Effects of a stress management intervention on absenteeism and return to work – results from a randomized wait-list controlled trial
Open accessAbstract
OBJECTIVE: High levels of work-related stress are associated with increased absenteeism from work and reduced work ability. In this study, we investigated the effects of a stress management intervention on absenteeism and return to work. METHODS: We randomized 102 participants into either the intervention or wait-list control (WLC) group. The intervention group received the intervention in weeks 1-16 from baseline, and the WLC group received the intervention in weeks 17-32. Self-reported data on absenteeism (number of days full- or part-time absent from work within the previous three months) were obtained at 16, 32, and 48 weeks follow-up. Register-based data on long-term absence from work were drawn from the Danish public transfer payments (DREAM) database from baseline and 48 weeks onwards. The DREAM database contains weekly information on long-term sickness absence compensation. The threshold to enter DREAM is sick leave for two consecutive weeks. RESULTS: At follow-up in week 16, self-reported absenteeism in the intervention group [median 11 days (range 3-25)] was lower (P=0.02) than in the WLC group [median 45 days (range 19-60)], corresponding to a 29% [95% confidence interval (95% CI) 5-52] reduction. On register-based data (cumulated weeks in DREAM, weeks 1-16), the intervention group median [6 weeks (range 0-11)] was lower than that of the WLC group [median 12 weeks (range 8-16)], though not significantly (P=0.06), corresponding to a 21% (95% CI 0-42) reduction. For return to work, a hazard ratio of 1.58 (95% CI 0.89-2.81) favoring the intervention group was found (P=0.12). CONCLUSIONS: The intervention reduces self-reported absenteeism from work. A similar trend was found from register-based records. No conclusive evidence was found for return to work.
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Several studies on face-to-face or Web-based worker-directed interventions for non-sick-listed employees have shown positive effects of the interventions on symptom reduction.
“All these studies showed positive effects of the interventions on symptom reduction.”
From Long-Term Results of a Web-Based Guided Self-Help Intervention for Employees With Depressive Symptoms: Randomized Controlled Trial (2014) · cites this paper as [36]
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Development process of Evidence-based "Return-to-work Guidance in Occupational Health 2017"
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Effect of Cognitive Behavioural Stress Management on Return-to-Work Amongst Sick-Listed Employees
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“Willert et al. observed a mean reduction of three sick leave weeks during the first 16 weeks [20].”
InfluentialSelf-citationEffectiveness of work ability interventions on productivity: a systematic review
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A pilot study of the Hopetimize program for pediatric oncology healthcare professionals
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“35-40 While the pre-dominance of women in the current study aligns with the work of previous investigators, the generalizability of our findings is limited by gender.”
- Authors
- Willert, M. V., Thulstrup, A. M., & Bonde, J. P.
- Affiliations
- Aarhus University Hospital (DK)
- Frederiksberg Hospital (DK)
- Venue
- Scandinavian Journal of Work, Environment & Health
- Published
- 2010-11-08
- Volume
- 37
- Issue
- 3
- Pages
- 186-195
- ISSN
- 0355-3140 (ISSN-L)
- 1795-990X
- OpenAlex
- W2117863160
- Cited by
- 66
- References
- 33
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 3 · 2023: 7 · 2022: 2 · 2021: 1 · 2020: 3 · 2019: 2 · 2018: 9 · 2017: 6 · 2016: 5 · 2015: 3 · 2014: 6 · 2013: 8 · 2012: 3
- FWCI
- 6.84
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by
- Locations
- Scandinavian Journal of Work Environment & Health (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
- Funders
- Aarhus Universitet
- Aarhus Universitetshospital
- Topics
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Keywords
- stress management interventions, occupational stress, absenteeism, sick leave, return to work, work ability
- MeSH terms
- Absenteeism, Adult, Denmark, Employment, Female, Humans, Interview, Psychological, Male, Middle Aged, Stress, Psychological, Waiting Lists, Work, Cognitive Behavioral Therapy, Databases, Factual, Sick Leave, Young Adult
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