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| Name | Class |
|---|---|
| Trondheim University Hospital | OTHER |
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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Work place intervention | Experimental | Work place intervention in addition to rehabilitation program. |
|
| Rehabilitation program only | No Intervention | Rehabilitation program without intervention at the work place. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Work place intervention | Behavioral | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of days on sick-leave | Register data from the national health and welfare services | 12 months |
| Time until sustainable return to work | Register data from the national health and welfare services | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Use of health services. Questionnaire. "How much of this health/social service have you used during the last 4 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. |
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Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Marius S Fimland, PhD | Norwegian University of Science and Technology | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nowegian University of Science and Technology, Department of public health | Trondheim | 7491 | Norway |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29402253 | Background | Rise MB, Skagseth M, Klevanger NE, Aasdahl L, Borchgrevink P, Jensen C, Tenggren H, Halsteinli V, Jacobsen TN, Loland SB, Johnsen R, Fimland MS. Design of a study evaluating the effects, health economics, and stakeholder perspectives of a multi-component occupational rehabilitation program with an added workplace intervention - a study protocol. BMC Public Health. 2018 Feb 5;18(1):219. doi: 10.1186/s12889-018-5130-5. | |
| 31834410 |
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| ID | Term |
|---|---|
| D001523 | Mental Disorders |
| D009140 | Musculoskeletal Diseases |
| D015673 | Fatigue Syndrome, Chronic |
| ID | Term |
|---|---|
| D009135 | Muscular Diseases |
| D004679 | Encephalomyelitis |
| D000090862 | Neuroinflammatory Diseases |
| D009422 | Nervous System Diseases |
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| 12 months |
| Pain. Questionnaire | Brief pain inventory (BPI). 160 participants | 12 months |
| Health related quality of life. Questionnaire | The 15D health-related quality of life instrument. 160 participants | 12 months |
| Psychological flexibility and acceptance. Questionnaire | Acceptance and action questionnaire and work acceptance and action questionnaire (AAQ2). 160 participants | 5 months |
| Return to work self efficacy. Questionnaire. | Return to work self-efficacy-19 (RTWSE-19). 160 participants. | 5 months |
| Fear and avoidance beliefs about work. Questionnaire | Fear Avoidance Belief Questionnaire (FABQ). 160 participants | 5 months |
| Expectations about sick leave and return to work. Questionnaire | 160 participants. "How long do you anticipate to be sick-listed (partly/fully)?" 3 questions. | 5 months |
| Work ability. Single question | 160 participants. "How will you rate your work ability?" (scale from 0 (no ability) to 10 (my best ability)). | 5 months |
| Well-being at work. Single question | 160 participants. "How happy are you at work?" (not at all, not so good, good. very good) | 5 months |
| Readiness for return to work. Questionnaire | 160 participants. Readiness for return to work (RRTW) questionnaire. | 5 months |
| Result |
| Skagseth M, Fimland MS, Rise MB, Johnsen R, Borchgrevink PC, Aasdahl L. Effectiveness of adding a workplace intervention to an inpatient multimodal occupational rehabilitation program: A randomized clinical trial. Scand J Work Environ Health. 2020 Jul 1;46(4):356-363. doi: 10.5271/sjweh.3873. Epub 2019 Dec 13. |
| 34278973 | Result | Klevanger NE, Fimland MS, Rise MB. Aligning stakeholders' understandings of the return-to-work process: a qualitative study on workplace meetings in inpatient multimodal occupational rehabilitation. Int J Qual Stud Health Well-being. 2021 Dec;16(1):1946927. doi: 10.1080/17482631.2021.1946927. |
| D009468 | Neuromuscular Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |