Early Identification of People at Risk for Sick-leave Due to Work-related Stress - A Randomized Controlled Study of People With Mental Disorders and Physical Complaints Consulting Primary Health Care
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 271
- 主要终点
- Number of periods of sick-leave, full-time or part-time.
研究概览
简要总结
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.
详细描述
There is no method or established practice in primary health care when it comes to the important issue of early identification of people at risk of sickness absence due to work-related stress. But work-related stress is common and can cause ill-health and sick-listing. Therefore it is a vital question for society in general and primary health care in particular finding methods to early identify persons at such risk. 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.
Both women and men see a doctor due to the symptoms, and a majority often goes to the primary health care, and this long before sick-listing comes into question. It could very well be that neither patient, nor doctor is aware that the symptoms the patient describes are caused by work and the stress the patient is subject to there. There is, though, a questionnaire, the Work Stress Questionnaire (WSQ), that has been developed to early identify people at risk.
The purpose of this randomized controlled trial is to evaluate if systematic use of the WSQ can reduce the number of sick-days twelve months on in women and men consulting a primary health care GP due to physical and mental complaints. The intervention consists of giving the GPs the WSQ as a tool for systematic use to early identify people at risk, and then be able to refer the patients to preventive health care and other measures within the primary health care or the patient's occupational health service.
The project will be carried out within the Region Västra Götaland and engage around 40 general practitioners, who will in all recruit 420 participants (210 to intervention group and 210 to control group). A register follow-up on sick-leave, healthcare treatment and the use of medicines will be made 12 months later. Three studies are planned to evaluate the intervention. Yet another study, a focus group study, is planned to make process evaluation of how the participating health care center staff perceive systematic use of the WSQ.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Screening
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 64 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Employed women and men, aged 18 - 64 years
- •Seeking care for:
- •depression
- •musculoskeletal disorders
- •gastrointestinal and cardio-vascular symptoms
- •other stress-related symptoms
排除标准
- •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:
- •urinary tract infection
- •infections (whooping cough, tonsillitis)
- •fractures
- •lumps and spots
- •psychiatric diagnoses such as schizophrenia, other psychoses or bipolar diagnoses
- •prolonging of sick-leave certificate
- •check up of chronic disease
研究组 & 干预措施
Questionnaire and feedback
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.
干预措施: Questionnaire and feedback (Other)
Control group
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.
结局指标
主要结局
Number of periods of sick-leave, full-time or part-time.
时间窗: 12 months after inclusion
Differences in number of sick-leave periods, full-time or part-time between intervention group and control group.
Number of sick-leave days.
时间窗: 12 months after inclusion
Differences in number of sick-leave days between intervention group and control group.
次要结局
- 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)