Common Mental Disorder
Conditions
Keywords
Return to work, Sick leave duration, Relapses, Clinical symptoms
Brief summary
This study aims to assess the effectiveness of PRATICAdr 2.0, a web application facilitated by a Return-to-Work Coordinator (RTW-C), with a focus on reducing sick leave duration and preventing relapse in individuals with CMDs. PRATICAdr 2.0 designed to enhance collaboration among Return-to-Work (RTW) stakeholders and provide systematic support throughout the RTW process, is evaluated in a randomized control trial (RCT). As part of the RCT, a total of 80 sick leave employees from 4 large public health organizations (n=80, 40 from the experimental group and 40 from the control group) will be recruited. The control group receives usual services offered by a RTW-C to sick leave employees, while the experimental group receives RTW-C services plus the use of PRATICAdr 2.0.
Detailed description
Common mental disorders (CMDs) are highly prevalent in workplace settings, and have become a significant public health challenge. This study aims to assess the effectiveness of PRATICAdr 2.0, a web application facilitated by a Return-to-Work Coordinator (RTW-C), with a focus on reducing sick leave duration and preventing relapse in individuals with CMDs. PRATICAdr 2.0 designed to enhance collaboration among Return-to-Work (RTW) stakeholders and provide systematic support throughout the RTW process, is evaluated in a randomized control trial (RCT). As part of the RCT, a total of 80 sick leave employees from 4 large public health organizations (n=80, 40 from the experimental group and 40 from the control group) will be recruited. The control group receives usual services offered by a RTW-C to sick leave employees, while the experimental group receives RTW-C services plus the use of PRATICAdr 2.0. Participants will be randomly assigned to either the PRATICAdr 2.0 experimental group or the control group using computerized stratified randomization based on age, site, and sex (sealed envelope method). Participants will complete a series of online questionnaires at several following time points. Survival analyses were used to compare sick leave durations and relapses between the experimental group (PRATICAdr with RTW-C), and control groups (RTW-C only). Mixed linear models were used to observe changes in clinical symptoms over time, especially for the experimental group.
Interventions
BEHAVIORALReturn to work coordinator + PRATICAdr 2.0
The Return to work coordinator (RTW-C) uses PRATICAdr. 2.0 (web application).
BEHAVIORALReturn to work coordinator only
The Return to work coordinator (RTW-C) intervenes on employees on sick leave as usual
Sponsors
Université du Québec a Montréal
Centre intégré de santé et de services sociaux (CISSS) de la Gaspésie
Centre intégré de santé et de services sociaux (CISSS) de Laval
Centre hospitalier de l'Université de Montréal (CHUM)
Centre intégré universitaire de santé et de services sociaux du Centre Ouest de Montréal
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Investigator, Outcomes Assessor)
Intervention model description
Two groups: Experimental: Return to work coordinator + PRATICAdr 2.0 Control group: Return to work coordinator only
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Sick leave due to Common mental disorder (i.e. depression, anxiety, adjustment disorder, burnout) * Sick leave duration (from 1 to 3 months) * Member of participating unions in the large health organization
Exclusion criteria
* Inability to communicate in French * Have a known organic disorder * Have a professional dirsorder (CNESST) * Have experienced previous sick leaves due to Common mental disorder
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sick leave duration | through study completion, an average of 2 years | The number of days during the sick leave |
| Relapses | through study completion, an average of 2 years | Number of relapses after returning to work |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Depressive symptoms | through study completion, an average of 2 years | Patient Health Questionnaire for depression (PHQ-9; Kroenke et al., 2001) |
| Anxiety symptoms | through study completion, an average of 2 years | Generalized Anxiety Disorder Scale (GAD-7; Spitzer et al., 2006) |
| Return to Work Obstacles and Self-Efficacy | through study completion, an average of 2 years | Return to Work Obstacles and Self-Efficacy Scale (ROSES ; Corbière et al., 2017 ) |
Countries
Canada
Outcome results
None listed