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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02136056
Other study ID # auh_JOS_sfi-01
Secondary ID
Status Completed
Phase N/A
First received May 8, 2014
Last updated December 7, 2017
Start date September 2014
Est. completion date August 1, 2016

Study information

Verified date September 2016
Source University of Aarhus
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of the current study is to determine the efficacy of a self-management course for workers on sick-leave as an add-on to standard rehabilitation care and follow-up (treatment as usual). Outcomes are registry based measures of return to work, and questionnaire based measures of well-being and quality of life.

We thus, hypothesize that the program will improve workers return to work rates and self-reported/psychological well-being.


Description:

The intervention course is a Danish adaptation of The Chronic Disease Self-Management Program (CDSMP), tailored towards workers on sick-leave. The original program has been developed by The Stanford Patient Education Research Center. The translation and adaptation has been conducted by The Danish Committee for Health Education.

Previous studies have examined the program with respect to specific chronic diseases (e.g., Arthritis), quality of life, well-being and health-care utilization, though non-otherwise specified workers on sick-leave and return work have not been examined before.

The framework of CDSMP is social-cognitive learning theory in which self-efficacy plays a central role.


Recruitment information / eligibility

Status Completed
Enrollment 600
Est. completion date August 1, 2016
Est. primary completion date June 1, 2016
Accepts healthy volunteers No
Gender All
Age group 18 Years to 65 Years
Eligibility Inclusion Criteria:

- Insured persons who receive sick-leave compensation from the Danish State

- Persons who are listed as sick from a job

- Persons who have been categorized as "2 - risk" or "3 - chronic" case by the job-center

- The health problem reflects a chronic or a long-term condition

- The person acknowledges a chronic or long-term condition

- The person wants to work with his or her condition

- The person wants to return to work

- The person volunteers to participate

Exclusion Criteria:

- Persons who are listed sick for more than 16 weeks

- Persons who are categorized as "1 - easy" by the job-center

- The person does not understand or speak danish

- History or signs of aggressive behavior and violence

Study Design


Related Conditions & MeSH terms

  • Workers on Sick-leave, Insured by The Danish Welfare State

Intervention

Behavioral:
Self-management program (SMP)
A self-management course

Locations

Country Name City State
Denmark The Danish Comitee for Health Education Copenhagen

Sponsors (3)

Lead Sponsor Collaborator
University of Aarhus Aarhus University Hospital, The Danish National Centre For Social Research

Country where clinical trial is conducted

Denmark, 

References & Publications (15)

Amtmann D, Bamer AM, Cook KF, Askew RL, Noonan VK, Brockway JA. University of Washington self-efficacy scale: a new self-efficacy scale for people with disabilities. Arch Phys Med Rehabil. 2012 Oct;93(10):1757-65. doi: 10.1016/j.apmr.2012.05.001. Epub 2012 May 7. — View Citation

Bech, P. Clinical Psychometrics. Oxford: Wiley-Blackwell, 2012.

Bjorner JB, Damsgaard MT, Watt T, Groenvold M. Tests of data quality, scaling assumptions, and reliability of the Danish SF-36. J Clin Epidemiol. 1998 Nov;51(11):1001-11. — View Citation

Broadbent E, Petrie KJ, Main J, Weinman J. The brief illness perception questionnaire. J Psychosom Res. 2006 Jun;60(6):631-7. — View Citation

Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989 May;28(2):193-213. — View Citation

Christensen KS, Fink P, Toft T, Frostholm L, Ornbøl E, Olesen F. A brief case-finding questionnaire for common mental disorders: the CMDQ. Fam Pract. 2005 Aug;22(4):448-57. Epub 2005 Apr 6. — View Citation

Franche RL, Krause N. Readiness for return to work following injury or illness: conceptualizing the interpersonal impact of health care, workplace, and insurance factors. J Occup Rehabil. 2002 Dec;12(4):233-56. Review. — View Citation

Levesque CS, Williams GC, Elliot D, Pickering MA, Bodenhamer B, Finley PJ. Validating the theoretical structure of the Treatment Self-Regulation Questionnaire (TSRQ) across three different health behaviors. Health Educ Res. 2007 Oct;22(5):691-702. Epub 2006 Nov 30. — View Citation

Lorig K, Laurent DD, Plant K, Krishnan E, Ritter PL. The components of action planning and their associations with behavior and health outcomes. Chronic Illn. 2014 Mar;10(1):50-9. doi: 10.1177/1742395313495572. Epub 2013 Jul 9. — View Citation

Lorig, K., Stwart, A., Ritter, P., Gonzales, V., Laurent, D., & Lynch, J. Outcome measures for health education and other health care interventions. Thousand Oaks, CA: Sage Publications. 1996.

Marks R, Allegrante JP, Lorig K. A review and synthesis of research evidence for self-efficacy-enhancing interventions for reducing chronic disability: implications for health education practice (part I). Health Promot Pract. 2005 Jan;6(1):37-43. Review. — View Citation

Marks R, Allegrante JP, Lorig K. A review and synthesis of research evidence for self-efficacy-enhancing interventions for reducing chronic disability: implications for health education practice (part II). Health Promot Pract. 2005 Apr;6(2):148-56. Review. — View Citation

Morisky DE, DiMatteo MR. Improving the measurement of self-reported medication nonadherence: response to authors. J Clin Epidemiol. 2011 Mar;64(3):255-7; discussion 258-63. doi: 10.1016/j.jclinepi.2010.09.002. Epub 2010 Dec 8. — View Citation

Nieuwenhuijsen K, Noordik E, van Dijk FJ, van der Klink JJ. Return to work perceptions and actual return to work in workers with common mental disorders. J Occup Rehabil. 2013 Jun;23(2):290-9. doi: 10.1007/s10926-012-9389-6. — View Citation

Schultz IZ, Crook J, Meloche GR, Berkowitz J, Milner R, Zuberbier OA, Meloche W. Psychosocial factors predictive of occupational low back disability: towards development of a return-to-work model. Pain. 2004 Jan;107(1-2):77-85. — View Citation

* Note: There are 15 references in allClick here to view all references

Outcome

Type Measure Description Time frame Safety issue
Other Health-care utilization Items that measure utilization of health-care consultation (Lorig et al., 1996) Baseline, post-intervention and 4,5 month follow-up
Other Medicine consumption Generic items that measure consumption of medicines such as anti-depressants and anxiety medicine, use of pain killers and sleep pills Baseline, post-intervention and 4,5 month follow-up
Other Adherence to treatment Adherence to disease specific treatment (inspired by the MMAS-4; Morisky & DiMatteo, 2011) Baseline, post-intervention and 4,5 month follow-up
Other Common symptoms Pain, breath, being tired, sleep quality; measured by VAS scales (Lorig et al., 1996) Baseline, post-intervention and 4.5 month follow-up
Other Decisional Balance (return to work) Generic items that measures how the advantages and disadvantages of returning to work are balanced (Franche & Krause, 2002) Baseline, post-intervention and 4,5 month follow-up
Other Return to work expectations Generic items that measure expectations about returning to work (Niewenhuiksen, Noordik, van Dijk & van der Klink. 2013; Schultz et al., 20014) Baseline, post-intervention and 4,5 month follow-up
Primary Return to work, duration DREAM-registry (supported by the Danish Ministry of Employment) combined with income/employment information from e-income (supported by the Danish Tax Authorities). Weekly from baseline till 1 year follow-up
Primary Well-being and Quality of life WHO-5 Well-being and WHO Quality of Life/Satisfaction items (Bech, 2012) up to 5 month follow-up
Secondary Common mental disorders The CMDQ questionnaire i based on SCL-90 (Symptom Checklist) and measures somatization, health-anxiety, depression, anxiety and alcohol consumption (Christensen et al., 2005) Baseline, post-intervention and 4,5 month follow-up
Secondary Disease self-efficacy scale The University of Washington Self-efficacy scale, 6 item version (Amtmann et al., 2012) Baseline, post-intervention and 4,5 month follow-up
Secondary Self-regulation (return to work) Return to work self-regulation questionnaire, measuring internalization of reasons for trying to return to work; adapted from the Treatment Self-regulation Questionnaire (Levesque et al., 2007) Baseline, post-intervention and 4,5 month follow-up
Secondary Self-management scale A measure of six cognitive strategies which are taught at the course (Lorig et al., 1996) Baseline, post-intervention and 4,5 month follow-up
Secondary Illness Perception questionnaire A measure of 8 items measuring the threat of illness or disease (B-IPQ; Broadbent, Petrie, Main & Weinman, 2006) Baseline, post-intervention and 4,5 month follow-up