Clinical trial NCT03737019: Effects of Acceptance and Commitment Therapy in Primary Health Care
Official title: How Does Education of Health Personnel With Acceptance and Commitment Therapy Affect the Extent of Medical Certificates of Sick Leave and Drug Prescriptions?
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Medical Certificates for Sick Leave and Drug Prescriptions
Lead sponsor: University Hospital, Linkoeping
Sponsor class: OTHER
Collaborators: name: County Councils of Region Östergötland, Kalmar and Jönköping
First posted: 2018-11-09
Enrollment: 700
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Prospective non-randomized trial with one interventional group and a parallel group without intervention
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: How does education of health personnel with Acceptance and Commitment Therapy affect the extent of medical certificates of sick leave and drug prescriptions in primary health care centers in Kalmar compared with similar centers in Jönköping in which the personnel do not get such therapy?

Detailed description: Five primary health care centers in the County Council of Jönköping who do not get education according to Acceptance and Commitment Therapy (ACT) serve as controls. Six primary health care centers in County Council of Kalmar, with the same total number of listed patients (about 45 000 in total per County Council) in their areas undergo group education according to ACT. Data on medical certificates of sick leave and drug prescriptions are taken from registries (this is routine in primary health care in Sweden) at baseline and after 6, 12 and 24 months in both regions. The personnel at both centers also fill out questionnaires about their own quality of life at baseline and after 12 months. The investigators also plan to interview about 20 subjects on these matters.

Eligibility criteria: Inclusion Criteria:

* over 18 years of age
* working at the health care center

Exclusion Criteria:

* age less than 18 years
* do not work at the Health care center

Primary outcomes:
measure: Extent of medical certificates of sick leave by the doctors
timeFrame: 24 months in total
measure: Prescription of drugs by the doctors
timeFrame: 24 months in total
Secondary outcomes:
measure: Assessment of how the education with ACT affect the personnel according to SF36
timeFrame: 12 months
measure: Assessment of how the education with ACT affect the personnel according to KEDS
timeFrame: 12 months
measure: Assessment of how the education with ACT affect the personnel according to WAI
timeFrame: 12 months
Other outcomes:
Locations:
city: Linköping
country: Sweden
facility: Faculty of Medicine and Health Sciences
state: Sverige
city: Linkoping
country: Sweden
facility: University Hospital of Linkoping
Study officials:
affiliation: Region Östergötland, Sweden
name: Fredrik H Nyström, MD, prof.
role: PRINCIPAL_INVESTIGATOR
affiliation: Linkoeping University
name: Fredrik Nyström, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Kadowaki A, Alvunger AK, Larsen HI, Persdotter A, Zak MS, Johansson P, Nystrom FH. Education of the primary health care staff based on acceptance and commitment therapy is associated with reduced sick leave in a prospective controlled trial. BMC Fam Pract. 2021 Sep 8;22(1):179. doi: 10.1186/s12875-021-01526-5.