Medical Certificates for Sick Leave and Drug Prescriptions
Conditions
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.
Interventions
BEHAVIORALEducation with Acceptance and Commitment Therapy
Group education with Acceptance and Commitment Therapy of the personnel at each center.
Control, no interventions.
Sponsors
County Councils of Region Östergötland, Kalmar and Jönköping
University Hospital, Linkoeping
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
Prospective non-randomized trial with one interventional group and a parallel group without intervention
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Extent of medical certificates of sick leave by the doctors | 24 months in total | Data on entire extent of medical certificates, i.e. how many sick days that were certified by all doctors at the primary health care centers, for all patients treated, during the time period. |
| Prescription of drugs by the doctors | 24 months in total | Data on all prescription of all different drugs, during the time period, made by all the doctors at the primary Health care centers that participate, to all patients that were treated. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of how the education with ACT affect the personnel according to SF36 | 12 months | Questionnaire SF36 is filled out by the personnel at baseline and after 12 months |
| Assessment of how the education with ACT affect the personnel according to KEDS | 12 months | Questionnaire Karolinska Exhaustion Disorder Scale (KEDS) is filled out by the personnel at baseline and after 12 months |
| Assessment of how the education with ACT affect the personnel according to WAI | 12 months | Questionnaire Work ability Index (WAI) is filled out by the personnel at baseline and after 12 months |
Countries
Sweden
Outcome results
None listed