How does education of health personnel with Acceptance and Commitment Therapy affect the extent of medical certificates of sick leave and drug prescriptions in primary health care centers in Kalmar compared with similar centers in Jönköping in which the personnel do not get such therapy?
Five primary health care centers in the County Council of Jönköping who do not get education according to Acceptance and Commitment Therapy (ACT) serve as controls. Six primary health care centers in County Council of Kalmar, with the same total number of listed patients (about 45 000 in total per County Council) in their areas undergo group education according to ACT. Data on medical certificates of sick leave and drug prescriptions are taken from registries (this is routine in primary health care in Sweden) at baseline and after 6, 12 and 24 months in both regions. The personnel at both centers also fill out questionnaires about their own quality of life at baseline and after 12 months. The investigators also plan to interview about 20 subjects on these matters.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
700
Group education with Acceptance and Commitment Therapy of the personnel at each center.
Control, no interventions.
Faculty of Medicine and Health Sciences
Linköping, Sverige, Sweden
University Hospital of Linkoping
Linköping, Sweden
Extent of medical certificates of sick leave by the doctors
Data on entire extent of medical certificates, i.e. how many sick days that were certified by all doctors at the primary health care centers, for all patients treated, during the time period.
Time frame: 24 months in total
Prescription of drugs by the doctors
Data on all prescription of all different drugs, during the time period, made by all the doctors at the primary Health care centers that participate, to all patients that were treated.
Time frame: 24 months in total
Assessment of how the education with ACT affect the personnel according to SF36
Questionnaire SF36 is filled out by the personnel at baseline and after 12 months
Time frame: 12 months
Assessment of how the education with ACT affect the personnel according to KEDS
Questionnaire Karolinska Exhaustion Disorder Scale (KEDS) is filled out by the personnel at baseline and after 12 months
Time frame: 12 months
Assessment of how the education with ACT affect the personnel according to WAI
Questionnaire Work ability Index (WAI) is filled out by the personnel at baseline and after 12 months
Time frame: 12 months
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