Psychoeducation to facilitate return to work in individuals on sick leave and at risk of having a mental disorder: protocol of a randomised controlled trial

BMC Public Health

Chris Jensen²  Ellen A Nohr¹  Merete Labriola⁵  Bjarne Frostholm Yde⁴  Hans Jørgen Søgaard³  Pernille Pedersen⁶ 

[1] Institute of Clinical Research, University of Southern Denmark, Odense, Denmark;National Centre for Occupational Rehabilitation, Rauland, Norway;Institute of Clinical Medicine, University of Aarhus, Aarhus, Denmark;Regional Psychiatric Services, Central Denmark Region, Silkeborg, Denmark;Section of Clinical Social Medicine and Rehabilitation, School of Public Health, University of Aarhus, Aarhus, Denmark;Public Health and Quality Improvement, Central Denmark Region, Aarhus, Denmark

关键词: Locus of control;    Mental health-related quality of life;    Psychological symptoms;    Return to work;    Mental health;    Psychoeducation;    Sickness absence;   

Others  :  1092136
DOI  :  10.1186/1471-2458-14-1288

 received in 2014-11-12, accepted in 2014-12-12,  发布年份 2014

【 摘 要 】

Background

Sickness absence due to poor mental health is a common problem in many Western countries. To facilitate return to work, it may be important to identify individuals on sick leave and at risk of having a mental disorder and subsequently to offer appropriate treatment. Psychoeducation alone has not previously been used as a return to work intervention, but may be a promising tool to facilitate return to work. Therefore, the aim of the study is to evaluate the effectiveness of psychoeducation designed specifically to facilitate return to work for individuals on sick leave and at risk of having a mental disorder. The psychoeducation was a supplement to the various standard offers provided by the job centres.

Methods/Design

The study is a randomised controlled trial, in which individuals on sick leave either receive psychoeducation and standard case management or standard case management alone. Participants were individuals with mental health symptoms, who had been on sick leave from part-time or full-time work or unemployment for about 4–8 weeks. The psychoeducational intervention was group-based and the course consisted of 2 hour sessions once a week for 6 weeks. The course was given by psychiatric nurses, a psychologist, a social worker, a physiotherapist and a person who had previously been on sick leave due to mental health problems. The sessions focused on stress and work life, and the purpose was to provide individuals on sick leave the skills to understand and improve their mental functioning.

The primary outcome is the duration of sickness absence measured by register data. Secondary outcomes include psychological symptoms, mental health-related quality of life, and locus of control. These outcomes are measured by questionnaires at the start of the intervention and at 3 and 6 months follow-up.

Discussion

On the basis of this trial, the effect of psychoeducation for individuals on sick leave and at risk of having a mental disorder will be studied. The results will contribute to the continuing research on sickness absence and mental health. It will primarily show whether psychoeducation can lead to faster and sustainable return to work.

Trial Registration

Clinical Trial.gov NCT01637363. Registered 6 July 2012.

【 授权许可】

   
2014 Pedersen et al.; licensee BioMed Central.

【 图 表 】

Figure 1.

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