Self-reported sick leave following a brief preventive intervention on work-related stress: a randomised controlled trial in primary health care

Autor: Pernilla J. Bjerkeli, Kristina Holmgren, Anna-Maria Hultén
Jazyk: angličtina
Rok vydání: 2021
Předmět:
General Practice
occupational & industrial medicine
Psychological intervention
Primary health care
law.invention
Occupational Stress
0302 clinical medicine
Occupational Therapy
Randomized controlled trial
law
030212 general & internal medicine
Prospective Studies
job stress
adult
industrial medicine
030503 health policy & services
public health
article
Public Health
Global Health
Social Medicine and Epidemiology
General Medicine
Middle Aged
female
Sick leave
young adult
Medicine
Sick Leave
0305 other medical science
General practice / Family practice
Adult
medicine.medical_specialty
Adolescent
medical leave
03 medical and health sciences
primary care
Young Adult
male
Intervention (counseling)
consultation
medicine
follow up
Humans
controlled study
human
outcome assessment
Sweden
Primary Health Care
business.industry
Public health
major clinical study
Allmänmedicin
Folkhälsovetenskap
global hälsa
socialmedicin och epidemiologi
Crisis Intervention
general practitioner
randomized controlled trial
Preventive intervention
Physical therapy
Arbetsterapi
Self Report
Brief intervention
medical education
business
medical education & training
Zdroj: BMJ Open
BMJ Open, Vol 11, Iss 3 (2021)
ISSN: 2044-6055
Popis: ObjectivesTo evaluate the effectiveness of a brief intervention about early identification of work-related stress combined with feedback at consultation with a general practitioner (GP) on the number of self-reported sick leave days.DesignRandomised controlled trial. Prospective analyses of self-reported sick leave data collected between November 2015 and January 2017.SettingSeven primary healthcare centres in western Sweden.ParticipantsThe study included 271 employed, non-sick-listed patients aged 18–64 years seeking care for mental and/or physical health complaints. Of these, 132 patients were allocated to intervention and 139 patients to control.InterventionsThe intervention group received a brief intervention about work-related stress, including training for GPs, screening of patients’ work-related stress, feedback to patients on screening results and discussion of measures at GP consultation. The control group received treatment as usual.Outcome measuresThe number of self-reported gross sick leave days and the number of self-reported net sick leave days, thereby also considering part-time sick leave.ResultsAt 6 months’ follow-up, 220/271 (81%) participants were assessed, while at 12 months’ follow-up, 241/271 (89%) participants were assessed. At 6-month follow-up, 59/105 (56%) in the intervention group and 61/115 (53%) in the control group reported no sick leave. At 12-month follow-up, the corresponding numbers were 61/119 (51%) and 57/122 (47%), respectively. There were no statistically significant differences between the intervention group and the control group in the median number of self-reported gross sick leave days and the median number of self-reported net sick leave days.ConclusionsThe brief intervention showed no effect on the numbers of self-reported sick leave days for patients seeking care at the primary healthcare centres. Other actions and new types of interventions need to be explored to address patients’ perceiving of ill health due to work-related stress.Trial registration numberNCT02480855.
Databáze: OpenAIRE
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