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 |
|---|---|
| County Councils of Region Östergötland, Kalmar and Jönköping | UNKNOWN |
Not provided
Not provided
Not provided
Not provided
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?
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.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ACT in County Council of Kalmar | Experimental | Group education with ACT in six primary health care centers in County Council of Kalmar |
|
| Control health care centers of County Council of Jönköping | Placebo Comparator | Five primary health care centers of County Council of Jönköping that do not get education. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Education with Acceptance and Commitment Therapy | Behavioral | Group education with Acceptance and Commitment Therapy of the personnel at each center. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Extent of medical certificates of sick leave by the doctors | 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. | 24 months in total |
| Prescription of drugs by the doctors | 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. | 24 months in total |
| Measure | Description | Time Frame |
|---|---|---|
| Assessment of how the education with ACT affect the personnel according to SF36 | Questionnaire SF36 is filled out by the personnel at baseline and after 12 months | 12 months |
| Assessment of how the education with ACT affect the personnel according to KEDS |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Fredrik H Nyström, MD, prof. | Region Östergötland, Sweden | Principal Investigator |
| Fredrik Nyström, MD | Linkoeping University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Medicine and Health Sciences | Linköping | Sverige | 60580 | Sweden | ||
| University Hospital of Linkoping |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34496751 | Derived | Kadowaki A, Alvunger AK, Larsen HI, Persdotter A, Zak MS, Johansson P, Nystrom FH. Education of the primary health care staff based on acceptance and commitment therapy is associated with reduced sick leave in a prospective controlled trial. BMC Fam Pract. 2021 Sep 8;22(1):179. doi: 10.1186/s12875-021-01526-5. |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D004522 | Educational Status |
| ID | Term |
|---|---|
| D012959 | Socioeconomic Factors |
| D011154 | Population Characteristics |
Not provided
Not provided
Prospective non-randomized trial with one interventional group and a parallel group without intervention
Not provided
Not provided
Not provided
Not provided
| Control, no intervention | Other | Control, no interventions. |
|
Questionnaire Karolinska Exhaustion Disorder Scale (KEDS) is filled out by the personnel at baseline and after 12 months |
| 12 months |
| Assessment of how the education with ACT affect the personnel according to WAI | Questionnaire Work ability Index (WAI) is filled out by the personnel at baseline and after 12 months | 12 months |
| Linköping |
| 58185 |
| Sweden |