Show simple item record

dc.contributor.authorAasdahl, Lene
dc.contributor.authorPape, Kristine
dc.contributor.authorVasseljen, Ottar
dc.contributor.authorJohnsen, Roar
dc.contributor.authorGismervik, Sigmund Østgård
dc.contributor.authorHalsteinli, Vidar
dc.contributor.authorFleten, Nils
dc.contributor.authorNielsen, Claus Vinther
dc.contributor.authorFimland, Marius Steiro
dc.date.accessioned2017-11-11T12:19:59Z
dc.date.available2017-11-11T12:19:59Z
dc.date.issued2017-04-11
dc.description.abstractPurpose: To assess effects of an inpatient multi-component occupational rehabilitation program compared to less comprehensive outpatient rehabilitation on sickness absence in persons with musculoskeletal- or mental health disorders. <br>Methods: Randomized clinical trial with parallel groups. Participants were individuals 18–60 years old on sick-leave for 2–12 months with a sick-leave diagnosis within the musculoskeletal, psychological or general and unspecified chapters of ICPC-2, identified in a national register. The inpatient program (4 + 4 days) consisted of Acceptance and Commitment Therapy (ACT), physical training and work-related problem-solving including creating a return to work plan and a workplace visit if considered relevant. The outpatient program consisted primarily of ACT (6 sessions during 6 weeks). Both programs were group based. Primary outcome was cumulated number of sickness absence days at 6 and 12 months follow-up. Secondary outcome was time until sustainable return to work. <br>Results: 168 individuals were randomized to the inpatient program (n = 92) or the outpatient program (n = 76). We found no statistically significant difference between the programs in median number of sickness absence days at 6 and 12 months follow-up. In the outpatient program 57% of the participants achieved sustainable return to work (median time 7 months), in the inpatient program 49% (log rank, p = 0.167). The hazard ratio for sustainable return to work was 0.74 (95% CI 0.48–1.32, p = 0.165), in favor of the outpatient program. <br>Conclusions: This study provided no support that the more comprehensive 4 + 4 days inpatient multicomponent occupational rehabilitation program reduced sickness absence compared to the outpatient rehabilitation program.en_US
dc.descriptionSource at <a href=http://dx.doi.org/10.1007/s10926-017-9708-z> http://dx.doi.org/10.1007/s10926-017-9708-z </a>en_US
dc.identifier.citationAasdahl L, Pape K, Vasseljen O, Johnsen R, Gismervik SØG, Halsteinli V, Fleten N, Nielsen CV, Fimland MS. Effect of Inpatient Multicomponent Occupational Rehabilitation Versus Less Comprehensive Outpatient Rehabilitation on Sickness Absence in Persons with Musculoskeletal- or Mental Health Disorders: A Randomized Clinical Trial. Journal of occupational rehabilitation . 2017:1-10en_US
dc.identifier.cristinIDFRIDAID 1465048
dc.identifier.doi10.1007/s10926-017-9708-z
dc.identifier.issn1053-0487
dc.identifier.issn1573-3688
dc.identifier.urihttps://hdl.handle.net/10037/11738
dc.language.isoengen_US
dc.publisherSpringeren_US
dc.relation.journalJournal of occupational rehabilitation
dc.relation.projectIDNorges forskningsråd: 238015en_US
dc.relation.projectIDinfo:eu-repo/grantAgreement/RCN/SYKEFRAVÆR/238015/Norway/Return-to-work rehabilitation programs for musculoskeletal pain and common mental health disorders; RCT with nested qualitative studies//en_US
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Community medicine, Social medicine: 801en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin, sosialmedisin: 801en_US
dc.titleEffect of Inpatient Multicomponent Occupational Rehabilitation Versus Less Comprehensive Outpatient Rehabilitation on Sickness Absence in Persons with Musculoskeletal- or Mental Health Disorders: A Randomized Clinical Trialen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


File(s) in this item

Thumbnail

This item appears in the following collection(s)

Show simple item record