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| Name | Class |
|---|---|
| Centre intégré de santé et de services sociaux (CISSS) de la Gaspésie | UNKNOWN |
| Centre intégré de santé et de services sociaux (CISSS) de Laval | UNKNOWN |
| Centre hospitalier de l'Université de Montréal (CHUM) |
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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Return to work coordinator + PRATICAdr 2.0 | Experimental | The primary objective of the Return to work coordinator (RTW-C) is to coordinate, plan, and promote sustainable RTW for employees on sick leave.The RTW-C is responsible for assessing employee functioning while exploring barriers to RTW and available resources to develop a RTW plan. Also, RTW-C enhance communication and collaboration among stakeholders involved in the RTW process. In this arm, the RTW-C uses PRATICAdr 2.0, a web application including key features (e.g., Facilitation of collaboration among multiple RTW stakeholders across healthcare, enterprise, and insurance sectors; Integration of each stakeholder's action into the sick leave employee's RTW process; sequential process aligned with the three phases of the RTW, inclusion of tools). |
|
| Return to work coordinator only | Sham Comparator | The primary objective of the Return to work coordinator (RTW-C) is to coordinate, plan, and promote sustainable RTW for employees on sick leave.The RTW-C is responsible for assessing employee functioning while exploring barriers to RTW and available resources to develop a RTW plan. Also, RTW-C enhance communication and collaboration among stakeholders involved in the RTW process. In this arm, the RTW-C does not use PRATICAdr 2.0. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Return to work coordinator + PRATICAdr 2.0 | Behavioral | The Return to work coordinator (RTW-C) uses PRATICAdr. 2.0 (web application). |
|
| Measure | Description | Time Frame |
|---|---|---|
| Sick leave duration | The number of days during the sick leave | through study completion, an average of 2 years |
| Relapses | Number of relapses after returning to work | through study completion, an average of 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Depressive symptoms | Patient Health Questionnaire for depression (PHQ-9; Kroenke et al., 2001) | through study completion, an average of 2 years |
| Anxiety symptoms | Generalized Anxiety Disorder Scale (GAD-7; Spitzer et al., 2006) |
| Measure | Description | Time Frame |
|---|---|---|
| Social functioning | WHODAS | through study completion, an average of 2 years |
| Working alliance | Working Alliance Inventory (Horvath & Greenberg, 1989; Corbière et al., 2006) |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Université du Québec à Montréal (UQAM), Department of Education and Pedagogy, Career Counselling | Montreal | Quebec | H3C 3P8 | Canada |
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| ID | Term |
|---|---|
| D012008 | Recurrence |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Centre intégré universitaire de santé et de services sociaux du Centre Ouest de Montréal | UNKNOWN |
Two groups:
Experimental: Return to work coordinator + PRATICAdr 2.0 Control group: Return to work coordinator only
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| Return to work coordinator only | Behavioral | The Return to work coordinator (RTW-C) intervenes on employees on sick leave as usual |
|
| through study completion, an average of 2 years |
| Return to Work Obstacles and Self-Efficacy | Return to Work Obstacles and Self-Efficacy Scale (ROSES ; Corbière et al., 2017 ) | through study completion, an average of 2 years |
| through study completion, an average of 2 years |
| Work accommodations | Work Accommodation and Natural Support Scale (WANSS; Corbière et al., 2014) | through study completion, an average of 2 years |
| Work recognition | Recognition by stakeholders of returning to work following a common mental disorder (RECONNECT, Corbière, Larivière, Charette-Dussault, 2021) | through study completion, an average of 2 years |