Workers on Sick-leave, Insured by The Danish Welfare State
Conditions
Keywords
Sick-leave, Return to work, Self-management, Self-efficacy, Quality of Life and Well-being, Motivation
Brief summary
The purpose of the current study is to determine the efficacy of a self-management course for workers on sick-leave as an add-on to standard rehabilitation care and follow-up (treatment as usual). Outcomes are registry based measures of return to work, and questionnaire based measures of well-being and quality of life. We thus, hypothesize that the program will improve workers return to work rates and self-reported/psychological well-being.
Detailed description
The intervention course is a Danish adaptation of The Chronic Disease Self-Management Program (CDSMP), tailored towards workers on sick-leave. The original program has been developed by The Stanford Patient Education Research Center. The translation and adaptation has been conducted by The Danish Committee for Health Education. Previous studies have examined the program with respect to specific chronic diseases (e.g., Arthritis), quality of life, well-being and health-care utilization, though non-otherwise specified workers on sick-leave and return work have not been examined before. The framework of CDSMP is social-cognitive learning theory in which self-efficacy plays a central role.
Interventions
BEHAVIORALSelf-management program (SMP)
A self-management course
Sponsors
Aarhus University Hospital
VIVE - The Danish Center for Social Science Research
University of Aarhus
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Insured persons who receive sick-leave compensation from the Danish State * Persons who are listed as sick from a job * Persons who have been categorized as 2 - risk or 3 - chronic case by the job-center * The health problem reflects a chronic or a long-term condition * The person acknowledges a chronic or long-term condition * The person wants to work with his or her condition * The person wants to return to work * The person volunteers to participate
Exclusion criteria
* Persons who are listed sick for more than 16 weeks * Persons who are categorized as 1 - easy by the job-center * The person does not understand or speak danish * History or signs of aggressive behavior and violence
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Return to work, duration | Weekly from baseline till 1 year follow-up | DREAM-registry (supported by the Danish Ministry of Employment) combined with income/employment information from e-income (supported by the Danish Tax Authorities). |
| Well-being and Quality of life | up to 5 month follow-up | WHO-5 Well-being and WHO Quality of Life/Satisfaction items (Bech, 2012) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Common mental disorders | Baseline, post-intervention and 4,5 month follow-up | The CMDQ questionnaire i based on SCL-90 (Symptom Checklist) and measures somatization, health-anxiety, depression, anxiety and alcohol consumption (Christensen et al., 2005) |
| Disease self-efficacy scale | Baseline, post-intervention and 4,5 month follow-up | The University of Washington Self-efficacy scale, 6 item version (Amtmann et al., 2012) |
| Self-regulation (return to work) | Baseline, post-intervention and 4,5 month follow-up | Return to work self-regulation questionnaire, measuring internalization of reasons for trying to return to work; adapted from the Treatment Self-regulation Questionnaire (Levesque et al., 2007) |
| Self-management scale | Baseline, post-intervention and 4,5 month follow-up | A measure of six cognitive strategies which are taught at the course (Lorig et al., 1996) |
| Illness Perception questionnaire | Baseline, post-intervention and 4,5 month follow-up | A measure of 8 items measuring the threat of illness or disease (B-IPQ; Broadbent, Petrie, Main & Weinman, 2006) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Adherence to treatment | Baseline, post-intervention and 4,5 month follow-up | Adherence to disease specific treatment (inspired by the MMAS-4; Morisky & DiMatteo, 2011) |
| Medicine consumption | Baseline, post-intervention and 4,5 month follow-up | Generic items that measure consumption of medicines such as anti-depressants and anxiety medicine, use of pain killers and sleep pills |
| Common symptoms | Baseline, post-intervention and 4.5 month follow-up | Pain, breath, being tired, sleep quality; measured by VAS scales (Lorig et al., 1996) |
| Decisional Balance (return to work) | Baseline, post-intervention and 4,5 month follow-up | Generic items that measures how the advantages and disadvantages of returning to work are balanced (Franche & Krause, 2002) |
| Return to work expectations | Baseline, post-intervention and 4,5 month follow-up | Generic items that measure expectations about returning to work (Niewenhuiksen, Noordik, van Dijk & van der Klink. 2013; Schultz et al., 20014) |
| Health-care utilization | Baseline, post-intervention and 4,5 month follow-up | Items that measure utilization of health-care consultation (Lorig et al., 1996) |
Countries
Denmark
Outcome results
None listed