At Work and Coping - Effect Study of Workcoping for Patients With Anxiety and Depression

Depression Clinical Trial

— AWaC  

Official title:

At Work and Coping - Effect Evaluation of Center for Workcoping for Patients With Anxiety and Depression

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01146730
• Other study ID #: Workcoping2010
• Status: Completed
• Phase: N/A
• Start date: June 2010
• Est. completion date: May 2018

Study information

• Verified date: July 2018
• Source: Uni Research
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Mental disorders, mainly various anxiety and depressive disorders, are an increasing reason for sick leave and disability pension. Cognitive behaviour therapy (CBT) has been shown to have an effect on anxiety and depression, but the investigators know little about this in relation to employment. Close follow-up in ordinary employment increase employment participation for serious mental illness, but this is not yet investigated to the same degree for lighter mental disorders.

Center for Work-Coping (No: "Senter for Jobbmestring" - SJM) combines Cognitive behaviour therapy (CBT) and individual placement and support (IPS) and facilitation of work for people with anxiety and depression who are in danger of falling out of work.

The purpose of this project is to evaluate the effectiveness of the model in SJM. The effect will be evaluated through a randomized controlled trial (RCT) in which participants will be randomized to SJM or regular follow-up by The Norwegian Labour and Welfare Administration (NAV) or by their regular general practitioners (GP) and self-help resources. The main outcome measures are work participation with changes in mental health as a secondary outcome.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 1202
• Est. completion date: May 2018
• Est. primary completion date: March 2016
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 60 Years

Eligibility

Inclusion Criteria:

• Problems coping with work due to psychological illness (anxiety and depression)

• Reasonable closeness to work (possible to return within a year)

Exclusion Criteria:

• Other reasons as primary cause of work problems

• Serous psychiatric disorders

• Suicide risk

• Pregnancy

• Ongoing psychological treatment (therapy)

• Ongoing substance abuse

Related Conditions & MeSH terms

• Anxiety
• Anxiety Disorders
• Depression
• Depressive Disorder

Intervention

Behavioral:
• Workcoping and IPS
Maximum 15 sessions of CBT-based counseling with workcoping as primary focus in addition to work support according to the IPS-model (individual placement and support)
• Ordinary care by GP or NAV
Ordinary care by the participants physician or the local Labour and Welfare Administration

Locations

Country	Name	City	State
Norway	Uni Reserach	Bergen

Sponsors (2)

Lead Sponsor	Collaborator
Uni Research	Norwegian Labour and Welfare Administration

Country where clinical trial is conducted

Norway, 

References & Publications (5)

Løvvik C, Øverland S, Hysing M, Broadbent E, Reme SE. Association between illness perceptions and return-to-work expectations in workers with common mental health symptoms. J Occup Rehabil. 2014 Mar;24(1):160-70. doi: 10.1007/s10926-013-9439-8. — View Citation

Løvvik C, Shaw W, Overland S, Reme SE. Expectations and illness perceptions as predictors of benefit recipiency among workers with common mental disorders: secondary analysis from a randomised controlled trial. BMJ Open. 2014 Mar 3;4(3):e004321. doi: 10.1 — View Citation

Olsen IB, Øverland S, Reme SE, Løvvik C. Exploring Work-Related Causal Attributions of Common Mental Disorders. J Occup Rehabil. 2015 Sep;25(3):493-505. doi: 10.1007/s10926-014-9556-z. — View Citation

Øverland S, Grasdal A, Reme SE. Trial participant representativeness compared to ordinary service users in a work rehabilitation setting. Contemp Clin Trials Commun. 2015 Dec 17;2:12-15. doi: 10.1016/j.conctc.2015.12.005. eCollection 2016 Apr 15. — View Citation

Reme SE, Grasdal AL, Løvvik C, Lie SA, Øverland S. Work-focused cognitive-behavioural therapy and individual job support to increase work participation in common mental disorders: a randomised controlled multicentre trial. Occup Environ Med. 2015 Oct;72(1 — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Sick leave data	The primary outcome of the study is return to work measured through register data.	One year
Secondary	Psychopathology	Secondary outcomes are reductions in psychopathology measured through validated questionnaires (e.g. HADS).	6 and 12 months of follow up

External Links

•   Study website