Return to Work Among Patients With Stress Related Mental Disorders - An Intervention in the Swedish Primary Care

NCT03022760 | Completed

• 1 other identifier: ISM 03-2015
• Study Type: interventional
• Target: 132
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this project is to develop a model for return to work (RTW) for patients sick listed due to stress related mental disorders, which takes into account each patient's specific situation; includes the workplace, and is well adapted to the Swedish primary care setting. In late 2016, general practitioners (GPs) and rehabilitation coordinators at both public and private primary care centers will be offered a one-day training about work and workability for patients with stress related mental disorders. Also, the participants will be trained in a specific method that includes the patient's employer early in the rehabilitation process The project has a quasi-experimental and longitudinal design. The intervention will be conducted on 15 different primary care centers, which will be matched with a comparison group. Return to work for 500 patients will be analyzed using registry data, 6, 12 and 18 months after sick-listing. The hypothesis is that patients who are sick-listed at primary care centers that completely or partially implemented the specific method on average will return earlier to work than patients sick-listed at primary care centers that did not implement the method. Alongside studying if the intervention has an effect on the patients' RTW over time, the investigators aim to investigate the mechanisms explaining the effects and the individual and organizational level (primary care units) circumstances necessary for these mechanisms to be triggered. To gain deeper knowledge about mechanisms and context, the investigators will conduct interviews with the treatment staff and collect registry data about the primary care units.

Conditions

Stress, Psychological; Burnout, Professional; Adjustment Disorders

Keywords

Exhaustion Disorder

Outcome Measures

Primary Outcomes (3)

• Following sick leave data from the Swedish Social Insurance Agency's records we will measure time taken to return to work (RTW) among patients in the intervention group vs. time taken to RTW among patients in the control group.

  Three measurement time points. First measurement will occur 6 months from baseline.

• Following sick leave data from the Swedish Social Insurance Agency's records we will measure time taken to return to work (RTW) among patients in the intervention group vs. time taken to RTW among patients in the control group.

  Second measurement time point will occur at 12 months from baseline.

• Following sick leave data from the Swedish Social Insurance Agency's records we will measure time taken to return to work (RTW) among patients in the intervention group vs. time taken to RTW among patients in the control group.

  Third measurement time point will occur at 18 months from baseline.

Study Arms (2)

Work-related measures

ACTIVE COMPARATOR

* One-day training for GP:s and rehabilitation coordinators * A treatment protocol which includes contact with the patient's employer * Clinical support from the Institute of Stress Medicine

Behavioral: Work-related measures

Treatment as usual

NO INTERVENTION

Interventions

Work-related measures BEHAVIORAL

After mapping the patient's psychosocial work situation using tools provided at the one-day training, the patient's employer will be contacted and involved in the rehabilitation planning.

Work-related measures

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Clinical diagnosis of International Classification of Diseases (ICD)10 F43
• Has an employment
• Good command in spoken and written Swedish

You may not qualify if:

• Participants must not have been on long term sick-leave (\>60 days) during the last three years, regardless of causative diagnosis.

Sponsors & Collaborators

• Vastra Gotaland Region: lead
• Göteborg University: collaborator

Study Sites (1)

Unknown Facility

Gothenburg, Sweden

Location

Related Publications (2)

• Beno A, Bertilsson M, Holmgren K, Glise K, Pousette A, Segerfelt K, Bjork L. Does employer involvement in primary health care enhance return to work for patients with stress-related mental disorders? a cluster randomized controlled trial. BMC Prim Care. 2023 Sep 20;24(1):195. doi: 10.1186/s12875-023-02151-0.

  PMID: 37730561 DERIVED

• Bjork L, Glise K, Pousette A, Bertilsson M, Holmgren K. Involving the employer to enhance return to work among patients with stress-related mental disorders - study protocol of a cluster randomized controlled trial in Swedish primary health care. BMC Public Health. 2018 Jul 6;18(1):838. doi: 10.1186/s12889-018-5714-0.

  PMID: 29976181 DERIVED

MeSH Terms

Conditions

Stress, Psychological; Burnout, Professional; Adjustment Disorders

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior; Occupational Stress; Occupational Diseases; Burnout, Psychological; Trauma and Stressor Related Disorders; Mental Disorders

Study Officials

• Lisa Björk

  the Institute of Stress Medicine

  STUDY DIRECTOR

Study Design

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

Study Record Dates

• First Submitted: November 1, 2016
• First Posted: January 16, 2017
• Study Start: December 1, 2016
• Primary Completion: January 1, 2019
• Study Completion: May 1, 2020
• Last Updated: June 12, 2020

Record last verified: 2020-06

Locations

SE (1)