No registrations found.
ID
Source
Brief title
Health condition
1. Occupational rehabilitation by occupational physicians trained to use exposure in vivo techniques during the return to work phase;
2. Occupational rehabilitation as usual by occupational physicians.
Sponsors and support
Intervention
Outcome measures
Primary outcome
1. Time to full return to work;
2. Time to relapse;
3. Pecentage of contract hours worked;
4. Work functioning.
Secondary outcome
1. Psychological complaints;
2. Work ability;
3. Self efficacy in returning to work;
4. Coping with work situations;
5. Avoidance of work situations;
6. Work adjustments;
7. Satisfaction of worker with occupational physician.
Background summary
This cluster randomised trial tests the effectiveness of using specific exposure in vivo techniques during the return-to-work (RTW) phase in the occupational rehabilitation of workers with mental health problems. This interventions entails making an inventory of work tasks and their level of anxiety they evoke. These tasks will be gradually integrated in the RTW plan. This intervention is compared to occupational rehabilitation as usual. The main outcome measure is time to full return to work. Cost-effecetiveness of the intervention will be conducted form a societal perspective. 60 occupational physicians were randomised in two groups and are expected to include 200 workers in total.
Study objective
Occupational rehabilitation with a gradual return to work based on the principles of exposure in vivo will be more (cost)effective in reducing absenteeism than usual occupational rehabilitation.
Intervention
Level of occupational physician:
1. Two days of training followed by 3 intervision meetings
Level of worker:
1. Information folder with rationale;
2. Homework assignments;
3. Meeting with supervisor
F.W. Noordik
PO Box 22700
Amsterdam 1100 DE
The Netherlands
+31 20 5664878
f.w.noordik@amc.nl
F.W. Noordik
PO Box 22700
Amsterdam 1100 DE
The Netherlands
+31 20 5664878
f.w.noordik@amc.nl
Inclusion criteria
Workers who:
1. are 2-6 weeks absent from work;
2. have either:
a. a stress-related disorder (defined as having at least one psychological complaint with significant suffering or problems with functioning);
b.an anxiety disorder;
c. a depressive disorder.
Exclusion criteria
Workers with:
1. severe mental illnesses (psychotic disorders, bipolar disorder);
2. PTSD;
3. addiction problems;
4. a primary somatic disorder.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL860 |
| NTR-old | NTR874 |
| Other | : |
| ISRCTN | ISRCTN72643128 |