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 .
Vocational training integrated into inpatient psychosomatic rehabilitation – short and long-term results from a controlled study
Purpose . The aim of this study was to determine the impact of a vocational training programme on short- and long-term results after psychosomatic rehabilitation . Method . 1,590 in patients were screened for vocational integration . A high-risk group of 266 patients was r and omly assigned to the vocational training programme plus psychosomatic treatment ; treatment- as- usual served as a control condition . An occupational training was conducted at local companies , closely integrated into psychosomatic treatment . Vocational attitudes and adjustment were studied at intake , discharge , three , 12 and 24 month follow-ups . Results . More than half of the study participants were unemployment and /or long-term work-disabled  harbouring strong  negative attitudes toward return to work  . Forty-six percent of the intervention group declined from participation , but complied with follow-up investigation . At discharge , participants of the vocational training programme had become more optimistic regarding resuming work . One year following discharge , participants of the training programme reported less absence from work . After 24 months , vocational adjustment had improved considerably among programme participants , and declined among controls and refusers . Conclusion . An intensive vocational training programme is effective in promoting positive attitudes to work , reducing work disability and promoting return-to-work . However , a r and omized design may be not optimal ; evaluation necessitates long-term follow-up
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 .