Effects of Workplace Intervention in Occupational Rehabilitation on Return to Work

Study Overview
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Brief Summary
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Aim is to study the effect of a work place intervention during a multicomponent return-to-work rehabilitation program on return-to-work. The intervention is compared with inpatient rehabilitation only, and participants will be recruited from the diagnostic groups dominating the sick-leave statistics, namely musculoskeletal disorders, common mental disorders (e.g. stress, depression and anxiety), and unspecific disorders including chronic fatigue.

Detailed Description
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Long-term sick-listing from work has considerable impact on social function, on the families of the sick-listed persons, the companies they work for, and society as a whole. Hence, the need for documented effective vocational rehabilitation programs is pressing. Vocational rehabilitation services described in the scientific literature have been specific to one single or a specific group of medical conditions (e.g.low back pain). In contrast, most people on sick leave have several health complaints, and many of the factors influencing sick leave are shared regardless of disorder (e.g. social surroundings, workplace environment), calling for rehabilitation programs that can be employed for both musculoskeletal, unspecific and common mental disorders. Research indicates that interventions on the work place might facilitate return to work. The aim of this study is therefore to investigate the effect of a work place intervention during a multicomponent return-to-work rehabilitation program on return-to-work.

Official Title
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Effects of Workplace Intervention in Inpatient Occupational Rehabilitation on Return to Work for Persons With Somatic and/or Common Mental Health Problems. A Randomised Controlled Trial

Conditions
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Mental Disorders, Musculoskeletal Diseases, Fatigue Syndrome, Chronic

Intervention / Treatment
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* Behavioral: Work place intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Resident of Central Norway Sick-listed due to common mental disorders, musculoskeletal pain/problems, unspecific disorders and/or fatigue Sick-listed more than 50 % Sick-listed longer than 8 weeks Has employer and is willing to participate in a work place intervention during the rehabilitation program Exclusion Criteria: is self-employed has, or is currently examined for, a serious somatic or psychiatric disorder suffers from substance abuse has trouble with participating in a group is in a rehabilitation process that will interfere with the occupational rehabilitation program function level is to weak to participate in the rehabilitation program

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Work place intervention<br>Work place intervention in addition to rehabilitation program. | Behavioral: Work place intervention<br>* Meeting at the work place including the patient, the employer and the rehabilitation therapist. Aim of meeting is to discuss challenges and possibilities in the patient's return to work process and to make a plan for return to work.<br>|
| No Intervention: Rehabilitation program only<br>Rehabilitation program without intervention at the work place. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of days on sick-leave | Register data from the national health and welfare services | 12 months | 
| Time until sustainable return to work | Register data from the national health and welfare services | 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Use of health services. Questionnaire. How much of this health/social service have you used during the last 4 months? | 160 participants. How much of this health/social service have you used during the last 4 months? Somatic and mental health specialized care (in-patient and outpatient), general practitioner, psychologist, group therapy, physiotherapist, chiropractor, occupational rehabilitation, welfare services, complementary practitioner, emergency unit, ambulatory services, occupational health services, other treatment. | 12 months | 
| Pain. Questionnaire | Brief pain inventory (BPI). 160 participants | 12 months | 
| Health related quality of life. Questionnaire | The 15D health-related quality of life instrument. 160 participants | 12 months | 
| Psychological flexibility and acceptance. Questionnaire | Acceptance and action questionnaire and work acceptance and action questionnaire (AAQ2). 160 participants | 5 months | 
| Return to work self efficacy. Questionnaire. | Return to work self-efficacy-19 (RTWSE-19). 160 participants. | 5 months | 
| Fear and avoidance beliefs about work. Questionnaire | Fear Avoidance Belief Questionnaire (FABQ). 160 participants | 5 months | 
| Expectations about sick leave and return to work. Questionnaire | 160 participants. How long do you anticipate to be sick-listed (partly/fully)? 3 questions. | 5 months | 
| Work ability. Single question | 160 participants. How will you rate your work ability? (scale from 0 (no ability) to 10 (my best ability)). | 5 months | 
| Well-being at work. Single question | 160 participants. How happy are you at work? (not at all, not so good, good. very good) | 5 months | 
| Readiness for return to work. Questionnaire | 160 participants. Readiness for return to work (RRTW) questionnaire. | 5 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Rehabilitation, Return to Work