Effects of a Self-management Course for Adults on Sick-leave (jos)

University of Aarhus

Status: Completed

Conditions: Workers on Sick-leave, Insured by The Danish Welfare State

Treatments: Behavioral: Self-management program (SMP)

Study type: Interventional

Funder types: Other

Identifiers

NCT02136056

auh_JOS_sfi-01

Details and patient eligibility

About

The purpose of the current study is to determine the efficacy of a self-management course for workers on sick-leave as an add-on to standard rehabilitation care and follow-up (treatment as usual). Outcomes are registry based measures of return to work, and questionnaire based measures of well-being and quality of life.

We thus, hypothesize that the program will improve workers return to work rates and self-reported/psychological well-being.

Full description

The intervention course is a Danish adaptation of The Chronic Disease Self-Management Program (CDSMP), tailored towards workers on sick-leave. The original program has been developed by The Stanford Patient Education Research Center. The translation and adaptation has been conducted by The Danish Committee for Health Education.

Previous studies have examined the program with respect to specific chronic diseases (e.g., Arthritis), quality of life, well-being and health-care utilization, though non-otherwise specified workers on sick-leave and return work have not been examined before.

The framework of CDSMP is social-cognitive learning theory in which self-efficacy plays a central role.

Enrollment: 600 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Insured persons who receive sick-leave compensation from the Danish State
• Persons who are listed as sick from a job
• Persons who have been categorized as "2 - risk" or "3 - chronic" case by the job-center
• The health problem reflects a chronic or a long-term condition
• The person acknowledges a chronic or long-term condition
• The person wants to work with his or her condition
• The person wants to return to work
• The person volunteers to participate

Exclusion criteria

• Persons who are listed sick for more than 16 weeks
• Persons who are categorized as "1 - easy" by the job-center
• The person does not understand or speak danish
• History or signs of aggressive behavior and violence

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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600 participants in 2 patient groups

Self-management program (SMP)

Experimental group

Description:

Participants in the experimental group receive six weekly group-sessions of self-management and patient education; specifically targeting self-management of the return to work process and disease symptoms.

Treatment:

Behavioral: Self-management program (SMP)

Treatment as usual

No Intervention group

Description:

Participants in the control-group receive standard rehabilitation care and follow-up in the job-center.