Job Maintenance by Supported Employment: An Overview of the â€œSupported Employment Plusâ€ Trial

Kawohl, Wolfram; Moock, Jörn; Heuchert, Sandra; Rössler, Wulf

doi:10.3389/fpubh.2015.00140

Cited by 5 publications

(7 citation statements)

References 26 publications

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“…Therefore, maintaining work capacity should be an important goal of clinical interventions. However, health promotion interventions targeting occupational health in employees with depression have been developed with mixed results [ 10 - 13 ]. Access to treatment remains limited, and the existing personal and structural barriers prevent those affected by depression from seeking timely, evidence-based help [ 14 - 16 ].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a Web-Based Intervention in Reducing Depression and Sickness Absence: Randomized Controlled Trial

Beiwinkel¹,

Eißing²,

Telle³

et al. 2017

J Med Internet Res

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BackgroundDepression is highly prevalent in the working population and is associated with significant loss of workdays; however, access to evidence-based treatment is limited.ObjectiveThis study evaluated the effectiveness of a Web-based intervention in reducing mild to moderate depression and sickness absence.MethodsIn an open-label randomized controlled trial, participants were recruited from a large-scale statutory health insurance and were assigned to two groups. The intervention group had access to a 12 week Web-based program consisting of structured interactive sessions and therapist support upon request. The wait-list control group had access to unguided Web-based psycho-education. Depressive symptoms were self-assessed at baseline, post-treatment, and follow-up (12 weeks after treatment) using the Patient Health Questionnaire (PHQ-9) and Beck Depression Inventory (BDI-II) as primary outcome measures. Data on sickness absence was retrieved from health insurance records. Intention-to-treat (ITT) analysis and per-protocol (PP) analysis were performed.ResultsOf the 180 participants who were randomized, 88 completed the post-assessment (retention rate: 48.8%, 88/180). ITT analysis showed a significant between-group difference in depressive symptoms during post-treatment in favor of the intervention group, corresponding to a moderate effect size (PHQ-9: d=0.55, 95% CI 0.25-0.85, P<.001, and BDI-II: d=0.41, CI 0.11-0.70, P=.004). PP analysis partially supported this result, but showed a non-significant effect on one primary outcome (PHQ-9: d=0.61, 95% CI 0.15-1.07, P=.04, and BDI-II: d=0.25 95% CI −0.18 to 0.65, P=.37). Analysis of clinical significance using reliable change index revealed that significantly more participants who used the Web-based intervention (63%, 63/100) responded to the treatment versus the control group (33%, 27/80; P<.001). The number needed to treat (NNT) was 4.08. Within both groups, there was a reduction in work absence frequency (IG: −67.23%, P<.001, CG: −82.61%, P<.001), but no statistical difference in sickness absence between groups was found (P=.07).ConclusionsThe Web-based intervention was effective in reducing depressive symptoms among adults with sickness absence. As this trial achieved a lower power than calculated, its results should be replicated in a larger sample. Further validation of health insurance records as an outcome measure for eHealth trials is needed.Trial RegistrationInternational Standard Randomized Controlled Trial Number (ISRCTN): 02446836; http://www.isrctn.com/ISRCTN02446836 (Archived by WebCite at http://www.webcitation.org/6jx4SObnw)

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Section: Introductionmentioning

confidence: 99%

Effectiveness of a Web-Based Intervention in Reducing Depression and Sickness Absence: Randomized Controlled Trial

Beiwinkel¹,

Eißing²,

Telle³

et al. 2017

J Med Internet Res

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“…The present study has been registered under ISRCTN02422335. It was approved by the ethics committee of Leuphana University of Lüneburg and has been conducted in accordance with the Declaration of Helsinki ( 14 ). All participants gave their written informed consent prior to commencing with the study.…”

Section: Methodsmentioning

confidence: 99%

“…All participants gave their written informed consent prior to commencing with the study. A study protocol ( 14 ) has been published.…”

Section: Methodsmentioning

confidence: 99%

Job Maintenance through Supported Employment PLUS: A Randomized Controlled Trial

Telle

Moock

Heuchert

et al. 2016

Front. Public Health

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Sickness absence from work due to experienced distress and mental health issues has continuously increased over the past years in Germany. To investigate how this alarming development can be counteracted, we conducted a randomized controlled trial evaluating a job coaching intervention to maintain the working capacity of members of staff and ultimately prevent sickness absence. Our sample included N = 99 employees who reported mental distress due to work-related problems. The intervention group (n = 58) received between 8 and 12 individual job coaching sessions in which they worked with a professional job coach to reduce their mental distress. The control group (n = 41) received a brochure about mental distress. Data were collected before the start of the study, at the end of the job coaching intervention, and at a 3-month follow-up. These data included the number of sickness absence days as the primary outcome and questionnaire measures to assess burnout indicators, life satisfaction, and work-related experiences and behaviors. Compared with the control group, the results indicated no reduction in sickness absence in the intervention group but fewer depressive symptoms, a heightened ability of the participants to distance themselves from work, more experience of work-related success, less depletion of emotional resources, and a greater satisfaction with life when participants had received the job coaching. Thus, although we could not detect a reduction in sickness absence between the groups, job coaching was shown to be a viable intervention technique to benefit employees by contributing to re-establish their mental health. We discuss the implications of the study and outline future research.

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“…Weitere RCTs werden derzeit zu Frage der Wiedereingliederung bei Rente (24) und zur Eignung von IPS zur Beeinflussung von Arbeitsfähigkeit bei Menschen, die sich in einem Arbeitsverhältnis auf dem ersten Arbeitsmarkt befinden (17), durchgeführt.…”

Section: Ergebnisse Randomisierte Kontrollierte Studien In Europaunclassified

“…Dies liegt in der Regel sowohl im Interesse des Betroffenen als auch des Arbeitgebers, der auf diese Art und Weise Produktivitätsausfälle sowie den Verlust von Fähigkeiten im Unternehmen vermeiden kann. Im Rahmen einer randomisierten kontrollierten Studie an der Leuphana Universität Lüneburg untersuchte unsere Arbeitsgruppe die Frage, ob IPS geeignet ist, um Menschen trotz psychischer Belastung bei der Aufrechterhaltung ihres Arbeitsplatzes zu unterstützen und wie sich dies auf Faktoren wie Absenzen und gesundheitsbezogene Parameter auswirkt (17). Theeboom hatte bereits zeigen können, dass Job-Coaching auch im Organisationskontext sinnvoll einsetzbar ist (22).…”

Section: Job-coaching Zur Aufrechterhaltung Von Arbeitsverhältnissenunclassified

Neue Formen der psychiatrischen Arbeitsrehabilitation

Kawohl¹

2015

Die Psychiatrie

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ZusammenfassungSupported Employment (SE), insbesondere die Methode Individual Placement and Support (IPS), ist ein mittlerweile im Rahmen zahlreicher randomisierter kontrollierter Studien (RCTs) gut belegter Ansatz zur beruflichen Rehabilitation von Menschen mit psychischen Erkrankungen. Prädiktoren für den Coaching-Erfolg sind u.a. Motivation und soziale Vernetzung. Trotz der Überlegenheit bzgl. des Vermittlungserfolges in den ersten Arbeitsmarkt ist die Finanzierung von SE, im Gegensatz zu traditionellen Methoden der Arbeitsrehabilitation wie Werkstätten für Menschen mit Beeinträchtigungen, in Deutschland nicht gesetzlich geregelt. Die Empfehlung in Leitlinien wird vielfach noch zurückhaltend gehandhabt.

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Job Maintenance by Supported Employment: An Overview of the â€œSupported Employment Plusâ€ Trial

Cited by 5 publications

References 26 publications

Effectiveness of a Web-Based Intervention in Reducing Depression and Sickness Absence: Randomized Controlled Trial

Effectiveness of a Web-Based Intervention in Reducing Depression and Sickness Absence: Randomized Controlled Trial

Job Maintenance through Supported Employment PLUS: A Randomized Controlled Trial

Neue Formen der psychiatrischen Arbeitsrehabilitation

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Job Maintenance by Supported Employment: An Overview of the â€œSupported Employment Plusâ€ Trial

Cited by 5 publications

References 26 publications

Effectiveness of a Web-Based Intervention in Reducing Depression and Sickness Absence: Randomized Controlled Trial

Effectiveness of a Web-Based Intervention in Reducing Depression and Sickness Absence: Randomized Controlled Trial

Job Maintenance through Supported Employment PLUS: A Randomized Controlled Trial

Neue Formen der psychiatrischen Arbeitsrehabilitation

Contact Info

Product

Resources

About

Job Maintenance by Supported Employment: An Overview of the â€œSupported Employment Plusâ€ Trial