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| Name | Class |
|---|---|
| St. Olavs Hospital | OTHER |
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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. Aim of this study is to investigate whether a group based rehabilitation program for musculoskeletal, mental or unspecific complaints can facilitate return-to-work (RTW), thereby testing two multicomponent return-to-work RTW rehabilitation programs.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| long rehabilitation | Experimental | a 3.5-week, in-patient rehabilitation program, organized as a 7-hour workday with weekends off, simulating a close to normal summer work-week in Norway, and mainly group-based with maximum 8 participants per group. Focus on mental training (aimed at increasing motivation and self-efficacy), physical training and work-related problem solving. |
|
| short rehabilitation | Experimental | 4+4 full days of rehabilitation at Hysnes Rehabilitation Center, separated by 2 weeks living at home. Group-based with 8 participants per group, focus on mental training (aimed at increasing motivation and self-efficacy), physical training and work-related problem solving. A workplace visit will be included in addition to the 4 + 4 rehabilitation days, if considered relevant. |
|
| Acceptance and commitment therapy | Active Comparator | 6 dynamic processes (committed action, self-as-context, presence in the moment, values, defusion and acceptance) are targeted both in group-sessions and individual meetings. Only the psychological part of the experimental interventions is applied, in an outpatient setting. |
|
| Untouched | No Intervention | this group will be followed in registers at group level and not be aware of their participation in the study |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| long rehabilitation program | Behavioral |
| ||
| short rehabilitation program |
| Measure | Description | Time Frame |
|---|---|---|
| time until full sustainable return-to-work (RTW) | return-to-work i.e. for at least 4 weeks without relapse | 1 year |
| Total number of sickness absence days | after enrollment in the study (i.e. after pre-screening) | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Sickness absence days | 3 years | |
| sickness absence days | 5 years | |
| Health related quality of life |
| Measure | Description | Time Frame |
|---|---|---|
| Health economics from the societal perspective | Cost-effectiveness, cost-utility and cost-benefit methods. | 1 year |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Roar Johnsen, phd prof | Norwegian University of Science and Technology | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hysnes Rehabilitation Centre | Rissa | Norway | ||||
| St. Olavs University Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24735616 | Background | Fimland MS, Vasseljen O, Gismervik S, Rise MB, Halsteinli V, Jacobsen HB, Borchgrevink PC, Tenggren H, Johnsen R. Occupational rehabilitation programs for musculoskeletal pain and common mental health disorders: study protocol of a randomized controlled trial. BMC Public Health. 2014 Apr 16;14:368. doi: 10.1186/1471-2458-14-368. | |
| 28401441 |
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| ID | Term |
|---|---|
| D064869 | Acceptance and Commitment Therapy |
| ID | Term |
|---|---|
| D015928 | Cognitive Behavioral Therapy |
| D001521 | Behavior Therapy |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
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| Behavioral |
|
| Acceptance and commitment therapy (ACT) | Behavioral |
|
| 1 year |
| Subjective health complaints | Pain, depression, anxiety, and other subjective complaints | 1 year |
| Physical activity | 1 year |
| physical, social and emotional functional status | 1 year |
| Psychological and social factors at work | 1 year |
| readiness for return to work | 1 year |
| fear avoidance beliefs | 1 year |
| psychological flexibility and acceptance | 1 year |
| share of workers at work | 1 year |
| Trondheim |
| Norway |
| Aasdahl L, Pape K, Vasseljen O, Johnsen R, Gismervik S, Halsteinli V, Fleten N, Nielsen CV, Fimland MS. Effect of Inpatient Multicomponent Occupational Rehabilitation Versus Less Comprehensive Outpatient Rehabilitation on Sickness Absence in Persons with Musculoskeletal- or Mental Health Disorders: A Randomized Clinical Trial. J Occup Rehabil. 2018 Mar;28(1):170-179. doi: 10.1007/s10926-017-9708-z. |
| 29507732 | Result | Nordstoga AL, Mork PJ, Steiro Fimland M. Improved cardiorespiratory fitness after occupational rehabilitation in merged diagnostic groups. Ann Occup Environ Med. 2018 Feb 28;30:16. doi: 10.1186/s40557-018-0227-y. eCollection 2018. |
| 30151631 | Result | Aasdahl L, Pape K, Vasseljen O, Johnsen R, Fimland MS. Improved Expectations About Length of Sick Leave During Occupational Rehabilitation Is Associated with Increased Work Participation. J Occup Rehabil. 2019 Sep;29(3):475-482. doi: 10.1007/s10926-018-9808-4. |
| 27815771 | Result | Aasdahl L, Pape K, Vasseljen O, Johnsen R, Gismervik S, Jensen C, Fimland MS. Effects of Inpatient Multicomponent Occupational Rehabilitation versus Less Comprehensive Outpatient Rehabilitation on Somatic and Mental Health: Secondary Outcomes of a Randomized Clinical Trial. J Occup Rehabil. 2017 Sep;27(3):456-466. doi: 10.1007/s10926-016-9679-5. |
| 31609021 | Result | Skagseth M, Fimland MS, Ivar Lund Nilsen T, Aasdahl L. Physical activity after inpatient occupational rehabilitation: Secondary outcomes of two randomized controlled trials. Scand J Med Sci Sports. 2020 Feb;30(2):339-348. doi: 10.1111/sms.13577. Epub 2019 Oct 30. |