Solution-focused intervention for sick listed employees with psychological problems or muscle skeletal pain: a randomised controlled trial [ISRCTN39140363]

Nystuen, Pål; Hagen, Kåre Birger

doi:10.1186/1471-2458-6-69

Cited by 36 publications

(31 citation statements)

References 20 publications

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“…1.0; 3.6, P = 0.06/likelihood return to work (OR) at 12 months: 2.5; 1.2; 5.1, P < 0.01Bakker et al [29]Specific: only employees with specific diagnosis (emotional and stress related complaints)Communications by general practitioner to promote functional recovery (e.g. in informing and advising the employee)/control group: care as usualSick leave duration (calendar days) from the first day of sick leave until full RTWNo effect on sickness absence duration/hazard ratio: 1.06 (95% CI 0.87–1.29)Drews et al [32]Generic: all employees on sickness absence irrespective of their specific medical diagnosisSocial medicine examination and counselling/control group: care as usualDuration of sick leave period from first day until at least 315 days/regular employment 1 year after interventionNo effect on sickness absence duration/no effect on likelihood of regular employment at follow up/odds ratio intervention group: 0.76 (95% CI 0.45–1.28)Hagen et al [30]Specific: only employees with specific diagnosis (low back pain)Physical exercise program, besides control treatment/control group: control treatmentLength of sick leaveNo (additional) effect on sick leaveNystuen and Hagen [31]Specific: only employees with specific diagnosis (musculoskeletal complaints)Solution-focused intervention/control group: care as usualSick leave: mean length after 12 months/work status (at work or not) 6 months after interventionNo effect on sick leave/no effect on work statusBraathen et al [25]Generic: all employees on sickness absence irrespective of their specific medical diagnosisMultidisciplinary rehabilitation programme/control group: treatment of persons’ own choiceReturn to work: percentage of population who resumed workNo effect on return to workMarhold et al [23]Specific: only employees with specific diagnosis (musculoskeletal complaints)Pain coping skills training, focus on: how to return to work and apply coping skills to occupational risk factors/control group: care as usualSick leave (days) over periods of 2 months (2 months before treatment and 6 months follow up)Patients short-term sick leave (2–6 months): shorter sick leave**/patients long-term sick leave (>12 months): no effect on sick leaveGrossi and Santell [22]Specific: only employees with specific diagnosis (females on sick leave due to work-related psychological complaints)Copin...…”

Section: Resultsmentioning

confidence: 99%

Intervention Characteristics that Facilitate Return to Work After Sickness Absence: A Systematic Literature Review

2012

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Introduction In many Western countries, a vast amount of interventions exist that aim to facilitate return to work (RTW) after sickness absence. These interventions are usually focused on specific target populations such as employees with low back pain, stress-related complaints or adjustment disorders. The aim of the present study is to detect and identify characteristics of RTW interventions that generally facilitate return to work (i.e. in multiple target populations and across interventions). This type of knowledge is highly relevant to policy makers and health practitioners who want to deliver evidence based care that supports the employee’s health and participation in labour. Methods We performed a keyword search (systematic literature review) in seven databases (period: 1994–2010). In total, 23 articles were included and assessed for their methodological quality. The characteristics of the interventions were evaluated as well. Results Early interventions, initiated in the first 6 weeks of the RTW process were scarce. These were effective to support RTW though. Multidisciplinary interventions appeared effective to support RTW in multiple target groups (e.g. back pain and adjustment disorders). Time contingent interventions in which activities followed a pre-defined schedule were effective in all physical complaints studied in this review. Activating interventions such as gradual RTW were effective in physical complaints. They have not been studied for people with psychological complaints. Conclusions Early- and multidisciplinary intervention and time-contingent-, activating interventions appear most effective to support RTW.

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Section: Resultsmentioning

confidence: 99%

Intervention Characteristics that Facilitate Return to Work After Sickness Absence: A Systematic Literature Review

2012

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“…These may result in productivity loss [1]. The prevalence of absenteeism due to mental health problems is reported to be between 10 and 18%, which causes extensive societal and financial costs [2-7]. Up to ninety percent of absenteeism is caused by minor, stress-related, mental health problems [3,4,6].…”

Section: Introductionmentioning

confidence: 99%

Design of a randomized controlled trial on the effects of Counseling of mental health problems by Occupational Physicians on return to work: the CO-OP-study

et al. 2007

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Background: Mental health problems often lead to prolonged sick leave. In primary care, the usual approach towards these patients was the advice to take rest and not return to work before all complaints had disappeared. When complaints persist, these patients are often referred to psychologists from primary and specialized secondary care. As an alternative, ways have been sought to activate the Dutch occupational physician (OP) in primary care. Early 2000, the Dutch Association of Occupational Physicians (NVAB) published a guideline concerning the management by OPs of employees with mental health problems. The guideline received positive reactions from employees, employers and Dutch OPs. This manuscript describes the design of a study, which aims to assess the effects of the guideline, compared with usual care.

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“…In this minimal role, the OP often refers the worker to a psychologist Rebergen et al if complaints persist (6). This may lead to a "referral delay", which is often associated with a delayed return to work (7)(8)(9). Consequently, workers may not get the optimal care they need.…”

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confidence: 99%

Return to work and occupational physicians’ management of common mental health problems – process evaluation of a randomized controlled trial

Rebergen¹,

Bruinvels²,

Bos³

et al. 2010

Scand J Work Environ Health

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Solution-focused intervention for sick listed employees with psychological problems or muscle skeletal pain: a randomised controlled trial [ISRCTN39140363]

Abstract: Background: Long-term sick leave has been of concern to politicians and decision-makers in Norway for several years. In the current study we assess the efficacy of a solution-focused followup for sick-listed employees.

Cited by 36 publications

References 20 publications

Intervention Characteristics that Facilitate Return to Work After Sickness Absence: A Systematic Literature Review

Intervention Characteristics that Facilitate Return to Work After Sickness Absence: A Systematic Literature Review

Design of a randomized controlled trial on the effects of Counseling of mental health problems by Occupational Physicians on return to work: the CO-OP-study

Return to work and occupational physicians’ management of common mental health problems – process evaluation of a randomized controlled trial

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