Long-term sick leave is a challenge in Norway, and the healthcare and labor- and welfare services are often not coordinated in helping the sick-listed employees return to work. In this study, the investigators want to evaluate the effectiveness of an intervention where an expert team provides advice for an individualized patient pathway based on information from a digital questionnaire and a video meeting with the sick-listed employee and the participant's general practitioner. The patient pathway should include both healthcare and labor- and welfare services measures. Sick-listed patients with musculoskeletal- and/or common mental disorders are invited to join the study. They will receive a digital questionnaire and be randomized to either treatment as usual or personalized advice from an expert team. The team will be put together based on the response from the individual's questionnaire. The investigators will evaluate the effect on return to work and the use of health care services 12 months after the intervention.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
170
A digital team will be appointed based on the participant's answers in the digital screening questionnaire. Members of the team can be specialists in Physical and rehabilitation medicine, psychologist, physiotherapist, social workers, and consultants in the labor- and welfare administration. The general practitioner will also be invited to the meeting.
Ålesund sjukehus
Ålesund, Midt-Norge, Norway
Sykehuset Levanger
Levanger, Midt-Norge, Norway
Molde Sjukehus
Molde, Midt-Norge, Norway
St. Olavs hospital HF
Trondheim, Midt-Norge, Norway
Return to work
Time to return to work within 12 months for at least 4 consecutive weeks
Time frame: 12 months
Function
Approvement in function measured by Versus Arthritis Musculoskeletal Health Questionnaire (MSK-HQ). The MSK-HQ is scored on a range of 0-56, with a better score indicating better MSK-HQ health status
Time frame: 12 months
Change in pain
Change in pain measured on a numeric rating scale (0-10), with a higher score indicating more pain
Time frame: 12 months
Change in depression symptoms
Improvement in depression symptoms measured by Patient Health Questionnaire-9 (PHQ-9). PHQ-9 is scored on a range of 0-27, with higher score indicating more serious symptoms
Time frame: 12 months
Change in anxiety symptoms
Improvement in anxiety symptoms measured by Generalized Anxiety Disorder 7-item (GAD-7). GAD-7 is scored on a range of 0-21, with higher score indicating more serious symptoms
Time frame: 12 months
Days lost from work
Lost workdays during one year after intervention
Time frame: 12 months
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