Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| Aarhus University Hospital | OTHER |
| VIVE - The Danish Center for Social Science Research | OTHER |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
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.
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.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Self-management program (SMP) | Experimental | Participants in the experimental group receive six weekly group-sessions of self-management and patient education; specifically targeting self-management of the return to work process and disease symptoms. |
|
| Treatment as usual | No Intervention | Participants in the control-group receive standard rehabilitation care and follow-up in the job-center. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Self-management program (SMP) | Behavioral | A self-management course |
|
| Measure | Description | Time Frame |
|---|---|---|
| Return to work, duration | DREAM-registry (supported by the Danish Ministry of Employment) combined with income/employment information from e-income (supported by the Danish Tax Authorities). | Weekly from baseline till 1 year follow-up |
| Well-being and Quality of life | WHO-5 Well-being and WHO Quality of Life/Satisfaction items (Bech, 2012) | up to 5 month follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Common mental disorders | The CMDQ questionnaire i based on SCL-90 (Symptom Checklist) and measures somatization, health-anxiety, depression, anxiety and alcohol consumption (Christensen et al., 2005) | Baseline, post-intervention and 4,5 month follow-up |
| Disease self-efficacy scale |
| Measure | Description | Time Frame |
|---|---|---|
| Health-care utilization | Items that measure utilization of health-care consultation (Lorig et al., 1996) | Baseline, post-intervention and 4,5 month follow-up |
| Medicine consumption | Generic items that measure consumption of medicines such as anti-depressants and anxiety medicine, use of pain killers and sleep pills |
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Martin H Olesen, PhD | Aarhus University and Aarhus University Hospital | Study Director |
| Jan Høgelund, PhD | VIVE - The Danish Center for Social Science Research | Study Chair |
| Mimi Y Mehlsen, PhD | University of Aarhus | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Danish Comitee for Health Education | Copenhagen | 2100 | Denmark |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Bech, P. Clinical Psychometrics. Oxford: Wiley-Blackwell, 2012. | ||
| 15814580 | Background | Christensen KS, Fink P, Toft T, Frostholm L, Ornbol E, Olesen F. A brief case-finding questionnaire for common mental disorders: the CMDQ. Fam Pract. 2005 Aug;22(4):448-57. doi: 10.1093/fampra/cmi025. Epub 2005 Apr 6. | |
| 9817118 |
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D000073278 | Self-Management |
| ID | Term |
|---|---|
| D012046 | Rehabilitation |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The University of Washington Self-efficacy scale, 6 item version (Amtmann et al., 2012) |
| Baseline, post-intervention and 4,5 month follow-up |
| Self-regulation (return to work) | 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) | Baseline, post-intervention and 4,5 month follow-up |
| Self-management scale | A measure of six cognitive strategies which are taught at the course (Lorig et al., 1996) | Baseline, post-intervention and 4,5 month follow-up |
| Illness Perception questionnaire | A measure of 8 items measuring the threat of illness or disease (B-IPQ; Broadbent, Petrie, Main & Weinman, 2006) | Baseline, post-intervention and 4,5 month follow-up |
| Baseline, post-intervention and 4,5 month follow-up |
| Adherence to treatment | Adherence to disease specific treatment (inspired by the MMAS-4; Morisky & DiMatteo, 2011) | Baseline, post-intervention and 4,5 month follow-up |
| Common symptoms | Pain, breath, being tired, sleep quality; measured by VAS scales (Lorig et al., 1996) | Baseline, post-intervention and 4.5 month follow-up |
| Decisional Balance (return to work) | Generic items that measures how the advantages and disadvantages of returning to work are balanced (Franche & Krause, 2002) | Baseline, post-intervention and 4,5 month follow-up |
| Return to work expectations | Generic items that measure expectations about returning to work (Niewenhuiksen, Noordik, van Dijk & van der Klink. 2013; Schultz et al., 20014) | Baseline, post-intervention and 4,5 month follow-up |
| Background |
| Bjorner JB, Damsgaard MT, Watt T, Groenvold M. Tests of data quality, scaling assumptions, and reliability of the Danish SF-36. J Clin Epidemiol. 1998 Nov;51(11):1001-11. doi: 10.1016/s0895-4356(98)00092-4. |
| 22575393 | Background | Amtmann D, Bamer AM, Cook KF, Askew RL, Noonan VK, Brockway JA. University of Washington self-efficacy scale: a new self-efficacy scale for people with disabilities. Arch Phys Med Rehabil. 2012 Oct;93(10):1757-65. doi: 10.1016/j.apmr.2012.05.001. Epub 2012 May 7. |
| 12389476 | Background | Franche RL, Krause N. Readiness for return to work following injury or illness: conceptualizing the interpersonal impact of health care, workplace, and insurance factors. J Occup Rehabil. 2002 Dec;12(4):233-56. doi: 10.1023/a:1020270407044. |
| 23124685 | Background | Nieuwenhuijsen K, Noordik E, van Dijk FJ, van der Klink JJ. Return to work perceptions and actual return to work in workers with common mental disorders. J Occup Rehabil. 2013 Jun;23(2):290-9. doi: 10.1007/s10926-012-9389-6. |
| 14715392 | Background | Schultz IZ, Crook J, Meloche GR, Berkowitz J, Milner R, Zuberbier OA, Meloche W. Psychosocial factors predictive of occupational low back disability: towards development of a return-to-work model. Pain. 2004 Jan;107(1-2):77-85. doi: 10.1016/j.pain.2003.09.019. |
| 17138613 | Background | Levesque CS, Williams GC, Elliot D, Pickering MA, Bodenhamer B, Finley PJ. Validating the theoretical structure of the Treatment Self-Regulation Questionnaire (TSRQ) across three different health behaviors. Health Educ Res. 2007 Oct;22(5):691-702. doi: 10.1093/her/cyl148. Epub 2006 Nov 30. |
| Background | Lorig, K., Stwart, A., Ritter, P., Gonzales, V., Laurent, D., & Lynch, J. Outcome measures for health education and other health care interventions. Thousand Oaks, CA: Sage Publications. 1996. |
| 2748771 | Background | Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989 May;28(2):193-213. doi: 10.1016/0165-1781(89)90047-4. |
| 15574526 | Background | Marks R, Allegrante JP, Lorig K. A review and synthesis of research evidence for self-efficacy-enhancing interventions for reducing chronic disability: implications for health education practice (part I). Health Promot Pract. 2005 Jan;6(1):37-43. doi: 10.1177/1524839904266790. |
| 15855284 | Background | Marks R, Allegrante JP, Lorig K. A review and synthesis of research evidence for self-efficacy-enhancing interventions for reducing chronic disability: implications for health education practice (part II). Health Promot Pract. 2005 Apr;6(2):148-56. doi: 10.1177/1524839904266792. |
| 23838837 | Background | Lorig K, Laurent DD, Plant K, Krishnan E, Ritter PL. The components of action planning and their associations with behavior and health outcomes. Chronic Illn. 2014 Mar;10(1):50-9. doi: 10.1177/1742395313495572. Epub 2013 Jul 9. |
| 16731240 | Background | Broadbent E, Petrie KJ, Main J, Weinman J. The brief illness perception questionnaire. J Psychosom Res. 2006 Jun;60(6):631-7. doi: 10.1016/j.jpsychores.2005.10.020. |
| 21144706 | Background | Morisky DE, DiMatteo MR. Improving the measurement of self-reported medication nonadherence: response to authors. J Clin Epidemiol. 2011 Mar;64(3):255-7; discussion 258-63. doi: 10.1016/j.jclinepi.2010.09.002. Epub 2010 Dec 8. No abstract available. |