Is a Problem-Solving Intervention with Workplace Involvement for Employees on Sickness Absence Due to Common Mental Disorders More Effective, than Care as Usual, in Reducing Sickness Absence Days? Results of a Cluster-Randomised Controlled Trial in Primary Health Care
Purpose: The aim was to evaluate the effectiveness of a problem-solving intervention with workplace involvement (PSI-WPI) added to care as usual (CAU) in reducing sickness absence days among employees with common mental disorders compared to CAU alone in Swedish primary health care on a monthly basi...
| Publicado en: | Journal of Occupational Rehabilitation Vol. 35; no. 3; pp. 615 - 625 |
|---|---|
| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Springer Nature
Sep2025
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187381854&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187381854 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10530487 JOR jtl: Journal of Occupational Rehabilitation issn: 10530487 maglogo: N pubinfo: dt: Sep2025 vid: 35 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 187381854 178874544 187381854 187381854 10.1007/s10926-024-10229-4 187381854 ppf: 615 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Is a Problem-Solving Intervention with Workplace Involvement for Employees on Sickness Absence Due to Common Mental Disorders More Effective, than Care as Usual, in Reducing Sickness Absence Days? Results of a Cluster-Randomised Controlled Trial in Primary Health Care aug: au: Karlsson, Ida Frantz, Anna Axén, Iben Bergström, Gunnar Bültmann, Ute Finnes, Anna Holmgren, Kristina Kwak, Lydia Björk Brämberg, Elisabeth affil: https://ror.org/056d84691 Institute of Environmental Medicine, Unit of Intervention and Implementation Research for Worker Health, Karolinska Institutet, Stockholm, Sweden sug: subj: Employees Psychosocial Factors Mental Disorders Rehabilitation Occupational Diseases Rehabilitation Sick Leave Absenteeism Problem Solving Psychosocial Intervention Work Environment Primary Health Care Treatment Outcomes Human Male Female Adult Middle Age Sweden Randomized Controlled Trials Random Assignment Single-Blind Studies Comparative Studies Descriptive Statistics Rehabilitation Counselors Cluster Analysis Administrative Personnel Employer-Employee Relations Questionnaires Stress, Occupational Evaluation Sleep Quality Evaluation Quality of Working Life Evaluation Anxiety Depression Data Analysis Software Structural Equation Modeling Work Experiences Occupational Therapists Physical Therapists Registered Nurses Health Care Delivery, Integrated Funding Source Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Purpose: The aim was to evaluate the effectiveness of a problem-solving intervention with workplace involvement (PSI-WPI) added to care as usual (CAU) in reducing sickness absence days among employees with common mental disorders compared to CAU alone in Swedish primary health care on a monthly basis over 18-months follow-up. Methods: We conducted a cluster-randomised controlled trial including 197 employees blinded to allocation (85 PSI-WPI and 112 CAU). As sickness absence data was skewed and over-dispersed, generalised estimating equations was used to enable a comparison between the intervention and control group for each month of the follow-up period. Results: The median number of sickness absence days over the 18-month follow-up was 78 days, inter-quartile range (IQR) 18–196 for employees receiving PSI-WPI and 64 days, IQR 18–161 for employees receiving CAU. The time x group generalised estimating equations analysis showed no statistically significant difference in sickness absence days per month. Conclusion: The addition of a PSI-WPI to CAU was not more effective in reducing sickness absence days. This may be explained by the primary health care context, lack of specialisation in occupational health and the Swedish social insurance system with specific time limits. Trial registration. The trial was registered at ClinicalTrials.gov, identifier: NCT03346395 on January 12th, 2018. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|