Musculoskeletal disorders (MSD) and/or common mental health problems, co-morbidity Mental and Behavioural Disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. MSDs or common mental health problems such as stress, anxiety and depression, or a combination of these. The participants may have other health complaints in addition (e.g. diabetes, coronary diseases, mild/moderate COPD) 2. In need of a service beyond what the locale health service can provide 3. Age between 18 - 55 years 4. At least 6 weeks sick-leave during the last 12 months related to actual health complaints 5. Fluent in Norwegian and able to fill out a questionnaire
Exclusion criteria
Exclusion criteria: 1. Severe psychological disorders (e.g. schizophrenia and other psychotic disorder, bipolar disorder, personality disorders) 2. A progressive disorder that most likely involves a rapid reduction in work ability 3. Conditions where there is a medical contraindication for physical activity 4. Pregnancy 5. Substance addiction 6. Applying for disability pension 7. Never been working, or never been in employment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Stable return to work; defined as 4 weeks without relapse, register data 2. Trajectories in and out of work (full/partial work participation, sickness benefits, work assessment allowances or disability pension), register data The participants are followed with register data until 5 years after inclusion in the project. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Cost-effectiveness/utility/benefit, SF-6D and register data 2. Quality of life; health, SF-36 3. Work ability, work ability index (WAI) 4. Readiness for return to work Readiness for return-to-work (RRTW) 5. Return to work self-efficacy, Return-to-work self-efficacy scale (RTWSE-19) 6. Return to work fear avoidance, Fear-Avoidance Belief Questionnaire Survey data collected at baseline, 4 weeks, 3, 6, 12 and 24 months. The participants are followed with register data until 5 years after inclusion in the project. Added 07/03/2019: Non-randomised groups: Survey data are collected at baseline, end of program and at 6 and 12 months. Only SF-6D and WAI are used at 6 and 12 months. 7. The themes from 1.2 to 1.6 are also covered in interviews with participants. They are also interviewed regarding their expectations and evaluation of the rehabilitation program they have participated in; collaboration between key stakeholders in their RTW process; and their experiences of barriers and facilitators in their RTW process. The participants are interviewed at baseline, end of the intervention, and about 6 and 12 months after inclusion in the project. | — |
Countries
Norway