Early Identification of Persons at Risk for Sick-leave Due to Work-related Stress

NCT02480855 | Completed

• 1 other identifier: TIDAS
• Study Type: interventional
• Target: 271
• Locations: 0 countries
• Sites: N/A

Brief Summary

A vital question for society in general and primary health care in particular is early identification of persons at risk of sickness absence due to work-related stress. Even though both the individual and society can gain a lot from the prevention of absence, not the least since return to work is costly once a person is sick-listed. There is, surprisingly enough, no established method to do this. This project is a randomized controlled study of people with mental disorders and physical complaints consulting primary care. The purpose is to evaluate if a systematic use of early identification of work-related stress, combined with feedback at consultation, at the primary health care centers can prevent sickness absence among employed women and men with common mental disorders and subjective physical health complaints.

Conditions

Occupation-related Stress Disorder

Keywords

work related stress; questionnaire; early identification

Outcome Measures

Primary Outcomes (2)

• Number of sick-leave days.

  Differences in number of sick-leave days between intervention group and control group.

  12 months after inclusion

• Number of periods of sick-leave, full-time or part-time.

  Differences in number of sick-leave periods, full-time or part-time between intervention group and control group.

  12 months after inclusion

Secondary Outcomes (4)

• Number of health care treatments.

  12 months after inclusion

• Types of health care treatments.

  12 months after inclusion

• Number of medicines prescriptions.

  12 months after inclusion

• Types of medicines prescriptions.

  12 months after inclusion

Study Arms (2)

Questionnaire and feedback

OTHER

Patients that will see a doctor randomized to the intervention group will fill in the Work Stress Questionnaire prior to the visit. The doctor gets the results from the questionnaire and then gives consultation to the patient based on the results.

Other: Questionnaire and feedback

Control group

NO INTERVENTION

Patients that will see a doctor randomized to the control group get the usual treatment/consultation and after the visit fill in the Work Stress Questionnaire.

Interventions

Questionnaire and feedback OTHER

Questionnaire and feedback

Eligibility Criteria

• Age: 18 Years - 64 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Employed women and men, aged 18 - 64 years
• Seeking care for:
• depression
• anxiety
• musculoskeletal disorders
• gastrointestinal and cardio-vascular symptoms
• other stress-related symptoms

You may not qualify if:

• Currently on sick-leave or have been on sick-leave with doctor's certificate the last month
• Have been absent from work due to illness more than 7 days the last month (without doctor's certificate)
• On sickness or activity payments
• Pregnant women
• Patients seeking care for:
• allergy
• diabetes
• urinary tract infection
• infections (whooping cough, tonsillitis)
• COPD
• fractures
• lumps and spots
• psychiatric diagnoses such as schizophrenia, other psychoses or bipolar diagnoses
• prolonging of sick-leave certificate
• check up of chronic disease

Sponsors & Collaborators

• Göteborg University: lead
• Vastra Gotaland Region: collaborator

Related Publications (7)

• Hulten AM, Bjerkeli P, Holmgren K. Work-related stress and future sick leave in a working population seeking care at primary health care centres: a prospective longitudinal study using the WSQ. BMC Public Health. 2022 Apr 28;22(1):851. doi: 10.1186/s12889-022-13269-8.

  PMID: 35484592 DERIVED

• Hulten AM, Bjerkeli P, Holmgren K. Self-reported sick leave following a brief preventive intervention on work-related stress: a randomised controlled trial in primary health care. BMJ Open. 2021 Mar 22;11(3):e041157. doi: 10.1136/bmjopen-2020-041157.

  PMID: 33753430 DERIVED

• Hulten AM, Dahlin-Ivanoff S, Holmgren K. Positioning work related stress - GPs' reasoning about using the WSQ combined with feedback at consultation. BMC Fam Pract. 2020 Sep 11;21(1):187. doi: 10.1186/s12875-020-01258-y.

  PMID: 32917138 DERIVED

• Sandheimer C, Hedenrud T, Hensing G, Holmgren K. Effects of a work stress intervention on healthcare use and treatment compared to treatment as usual: a randomised controlled trial in Swedish primary healthcare. BMC Fam Pract. 2020 Jul 6;21(1):133. doi: 10.1186/s12875-020-01210-0.

  PMID: 32631243 DERIVED

• Bjerkeli PJ, Skoglund I, Holmgren K. Does early identification of high work related stress affect pharmacological treatment of primary care patients? - analysis of Swedish pharmacy dispensing data in a randomised control study. BMC Fam Pract. 2020 Apr 25;21(1):70. doi: 10.1186/s12875-020-01140-x.

  PMID: 32334516 DERIVED

• Holmgren K, Hensing G, Bultmann U, Hadzibajramovic E, Larsson MEH. Does early identification of work-related stress, combined with feedback at GP-consultation, prevent sick leave in the following 12 months? a randomized controlled trial in primary health care. BMC Public Health. 2019 Aug 14;19(1):1110. doi: 10.1186/s12889-019-7452-3.

  PMID: 31412832 DERIVED

• Holmgren K, Sandheimer C, Mardby AC, Larsson ME, Bultmann U, Hange D, Hensing G. Early identification in primary health care of people at risk for sick leave due to work-related stress - study protocol of a randomized controlled trial (RCT). BMC Public Health. 2016 Nov 25;16(1):1193. doi: 10.1186/s12889-016-3852-9.

  PMID: 27884137 DERIVED

MeSH Terms

Conditions

Occupational Stress

Interventions

Surveys and Questionnaires

Condition Hierarchy (Ancestors)

Occupational Diseases; Stress, Psychological; Behavioral Symptoms; Behavior

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Officials

• Kristina Holmgren, Docent

  Section for Rehabilitation and Health, Inst for neuro science and physiology, Sahlgrenska academy, University of Gothenburg

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SCREENING
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 20, 2015
• First Posted: June 25, 2015
• Study Start: June 1, 2015
• Primary Completion: December 1, 2017
• Study Completion: December 1, 2017
• Last Updated: November 6, 2018

Record last verified: 2018-11