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

Not Applicable

Completed

• Conditions: Stress, Psychological; Burnout, Professional; Adjustment Disorders
• Interventions: Behavioral: Work-related measures

• Registration Number: NCT03022760
• Lead Sponsor: Vastra Gotaland Region

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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2016-11-01
• Study Start: 2016-12
• Study First Submitted QC: 2017-01-11
• Study First Posted: 2017-01-16
• Primary Completion: 2019-01
• Study Completion: 2020-05
• Status Verified: 2020-06
• Last Update Submitted: 2020-06-10
• Last Update Posted: 2020-06-12

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 132

Inclusion Criteria

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

Exclusion Criteria

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Work-related measures	Work-related measures	* 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

Primary Outcome Measures

Name	Time	Method
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.