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Cited by 26Medical Practices and RehabilitationWorkplace Health and Well-beingOccupational Therapy Practice and Research

Randomized Controlled Trial of Adding Telephone Follow-Up to an Occupational Rehabilitation Program to Increase Work Participation

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Hara, Karen Walseth, Bjørngaard, Johan Håkon, Brage, Søren, Borchgrevink, Petter Christian, Halsteinli, Vidar, Stiles, Tore Charles, Johnsen, Roar, Woodhouse, Astrid·2018·Journal of Occupational Rehabilitation
DOI 10.1007/s10926-017-9711-4PMC PMC5978834
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Abstract

Purpose Transfer from on-site rehabilitation to the participant's daily environment is considered a weak link in the rehabilitation chain. The main objective of this study is to see if adding boosted telephone follow-up directly after completing an occupational rehabilitation program effects work participation. Methods A randomized controlled study included participants with chronic pain, chronic fatigue or common mental disorders on long-term sick leave. After completing 3½ weeks of acceptance and commitment therapy based occupational rehabilitation, participants were randomized to boosted follow-up or a control group before returning to their daily environment. The intervention was delivered over 6 months by on-site RTW coordinators mainly via telephone. Primary outcome was RTW categorized as participation in competitive work ≥1 day per week on average over 8 weeks. Results There were 213 participants of mean age 42 years old. Main diagnoses of sick leave certification were mental disorders (38%) and musculoskeletal disorders (30%). One year after discharge the intervention group had 87% increased odds (OR 1.87, 95% confidence interval 1.06-3.31, p = 0.031), of (re)entry to competitive work ≥1 day per week compared with the controls, with similar positive results for sensitivity analysis of participation half time (≥2.5 days per week). The cost of boosted follow-up was 390.5 EUR per participant. Conclusion Participants receiving boosted RTW follow-up had higher (re)entry to competitive work ≥1 day per week at 1 year when compared to the control group. Adding low-cost boosted follow-up by telephone after completing an occupational rehabilitation program augmented the effect on return-to-work.

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  • In a recent Norwegian study, a small-scale ACT follow-up intervention consisting of 1-6 phone calls eased patients' transition into the workplace.

    “Moreover, in a recent Norwegian study, a small-scale ACT follow-up intervention consisting of 1–6 phone calls, eased patients transition into the workplace [51].”

    From Pre- and post-operative psychological interventions to prevent pain and fatigue after breast cancer surgery (PREVENT): Protocol for a randomized controlled trial (2022) · cites this paper as [51]

    The Methods (Intervention; page unavailable) describe ACT-based follow-up delivered primarily by telephone to support return to work, and the Discussion reports stronger work participation after one year. However, the Results (Secondary Outcome; page unavailable) report an average of 5.77 contacts per participant, with a range of 0–15—not 1–6 phone calls. Contacts could also take forms other than telephone calls. (LLM, conf=0.88)

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1 of the 62 references couldn’t be matched to a known paper.

Research works printed but not linked: 2

  1. [19]Hayes SC Strosahl KD Wilson KG Acceptance and commitment therapy: the process and practice of mindful change 2011 New York Guilford Press 364 365
  2. [35]Morin CM Belleville G Bélanger L Ivers H The insomnia severity index: psychometric indicators to detect insomnia cases and evaluate treatment response Sleep 2011 34 5 601 608 10.1093/sleep/34.5.601 21532953 PMC3079939 · DOI · Paper page

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Authors
Hara, K. W., Bjørngaard, J. H., Brage, S., Borchgrevink, P. C., Halsteinli, V., Stiles, T. C., Johnsen, R., & Woodhouse, A.
Affiliations
  • Norwegian University of Science and Technology (NO)
  • Norwegian Labour and Welfare Administration (NO)
Corresponding author
Hara, Karen Walseth
ORCID
Venue
Journal of Occupational Rehabilitation
Publisher
Springer Science and Business Media LLC
Published
2017-06-09
Volume
28
Issue
2
Pages
265-278
ISSN
  • 1053-0487 (ISSN-L)
  • 1573-3688
DOI
10.1007/s10926-017-9711-4
PMC
PMC5978834
OpenAlex
W2621433844
Cited by
26
References
62
Citations by year
2025: 2 · 2024: 3 · 2023: 2 · 2022: 5 · 2021: 8 · 2020: 2 · 2019: 3 · 2018: 1
FWCI
4.06
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Occupational Rehabilitation (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
The Norwegian Government, funding allocated through the Central Norway Regional Health Authority
Topics
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
  • Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
  • Health Sciences › Health Professions › Occupational Therapy › Occupational Therapy Practice and Research
Keywords
return to work, telephone follow-up, vocational rehabilitation, acceptance and commitment therapy, work participation, chronic pain, chronic fatigue, common mental disorders, long-term sick leave, return-to-work coordinators, musculoskeletal disorders
MeSH terms
Adult, Mental Disorders, Fatigue, Female, Humans, Male, Musculoskeletal Diseases, Rehabilitation, Vocational, Telephone, Time Factors, Work Capacity Evaluation, Reminder Systems, Chronic Pain, Return to Work, Acceptance and Commitment Therapy

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