The purpose of the current study is to determine the efficacy of a self-management course for workers on sick-leave as an add-on to standard rehabilitation care and follow-up (treatment as usual). Outcomes are registry based measures of return to work, and questionnaire based measures of well-being and quality of life. We thus, hypothesize that the program will improve workers return to work rates and self-reported/psychological well-being.
The intervention course is a Danish adaptation of The Chronic Disease Self-Management Program (CDSMP), tailored towards workers on sick-leave. The original program has been developed by The Stanford Patient Education Research Center. The translation and adaptation has been conducted by The Danish Committee for Health Education. Previous studies have examined the program with respect to specific chronic diseases (e.g., Arthritis), quality of life, well-being and health-care utilization, though non-otherwise specified workers on sick-leave and return work have not been examined before. The framework of CDSMP is social-cognitive learning theory in which self-efficacy plays a central role.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
600
A self-management course
The Danish Comitee for Health Education
Copenhagen, Denmark
Return to work, duration
DREAM-registry (supported by the Danish Ministry of Employment) combined with income/employment information from e-income (supported by the Danish Tax Authorities).
Time frame: Weekly from baseline till 1 year follow-up
Well-being and Quality of life
WHO-5 Well-being and WHO Quality of Life/Satisfaction items (Bech, 2012)
Time frame: up to 5 month follow-up
Common mental disorders
The CMDQ questionnaire i based on SCL-90 (Symptom Checklist) and measures somatization, health-anxiety, depression, anxiety and alcohol consumption (Christensen et al., 2005)
Time frame: Baseline, post-intervention and 4,5 month follow-up
Disease self-efficacy scale
The University of Washington Self-efficacy scale, 6 item version (Amtmann et al., 2012)
Time frame: Baseline, post-intervention and 4,5 month follow-up
Self-regulation (return to work)
Return to work self-regulation questionnaire, measuring internalization of reasons for trying to return to work; adapted from the Treatment Self-regulation Questionnaire (Levesque et al., 2007)
Time frame: Baseline, post-intervention and 4,5 month follow-up
Self-management scale
A measure of six cognitive strategies which are taught at the course (Lorig et al., 1996)
Time frame: Baseline, post-intervention and 4,5 month follow-up
Illness Perception questionnaire
A measure of 8 items measuring the threat of illness or disease (B-IPQ; Broadbent, Petrie, Main \& Weinman, 2006)
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Time frame: Baseline, post-intervention and 4,5 month follow-up