A brief work-oriented intervention targeting musculoskeletal and mental health disorders: Exploring work disability outcomes in a prospective study.

Background: Work disability due to musculoskeletal and mental health disorders constitutes one of the greatest social and labor market challenges. There is a need to investigate the long-term impact of interventions provided to employees. Objective: To investigate if a brief work-oriented interventi...

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Publicado en:Work Vol. 82; no. 4; pp. 1099 - 1110
Autores principales: Johnsen, Tone Langjordet, Tveito, Torill Helene, Øyeflaten, Irene, Lie, Stein Atle
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. Dec2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2025
      vid: 82
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.1177/10519815251353214
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        atl: A brief work-oriented intervention targeting musculoskeletal and mental health disorders: Exploring work disability outcomes in a prospective study.
      aug:
        au:
          Johnsen, Tone Langjordet
          Tveito, Torill Helene
          Øyeflaten, Irene
          Lie, Stein Atle
        affil: Division of Physical Medicine and Rehabilitation, Vestfold Hospital Trust, Tønsberg, Norway
      sug:
        subj:
          Musculoskeletal Diseases Therapy
          Mental Disorders Therapy
          Disability Evaluation
          Persons with Disabilities Psychosocial Factors
          Work Environment
          Occupational Health
          Human
          Funding Source
          Norway
          Male
          Female
          Prospective Studies
          Ambulatory Care Facilities
          Data Collection
          Adult
          Middle Age
          Comparative Studies
          Multidisciplinary Care Team
          Secondary Health Care
          Employment
          Confidence Intervals
          Descriptive Statistics
          Cox Proportional Hazards Model
          Data Analysis Software
          Sex Factors
          Occupational Health Services
          Comorbidity
          Workforce
          Treatment Outcomes
          Pensions
          Work
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background: Work disability due to musculoskeletal and mental health disorders constitutes one of the greatest social and labor market challenges. There is a need to investigate the long-term impact of interventions provided to employees. Objective: To investigate if a brief work-oriented intervention targeting musculoskeletal and mental health disorders affected the risk of work disability. Methods: A prospective study using national register data was designed. The intervention group consisted of all patients (n = 6348) who in the years 2008–2017 participated in a brief intervention at an outpatient clinic in the secondary health care service. The comparison group (n = 25,354) consisted of employees sick-listed for musculoskeletal or mental health disorders in the same years as the intervention group. Cox proportional hazard regression was used to model the effect of the intervention on the risk of future disability pension. Overall and subgroup analyses for gender and diagnoses were conducted for various categories of full-time equivalent number of days lost to work. Results: Generally, there was a pattern of increased risk of disability among patients in the intervention group if they participated in the intervention in an early phase of sick leave. This pattern was found in the overall analysis, for males, females, and patients with musculoskeletal disorders. Except for patients with only musculoskeletal disorders, there was a pattern of reduced risk of disability with sick leave of between three and six months. Conclusions: Overall, the intervention did not reduce the risk of disability. However, the results do indicate that intervention timing may be of significance.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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