scholarly journals Comparing two interdisciplinary occupational rehabilitation programs for employees on sick leave: a mixed-method design study protocol

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Monica Eftedal ◽  
Torill H. Tveito ◽  
Ulrik Gensby ◽  
M. Kamrul Islam ◽  
Stein Atle Lie ◽  
...  
Keyword(s):  
Sick Leave ◽  
Return To Work ◽  
Mixed Method ◽  
Common Mental Disorders ◽  
Inpatient Rehabilitation ◽  
Occupational Rehabilitation ◽  
Rehabilitation Program ◽  
Interdisciplinary Teams ◽  
Full Time ◽  
Rehabilitation Programs

Abstract Background Musculoskeletal disorders (MSDs) and common mental disorders (CMDs) are the most frequent reasons for long-term sick leave and work disability. Occupational rehabilitation programs are used to help employees return to work (RTW). However, knowledge regarding the effect of these programs is scarce, and even less is known about which programs are best suited for which patients. This study aims to compare the RTW results of two interdisciplinary occupational rehabilitation programs in Norway, as well as to examine the delivery and reception of the two programs and explore the active mechanisms of the participants’ RTW processes. Methods/design We will use a mixed-method convergent design to study the main outcome. Approximately 600 participants will be included in the study. Eligible study participants will be aged 18–60 years old and have been on sick leave due to MSDs, CMDs, or both for at least 6 weeks. Interdisciplinary teams at both participating clinics will deliver complex occupational rehabilitation programs. The inpatient rehabilitation program has a duration of 4 weeks and is full time. The outpatient program has a duration of 3 months and involves weekly sessions. The primary outcome is RTW. Secondary outcomes are differences in the incremental cost for an averted sick leave day, cost utility/benefit, and differences between the programs regarding improvements in known modifiable obstacles to RTW. Subgroup analyses are planned. The researchers will be blinded to the intervention groups when analyzing the quantitative RTW data. Discussion This study aims to provide new insights regarding occupational rehabilitation interventions, treatment targets, and outcomes for different subgroups of sick-listed employees and to inform discussions on the active working mechanisms of occupational rehabilitation and the influence of context in the return-to-work process. Trial registration Current controlled trials ISRCTN12033424, 15.10.2014, retrospectively registered.

scholarly journals Comparison of self-reported and register data on sickness absence among Norwegian patients participating in an occupational rehabilitation program

2010 ◽  
Vol 19 (2) ◽  
Author(s):  
Irene Øyeflaten ◽  
Stein Atle Lie ◽  
Camilla Ihlebæk ◽  
Søren Brage ◽  
Hege R. Eriksen
Keyword(s):  
Sick Leave ◽  
Return To Work ◽  
Vocational Rehabilitation ◽  
Disability Pension ◽  
Occupational Rehabilitation ◽  
Rehabilitation Program ◽  
Register Data ◽  
Targeted Interventions ◽  
Self Reports ◽  
Reported Data

<p><strong><em>Background: </em></strong>Sick leave and return to work are common outcome variables in studies where the aim is to measure the effect of targeted interventions for individuals that are on sick leave benefits or other allowances. Use of official register data is often restricted, and research on sick leave and return to work are often based on the participants self-reports. However, there is insufficient documentation that there is agreement between self-reports and register data on sick leave benefits and allowances.</p><p><strong><em>Aims: </em></strong>The aim of this study was to analyse the individuals' knowledge about states of sick leave benefits or allowances compared with register data from The Labour and Welfare Administration (NAV) in Norway.</p><p><strong><em>Method: </em></strong>153 individuals, sick-listed or on allowances, participated in a 4-week inpatient occupational rehabilitation program. 132 (86%) answered a questionnaire on assessments of work, sick leave, and allowances three months after completed rehabilitation. Self-reported data were compared with register data from NAV according to four categories: working, sick-listed, on medical/vocational rehabilitation allowance or disability pension. Agreement between self-reported and register data was evaluated in cross-tabulations and reported with kappa values. Stratified analyses were done for gender, age, education, medical diagnosis and length of sick leave/allowances at baseline.</p><p><strong><em>Results: </em></strong>Good agreement was found for medical/vocational rehabilitation allowance (kappa=.70) and disability pension (kappa=.65). Moderate agreement was found for working (kappa=.49) and fair agreement for sick-listed (kappa=.36). Stratified analyses showed significant better kappa values for individuals that had been sick-listed less than 12 months before entering the rehabilitation program.</p><p><strong><em>Conclusions: </em></strong>Agreements from good to fair were found between self-reported and official register data on sick leave. However, official register data is preferred in research because this will ensure complete data sets. Data on sick leave and other benefits are not absorbing states, and there are often multiple and recurrent episodes. These data may be hard to obtain from self-reports.</p>

Mental health: Professional rehabilitation and the return to work - A systematic review

Work ◽  
2021 ◽  
pp. 1-10
Author(s):  
Selma Lancman ◽  
Bárbara Iansã de Lima Barroso
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Women Workers ◽  
Sick Leave ◽  
Return To Work ◽  
Mental Health Problems ◽  
Common Mental Disorders ◽  
Data Set ◽  
Rehabilitation Programs ◽  
Return Method

BACKGROUND: The problem of illnesses, sick leave and the necessary return to work and permanence at work has been determining the development of different protocols and professional rehabilitation programs in different countries. OBJECTIVE: We sought to identify articles that address programs for professional rehabilitation and the return to work of people laid off due to mental health problems, and to verify the results of professional rehabilitation programs and the follow-up processes for such return. METHOD: A systematic review was performed according to the criteria of the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA). The serial search of the articles was carried out in the electronic databases: Web of Science, MEDLINE/PubMed and Scopus. The variations in the descriptors served to find a greater range of significant results for the research. RESULTS: In total, 2,306 articles were found. Another two articles that met the inclusion criteria were located through manual searches, adding up to a total of 2,308. Applying the exclusion criteria resulted in a final data set of 47 peer-reviewed articles. CONCLUSIONS: The issues involving return to work and permanence in work were complex and multifaceted in the research articles studied. Recovery from Common Mental Disorders (CMDs) is a major cause of long-term sick leave and the granting of disability benefits. Many people with these diagnoses remain employed; however, further studies are needed with women, workers with fragile relationships, and immigrants.

scholarly journals Occupational Rehabilitation Following Open Mesh Surgical Repair of an Inguinal Hernia

2003 ◽  
Vol 83 (1) ◽  
pp. 58-66 ◽  
Author(s):  
Kelly E Pesanelli ◽  
Joseph A Cigna ◽  
Shantanu G Basu ◽  
Andrew R Morin
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Surgical Repair ◽  
Occupational Rehabilitation ◽  
Rehabilitation Program ◽  
Full Time ◽  
Ability To Work ◽  
Postoperative Rehabilitation ◽  
Work Related ◽  
Open Mesh

Abstract Background and Purpose. The purpose of this case report is to describe an occupational rehabilitation program for a person whose work-related inguinal hernia was surgically repaired. Case Description. A 35-year-old baggage service attendant acquired an inguinal hernia while lifting at work. Postoperatively, the patient had discomfort in the groin, weakness of the lower extremities and trunk, limited ability to walk, and a decreased ability to work due to impaired tolerance.Outcomes. Following postoperative rehabilitation, the patient was able to return to full-time, full-duty work. Discussion. This case report describes occupational rehabilitation as a method to treat patients with work-related inguinal hernias following surgical repair.

scholarly journals Early and Late Return to Work After Sick Leave: Predictors in a Cohort of Sick-Listed Individuals with Common Mental Disorders

2015 ◽  
Vol 25 (3) ◽  
pp. 627-637 ◽  
Author(s):  
Kerstin Ekberg ◽  
Charlotte Wåhlin ◽  
Jan Persson ◽  
Lars Bernfort ◽  
Birgitta Öberg
Keyword(s):  
Mental Disorders ◽  
Sick Leave ◽  
Return To Work ◽  
Common Mental Disorders

Abstract TP148: Characteristics and Estimated Rehabilitation Costs for Stroke Survivors Treated in a Community-Based Interdisciplinary Outpatient Rehabilitation Program Who Return to Work

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Joan Breen ◽  
Jeanne Andrusin ◽  
Tom Ferlito ◽  
Samantha Hobbs
Keyword(s):  
Return To Work ◽  
Treatment Cost ◽  
Rehabilitation Program ◽  
Outpatient Rehabilitation ◽  
Stroke Survivors ◽  
Stroke Patients ◽  
Patient Centered ◽  
Rehabilitation Programs ◽  
Length Of Treatment ◽  
Returning To Work

Background: Return to work is a motivating goal for many stroke survivors. Little is known about the cost, length of treatment, and characteristics of patients returning to work. Methods: Prospective observational study of stroke patients treated between 12/2014-6/2016 in an interdisciplinary outpatient rehabilitation program addressing physical, psychosocial, cognitive, communicative, driving, and vocational issues. The estimated average cost of treatment was calculated from reimbursement amounts received for skilled PT, OT, ST, and Nurse Practitioner services, including services received after patients returned to work. Results: Of 96 consecutive patients, 48% were working prior to their stroke. Of these, 9% of patients were work capable and 44% returned to work (n=20) by rehabilitation discharge (mean program length was 8 months, maximum of 34 months). Returning workers were 70% men, mean age of 56 years, 75% ischemic strokes (4 Left, 4 Right, 3 Bi-lateral hemisphere, 4 posterior circulation), and on program admit had an average NIHSS score of 3.4 (range 0-9), 40% were aphasic, 65% needed ADL assistance (55% mRS=3, 10% mRS=4). All patients working prior to their stroke were also driving and 90% of those who returned to work also returned to driving. All patients demonstrated improvements in multiple standardized rehab outcome measures. Mean treatment cost for patients who returned to work was $17,730 (60% had costs less than $7,500; 25% had costs from $7,501-$21,000; 15% had costs from $50,000-$92,000). Services continued for 75% of patients after returning to work for an average of 3.7 months(included in mean program length of 8 months). Almost half of these patients (47%) were aphasic. Mean treatment cost for patients not returning to work was $22,561, with mean program length of 6.5 months. Conclusions: These findings demonstrate that interdisciplinary, outpatient rehabilitation programs can promote successful return to work at a reasonable cost, with 60% of patients who returned to work costing less than $7500. Aphasic patients needed longer treatment, but were able to successfully return to work. Additional outcomes research is needed to understand mechanisms supporting stroke patients’ return to work and other patient-centered goals.

scholarly journals Prognostic Factors of Returning to Work after Sick Leave due to Work-Related Common Mental Disorders: A One- and Three-Year Follow-Up Study

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Bo Netterstrøm ◽  
Nanna Hurwitz Eller ◽  
Marianne Borritz
Keyword(s):  
Prognostic Factors ◽  
Sick Leave ◽  
Work Environment ◽  
Life Events ◽  
Common Mental Disorders ◽  
Psychosocial Work Environment ◽  
Full Time ◽  
Psychosocial Work ◽  
Occupational Position ◽  
The Impact

The aim of this paper was to assess the prognostic factors of return to work (RTW) after one and three years among people on sick leave due to occupational stress.Methods. The study population comprised 223 completers on sick leave, who participated in a stress treatment program. Self-reported psychosocial work environment, life events during the past year, severity of the condition, occupational position, employment sector, marital status, and medication were assessed at baseline. RTW was assessed with data from a national compensation database (DREAM).Results. Self-reported high demands, low decision authority, low reward, low support from leaders and colleagues, bullying, high global symptom index, length of sick leave at baseline, and stressful negative life events during the year before baseline were associated with no RTW after one year. Low work ability and full-time sick leave at inclusion were predictors after three years too. Being single was associated with no RTW after three years. The type of treatment, occupational position, gender, age, and degree of depression were not associated with RTW after one or three years.Conclusion. The impact of the psychosocial work environment as predictor for RTW disappeared over time and only the severity of the condition was a predictor for RTW in the long run.

scholarly journals P04.01 Return to work i patients with low grade glioma

2019 ◽  
Vol 21 (Supplement_3) ◽  
pp. iii28-iii28
Author(s):  
I Rydén
Keyword(s):  
Sick Leave ◽  
Return To Work ◽  
Social Insurance ◽  
Control Sample ◽  
Histopathological Diagnosis ◽  
Low Grade ◽  
Apparent Difference ◽  
Full Time ◽  
One Year ◽  
Absence From Work

Abstract BACKGROUND We now treat patients with low-grade gliomas (LGG) more aggressively as this prolong survival. Patients are typically in working age, but their ability to return to work (RTW) following treatment has not been studied. We aimed to study patterns of sick leave and return to work among LGG patients in Sweden. In addition, we explored predictors for RTW following LGG diagnosis. MATERIAL AND METHODS We performed a nationwide register-based study of patients with grade II diffuse LGG. Data on adult patients aged 18–60 years with a histopathological diagnosis of LGG between 2005–2015 were obtained from the Swedish Brain Tumor Registry (n=381). A matched control sample (n=1900) was acquired from Statistics Sweden. Patients and controls were linked to the social insurance agency data for individual information on sick leave and disability compensation. Multivariable logistic regression was used in order to find predictors for RTW. RESULTS One year prior to surgery there was no apparent difference between cases and controls with 90 % working. Among LGG patients there was a rapid increase in sick leave starting approximately six months prior to surgery, while the proportion of controls on sick leave remained constant. One year after surgery, 53 % had returned to work with 29 % working full time. Independent predictors for patients working one year after surgery were higher age (OR 0.96, 95 % CI 0.93–0.99, p <0.01) and more days absent from work prior to procedure (OR 0.91, 95 % CI 0.97-0.95, p <0.001), both negatively associated with RTW. CONCLUSIONS In this cohort, more than half of the patients being diagnosed with LGG RTW within one year. Higher prior absence from work and higher age are risk factors for no-RTW. This study provides new information on rates of and factors influencing RTW in patients with LGG. FUNDING This project was funded by research grant from the Swedish Research Council (2017-00944).

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