Aim is to study the effect of a work place intervention during a multicomponent return-to-work rehabilitation program on return-to-work. The intervention is compared with inpatient rehabilitation only, and participants will be recruited from the diagnostic groups dominating the sick-leave statistics, namely musculoskeletal disorders, common mental disorders (e.g. stress, depression and anxiety), and unspecific disorders including chronic fatigue.
Long-term sick-listing from work has considerable impact on social function, on the families of the sick-listed persons, the companies they work for, and society as a whole. Hence, the need for documented effective vocational rehabilitation programs is pressing. Vocational rehabilitation services described in the scientific literature have been specific to one single or a specific group of medical conditions (e.g.low back pain). In contrast, most people on sick leave have several health complaints, and many of the factors influencing sick leave are shared regardless of disorder (e.g. social surroundings, workplace environment), calling for rehabilitation programs that can be employed for both musculoskeletal, unspecific and common mental disorders. Research indicates that interventions on the work place might facilitate return to work. The aim of this study is therefore to investigate the effect of a work place intervention during a multicomponent return-to-work rehabilitation program on return-to-work.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
175
Meeting at the work place including the patient, the employer and the rehabilitation therapist. Aim of meeting is to discuss challenges and possibilities in the patient's return to work process and to make a plan for return to work.
Nowegian University of Science and Technology, Department of public health
Trondheim, Norway
Number of days on sick-leave
Register data from the national health and welfare services
Time frame: 12 months
Time until sustainable return to work
Register data from the national health and welfare services
Time frame: 12 months
Use of health services. Questionnaire. "How much of this health/social service have you used during the last 4 months?"
160 participants. "How much of this health/social service have you used during the last 4 months?" Somatic and mental health specialized care (in-patient and outpatient), general practitioner, psychologist, group therapy, physiotherapist, chiropractor, occupational rehabilitation, welfare services, complementary practitioner, emergency unit, ambulatory services, occupational health services, other treatment.
Time frame: 12 months
Pain. Questionnaire
Brief pain inventory (BPI). 160 participants
Time frame: 12 months
Health related quality of life. Questionnaire
The 15D health-related quality of life instrument. 160 participants
Time frame: 12 months
Psychological flexibility and acceptance. Questionnaire
Acceptance and action questionnaire and work acceptance and action questionnaire (AAQ2). 160 participants
Time frame: 5 months
Return to work self efficacy. Questionnaire.
Return to work self-efficacy-19 (RTWSE-19). 160 participants.
Time frame: 5 months
Fear and avoidance beliefs about work. Questionnaire
Fear Avoidance Belief Questionnaire (FABQ). 160 participants
Time frame: 5 months
Expectations about sick leave and return to work. Questionnaire
160 participants. "How long do you anticipate to be sick-listed (partly/fully)?" 3 questions.
Time frame: 5 months
Work ability. Single question
160 participants. "How will you rate your work ability?" (scale from 0 (no ability) to 10 (my best ability)).
Time frame: 5 months
Well-being at work. Single question
160 participants. "How happy are you at work?" (not at all, not so good, good. very good)
Time frame: 5 months
Readiness for return to work. Questionnaire
160 participants. Readiness for return to work (RRTW) questionnaire.
Time frame: 5 months
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