How Does Education of Health Personnel With Acceptance and Commitment Therapy Affect the Extent of Medical Certificates of Sick Leave and Drug Prescriptions?
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 700
- 试验地点
- 2
- 主要终点
- Extent of medical certificates of sick leave by the doctors
研究概览
简要总结
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?
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •over 18 years of age
- •working at the health care center
排除标准
- •age less than 18 years
- •do not work at the Health care center
研究组 & 干预措施
Control health care centers of County Council of Jönköping
Five primary health care centers of County Council of Jönköping that do not get education.
干预措施: Control, no intervention (Other)
ACT in County Council of Kalmar
Group education with ACT in six primary health care centers in County Council of Kalmar
干预措施: Education with Acceptance and Commitment Therapy (Behavioral)
结局指标
主要结局
Extent of medical certificates of sick leave by the doctors
时间窗: 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
时间窗: 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.
次要结局
- Assessment of how the education with ACT affect the personnel according to KEDS(12 months)
- Assessment of how the education with ACT affect the personnel according to WAI(12 months)
- Assessment of how the education with ACT affect the personnel according to SF36(12 months)
研究者
Fredrik H Nystrom
MD PhD, consultant in internal medicine, professor of internal medicine
University Hospital, Linkoeping