Cost effectiveness of a multi-stage return to work program for workers on sick leave due to low back pain, design of a population based controlled trial [ISRCTN60233560]

Steenstra, Ivan A., Anema, Johannes R., Bongers, Paulien M., de Vet, Henrica C. W. and van Mechelen, Willem (2003) Cost effectiveness of a multi-stage return to work program for workers on sick leave due to low back pain, design of a population based controlled trial [ISRCTN60233560]. BMC musculoskeletal disorders, 4 Article No 26: 1-11. doi:10.1186/1471-2474-4-26


Author Steenstra, Ivan A.
Anema, Johannes R.
Bongers, Paulien M.
de Vet, Henrica C. W.
van Mechelen, Willem
Title Cost effectiveness of a multi-stage return to work program for workers on sick leave due to low back pain, design of a population based controlled trial [ISRCTN60233560]
Journal name BMC musculoskeletal disorders   Check publisher's open access policy
ISSN 1471-2474
Publication date 2003-11-01
Sub-type Article (original research)
DOI 10.1186/1471-2474-4-26
Open Access Status DOI
Volume 4
Issue Article No 26
Start page 1
End page 11
Total pages 11
Place of publication London, England
Publisher BioMed Central
Language eng
Subject 1103 Clinical Sciences
Formatted abstract
Background
To describe the design of a population based randomized controlled trial (RCT), including a cost-effectiveness analysis, comparing participative ergonomics interventions between 2–8 weeks of sick leave and Graded Activity after 8 weeks of sick leave with usual care, in occupational back pain management.

Methods Design
An RCT and cost-effectiveness evaluation in employees sick-listed for a period of 2 to 6 weeks due to low back pain. Interventions used are 1. Communication between general practitioner and occupational physician plus Participative Ergonomics protocol performed by an ergonomist. 2. Graded Activity based on cognitive behavioural principles by a physiotherapist. 3. Usual care, provided by an occupational physician according to the Dutch guidelines for the occupational health management of workers with low back pain. The primary outcome measure is return to work. Secondary outcome measures are pain intensity, functional status and general improvement. Intermediate variables are kinesiophobia and pain coping. The cost-effectiveness analysis includes the direct and indirect costs due to low back pain. The outcome measures are assessed before randomization (after 2–6 weeks on sick leave) and 12 weeks, 26 weeks and 52 weeks after first day of sick leave.

Discussion

The combination of these interventions has been subject of earlier research in Canada. The results of the current RCT will: 1. crossvalidate the Canadian findings in an different sociocultural environment; 2. add to the cost-effectiveness on treatment options for workers in the sub acute phase of low back pain. Results might lead to alterations of existing (inter)national guidelines.
Keyword Low back pain
Graded Activity
Participative Ergonomics
Return to work
Randomized Controlled Trial
Cost-effectiveness
Occupational health
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 30 times in Thomson Reuters Web of Science Article | Citations
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Created: Fri, 03 Apr 2009, 22:07:57 EST by Ms Lynette Adams on behalf of School of Human Movement and Nutrition Sciences