Effects of Acceptance and Commitment Therapy in Primary Health Care

Not Applicable

Completed

• Conditions: Medical Certificates for Sick Leave and Drug Prescriptions
• Interventions: Other: Control, no intervention; Behavioral: Education with Acceptance and Commitment Therapy

• Registration Number: NCT03737019
• Lead Sponsor: University Hospital, Linkoeping

Brief Summary

How does education of health personnel with Acceptance and Commitment Therapy affect the extent of medical certificates of sick leave and drug prescriptions in primary health care centers in Kalmar compared with similar centers in Jönköping in which the personnel do not get such therapy?

Detailed Description

Five primary health care centers in the County Council of Jönköping who do not get education according to Acceptance and Commitment Therapy (ACT) serve as controls. Six primary health care centers in County Council of Kalmar, with the same total number of listed patients (about 45 000 in total per County Council) in their areas undergo group education according to ACT. Data on medical certificates of sick leave and drug prescriptions are taken from registries (this is routine in primary health care in Sweden) at baseline and after 6, 12 and 24 months in both regions. The personnel at both centers also fill out questionnaires about their own quality of life at baseline and after 12 months. The investigators also plan to interview about 20 subjects on these matters.

Study Timeline

• Study First Submitted: 2018-10-30
• Study Start: 2018-10-31
• Study First Submitted QC: 2018-11-08
• Study First Posted: 2018-11-09
• Primary Completion: 2020-10-05
• Study Completion: 2021-08-30
• Status Verified: 2021-10
• Last Update Submitted: 2021-10-01
• Last Update Posted: 2021-10-04

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 700

Inclusion Criteria

• over 18 years of age
• working at the health care center

Exclusion Criteria

• age less than 18 years
• do not work at the Health care center

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Control health care centers of County Council of Jönköping	Control, no intervention	Five primary health care centers of County Council of Jönköping that do not get education.
ACT in County Council of Kalmar	Education with Acceptance and Commitment Therapy	Group education with ACT in six primary health care centers in County Council of Kalmar

Primary Outcome Measures

Name	Time	Method
Extent of medical certificates of sick leave by the doctors	24 months in total	Data on entire extent of medical certificates, i.e. how many sick days that were certified by all doctors at the primary health care centers, for all patients treated, during the time period.
Prescription of drugs by the doctors	24 months in total	Data on all prescription of all different drugs, during the time period, made by all the doctors at the primary Health care centers that participate, to all patients that were treated.

Secondary Outcome Measures

Name	Time	Method
Assessment of how the education with ACT affect the personnel according to SF36	12 months	Questionnaire SF36 is filled out by the personnel at baseline and after 12 months
Assessment of how the education with ACT affect the personnel according to KEDS	12 months	Questionnaire Karolinska Exhaustion Disorder Scale (KEDS) is filled out by the personnel at baseline and after 12 months
Assessment of how the education with ACT affect the personnel according to WAI	12 months	Questionnaire Work ability Index (WAI) is filled out by the personnel at baseline and after 12 months

Trial Locations

Locations (2)

Faculty of Medicine and Health Sciences; 🇸🇪 Linköping, Sverige, Sweden

University Hospital of Linkoping; 🇸🇪 Linkoping, Sweden