Adjuvant occupational therapy for work-related major depression works: randomized trial including economic evaluation

Schene, Aart H.; Koeter, Maarten W. J.; Kikkert, Martijn; Swinkels, J. A.; McCrone, Paul

doi:10.1017/s0033291706009366

Cited by 161 publications

(185 citation statements)

References 54 publications

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“…The differences in obstacles and solutions between the employees with distress and the LBP studies are not surprising, given the nature of these work disability conditions. Comparison with mental health studies that incorporated work adaptations in their interventions is impossible, due to a lack of information in these studies [31,32]. Subsequent to the earlier demonstrated feasibility of a participatory workplace intervention for sick-listed employees with LBP, the results of the present study show that it is also feasible to implement this intervention for sicklisted employees with distress.…”

Section: Comparison With Other Studiesmentioning

confidence: 64%

A Participatory Workplace Intervention for Employees With Distress and Lost Time: A Feasibility Evaluation Within a Randomized Controlled Trial

et al. 2009

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Introduction Little is known about feasibility and acceptability of return to work (RTW) interventions for mental health problems. RTW for mental health problems is more complicated than for musculoskeletal problems due to stigmatization at the workplace. A participatory workplace intervention was developed in which an employee and supervisor identify and prioritize obstacles and solutions for RTW guided by a RTW coordinator. This paper is a feasibility study of this innovative intervention for employees with distress. The aims of this study were to describe the reach and extent of implementation of the workplace intervention, the satisfaction and expectations of all stakeholders, and the intention to use the workplace intervention in the future. Methods Eligible for this study were employees who had been on sick leave from regular work for 2-8 weeks with distress. Data were collected from the employees, their supervisors, RTW coordinators, and occupational physicians by means of standardized matrices and questionnaires at baseline and 3 months follow-up. Reach, implementation, satisfaction, expectations, and maintenance regarding the workplace intervention were described. Results Of the 56 employees with distress eligible to receive the workplace intervention, 40 employees, their supervisors and RTW coordinators actually participated in the intervention. They identified 151 obstacles for RTW mostly related to job design, communication, mental workload and person-related stress factors. The 281 consensus-based solutions identified were mostly related to job design, communication and training. Of those solutions, 72% was realized at the evaluation with the employee and supervisor. Overall, employees, supervisors and occupational health professionals were satisfied with the workplace intervention and occupational health professionals rated it with a 7.1. Timeinvestment was the only barrier for implementation reported by the occupational health professionals. Conclusions The results of this study indicate a high feasibility for a broad implementation of a participatory workplace intervention for employees with distress and lost time, and their supervisors.

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Section: Comparison With Other Studiesmentioning

confidence: 64%

A Participatory Workplace Intervention for Employees With Distress and Lost Time: A Feasibility Evaluation Within a Randomized Controlled Trial

et al. 2009

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“…Evidence on the prevention of work disability from mental health problems is scarce. In three recent Cochrane reviews (3)(4)(5), only two studies targeted work ability directly (6,7).…”

mentioning

confidence: 99%

Effects of a stress management intervention on absenteeism and return to work – results from a randomized wait-list controlled trial

Willert¹,

Thulstrup²,

Bonde³

2010

Scand J Work Environ Health

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“…Of the studies identified, four were conducted in The Netherlands [20][21][22][23][24], four in the USA [25][26][27][28][29] and one each in Canada, Finland, Denmark, and Japan [30][31][32][33][34]. Ten were randomised controlled trials (RCTs) [20][21][22][23][24][25][26][27][28][29][31][32][33] and two were non-randomised studies (NRSs) with a separate control group [30,34].…”

Section: Study Characteristics (See Appendix 5-electronic Supplementamentioning

confidence: 99%

“…Ten were randomised controlled trials (RCTs) [20][21][22][23][24][25][26][27][28][29][31][32][33] and two were non-randomised studies (NRSs) with a separate control group [30,34]. Studies were conducted in a variety of settings, including workplaces [20,29,30,34], primary care practices [25][26][27][28], occupational health services [21,22,24], and specialty medical clinics [23,[31][32][33].…”

Section: Study Characteristics (See Appendix 5-electronic Supplementamentioning

confidence: 99%

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Systematic Review of Intervention Practices for Depression in the Workplace

et al. 2011

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Design Systematic Review. Objective To determine which intervention approaches to manage depression in the workplace have been successful and yielded value for employers in developed economies. Data Sources We searched MEDLINE, EMBASE, CINAHL, Central, PsycINFO, and Business Source Premier up to June 2010 using search terms in four broad areas: work setting, depression, intervention, and work outcomes. Study Selection Two independent reviewers selected potential articles that met the following criteria: working age individuals with mild or moderate depression; interventions or programs that were workplace-based or could be implemented and/or facilitated by the employer; inclusion of a comparator group in the analysis; outcomes of prevention, management, and recurrences of work disability or sickness absence, and work functioning. Methods Two reviewers independently reviewed each article for quality and extracted data using standardised forms. Following guidelines from the GRADE Working Group, the quality of evidence addressing each outcome was graded as high, moderate, low, or very low on the basis of six criteria: study design, risk of bias, consistency, generalisability, data precision, and economic benefit. Using this information and following Cochrane Collaboration guidelines, the findings for each intervention were summarised and key messages were developed. Results We identified ten randomised trials and two non-randomised studies from various countries and jurisdictions that evaluated a wide range of intervention practices. The evidence was graded as Access to Data Andrea Furlan had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.Electronic supplementary material The online version of this article

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Adjuvant occupational therapy for work-related major depression works: randomized trial including economic evaluation

Abstract: Addition of OT to good clinical practice does not improve depression outcome, improves productivity without increasing work stress and is superior to TAU in terms of cost-effectiveness.

Cited by 161 publications

References 54 publications

A Participatory Workplace Intervention for Employees With Distress and Lost Time: A Feasibility Evaluation Within a Randomized Controlled Trial

A Participatory Workplace Intervention for Employees With Distress and Lost Time: A Feasibility Evaluation Within a Randomized Controlled Trial

Effects of a stress management intervention on absenteeism and return to work – results from a randomized wait-list controlled trial

Systematic Review of Intervention Practices for Depression in the Workplace

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