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Cited by 40Occupational Therapy Practice and ResearchWorkplace Health and Well-beingMedical Practices and Rehabilitation

Effectiveness of adjuvant occupational therapy in employees with depression: design of a randomized controlled trial

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Hees, Hiske L, Koeter, Maarten WJ, de Vries, Gabe, Ooteman, Wendy, Schene, Aart H·2010·BMC Public Health
DOI 10.1186/1471-2458-10-558PMC PMC2946299
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Abstract

BACKGROUND: Major depressive disorder is among the medical conditions with the highest negative impact on work outcome. However, little is known regarding evidence-based interventions targeting the improvement of work outcomes in depressed employees. In this paper, the design of a randomized controlled trial is presented in order to evaluate the effectiveness of adjuvant occupational therapy in employees with depression. This occupational intervention is based on an earlier intervention, which was designed and proven effective by our research group, and is the only intervention to date that specifically targets work outcome in depressed employees. METHODS/DESIGN: In a two-arm randomized controlled trial, a total of 117 participants are randomized to either 'care as usual' or ' care as usual' with the addition of occupational therapy. Patients included in the study are employees who are absent from work due to depression for at least 25% of their contract hours, and who have a possibility of returning to their own or a new job. The occupational intervention consists of six individual sessions, eight group sessions and a work-place visit over a 16-week period. By increasing exposure to the working environment, and by stimulating communication between employer and employee, the occupational intervention aims to enhance self-efficacy and the acquisition of more adaptive coping strategies. Assessments take place at baseline, and at 6, 12, and 18-month follow-ups. Primary outcome measure is work participation (hours of absenteeism and time until work resumption). Secondary outcome measures are work functioning, symptomatology, health-related quality of life, and neurocognitive functioning. In addition, cost-effectiveness is evaluated from a societal perspective. Finally, mechanisms of change (intermediate outcomes) and potential patient-treatment matching variables are investigated. DISCUSSION: This study hopes to provide valuable knowledge regarding an intervention to treat depression, one of the most common and debilitating diseases of our time. If our intervention is proven (cost-) effective, the personal, economic, and health benefits for both patients and employers are far-reaching. TRIAL REGISTRATION NUMBER: NTR2057.

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  • Using occupational therapies for employees with depression as an analogous example, such therapies are employed over several months, after which a person can resume work (Hees et al., 2013; Hees et al., 2010).

    “However, using occupational therapies for employees with depression as an analogous example, it is not uncommon that such therapies are employed over the course of several months, after which a person can resume work (Hees et al., 2013; Hees et al., 2010).”

    From The effect of e-mental health interventions on academic performance in university and college students: A meta-analysis of randomized controlled trials (2020) · cites this paper as Hees et al., 2010

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  1. First MB Spitzer RL Gibbon M Williams JBW Structured clinical interview for DSM-IV-TR Axis I disorders, research version, patient edition with psychotic screen (SCID-I/P w/psy screen) 2002 New York: New York State Psychiatric Institute

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Authors
Hees, H. L., Koeter, M. W., de Vries, G., Ooteman, W., & Schene, A. H.
Affiliations
Amsterdam UMC Location University of Amsterdam (NL)
Corresponding author
Hees, Hiske L
ORCID
Schene, Aart H
Venue
BMC Public Health
Publisher
Springer Science and Business Media LLC
Published
2010-09-17
Volume
10
Issue
1
Pages
558-558
ISSN
1471-2458 (ISSN-L)
DOI
10.1186/1471-2458-10-558
PMC
PMC2946299
OpenAlex
W2149011114
Cited by
40
References
62
Citations by year
2024: 2 · 2021: 1 · 2020: 8 · 2019: 3 · 2018: 2 · 2017: 2 · 2016: 4 · 2015: 4 · 2014: 3 · 2013: 4 · 2012: 7
FWCI
11.67
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Public Health (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • UvA-DARE (University of Amsterdam) (publishedVersion, other-oa)
  • Pure Amsterdam UMC (publishedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
Funders
Fonds Psychische Gezondheid
Topics
  • Health Sciences › Health Professions › Occupational Therapy › Occupational Therapy Practice and Research
  • Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
Keywords
occupational therapy, depression, workers, absenteeism, return to work, work participation, work functioning, employer-employee communication, self-efficacy, coping strategies, health-related quality of life, neurocognitive function, cost-effectiveness, mechanisms of change, patient-treatment matching
MeSH terms
Adolescent, Adult, Aged, Cost-Benefit Analysis, Major Depressive Disorder, Female, Health Status, Humans, Male, Middle Aged, Netherlands, Occupational Therapy, Quality of Life, Surveys and Questionnaires, Research Design, Program Evaluation, Patient Selection, Self Efficacy, Young Adult

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