Cost-effectiveness of a workplace intervention for sick-listed employees with common mental disorders: design of a randomized controlled trial

van Oostrom, Sandra H., Anema, Johannes R., Terluin, Berend, de Vet, Henrica C. W., Knol, Dirk L. and van Mechelen, Willem (2008) Cost-effectiveness of a workplace intervention for sick-listed employees with common mental disorders: design of a randomized controlled trial. BMC Public Health, 8 12: 1-9. doi:10.1186/1471-2458-8-12


Author van Oostrom, Sandra H.
Anema, Johannes R.
Terluin, Berend
de Vet, Henrica C. W.
Knol, Dirk L.
van Mechelen, Willem
Title Cost-effectiveness of a workplace intervention for sick-listed employees with common mental disorders: design of a randomized controlled trial
Journal name BMC Public Health   Check publisher's open access policy
ISSN 1471-2458
Publication date 2008-01-14
Sub-type Article (original research)
DOI 10.1186/1471-2458-8-12
Open Access Status DOI
Volume 8
Issue 12
Start page 1
End page 9
Total pages 9
Place of publication London, U.K.
Publisher BioMed Central
Language eng
Subject 1117 Public Health and Health Services
Formatted abstract
Background
Considering the high costs of sick leave and the consequences of sick leave for employees, an early return-to-work of employees with mental disorders is very important. Therefore, a workplace intervention is developed based on a successful return-to-work intervention for employees with low back pain. The objective of this paper is to present the design of a randomized controlled trial evaluating the cost-effectiveness of the workplace intervention compared with usual care for sick-listed employees with common mental disorders.

Methods
The study is designed as a randomized controlled trial with a follow-up of one year. Employees eligible for this study are on sick leave for 2 to 8 weeks with common mental disorders. The workplace intervention will be compared with usual care. The workplace intervention is a stepwise approach that aims to reach consensus about a return-to-work plan by active participation and strong commitment of both the sick-listed employee and the supervisor. Outcomes will be assessed at baseline, 3, 6, 9 and 12 months. The primary outcome of this study is lasting return-to-work, which will be acquired from continuous registration systems of the companies after the follow-up. Secondary outcomes are total number of days of sick leave during the follow-up, severity of common mental disorders, coping style, job content, and attitude, social influence, and self-efficacy determinants. Cost-effectiveness will be evaluated from the societal perspective. A process evaluation will also be conducted.

Discussion
Return-to-work is difficult to discuss in the workplace for sick-listed employees with mental disorders and their supervisors. Therefore, this intervention offers a unique opportunity for the sick-listed employee and the supervisor to discuss barriers for return-to-work. Results of this study will possibly contribute to improvement of disability management for sick-listed employees with common mental disorders. Results will become available in 2009.

Trial registration
ISRCTN92307123
© 2008 van Oostrom et al; licensee BioMed Central Ltd.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Keyword Low back pain
Occupational health care
Participatory ergonomics
Psychiatric disorders
Musculoskeletal pain
Adjustment disorders
Consort statement
Work disability
Graded activity
Absence
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Human Movement and Nutrition Sciences Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 25 times in Thomson Reuters Web of Science Article | Citations
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Created: Thu, 01 Apr 2010, 16:20:49 EST by Jon Swabey on behalf of Faculty Of Health Sciences