Is the 'Brainwork Intervention' effective in reducing sick leave for non-permanent workers with psychological problems? Results of a controlled clinical trial
Autor: | Bonne J. H. Zijlstra, Karen Nieuwenhuijsen, Monique H. W. Frings-Dresen, Jan Hoving, Selwin S. Audhoe |
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Přispěvatelé: | Public and occupational health, APH - Quality of Care, APH - Societal Participation & Health, APH - Mental Health, APH - Methodology, Preventive Youth Care (RICDE, FMG), Methods and Statistics (RICDE, FMG) |
Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Employment
medicine.medical_specialty media_common.quotation_subject Psychological intervention Vocational rehabilitation Intervention 03 medical and health sciences Return to Work 0302 clinical medicine Psychological problems Intervention (counseling) Epidemiology Sick leave medicine Humans 030212 general & internal medicine Return-to-work Netherlands media_common business.industry Public health lcsh:Public aspects of medicine Public Health Environmental and Occupational Health Participation lcsh:RA1-1270 030210 environmental & occupational health Clinical trial Unemployment Physical therapy Counselling Biostatistics business Research Article |
Zdroj: | BMC public health, 21(1):698. BioMed Central BMC Public Health, Vol 21, Iss 1, Pp 1-15 (2021) BMC Public Health, 21:698. BioMed Central BMC Public Health |
ISSN: | 1471-2458 |
Popis: | Background Both the presence of psychological problems and the absence of an employment contract are related to long-term sickness absence, prolonged work disability and unemployment. Studies researching the effectiveness of return-to-work interventions on these non-permanent workers, including unemployed and temporary agency workers and workers with an expired fixed-term contract, are lagging behind. Therefore, a return-to-work intervention called “Brainwork” was developed. The aim of this study was to assess the effectiveness of the ‘Brainwork Intervention’ in reducing the duration of sick leave compared to usual care over a 12-month follow-up. Methods In a multicenter controlled clinical trial, using a quasi-randomization procedure, we compared the Brainwork Intervention (n = 164) to usual care (n = 156). The primary outcome was the duration of sick leave. Secondary outcomes were the duration of sick leave starting from Social Security Agency transfer; the proportion of workers returned to work; the number of hours of paid employment during the follow-up period; the degree of worker participation; the level of psychological complaints; and the self-efficacy for return to work. Protocol adherence (Brainwork Intervention) was considered sufficient when at least three of the five protocol steps were followed. Cox regressions, linear and ordinal regression, and Mixed Model analyses were performed. Results All 320 participants were analyzed. The Brainwork Intervention resulted in a non-significant reduction of the duration of sick leave compared to usual care (269 days versus 296 days; HR = 1.29; 95% CI 0.94–1.76; p = 0.11). For those working (46%) during the 12-month follow-up, the mean number of hours of paid employment was non-significantly higher in the usual care group (682 h versus 493 h; p = 0.053). No significant differences were found for other secondary outcomes. Protocol adherence was 10%. Conclusions The Brainwork Intervention as performed with a low protocol adherence did not result in a significant reduction of the duration of sick leave compared to usual care. It remains unclear what the results would have been if the Brainwork Intervention had been executed according to protocol. Trial registration The Netherlands Trial Register (NTR); NTR3976 (old registration number NTR4190). Registered September 27th 2013. |
Databáze: | OpenAIRE |
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