There was strong evidence that duration away from work from both MSK or pain-related conditions and MH conditions were significantly reduced by multi-domain interventions encompassing at least two of the three domains .
There was moderate evidence that these multi-domain interventions had a positive impact on cost outcomes .
There was strong evidence that cognitive behavioural therapy interventions that do not also include workplace modifications or service coordination components are not effective in helping workers with MH conditions in RTW .
Evidence for the effectiveness of other single-domain interventions was mixed , with some studies reporting positive effects and others reporting no effects on lost time and work functioning .
Purpose The objective of this systematic review was to synthesize evidence on the effectiveness of workplace-based return-to-work ( RTW ) interventions and work disability management ( DM ) interventions that assist workers with musculoskeletal ( MSK ) and pain-related conditions and mental health ( MH ) conditions with RTW .
The Effectiveness of Standard Care, Early Intervention, and Occupational Management in Workers’ Compensation Claims: Part 2
Study Design . A prospect i ve cohort . Objectives . To compare the effectiveness of st and ard care , early intervention treatment , and occupational management in the management of Workers ’ Compensation injury cl aims . Summary of Background Data . The current management of occupational back pain and work-related upper extremity disorders with either st and ard care or early intervention treatment appears to be ineffective . Methods . A prospect i ve cohort looked at the effect of one company with access to st and ard care ( primary care ) changing to occupational management ( worksite encouragement to resume activity and work as soon as safely possible ) and then to early intervention treatment ( offsite work hardening ) . This information was then compared with the control company with access to early intervention treatment , which later changed to a combined occupational management/early intervention treatment approach .  Survival analysis was used to attempt to explain differences in time to injury cl aim closure . Results . Occupational management result ed in lower injury cl aim incidence , duration , and costs than early intervention treatment . Only the covariate of enhanced physical therapist ( work hardening ) involvement ( 2001 hazard rate ratio 17.41 , 95 % confidence interval 3.72–41.51 and 2002 hazard rate ratio 6.22 , 95 % confidence interval 2.51–15.40 ) was associated with delayed time to injury cl aim closure when the company had access to early intervention treatment . Only the covariate of serious injury was associated with delayed time to injury cl aim closure in the company when it had access to occupational management ( hazard rate ratio 1.67 , 95 % confidence interval 1.05–27.20 ) . Conclusions . It is recommended that an occupational management approach , in comparison to early intervention treatment and st and ard care , be considered for management of occupational injuries
There was strong evidence that duration away from work from both MSK or pain-related conditions and MH conditions were significantly reduced by multi-domain interventions encompassing at least two of the three domains .
There was moderate evidence that these multi-domain interventions had a positive impact on cost outcomes .
There was strong evidence that cognitive behavioural therapy interventions that do not also include workplace modifications or service coordination components are not effective in helping workers with MH conditions in RTW .
Evidence for the effectiveness of other single-domain interventions was mixed , with some studies reporting positive effects and others reporting no effects on lost time and work functioning .
Purpose The objective of this systematic review was to synthesize evidence on the effectiveness of workplace-based return-to-work ( RTW ) interventions and work disability management ( DM ) interventions that assist workers with musculoskeletal ( MSK ) and pain-related conditions and mental health ( MH ) conditions with RTW .