs
Humans
Low Back Pain/economics/*rehabilitation
Male
Middle Aged
Netherlands
Occupational Diseases/economics/*rehabilitation
Occupational Health Nursing
Occupational Therapy/*economics/methods
Rehabilitation, Vocational/*economics/methods
L1 - internal-pdf://1135759084/3307-Steenstra-2006.pdf
LA - English
M3 - Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Steenstra, Ivan A
Anema, Johannes R
van Tulder, Maurits W
Bongers, Paulien M
de Vet, Henrica C W
van Mechelen, Willem
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Netherlands
2006/11/07
J Occup Rehabil. 2006 Dec;16(4):557-78. doi: 10.1007/s10926-006-9053-0.
PY - 2006
SN - 1053-0487 (Print)
1053-0487 (Linking)
SP - 557-78
ST - Economic evaluation of a multi-stage return to work program for workers on sick-leave due to low back pain
T2 - J Occup Rehabil
TI - Economic evaluation of a multi-stage return to work program for workers on sick-leave due to low back pain
UR - https://www.ncbi.nlm.nih.gov/pubmed/17086503
VL - 16
ID - 3307
ER -
TY - JOUR
AB - STUDY DESIGN: A randomized, controlled trial. OBJECTIVE: To examine the impact of physical function and pain on work status in patients who are long-term sick-listed because of back pain. SUMMARY OF BACKGROUND DATA: Sickness benefit is granted to a person who is incapable of working because of reduced functioning. Improved physical function and decrease of pain may be important in considering return to work. METHODS: Physical performance (five activities), disability, and pain (self-reported questionnaires) were assessed at baseline and at the 1-year follow-up evaluation in 117 patients randomized to an intervention group (n = 81) and a control group (n = 36). RESULTS: At the 1-year follow-up evaluation, 50% had returned to work. Statistically significant improvements were demonstrated from baseline to follow-up evaluation in returners to work: in the intervention group on all tests and in the control group on all except two performance tests. Improvement measures discriminated between returners and nonreturners to work in the intervention group on all physical tests and a pain test and in the control group on three physical tests and a pain test. In the intervention group, odds ratios for not having returned to work were high when test measures at follow-up indicated markedly impaired physical function and high pain; in the control group, this appeared in high pain. CONCLUSIONS: Return to work was related to physical function and pain. More importance seemed to be attributed to physical performance in the intervention group than in the controls as a basis for returning patients to work.
AD - Section of Physiotherapy Science, Faculty of Medicine, University of Bergen, Norway. liv.strand@isf.uib.no
AN - 11295903
AU - Strand, L. I.
AU - Ljunggren, A. E.
AU - Haldorsen, E. M.
AU - Espehaug, B.
CN - Medline 211026
DA - Apr 1
DB - Medline
DO - 10.1097/00007632-200104010-00022
DP - NLM
IS - 7
J2 - Spine
KW - Adult
Back Pain/*physiopathology
Disability Evaluation
Female
Follow-Up Studies
Humans
Male
Middle Aged
Pain/*physiopathology
Physical Fitness/*physiology
Work/*physiology/statistics & numerical data
L1 - internal-pdf://2373301072/3328-Strand-2001.pdf
LA - English
M3 - Clinical Trial
Randomized Controlled Trial
N1 - Strand, L I
Ljunggren, A E
Haldorsen, E M
Espehaug, B
eng
Clinical Trial
Randomized Controlled Trial
2001/04/11
Spine (Phila Pa 1976). 2001 Apr 1;26(7):800-8. doi: 10.1097/00007632-200104010-00022.
PY - 2001
SN - 0362-2436 (Print)
0362-2436 (Linking)
SP - 800-8
ST - The impact of physical function and pain on work status at 1-year follow-up in patients with back pain
T2 - Spine (Phila Pa 1976)
TI - The impact of physical function and pain on work status at 1-year follow-up in patients with back pain
UR - https://www.ncbi.nlm.nih.gov/pubmed/11295903
VL - 26
ID - 3328
ER -
TY - JOUR
AB - Purpose Purpose is to: (1) study effectiveness of the hospital-based work support intervention for cancer patients at two years of follow-up compared to usual care and (2) identify which early factors predict time to return-to-work (RTW). Methods In this multi-center randomised controlled trial (RCT), 106 (self-)employed cancer patients were randomized to an intervention group or control group and provided 2 years of follow-up data. The intervention group received patient education and work-related support at the hospital. Primary outcome was RTW (rate and time) and quality of life (SF-36), and secondary outcomes were, work ability (WAI), and work functioning (WLQ). Univariate Cox regression analyses were performed to study which early factors predict time to full RTW. Results Participants were diagnosed with breast (61%), gynaecological cancer (35%), or other type of cancer (4%). RTW rates were 84% and 90% for intervention versus control group. They were high compared to national register-based studies. No differences between groups were found on any of the outcomes. Receiving chemotherapy (HR = 2.43, 95% CI 1.59-3.73 p < 0.001), low level of education (HR = 1.65, 95% CI 1.076-2.52 p = 0.02) and low work ability (HR = 1.09 [95% CI 1.04-1.17] p = 0.02) were associated with longer time to full RTW. Conclusions We found high RTW rates compared to national register-based studies and we found no differences between groups. Future studies should therefore focus on reaching the group at risk, which consist of patients who receive chemotherapy, have a low level of education and have a low work ability at diagnosis. TRIAL REGISTRATION: Netherlands Trial Registry (NTR) (http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=1658): NTR1658.
AD - Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands.
Finnish Institute of Occupational Health, Kuopio, Finland.
Department of Internal Medicine, Reinier de Graaf Groep, Delft, The Netherlands.
Department of Gynaecology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Department of Internal Medicine, Albert Schweitzer Hospital, Dordrecht, The Netherlands.
Department of Surgery, Albert Schweitzer Hospital, Dordrecht, The Netherlands.
Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands. a.g.deboer@amc.nl.
AN - 30778742
AU - Tamminga, S. J.
AU - Verbeek, Jham
AU - Bos, Mmem
AU - Fons, G.
AU - Kitzen, Jjem
AU - Plaisier, P. W.
AU - Frings-Dresen, M. H. W.
AU - de Boer, Agem
C1 - Authors Tamminga, Verbeek, Bos, Fons, Kitzen, Plaisier, Frings-Dresen and de Boer declare that they have no competing interest.
C2 - PMC6838305
CN - Medline 211026
DA - Dec
DB - Medline
DO - 10.1007/s10926-019-09831-8
DP - NLM
IS - 4
J2 - J Occup Rehabil
KW - Adult
Female
Follow-Up Studies
Humans
Male
Middle Aged
Neoplasms/*rehabilitation
Physical Functional Performance
Program Evaluation
Proportional Hazards Models
Quality of Life
Return to Work/psychology/*statistics & numerical data
Time Factors
Hospital
Neoplasms
Oncology service
Program effectiveness
Randomized controlled trial
Return to work
L1 - internal-pdf://2239119789/3381-Tamminga-2019.pdf
LA - English
M3 - Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Tamminga, S J
Verbeek, J H A M
Bos, M M E M
Fons, G
Kitzen, J J E M
Plaisier, P W
Frings-Dresen, M H W
de Boer, A G E M
eng
?Pathways to work? (www.verbeteronderzoek.nl)/Instituut Gak/International
CANWON IS1211/European Cooperation in Science and Technology/International
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Netherlands
2019/02/20
J Occup Rehabil. 2019 Dec;29(4):701-710. doi: 10.1007/s10926-019-09831-8.
PY - 2019
SN - 1573-3688 (Electronic)
1053-0487 (Print)
1053-0487 (Linking)
SP - 701-710
ST - Two-Year Follow-Up of a Multi-centre Randomized Controlled Trial to Study Effectiveness of a Hospital-Based Work Support Intervention for Cancer Patients
T2 - J Occup Rehabil
TI - Two-Year Follow-Up of a Multi-centre Randomized Controlled Trial to Study Effectiveness of a Hospital-Based Work Support Intervention for Cancer Patients
UR - https://www.ncbi.nlm.nih.gov/pubmed/30778742
VL - 29
ID - 3381
ER -
TY - JOUR
AB - OBJECTIVE: One key aspect of cancer survivorship is return-to-work. Unfortunately, many cancer survivors face problems upon their return-to-work. For that reason, we developed a hospital-based work support intervention aimed at enhancing return-to-work. We studied effectiveness of the intervention compared to usual care for female cancer patients in a multi-centre randomised controlled trial. METHODS: Breast and gynaecological cancer patients who were treated with curative intent and had paid work were randomised to the intervention group (n = 65) or control group (n = 68). The intervention involved patient education and support at the hospital and improvement of communication between treating and occupational physicians. In addition, we asked patient's occupational physician to organise a meeting with the patient and the supervisor to make a concrete gradual return-to-work plan. Outcomes at 12 months of follow-up included rate and time until return-to-work (full or partial), quality of life, work ability, work functioning, and lost productivity costs. Time until return-to-work was analyzed with Kaplan-Meier survival analysis. RESULTS: Return-to-work rates were 86% and 83% (p = 0.6) for the intervention group and control group when excluding 8 patients who died or with a life expectancy of months at follow-up. Median time from initial sick leave to partial return-to-work was 194 days (range 14-435) versus 192 days (range 82-465) (p = 0.90) with a hazard ratio of 1.03 (95% CI 0.64-1.6). Quality of life and work ability improved statistically over time but did not differ statistically between groups. Work functioning and costs did not differ statistically between groups. CONCLUSION: The intervention was easily implemented into usual psycho-oncological care and showed high return-to-work rates. We failed to show any differences between groups on return-to-work outcomes and quality of life scores. Further research is needed to study which aspects of the intervention are useful and which elements need improvement. TRIAL REGISTRATION: Nederlands Trial Register (NTR) 1658.
AD - Coronel Institute of Occupational Health, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands. S.J.Tamminga@amc.uva.nl
AN - 23717406
AU - Tamminga, S. J.
AU - Verbeek, J. H.
AU - Bos, M. M.
AU - Fons, G.
AU - Kitzen, J. J.
AU - Plaisier, P. W.
AU - Frings-Dresen, M. H.
AU - de Boer, A. G.
C1 - Competing Interests: Co-author Angela de Boer is a PLOS ONE Editorial Board member and Jos Verbeek has done so in the past. This does not alter the authors' adherence to all the PLOS ONE policies on sharing data and materials.
C2 - PMC3661555
CN - Medline 211026
DB - Medline
DO - 10.1371/journal.pone.0063271
DP - NLM
ET - 20130522
IS - 5
J2 - PLoS ONE
KW - Cost-Benefit Analysis/*economics
Female
Hospitals
Humans
Male
Middle Aged
Neoplasms/*economics/*rehabilitation
Physician-Patient Relations
Quality of Life
Return to Work/*economics
Sick Leave/economics
Work/*economics
L1 - internal-pdf://4058181506/3382-Tamminga-2013.pdf
LA - English
M3 - Clinical Trial
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Tamminga, Sietske J
Verbeek, Jos H A M
Bos, Monique M E M
Fons, Guus
Kitzen, Jos J E M
Plaisier, Peter W
Frings-Dresen, Monique H W
de Boer, Angela G E M
eng
Clinical Trial
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
2013/05/30
PLoS One. 2013 May 22;8(5):e63271. doi: 10.1371/journal.pone.0063271. Print 2013.
PY - 2013
SN - 1932-6203 (Electronic)
1932-6203 (Linking)
SP - e63271
ST - Effectiveness of a hospital-based work support intervention for female cancer patients - a multi-centre randomised controlled trial
T2 - PLoS One
TI - Effectiveness of a hospital-based work support intervention for female cancer patients - a multi-centre randomised controlled trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/23717406
VL - 8
ID - 3382
ER -
TY - JOUR
AB - Purpose Evidence-based guidelines in occupational health care improve the quality of care and may reduce sickness absence duration. Notwithstanding that, guideline adherence of occupational physicians (OPs) is limited. Based on the literature on guideline implementation, an intervention was developed that was shown to effectively improve self-reported adherence in OPs. The aim of present study was to evaluate whether this intervention leads to earlier return to work (RTW) in workers with common mental disorders (CMD). Methods In a two-armed cluster randomized controlled trial, 66 OPs were randomized. The trial included 3379 workers, with 1493 in the intervention group and 1886 in the control group. The outcome measures were: time to full RTW, time to first RTW, and total hours of sickness absence. Cox regression analyses and generalized linear mixed model analyses were used for the evaluations. Results The median time to RTW was 154 days among the 3228 workers with CMD. No significant differences occurred in (time to) full RTW between intervention and control group HR 0.96 (95% CI 0.81-1.15) nor for first RTW HR 0.96 (95% CI 0.80-1.15). The mean total hours of sickness absence was 478 h in the intervention group and 483 h in the control group. Conclusions The intervention to enhance OPs' guideline adherence did not lead to earlier RTW in workers with CMD guided by the OPs. Possible explanations are the remaining external barriers for guideline use, and that perceived guideline adherence might not represent actual guideline adherence and improved care.Trail registration: ISRCTN86605310.
AD - Department of Social and Behavioral Sciences, Tranzo Scientific Center for Care and Welfare, Tilburg University, PO Box 90153, 5000 LE, Tilburg, The Netherlands.
Department of Social and Behavioral Sciences, Tranzo Scientific Center for Care and Welfare, Tilburg University, PO Box 90153, 5000 LE, Tilburg, The Netherlands. e.p.m.brouwers@tilburguniversity.edu.
Department of Health Sciences, Faculty of Earth and Life Sciences, VU University Amsterdam, De Boelelaan 1085, 1081 HV, Amsterdam, The Netherlands.
Phrenos Centre of Expertise, PO Box 1203, 3500 BE, Utrecht, The Netherlands.
Parnassia Group, Dijk en Duin Mental Health Center, PO Box 305, 1900 AH, Castricum, The Netherlands.
Department of General Practice and Elderly Care Medicine, EMGO Institute for Health and Care Research, VU University Medical Center Amsterdam, PO Box 7057, 1007 MB, Amsterdam, The Netherlands.
Netherlands School of Public & Occupational Health, PO Box 20022, 3502 LA, Utrecht, The Netherlands.
AN - 27904985
AU - van Beurden, K. M.
AU - Brouwers, E. P. M.
AU - Joosen, M. C. W.
AU - de Boer, M. R.
AU - van Weeghel, J.
AU - Terluin, B.
AU - van der Klink, J. J. L.
C1 - JJLvdK was the manager and main author of the NVAB guideline. JJLvdK did not receive fees for the use of the guideline. KMvB, EPMB, MCWJ, MRdB, BT declare that they have no conflicts of interests.
C2 - PMC5709451
CN - Medline 211026
DA - Dec
DB - Medline
DO - 10.1007/s10926-016-9682-x
DP - NLM
IS - 4
J2 - J Occup Rehabil
KW - Adult
Female
*Guideline Adherence
Humans
Male
Mental Disorders/*rehabilitation
Middle Aged
Occupational Health Services/*standards
Proportional Hazards Models
Return to Work/*statistics & numerical data
Self Report
Sick Leave/*statistics & numerical data
Time Factors
Mental health
Occupational health service
Occupational medicine
Practice guideline
Return to work
L1 - internal-pdf://1634047382/3473-van Beurden-2017.pdf
LA - English
M3 - Multicenter Study
Randomized Controlled Trial
N1 - van Beurden, Karlijn M
Brouwers, Evelien P M
Joosen, Margot C W
de Boer, Michiel R
van Weeghel, Jaap
Terluin, Berend
van der Klink, Jac J L
eng
208030001/ZonMw/
Multicenter Study
Randomized Controlled Trial
Netherlands
2016/12/03
J Occup Rehabil. 2017 Dec;27(4):559-567. doi: 10.1007/s10926-016-9682-x.
PY - 2017
SN - 1573-3688 (Electronic)
1053-0487 (Print)
1053-0487 (Linking)
SP - 559-567
ST - Effectiveness of an Intervention to Enhance Occupational Physicians' Guideline Adherence on Sickness Absence Duration in Workers with Common Mental Disorders: A Cluster-Randomized Controlled Trial
T2 - J Occup Rehabil
TI - Effectiveness of an Intervention to Enhance Occupational Physicians' Guideline Adherence on Sickness Absence Duration in Workers with Common Mental Disorders: A Cluster-Randomized Controlled Trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/27904985
VL - 27
ID - 3473
ER -
TY - JOUR
AB - OBJECTIVES: Given the individual and economic burden of chronic work disability in low back pain patients, there is a need for effective preventive interventions. The aim of the present study was to investigate whether problem-solving therapy had a supplemental value when added to behavioral graded activity, regarding days of sick leave and work status. DESIGN: Randomized controlled trial. PATIENTS AND SETTING: Employees who were recently on sick leave as a result of nonspecific low back pain were referred to the rehabilitation center by general practitioner, occupational physician, or rehabilitation physician. Forty-five employees had been randomly assigned to the experimental treatment condition that included behavioral graded activity and problem-solving therapy (GAPS), and 39 employees had been randomly assigned to behavioral graded activity and group education (GAGE). OUTCOME MEASURES: Days of sick leave and work status. Data were retrieved from occupational health services. RESULTS: Data analyses showed that employees in the GAPS group had significantly fewer days of sick leave in the second half-year after the intervention. Moreover, work status was more favorable for employees in this condition, in that more employees had a 100% return-to-work and fewer patients ended up receiving disability pensions one year after the intervention. Sensitivity analyses confirmed these results. CONCLUSIONS: The addition of problem-solving therapy to behavioral graded activity had supplemental value in employees with nonspecific low back pain.
AD - Department of Medical, Clinical and Experimental Psychology, Maastricht University, 6200 MD Maastricht, The Netherlands. a.vandenhout@zw.unimaas.nl
AN - 12616178
AU - van den Hout, J. H.
AU - Vlaeyen, J. W.
AU - Heuts, P. H.
AU - Zijlema, J. H.
AU - Wijnen, J. A.
CN - Medline 211026
DA - Mar-Apr
DB - Medline
DO - 10.1097/00002508-200303000-00003
DP - NLM
IS - 2
J2 - Clin J Pain
KW - Adult
Behavior Therapy/*methods
Cognitive Behavioral Therapy/*methods
Combined Modality Therapy
*Disability Evaluation
Disease Management
Employment/statistics & numerical data
Female
Humans
Low Back Pain/classification/diagnosis/etiology/*prevention & control
Male
Occupational Diseases/complications/prevention & control
*Patient Education as Topic/methods
Problem Solving
Reproducibility of Results
Sensitivity and Specificity
Sick Leave/statistics & numerical data
Treatment Outcome
L1 - internal-pdf://0109386166/3485-van den Hout-2003.pdf
LA - English
M3 - Clinical Trial
Comparative Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - van den Hout, Johanna H C
Vlaeyen, Johan W S
Heuts, Peter H T G
Zijlema, Johan H L
Wijnen, Joseph A G
eng
Clinical Trial
Comparative Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
2003/03/05
Clin J Pain. 2003 Mar-Apr;19(2):87-96. doi: 10.1097/00002508-200303000-00003.
PY - 2003
SN - 0749-8047 (Print)
0749-8047 (Linking)
SP - 87-96
ST - Secondary prevention of work-related disability in nonspecific low back pain: does problem-solving therapy help? A randomized clinical trial
T2 - Clin J Pain
TI - Secondary prevention of work-related disability in nonspecific low back pain: does problem-solving therapy help? A randomized clinical trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/12616178
VL - 19
ID - 3485
ER -
TY - JOUR
AB - AIMS: To compare an innovative activating intervention with "care as usual" (control group) for the guidance of employees on sickness leave because of an adjustment disorder. It was hypothesised that the intervention would be more effective than care as usual in lowering the intensity of symptoms, increasing psychological resources, and decreasing sickness leave duration. METHODS: A prospective, cluster randomised controlled trial was carried out with 192 patients on first sickness leave for an adjustment disorder. Symptom intensity, sickness duration, and return to work rates were measured at 3 months and 12 months. Analyses were performed on an intention to treat basis. RESULTS: At 3 months, significantly more patients in the intervention group had returned to work compared with the control group. At 12 months all patients had returned to work, but sickness leave was shorter in the intervention group than in the control group. The recurrence rate was lower in the intervention group. There were no differences between the two study groups with regard to the decrease of symptoms. At baseline, symptom intensity was higher in the patients than in a normal reference population, but decreased over time in a similar manner in both groups to approximately normal levels. CONCLUSION: The experimental intervention for adjustment disorders was successful in shortening sick leave duration, mainly by decreasing long term absenteeism.
AD - Coronel Institute for Occupational and Environmental Health, Academic Medical Center, Netherlands. j.j.vanderklink@amc.uva.nl
AN - 12771395
AU - van der Klink, J. J.
AU - Blonk, R. W.
AU - Schene, A. H.
AU - van Dijk, F. J.
C2 - PMC1740545
CN - Medline 211026
DA - Jun
DB - Medline
DO - 10.1136/oem.60.6.429
DP - NLM
IS - 6
J2 - Occup Environ Med
KW - *Absenteeism
Adjustment Disorders/*prevention & control/rehabilitation
Adult
Analysis of Variance
Cluster Analysis
Cognitive Behavioral Therapy/*methods
Female
Health Status
Humans
Male
Problem Solving
Prospective Studies
Rehabilitation, Vocational
Secondary Prevention
*Sick Leave
Treatment Outcome
L1 - internal-pdf://3982109280/3495-van der Klink-2003.pdf
LA - English
M3 - Clinical Trial
Comparative Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - van der Klink, J J L
Blonk, R W B
Schene, A H
van Dijk, F J H
eng
Clinical Trial
Comparative Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
England
2003/05/29
Occup Environ Med. 2003 Jun;60(6):429-37. doi: 10.1136/oem.60.6.429.
PY - 2003
SN - 1351-0711 (Print)
1470-7926 (Electronic)
1351-0711 (Linking)
SP - 429-37
ST - Reducing long term sickness absence by an activating intervention in adjustment disorders: a cluster randomised controlled design
T2 - Occup Environ Med
TI - Reducing long term sickness absence by an activating intervention in adjustment disorders: a cluster randomised controlled design
UR - https://www.ncbi.nlm.nih.gov/pubmed/12771395
VL - 60
ID - 3495
ER -
TY - JOUR
AB - OBJECTIVES: To evaluate the cost effectiveness, cost utility and cost benefit of a workplace intervention compared with usual care for sick-listed employees with distress. METHODS: An economic evaluation was conducted alongside a randomised controlled trial. Employees with distress and who were sick-listed for 2-8 weeks were randomised to a workplace intervention (n=73) or to usual care (n=72). The workplace intervention is a stepwise process involving the sick-listed employee and their supervisor, aimed at formulating a consensus-based plan for return to work (RTW). The effect outcomes were lasting RTW and quality-adjusted life years (QALYs). Healthcare utilisation was measured over 12 months. Cost effectiveness analyses (CEA) and cost utility analyses (CUA) were conducted from the societal perspective and cost benefit analyses (CBA) from the employer perspective. Bootstrapping techniques were used to estimate cost and effect differences, related CIs, and cost effectiveness and cost utility ratios. Cost effectiveness planes were presented and subgroup analyses were performed. RESULTS: CEA and CUA revealed no statistically significant differences in lasting RTW, QALYs or costs. The CBA indicated a statistically significant higher cost of occupational health services in the workplace intervention group. The workplace intervention was not cost effective according to the CEA, CUA and CBA. CONCLUSIONS: Widespread implementation of the workplace intervention for sick-listed employees with distress is not recommended because there was no economic benefit compared with usual care. Future trials should confirm if the workplace intervention is cost effective for the subgroup employees who intended to return to work despite symptoms. This trial has been registered at the Dutch National Trial Register ISRCTN92307123.
AD - Department of Public and Occupational Health and the EMGO Institute for Health and Care Research, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands.
AN - 20798027
AU - van Oostrom, S. H.
AU - Heymans, M. W.
AU - de Vet, H. C.
AU - van Tulder, M. W.
AU - van Mechelen, W.
AU - Anema, J. R.
CN - Medline 211026
DA - Sep
DB - Medline
DO - 10.1136/oem.2009.051979
DP - NLM
IS - 9
J2 - Occup Environ Med
KW - Adult
Anxiety/economics/rehabilitation
Cost-Benefit Analysis
Depression/economics/rehabilitation
Efficiency, Organizational
Epidemiologic Methods
Female
Health Care Costs/*statistics & numerical data
Humans
Male
Middle Aged
Netherlands
Occupational Health Services/*economics/methods
Prognosis
Quality-Adjusted Life Years
Sick Leave/statistics & numerical data
Stress, Psychological/economics/*rehabilitation
Treatment Outcome
Workplace/psychology
L1 - internal-pdf://2480227534/3525-van Oostrom-2010.pdf
LA - English
M3 - Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - van Oostrom, Sandra H
Heymans, Martijn W
de Vet, Henrica C W
van Tulder, Maurits W
van Mechelen, Willem
Anema, Johannes R
eng
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
England
2010/08/28
Occup Environ Med. 2010 Sep;67(9):603-10. doi: 10.1136/oem.2009.051979.
PY - 2010
SN - 1470-7926 (Electronic)
1351-0711 (Linking)
SP - 603-10
ST - Economic evaluation of a workplace intervention for sick-listed employees with distress
T2 - Occup Environ Med
TI - Economic evaluation of a workplace intervention for sick-listed employees with distress
UR - https://www.ncbi.nlm.nih.gov/pubmed/20798027
VL - 67
ID - 3525
ER -
TY - JOUR
AB - OBJECTIVES: To evaluate the effectiveness of a participatory workplace intervention compared with usual care for sick-listed employees with distress, with regard to return to work (RTW) within the 12-month follow-up. METHODS: Employees with distress and sick-listed for 2-8 weeks were randomised to a workplace intervention (n=73) or to usual care (n=72). The participatory workplace intervention is a stepwise process involving the sick-listed employee and their supervisor, aimed at reducing obstacles for RTW by reaching consensus about an action plan for RTW. Outcome variables were lasting RTW, cumulative sickness absence and stress-related symptoms. RESULTS: Overall, an HR of 0.99 (95% CI 0.70 to 1.39) indicated no effect of the workplace intervention on lasting RTW. However, the workplace intervention significantly reduced the time until lasting RTW for employees who at baseline intended to return to work despite symptoms with an HR of 2.05 (95% CI 1.22 to 3.45). Employees who intended to return to work despite symptoms returned to work after 55 days in the workplace intervention group and 120 days in the usual care group. No such effect of the intervention was found for employees without baseline intentions to return to work despite symptoms (HR=0.78, 95% CI 0.47 to 1.28). CONCLUSIONS: No overall effect of the participatory workplace intervention on lasting RTW was found. The workplace intervention appeared effective on lasting RTW for employees who at baseline intended to return to work despite symptoms. For employees who showed no baseline intention to return to work, the intervention did not have any effect. Other approaches are needed for this subgroup. This trial has been registered at the Dutch National Trial Register ISRCTN92307123.
AD - Department of Public and Occupational Health and the EMGO Institute for Health and Care Research, Van der Boechorststraat 7, Amsterdam 1081 BT, The Netherlands.
AN - 20363809
AU - van Oostrom, S. H.
AU - van Mechelen, W.
AU - Terluin, B.
AU - de Vet, H. C.
AU - Knol, D. L.
AU - Anema, J. R.
CN - Medline 211026
DA - Sep
DB - Medline
DO - 10.1136/oem.2009.050849
DP - NLM
ET - 20100402
IS - 9
J2 - Occup Environ Med
KW - Adult
Anxiety/rehabilitation
Depression/rehabilitation
Epidemiologic Methods
Female
Humans
Male
Middle Aged
Occupational Health Services/*methods
Prognosis
Sick Leave/statistics & numerical data
Stress, Psychological/*rehabilitation
Treatment Outcome
Workplace/psychology
L1 - internal-pdf://0708213218/3527-van Oostrom-2010.pdf
LA - English
M3 - Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - van Oostrom, Sandra H
van Mechelen, Willem
Terluin, Berend
de Vet, Henrica C W
Knol, Dirk L
Anema, Johannes R
eng
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
England
2010/04/07
Occup Environ Med. 2010 Sep;67(9):596-602. doi: 10.1136/oem.2009.050849. Epub 2010 Apr 2.
PY - 2010
SN - 1470-7926 (Electronic)
1351-0711 (Linking)
SP - 596-602
ST - A workplace intervention for sick-listed employees with distress: results of a randomised controlled trial
T2 - Occup Environ Med
TI - A workplace intervention for sick-listed employees with distress: results of a randomised controlled trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/20363809
VL - 67
ID - 3527
ER -
TY - JOUR
AB - STUDY DESIGN: A randomized controlled trial in occupational health practice was conducted. OBJECTIVE: To study the efficacy of early management of workers with low back pain by occupational physicians, as compared with management by the supervisor only. SUMMARY OF BACKGROUND DATA: Health care and university workers with back pain and on sick leave for less than 1 month were included in the study. METHODS: Patients with low back pain for at least 10 days on sick leave were randomly assigned to early management by the occupational physician (n = 61) or to a reference group with management by the worker's supervisor during the first 3 months of sick leave (n = 59). The patients were observed for 1 year and compared in terms of time until return to work, pain intensity, functional disability, and general health perception. The occupational physicians were provided with management guidelines. RESULTS: No significant differences were found after 3 and 12 months of follow-up evaluation in terms of time until return to work (hazard ratio, 1.3; 95% CI, 0.90-1.90) or in terms of other health outcomes. Recurrences, however, occurred more frequently in the intervention group, but the total duration of sick leave in 1 year did not differ between the groups. CONCLUSIONS: The findings do not show a significant positive effect of an early intervention by occupational physicians on workers with low back pain. This might reflect the early phase of disability or the low intensity of the intervention resulting from overestimation of the physicians' compliance with the guidelines.
AD - Coronel Institute for Occupational and Environmental Health, Academic Medical Center, Division of Public Health, University of Amsterdam, The Netherlands. j.h.verbeek@amc.uva.nl
AN - 12221346
AU - Verbeek, J. H.
AU - van der Weide, W. E.
AU - van Dijk, F. J.
CN - Medline 211026
DA - Sep 1
DB - Medline
DO - 10.1097/00007632-200209010-00006
DP - NLM
IS - 17
J2 - Spine
KW - Adult
Back Pain/*rehabilitation
Disability Evaluation
Disease Management
Female
Follow-Up Studies
Guideline Adherence
Health Status
Humans
Male
Netherlands
Occupational Health Services/*methods/standards
*Outcome and Process Assessment, Health Care
Pain Measurement
Recurrence
Sick Leave/statistics & numerical data
L1 - internal-pdf://0838552914/3558-Verbeek-2002.pdf
LA - English
M3 - Clinical Trial
Randomized Controlled Trial
N1 - Verbeek, Jos H
van der Weide, Willeke E
van Dijk, Frank J
eng
Clinical Trial
Randomized Controlled Trial
2002/09/11
Spine (Phila Pa 1976). 2002 Sep 1;27(17):1844-51; discussion 1851. doi: 10.1097/00007632-200209010-00006.
PY - 2002
SN - 1528-1159 (Electronic)
0362-2436 (Linking)
SP - 1844-51; discussion 1851
ST - Early occupational health management of patients with back pain: a randomized controlled trial
T2 - Spine (Phila Pa 1976)
TI - Early occupational health management of patients with back pain: a randomized controlled trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/12221346
VL - 27
ID - 3558
ER -
TY - JOUR
AB - INTRODUCTION: Within the labour force workers without an employment contract represent a vulnerable group. In most cases, when sick-listed, these workers have no workplace/employer to return to. Therefore, the aim of this study was to evaluate the effectiveness on return-to-work of a participatory return-to-work program compared to usual care for unemployed workers and temporary agency workers, sick-listed due to musculoskeletal disorders. METHODS: The workers, sick-listed for 2-8 weeks due to musculoskeletal disorders, were randomly allocated to the participatory return-to-work program (n = 79) or to usual care (n = 84). The new program is a stepwise procedure aimed at making a consensus-based return-to-work plan, with the possibility of a temporary (therapeutic) workplace. Outcomes were measured at baseline, 3, 6, 9 and 12 months. The primary outcome measure was time to sustainable first return-to-work. Secondary outcome measures were duration of sickness benefit, functional status, pain intensity, and perceived health. RESULTS: The median duration until sustainable first return-to-work was 161 days in the intervention group, compared to 299 days in the usual care group. The new return-to-work program resulted in a non-significant delay in RTW during the first 90 days, followed by a significant advantage in RTW rate after 90 days (hazard ratio of 2.24 [95% confidence interval 1.28-3.94] P = 0.005). No significant differences were found for the measured secondary outcomes. CONCLUSIONS: The newly developed participatory return-to-work program seems to be a promising intervention to facilitate work resumption and reduce work disability among temporary agency workers and unemployed workers, sick-listed due to musculoskeletal disorders.
AD - Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Centre, P.O. Box 7057, 1007 MB Amsterdam, The Netherlands. s.vermeulen@vumc.nl
AN - 21336673
AU - Vermeulen, S. J.
AU - Anema, J. R.
AU - Schellart, A. J.
AU - Knol, D. L.
AU - van Mechelen, W.
AU - van der Beek, A. J.
C2 - PMC3173632
CN - Medline 211026
DA - Sep
DB - Medline
DO - 10.1007/s10926-011-9291-7
DP - NLM
IS - 3
J2 - J Occup Rehabil
KW - Adult
*Employment
Female
Humans
Kaplan-Meier Estimate
Male
Middle Aged
Musculoskeletal Diseases/*rehabilitation
Netherlands
*Occupational Health Services
Patient Participation
Program Evaluation
Proportional Hazards Models
*Referral and Consultation
*Sick Leave
Time Factors
Treatment Outcome
Work Capacity Evaluation
L1 - internal-pdf://1523763471/3562-Vermeulen-2011.pdf
LA - English
M3 - Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Vermeulen, Sylvia J
Anema, Johannes R
Schellart, Antonius J M
Knol, Dirk L
van Mechelen, Willem
van der Beek, Allard J
eng
L30 TR001047/TR/NCATS NIH HHS/
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Netherlands
2011/02/22
J Occup Rehabil. 2011 Sep;21(3):313-24. doi: 10.1007/s10926-011-9291-7.
PY - 2011
SN - 1573-3688 (Electronic)
1053-0487 (Print)
1053-0487 (Linking)
SP - 313-24
ST - A participatory return-to-work intervention for temporary agency workers and unemployed workers sick-listed due to musculoskeletal disorders: results of a randomized controlled trial
T2 - J Occup Rehabil
TI - A participatory return-to-work intervention for temporary agency workers and unemployed workers sick-listed due to musculoskeletal disorders: results of a randomized controlled trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/21336673
VL - 21
ID - 3562
ER -
TY - JOUR
AB - OBJECTIVES: The purpose of this study was to assess the effects of early part-time sick leave on return to work (RTW) and sickness absence among patients with musculoskeletal disorders. METHODS: A randomized controlled trial was conducted in six occupational health units of medium- and large-size enterprises. Patients aged 18-60 years with musculoskeletal disorders (N=63) unable to perform their regular work were randomly allocated to part- or full-time sick leave. In the former group, workload was reduced by restricting work time by about a half. Remaining work tasks were modified when necessary, as specified in a "fit note" from the physician. The main outcomes were time to return to regular work activities and sickness absence during 12-month follow-up. RESULTS: Time to RTW sustained for >/=4 weeks was shorter in the intervention group (median 12 versus 20 days, P=0.10). Hazard ratio of RTW adjusted for age was 1.60 [95% confidence interval (95% CI) 0.98-2.63] and 1.76 (95% CI 1.21-2.56) after further adjustment for pain interference with sleep and previous sickness absence at baseline. Total sickness absence during the 12-month follow-up was about 20% lower in the intervention than the control group. Compliance with the intervention was high with no discontinuations of part-time sick leave due to musculoskeletal reasons. CONCLUSIONS: Early part-time sick leave may provide a faster and more sustainable return to regular duties than full-time sick leave among patients with musculoskeletal disorders. This is the first study to show that work participation can be safely increased with early part-time sick leave.
AD - Finnish Institute of Occupational Health, Topeliuksenkatu 41a A, 00250 Helsinki, Finland. eira.viikari-juntura@ttl.fi
AN - 22033811
AU - Viikari-Juntura, E.
AU - Kausto, J.
AU - Shiri, R.
AU - Kaila-Kangas, L.
AU - Takala, E. P.
AU - Karppinen, J.
AU - Miranda, H.
AU - Luukkonen, R.
AU - Martimo, K. P.
CN - Medline 211026
DA - Mar
DB - Medline
DO - 10.5271/sjweh.3258
DP - NLM
ET - 20111027
IS - 2
J2 - Scand J Work Environ Health
KW - Adolescent
Adult
Confidence Intervals
Female
Health Status
Health Status Indicators
Humans
Kaplan-Meier Estimate
Male
Middle Aged
Musculoskeletal Diseases/*epidemiology/rehabilitation
Occupational Health/*statistics & numerical data
*Occupational Therapy
Pain/*epidemiology
Pain Measurement
Proportional Hazards Models
Sick Leave/*statistics & numerical data
Statistics as Topic
Surveys and Questionnaires
Time Factors
*Work Capacity Evaluation
Young Adult
L1 - internal-pdf://2584472260/3575-Viikari-Juntura-2012.pdf
LA - English
M3 - Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Viikari-Juntura, Eira
Kausto, Johanna
Shiri, Rahman
Kaila-Kangas, Leena
Takala, Esa-Pekka
Karppinen, Jaro
Miranda, Helena
Luukkonen, Ritva
Martimo, Kari-Pekka
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Finland
2011/10/29
Scand J Work Environ Health. 2012 Mar;38(2):134-43. doi: 10.5271/sjweh.3258. Epub 2011 Oct 27.
PY - 2012
SN - 1795-990X (Electronic)
0355-3140 (Linking)
SP - 134-43
ST - Return to work after early part-time sick leave due to musculoskeletal disorders: a randomized controlled trial
T2 - Scand J Work Environ Health
TI - Return to work after early part-time sick leave due to musculoskeletal disorders: a randomized controlled trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/22033811
VL - 38
ID - 3575
ER -
TY - JOUR
AB - OBJECTIVES: Major depressive disorder (MDD) is associated with absenteeism. In this study, the effectiveness of collaborative care, with a focus on return to work (RTW), was evaluated in its effect on depressive symptoms and the duration until RTW in sick-listed workers with MDD in the occupational health setting. METHODS: In this randomised controlled trial, 126 sick-listed workers with MDD were randomised to usual care (N=61) or collaborative care (N=65). Collaborative care was applied by the occupational physician care manager, supported by a web-based tracking system and a consultant psychiatrist. Primary outcome measure was time to response. Secondary outcome measures were time to remission, depressive symptoms as continuous measure and the duration until full RTW. RESULTS: Collaborative care participants had a shorter time to response, with a difference of 2.8 months. However, no difference was found on time to remission or depressive symptoms as continuous measure. With a mean of 190 days in the collaborative care group, and 210 days in the usual care group, the groups did not differ significantly from each other in the duration until full RTW. Adherence to the collaborative care intervention was low. CONCLUSIONS: These results do not justify a widespread implementation of collaborative care in occupational healthcare, as it was operationalised in this study. However, since the study might have been underpowered for RTW and because treatment integrity was low, further research, with larger sample sizes, is needed to develop the best fitting (collaborative care) model for addressing RTW in depressed sick-listed workers. TRIAL REGISTRATION: : ISRCTN78462860.
AD - Netherlands Institute of Mental Health and Addiction, the Trimbos-institute, PO Box 725, 3500 AS Utrecht, The Netherlands. mvlasveld@trimbos.nl
AN - 23112266
AU - Vlasveld, M. C.
AU - van der Feltz-Cornelis, C. M.
AU - Ader, H. J.
AU - Anema, J. R.
AU - Hoedeman, R.
AU - van Mechelen, W.
AU - Beekman, A. T.
CN - Medline 211026
DA - Apr
DB - Medline
DO - 10.1136/oemed-2012-100793
DP - NLM
ET - 20121030
IS - 4
J2 - Occup Environ Med
KW - *Absenteeism
Adult
Consultants
*Cooperative Behavior
Delivery of Health Care/*methods
Depression/*therapy
Depressive Disorder, Major/*therapy
Female
Humans
Internet
Male
Netherlands
Occupational Health Services/*methods
Outcome Assessment, Health Care
Patient Compliance
Program Evaluation
Psychiatry
Remission Induction
*Return to Work
Sick Leave
L1 - internal-pdf://0448561676/3597-Vlasveld-2013.pdf
LA - English
M3 - Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Vlasveld, Moniek C
van der Feltz-Cornelis, Christina M
Ader, Herman J
Anema, Johannes R
Hoedeman, Rob
van Mechelen, Willem
Beekman, Aartjan T F
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
England
2012/11/01
Occup Environ Med. 2013 Apr;70(4):223-30. doi: 10.1136/oemed-2012-100793. Epub 2012 Oct 30.
PY - 2013
SN - 1470-7926 (Electronic)
1351-0711 (Linking)
SP - 223-30
ST - Collaborative care for sick-listed workers with major depressive disorder: a randomised controlled trial from the Netherlands Depression Initiative aimed at return to work and depressive symptoms
T2 - Occup Environ Med
TI - Collaborative care for sick-listed workers with major depressive disorder: a randomised controlled trial from the Netherlands Depression Initiative aimed at return to work and depressive symptoms
UR - https://www.ncbi.nlm.nih.gov/pubmed/23112266
VL - 70
ID - 3597
ER -
TY - JOUR
AB - BACKGROUND: Common mental disorders are strongly associated with long-term sickness absence, which has negative consequences for the individual employee's quality of life and leads to substantial costs for society. It is important to focus on return to work (RTW) during treatment of sick-listed employees with common mental disorders. Factors such as self-efficacy and the intention to resume work despite having symptoms are important in the RTW process. We developed "E-health module embedded in Collaborative Occupational health care" (ECO) as a blended Web-based intervention with 2 parts: an eHealth module (Return@Work) for the employee aimed at changing cognitions of the employee regarding RTW and a decision aid via email supporting the occupational physician with advice regarding treatment and referral options based on monitoring the employee's progress during treatment. OBJECTIVE: This study evaluated the effect of a blended eHealth intervention (ECO) versus care as usual on time to RTW of sick-listed employees with common mental disorders. METHODS: The study was a 2-armed cluster randomized controlled trial. Employees sick-listed between 4 and 26 weeks with common mental disorder symptoms were recruited by their occupational health service or employer. The employees were followed up to 12 months. The primary outcome measures were time to first RTW (partial or full) and time to full RTW. Secondary outcomes were response and remission of the common mental disorder symptoms (self-assessed). RESULTS: A total of 220 employees were included: 131 participants were randomized to the ECO intervention and 89 to care as usual (CAU). The duration until first RTW differed significantly between the groups. The median duration was 77.0 (IQR 29.0-152.3) days in the CAU group and 50.0 (IQR 20.8-99.0) days in the ECO group (hazard ratio [HR] 1.390, 95% CI 1.034-1.870, P=.03). No significant difference was found for duration until full RTW. Treatment response of common mental disorder symptoms did not differ significantly between the groups, but at 9 months after baseline significantly more participants in the ECO group achieved remission than in the CAU group (OR 2.228, 95% CI 1.115-4.453, P=.02). CONCLUSIONS: The results of this study showed that in a group of sick-listed employees with common mental disorders, applying the blended eHealth ECO intervention led to faster first RTW and more remission of common mental disorder symptoms than CAU. TRIAL REGISTRATION: Netherlands Trial Register NTR2108; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=2108. (Archived by WebCite at http://www.webcitation.org/6YBSnNx3P).
AD - Trimbos Institute, Netherlands institute of mental health and addiction, Utrecht, Netherlands. dvolker@trimbos.nl.
AN - 25972279
AU - Volker, D.
AU - Zijlstra-Vlasveld, M. C.
AU - Anema, J. R.
AU - Beekman, A. T.
AU - Brouwers, E. P.
AU - Emons, W. H.
AU - van Lomwel, A. G.
AU - van der Feltz-Cornelis, C. M.
C1 - Conflicts of Interest: D Volker, Dr MC Zijlstra-Vlasveld, and Prof Dr CM van der Feltz-Cornelis reported that their employer (Trimbos-institute) received grants from ZonMw and grants from Achmea SZ when conducting this study. Prof Dr CM van der Feltz-Cornelis reported grants from Eli Lilly outside the submitted work. Prof Dr JR Anema reported being a chair in Insurance Medicine paid by the Dutch Social Security Agency and is a stockholder of Evalua LTD. Dr ATF Beekman reported grants from Eli Lilly, grants from Astra Zeneca, grants from Jansen, grants from Shire, personal fees from Eli Lilly, and personal fees from Lundbeck when conducting this study. Dr EPM Brouwers, Dr WHM Emons, and Dr AGC van Lomwel had nothing to disclose.
C2 - PMC4468600
CN - Medline 211026
DA - May 13
DB - Medline
DO - 10.2196/jmir.4097
DP - NLM
ET - 20150513
IS - 5
J2 - J Med Internet Res
KW - Adult
Anxiety Disorders/therapy
Cooperative Behavior
Depressive Disorder/therapy
Female
Humans
*Internet
Male
Mental Disorders/*therapy
Middle Aged
Netherlands
Occupational Health Services
Proportional Hazards Models
Quality of Life
*Return to Work
Self Efficacy
*Sick Leave
Somatoform Disorders/therapy
Therapy, Computer-Assisted/*methods
Treatment Outcome
anxiety
depression
mental health
occupational health
randomized controlled trial
sick leave
L1 - internal-pdf://0280063768/3604-Volker-2015.pdf
LA - English
M3 - Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Volker, Danielle
Zijlstra-Vlasveld, Moniek C
Anema, Johannes R
Beekman, Aartjan Tf
Brouwers, Evelien Pm
Emons, Wilco Hm
van Lomwel, A Gijsbert C
van der Feltz-Cornelis, Christina M
eng
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Canada
2015/05/15
J Med Internet Res. 2015 May 13;17(5):e116. doi: 10.2196/jmir.4097.
PY - 2015
SN - 1438-8871 (Electronic)
1439-4456 (Print)
1438-8871 (Linking)
SP - e116
ST - Effectiveness of a blended web-based intervention on return to work for sick-listed employees with common mental disorders: results of a cluster randomized controlled trial
T2 - J Med Internet Res
TI - Effectiveness of a blended web-based intervention on return to work for sick-listed employees with common mental disorders: results of a cluster randomized controlled trial
UR - https://www.ncbi.nlm.nih.gov/pubmed/25972279
VL - 17
ID - 3604
ER -
TY - JOUR
AB - Purpose The aim of this study was to assess short and long-term effectiveness of brief coping-focused psychotherapy (Brief-PsT) compared with short-term psychotherapy (Short-PsT) on work-participation (WP) and mental health. Both treatments were preceded by group education. Methods All participants were on, or at risk of, sick leave due to common mental complaints. Patients were selected for inclusion in this study based on levels of self-reported symptoms ('some' or 'seriously affected') of anxiety and depression. They were randomized to Brief-PsT (n = 141) or Short-PsT with a more extended focus (n = 143). Primary outcome was the transition of WP-state from baseline to 3 months follow-up. In addition, WP at 12 and 24 months follow-up were assessed. The secondary outcome, clinical recovery rate (CR-rate) was obtained from the Beck Depression and Beck Anxiety Inventories, at 2-year follow-up. In addition, self-reported mental health symptom severity, self-efficacy, subjective health complaints and life satisfaction were assessed. Results At 3 months follow-up, the increase in WP was significantly greater in Brief-PsT than in Short-PsT (p = 0.039). At 3 months, 60% in Brief-PsT and 51% in Short-PsT was at work, partial or full. Thereafter, these differences diminished, 84% and 80% were at work at 2-year follow up. The 2-year follow-up of the secondary outcome measurements was completed by 53% in Brief-PsT and 57% in Short PsT. CR-rate was significantly greater in Brief-PsT compared with the Short-PsT (69% vs. 51%, p = 0.024). Furthermore, there was a greater reduction in the number of subjective health complaints in Brief-PsT (4.0 vs. 1.9 p = 0.012). All other measurements favoured Brief-PsT as well, but did not reach statistical significance. Conclusions Brief coping-focused psychotherapy added to group education for persons with depression or anxiety complaints seemed more effective in enhancing early work participation compared with additional short-term psychotherapy of standard duration with more extended focus. Clinical recovery rate and decline of comorbid subjective health complaints at 2-year follow-up were also in favour of the brief coping-focused program.
AD - Division Physical Medicine and Rehabilitation, Vestfold Hospital Trust, Stavern, Norway. marjon.wormgoor@siv.no.
Division Physical Medicine and Rehabilitation, Vestfold Hospital Trust, Stavern, Norway.
Division of Mental Health & Addiction, Vestfold Hospital Trust, Tonsberg, Norway.
Department of Psychology, University of Oslo, Oslo, Norway.
AN - 31222615
AU - Wormgoor, M. E. A.
AU - Indahl, A.
AU - Andersen, E.
AU - Egeland, J.
CN - Medline 211026
DA - Mar
DB - Medline
DO - 10.1007/s10926-019-09841-6
DP - NLM
IS - 1
J2 - J Occup Rehabil
KW - *Adaptation, Psychological
Adult
Anxiety/*therapy
*Diagnostic Self Evaluation
Female
Follow-Up Studies
Humans
Male
Mental Disorders/*therapy
Mental Health
Middle Aged
*Personal Satisfaction
Psychotherapy, Brief/*methods
Self Efficacy
Sick Leave
Work Engagement
Psychotherapy
Return to work
L1 - internal-pdf://4079829966/3681-Wormgoor-2020.pdf
LA - English
M3 - Pragmatic Clinical Trial
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
N1 - Wormgoor, M E A
Indahl, A
Andersen, E
Egeland, J
eng
Pragmatic Clinical Trial
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Netherlands
2019/06/22
J Occup Rehabil. 2020 Mar;30(1):22-39. doi: 10.1007/s10926-019-09841-6.
PY - 2020
SN - 1573-3688 (Electronic)
1053-0487 (Linking)
SP - 22-39
ST - Effectiveness of Briefer Coping-Focused Psychotherapy for Common Mental Complaints on Work-Participation and Mental Health: A Pragmatic Randomized Trial with 2-Year Follow-Up
T2 - J Occup Rehabil
TI - Effectiveness of Briefer Coping-Focused Psychotherapy for Common Mental Complaints on Work-Participation and Mental Health: A Pragmatic Randomized Trial with 2-Year Follow-Up
UR - https://www.ncbi.nlm.nih.gov/pubmed/31222615
VL - 30
ID - 3681
ER -