A Participatory Return-to-Work Intervention for Temporary Agency Workers and Unemployed Workers Sick-Listed Due to Musculoskeletal Disorders: Results of a Randomized Controlled Trial
Open accessAbstract
INTRODUCTION: Within the labour force workers without an employment contract represent a vulnerable group. In most cases, when sick-listed, these workers have no workplace/employer to return to. Therefore, the aim of this study was to evaluate the effectiveness on return-to-work of a participatory return-to-work program compared to usual care for unemployed workers and temporary agency workers, sick-listed due to musculoskeletal disorders. METHODS: The workers, sick-listed for 2-8 weeks due to musculoskeletal disorders, were randomly allocated to the participatory return-to-work program (n = 79) or to usual care (n = 84). The new program is a stepwise procedure aimed at making a consensus-based return-to-work plan, with the possibility of a temporary (therapeutic) workplace. Outcomes were measured at baseline, 3, 6, 9 and 12 months. The primary outcome measure was time to sustainable first return-to-work. Secondary outcome measures were duration of sickness benefit, functional status, pain intensity, and perceived health. RESULTS: The median duration until sustainable first return-to-work was 161 days in the intervention group, compared to 299 days in the usual care group. The new return-to-work program resulted in a non-significant delay in RTW during the first 90 days, followed by a significant advantage in RTW rate after 90 days (hazard ratio of 2.24 [95% confidence interval 1.28-3.94] P = 0.005). No significant differences were found for the measured secondary outcomes. CONCLUSIONS: The newly developed participatory return-to-work program seems to be a promising intervention to facilitate work resumption and reduce work disability among temporary agency workers and unemployed workers, sick-listed due to musculoskeletal disorders.
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- Authors
- Vermeulen, S. J., Anema, J. R., Schellart, A. J. M., Knol, D. L., van Mechelen, W., & van der Beek, A. J.
- Affiliations
- University Medical Center Groningen (NL)
- Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
- Corresponding author
- Anema, Johannes R.
- ORCID
- Anema, Johannes R.
- Venue
- Journal of Occupational Rehabilitation
- Published
- 2011-02-19
- Volume
- 21
- Issue
- 3
- Pages
- 313-324
- ISSN
- 1053-0487 (ISSN-L)
- 1573-3688
- PMC
- PMC3173632
- OpenAlex
- W2121271519
- Cited by
- 78
- References
- 42
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 5 · 2023: 2 · 2022: 4 · 2021: 3 · 2020: 6 · 2019: 3 · 2018: 12 · 2017: 5 · 2016: 6 · 2015: 7 · 2014: 7 · 2013: 2 · 2012: 5
- FWCI
- 12.53
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- Journal of Occupational Rehabilitation (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (publishedVersion, other-oa)
- Pure Amsterdam UMC (publishedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion, other-oa)
- VU Research Portal (publishedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam) (submittedVersion)
- Funders
- National Center for Advancing Translational Sciences (L30 TR001047)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Keywords
- return to work, temporary agency workers, unemployed workers, sick-listed workers, musculoskeletal disorders, participatory intervention, return-to-work planning, work disability, functional status, pain intensity
- MeSH terms
- Adult, Employment, Female, Humans, Male, Middle Aged, Musculoskeletal Diseases, Netherlands, Occupational Health Services, Patient Participation, Referral and Consultation, Time Factors, Work Capacity Evaluation, Program Evaluation, Proportional Hazards Models, Treatment Outcome, Sick Leave, Kaplan-Meier Estimate
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