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Cited by 16Workplace Health and Well-beingMedical Practices and RehabilitationMusculoskeletal pain and rehabilitation

The DOI matches its Crossref record; 39 of the 39 references it cites were found in a registry or an index.

Effects of a randomized controlled intervention trial on return to work and health care utilization after long-term sickness absence

Open access
Momsen, Anne-Mette H., Stapelfeldt, Christina Malmose, Nielsen, Claus Vinther, Nielsen, Maj Britt D., Aust, Birgit, Rugulies, Reiner, Jensen, Chris·2016·BMC Public Health
DOI 10.1186/s12889-016-3812-4PMC PMC5103458
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Abstract

BACKGROUND: The aim of the RCT study was to investigate if the effect of a multidisciplinary intervention on return to work (RTW) and health care utilization differed by participants' self-reported health status at baseline, defined by a) level of somatic symptoms, b) health anxiety and c) self-reported general health. METHODS: A total of 443 individuals were randomized to the intervention (n = 301) or the control group (n = 142) and responded to a questionnaire measuring health status at baseline. Participants were followed in registries measuring RTW and health care utilization. Relative risk (RR) and odds ratio (OR) were used as measures of associations. Results were adjusted for gender, age, educational level, work ability and previous sick leave. RESULTS: Among all responders we found no effect of the intervention on RTW. Among participants with low health anxiety, the one-year probability of RTW was lower in the intervention than in the control group (RR = 0.79 95 % CI 0.68-0.93), but for those with high health anxiety there was no difference between the groups (RR = 1.15 95 % CI 0.84-1.57). Neither general health nor somatic symptoms modified the effect of the intervention on RTW. The intervention had no effect on health care utilization. CONCLUSIONS: The multidisciplinary intervention did not facilitate RTW or decrease health care utilization compared to ordinary case management in subgroups with multiple somatic symptoms, health anxiety or low self-rated health. However, the intervention resulted in a reduced chance of RTW among participants with low health anxiety levels. TRIAL REGISTRATION: ISRCTN43004323 , and ISRCTN51445682.

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  1. Aronsson G, Lundberg U. Interventions for return to work after sickness absence - a systematic review of meta-analyses of musculoskeletal and mental disorders. [Interventioner för återgång i arbete vid sjukskrivning. En systematisk kunskapsöversikt av metaanalyser med inriktning på muskuloskeletala och psykiska besvär]. Work and Health [Arbete och Hälsa]. University of Gothenburg. 2015;49(2). (ISBN: 978-91-85971-54-1; URI: http://hdl.handle.net/2077/39858 ).
  2. Christensen KS, Bech P, Fink P. Measuring Mental Health by Questionnaires in Primary Care -Unidimensionality, Responsiveness and Compliance. European psychiatrc review. 2010;8:12.

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Metadata

Authors
Momsen, A.-M. H., Stapelfeldt, C. M., Nielsen, C. V., Nielsen, M. B. D., Aust, B., Rugulies, R., & Jensen, C.
Affiliations
  • Marselisborgcentret (DK)
  • Central Denmark Region (DK)
  • Aarhus University (DK)
  • National Research Centre for the Working Environment (DK)
  • University of Copenhagen (DK)
  • Norwegian University of Science and Technology (NO)
Corresponding author
Momsen, Anne-Mette H.
ORCID
Venue
BMC Public Health
Publisher
Springer Science and Business Media LLC
Published
2016-11-09
Volume
16
Issue
1
Pages
1149-1149
ISSN
1471-2458 (ISSN-L)
DOI
10.1186/s12889-016-3812-4
PMC
PMC5103458
OpenAlex
W2554243705
Cited by
16
References
39
Citations by year
2024: 2 · 2023: 3 · 2022: 4 · 2021: 2 · 2020: 2 · 2018: 3
FWCI
1.86
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • BMC Public Health (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Research at the University of Copenhagen (University of Copenhagen) (publishedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
  • Scopus (Elsevier) (submittedVersion, other-oa)
Funders
The Danish foundation TrygFonden (j.nr. FL-54)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Workplace Health and Well-being
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Keywords
return to work, health care utilization, long-term sickness absence, multidisciplinary intervention, health anxiety, somatic symptoms, self-rated health, case management
MeSH terms
Adult, Anxiety, Behavior Therapy, Denmark, Female, Humans, Male, Middle Aged, Occupational Diseases, Patient Acceptance of Health Care, Surveys and Questionnaires, Registries, Risk, Work Capacity Evaluation, Odds Ratio, Treatment Outcome, Sick Leave, Diagnostic Self Evaluation, Return to Work

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