Evaluation of a Collaborative Intervention to Promote Employer Contact and RTW Among People With CMD or Chronic Pain

Not Applicable

Recruiting

• Conditions: Pain, Chronic; Mental Disorder
• Interventions: Other: Demand and ability protocol; Other: Collaborative interventions as usual

• Registration Number: NCT05216861
• Lead Sponsor: Uppsala University

Brief Summary

The overall aim of this cluster ranomized controlled trial is to investigate whether an intervention for collaboration between patient with CMD or chronic pain and employer (the Demand and Ability Protocol) can contribute to reduced sick leave and to increased health, work ability and trust in the managers. The intervention is delivered by rehabiliation coordinators at primary health care centres.

Detailed Description

The overall aim of this cluster ranomized controlled trial is to investigate whether an intervention for collaboration between patient with CMD or chronic pain and employer (the Demand and Ability Protocol) can contribute to reduced sick leave and to increased health, work ability and trust in the managers. The intervention is delivered by rehabilitation coordinators at primary health care centres.

Furthermore, the aim is to identify hindering and facilitating factors for feasibility, usability and implementation of the Demand and Ability Protocol intervention (DAP) in primary health care.

Research questions:

1. What is the effect of DAP for patients regarding sick leave, health, work ability, and trust in the manager compared to matched controls who do not recieve DAP?

2. How do patients and managers experience their participation in the intervention and how do they experience the usability of the DAP?

3. What facilitating and hindering factors exist for the introduction and implementation of DAP in primary health care, and how do rehabilitation coordinators (REKO) and medical doctors experience the feasibility and usability of the intervention?

Study Timeline

• Study First Submitted: 2022-01-17
• Study First Submitted QC: 2022-01-31
• Study First Posted: 2022-02-01
• Study Start: 2022-02-15
• Status Verified: 2024-05
• Last Update Submitted: 2024-05-07
• Last Update Posted: 2024-05-08
• Primary Completion: 2024-12-31
• Study Completion: 2025-12-21

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 120

Inclusion Criteria

• have a diagnosis of CMD and/or chronic pain
• have a job
• be on full-time or part time sick leave
• accept the manager's involvement.

Exclusion Criteria

• been on full-time sick leave for more than 6 months before the first contact with REKO

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Experimental	Demand and ability protocol	The rehabilitation coordinators are trained in the intervention (0,5 day).
Active comparator	Collaborative interventions as usual	Participants in the experimental arm will be matched with controls from the Micro Data for the Analysis of Social Insurance register (MiDAS) from the Social Insurance Agency, Sweden.

Primary Outcome Measures

Name	Time	Method
Sick leave	From baseline until 12 months	The total number of days on sick leave due to CMDs or chronic pain during the 12 month follow-up period

Trial Locations

Locations (1)

Region Uppsala; 🇸🇪 Uppsala, Uppsala Lan, Sweden