Fatigue Syndrome, Chronic, Mental Disorders, Musculoskeletal Diseases
Conditions
Keywords
Rehabilitation, Return to Work
Brief summary
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
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.
Interventions
BEHAVIORALWork place intervention
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.
Sponsors
Trondheim University Hospital
Norwegian University of Science and Technology
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of days on sick-leave | 12 months | Register data from the national health and welfare services |
| Time until sustainable return to work | 12 months | Register data from the national health and welfare services |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Health related quality of life. Questionnaire | 12 months | The 15D health-related quality of life instrument. 160 participants |
| Psychological flexibility and acceptance. Questionnaire | 5 months | Acceptance and action questionnaire and work acceptance and action questionnaire (AAQ2). 160 participants |
| Return to work self efficacy. Questionnaire. | 5 months | Return to work self-efficacy-19 (RTWSE-19). 160 participants. |
| Fear and avoidance beliefs about work. Questionnaire | 5 months | Fear Avoidance Belief Questionnaire (FABQ). 160 participants |
| Use of health services. Questionnaire. How much of this health/social service have you used during the last 4 months? | 12 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. |
| Work ability. Single question | 5 months | 160 participants. How will you rate your work ability? (scale from 0 (no ability) to 10 (my best ability)). |
| Well-being at work. Single question | 5 months | 160 participants. How happy are you at work? (not at all, not so good, good. very good) |
| Readiness for return to work. Questionnaire | 5 months | 160 participants. Readiness for return to work (RRTW) questionnaire. |
| Expectations about sick leave and return to work. Questionnaire | 5 months | 160 participants. How long do you anticipate to be sick-listed (partly/fully)? 3 questions. |
| Pain. Questionnaire | 12 months | Brief pain inventory (BPI). 160 participants |
Countries
Norway
Outcome results
None listed