Effects of Acceptance and Commitment Therapy in Primary Health Care

Medical Certificates for Sick Leave and Drug Prescriptions Clinical Trial

— ACTPrimary  

Official title:

How Does Education of Health Personnel With Acceptance and Commitment Therapy Affect the Extent of Medical Certificates of Sick Leave and Drug Prescriptions?

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03737019
• Other study ID #: 2018/323-32
• Status: Completed
• Phase: N/A
• Start date: October 31, 2018
• Est. completion date: August 30, 2021

Study information

• Verified date: October 2021
• Source: University Hospital, Linkoeping
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

How does education of health personnel with Acceptance and Commitment Therapy affect the extent of medical certificates of sick leave and drug prescriptions in primary health care centers in Kalmar compared with similar centers in Jönköping in which the personnel do not get such therapy?

Description:

Five primary health care centers in the County Council of Jönköping who do not get education according to Acceptance and Commitment Therapy (ACT) serve as controls. Six primary health care centers in County Council of Kalmar, with the same total number of listed patients (about 45 000 in total per County Council) in their areas undergo group education according to ACT. Data on medical certificates of sick leave and drug prescriptions are taken from registries (this is routine in primary health care in Sweden) at baseline and after 6, 12 and 24 months in both regions. The personnel at both centers also fill out questionnaires about their own quality of life at baseline and after 12 months. The investigators also plan to interview about 20 subjects on these matters.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 700
• Est. completion date: August 30, 2021
• Est. primary completion date: October 5, 2020
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• over 18 years of age
• working at the health care center

Exclusion Criteria:

• age less than 18 years
• do not work at the Health care center

Related Conditions & MeSH terms

• Medical Certificates for Sick Leave and Drug Prescriptions

Intervention

Behavioral:
• Education with Acceptance and Commitment Therapy
Group education with Acceptance and Commitment Therapy of the personnel at each center.

Other:
• Control, no intervention
Control, no interventions.

Locations

Country	Name	City	State
Sweden	University Hospital of Linkoping	Linkoping
Sweden	Faculty of Medicine and Health Sciences	Linköping	Sverige

Sponsors (2)

Lead Sponsor	Collaborator
University Hospital, Linkoeping	County Councils of Region Östergötland, Kalmar and Jönköping

Country where clinical trial is conducted

Sweden, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Extent of medical certificates of sick leave by the doctors	Data on entire extent of medical certificates, i.e. how many sick days that were certified by all doctors at the primary health care centers, for all patients treated, during the time period.	24 months in total
Primary	Prescription of drugs by the doctors	Data on all prescription of all different drugs, during the time period, made by all the doctors at the primary Health care centers that participate, to all patients that were treated.	24 months in total
Secondary	Assessment of how the education with ACT affect the personnel according to SF36	Questionnaire SF36 is filled out by the personnel at baseline and after 12 months	12 months
Secondary	Assessment of how the education with ACT affect the personnel according to KEDS	Questionnaire Karolinska Exhaustion Disorder Scale (KEDS) is filled out by the personnel at baseline and after 12 months	12 months
Secondary	Assessment of how the education with ACT affect the personnel according to WAI	Questionnaire Work ability Index (WAI) is filled out by the personnel at baseline and after 12 months	12 months