Evaluation of Return to Work Rehabilitation

Occupational Health Clinical Trial

Official title:

Evaluation of Inpatient-return- To-work, Multicomponent, Rehabilitation Programs for Persons Temporary Out of Work With Musculoskeletal-, Unspecific-, and/or Common Mental Health Disorders; Randomized Controlled Trial

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT01926574
• Other study ID #: 2012/1241-1
• Status: Active, not recruiting
• Phase: N/A
• Start date: January 2013
• Est. completion date: January 2022

Study information

• Verified date: April 2021
• Source: Norwegian University of Science and Technology
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Long-term sick-listing from work has considerable impact on social function, on the families of the sick-listed persons, the companies they work for, and society as a whole. Hence, the need for documented effective vocational rehabilitation programs is pressing. Vocational rehabilitation services described in the scientific literature have been specific to one single or a specific group of medical conditions (e.g.low back pain). In contrast, most people on sick leave have several health complaints, and many of the factors influencing sick leave are shared regardless of disorder (e.g. social surroundings, workplace environment), calling for rehabilitation programs that can be employed for both musculoskeletal-, unspecific- and common mental disorders. Aim of this study is to investigate whether a group based rehabilitation program for musculoskeletal, mental or unspecific complaints can facilitate return-to-work (RTW), thereby testing two multicomponent return-to-work RTW rehabilitation programs.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 300
• Est. completion date: January 2022
• Est. primary completion date: June 2015
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 60 Years

Eligibility

Inclusion Criteria:

• living in the counties of Trøndelag

• on sick leave 2-12 months

• current sick leave status of 50% - 100%

• ICPC-2 (International Classification of Primary Care, Second edition) diagnosis within the L (musculoskeletal), P (psychiatric) or A (unspecific disorders) categories

Exclusion Criteria:

• alcohol or drug abuse

• serious somatic or psychological disorders

• a specific disorder requiring specialized treatment

• pregnancy

• currently participating in another treatment program

• insufficient Norwegian speaking or writing skills to participate in group session and fill out questionnaires

• scheduled for surgery within the next 6 months

• serious problems with functioning in a group setting

Related Conditions & MeSH terms

• Occupational Health
• Sick Leave

Intervention

Behavioral:
• long rehabilitation program

• short rehabilitation program

• Acceptance and commitment therapy (ACT)

Locations

Country	Name	City	State
Norway	Hysnes Rehabilitation Centre	Rissa
Norway	St. Olavs University Hospital	Trondheim

Sponsors (2)

Lead Sponsor	Collaborator
Norwegian University of Science and Technology	St. Olavs Hospital

Country where clinical trial is conducted

Norway, 

References & Publications (6)

Aasdahl L, Pape K, Vasseljen O, Johnsen R, Fimland MS. Improved Expectations About Length of Sick Leave During Occupational Rehabilitation Is Associated with Increased Work Participation. J Occup Rehabil. 2019 Sep;29(3):475-482. doi: 10.1007/s10926-018-98 — View Citation

Aasdahl L, Pape K, Vasseljen O, Johnsen R, Gismervik S, Halsteinli V, Fleten N, Nielsen CV, Fimland MS. Effect of Inpatient Multicomponent Occupational Rehabilitation Versus Less Comprehensive Outpatient Rehabilitation on Sickness Absence in Persons with — View Citation

Aasdahl L, Pape K, Vasseljen O, Johnsen R, Gismervik S, Jensen C, Fimland MS. Effects of Inpatient Multicomponent Occupational Rehabilitation versus Less Comprehensive Outpatient Rehabilitation on Somatic and Mental Health: Secondary Outcomes of a Randomi — View Citation

Fimland MS, Vasseljen O, Gismervik S, Rise MB, Halsteinli V, Jacobsen HB, Borchgrevink PC, Tenggren H, Johnsen R. Occupational rehabilitation programs for musculoskeletal pain and common mental health disorders: study protocol of a randomized controlled trial. BMC Public Health. 2014 Apr 16;14:368. doi: 10.1186/1471-2458-14-368. — View Citation

Nordstoga AL, Mork PJ, Steiro Fimland M. Improved cardiorespiratory fitness after occupational rehabilitation in merged diagnostic groups. Ann Occup Environ Med. 2018 Feb 28;30:16. doi: 10.1186/s40557-018-0227-y. eCollection 2018. — View Citation

Skagseth M, Fimland MS, Ivar Lund Nilsen T, Aasdahl L. Physical activity after inpatient occupational rehabilitation: Secondary outcomes of two randomized controlled trials. Scand J Med Sci Sports. 2020 Feb;30(2):339-348. doi: 10.1111/sms.13577. Epub 2019 — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Health economics from the societal perspective	Cost-effectiveness, cost-utility and cost-benefit methods.	1 year
Primary	time until full sustainable return-to-work (RTW)	return-to-work i.e. for at least 4 weeks without relapse	1 year
Primary	Total number of sickness absence days	after enrollment in the study (i.e. after pre-screening)	1 year
Secondary	Sickness absence days		3 years
Secondary	sickness absence days		5 years
Secondary	Health related quality of life		1 year
Secondary	Subjective health complaints	Pain, depression, anxiety, and other subjective complaints	1 year
Secondary	Physical activity		1 year
Secondary	physical, social and emotional functional status		1 year
Secondary	Psychological and social factors at work		1 year
Secondary	readiness for return to work		1 year
Secondary	fear avoidance beliefs		1 year
Secondary	psychological flexibility and acceptance		1 year
Secondary	share of workers at work		1 year