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Occupational disorders and return to work: a randomized controlled study.

Jens Peter Bonde·Mette Skou Rasmussen·Henrik Hjøllund·Susanne Wulf Svendsen·Henrik A Kolstad·Lone Donbaek Jensen·Joanna Wieclaw
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Abstract

OBJECTIVE: Goal setting and motivational factors are strongly associated with maintaining a job and return to work after sick leave, but research into the effects of interventions targeting these factors is limited. We conducted a randomized controlled study to examine the vocational effect of intervention focusing on motivation, goal setting and planning for return to work. DESIGN AND METHODS: Of 243 patients at risk of long-term sick leave or job dropout, 184 (76%) provided complete baseline information for the study. After randomization to an intervention group (n=92) and a reference group (n=92), occupational physicians examined the participants in accordance with standard guidelines. The intervention group received additional support from a social worker in order to enhance goal setting, motivation and planning for return to work. After 1 year 163 participants (89%) provided data on general health and employment status. The risk of not being gainfully employed was analysed by logistic regression analysis with adjustment for several covariates. RESULTS: The intervention did not increase the likelihood of gainful employment after 1 year or reduce the average number of days of sick leave. CONCLUSION: A low-cost counselling program addressing motivation, goal setting and planning for return to work did not improve vocational outcomes or reduce sick leave among patients with work-related disorders.

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AdultFemaleGuidelines as TopicHumansMaleMiddle AgedMotivationOccupational DiseasesRehabilitation, VocationalRisk FactorsSick LeaveSocial SupportSocioeconomic FactorsClinical TrialJournal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov't

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Jens Peter Bonde, Mette Skou Rasmussen, Henrik Hjøllund, Susanne Wulf Svendsen, Henrik A Kolstad, Lone Donbaek Jensen, Joanna Wieclaw. 2005. Occupational disorders and return to work: a randomized controlled study.. https://doi.org/10.1080/16501970410025487

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