Occupational disorders and return to work: A randomized controlled study
Occupational disorders and return to work: A randomized controlled study
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DOI：
10.1080/16501970410025487
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发表时间：
2005-07-01
影响因子：
3.5
通讯作者：
Wieclaw, J
中科院分区：
文献类型：
--
作者：
Bonde, JP;Rasmussen, MS;Wieclaw, J
目的：目标设定和激励因素与保持工作和病假后重返工作岗位密切相关，但针对这些因素的干预效果的研究有限。设计与方法：在243名有长期病假或失业风险的患者中，184人(76%)提供了完整的基线信息。在随机分为干预组(n=92)和参照组(n=92)后，职业医生根据标准指南对参与者进行检查。干预组得到了一名社会工作者的额外支持，以加强目标设定、动力和重返工作的计划。1年后，163名参与者(%)提供了一般健康和就业状况的数据。结果：干预没有增加1年后有偿就业的可能性，也没有减少平均病假天数。结论：针对工作相关障碍患者的动机、目标设定和计划的低成本咨询计划不能改善职业结果或减少病假。
Objective: Goal setting and motivational factors are strongly associated with maintaining a job and return to work after sick leave, but research into the effects of interventions targeting these factors is limited. We conducted a randomized controlled study to examine the vocational effect of intervention focusing on motivation, goal setting and planning for return to work.Design and methods: Of 243 patients at risk of long-term sick leave or job dropout, 184 (76%) provided complete baseline information for the study. After randomization to an intervention group (n=92) and a reference group (n=92), occupational physicians examined the participants in accordance with standard guidelines. The intervention group received additional support from a social worker in order to enhance goal setting, motivation and planning for return to work. After 1 year 163 participants (89%) provided data on general health and employment status. The risk of not being gainfully employed was analysed by logistic regression analysis with adjustment for several covariates.Results: The intervention did not increase the likelihood of gainful employment after 1 year or reduce the average number of days of sick leave.Conclusion: A low-cost counselling program addressing motivation, goal setting and planning for return to work did not improve vocational outcomes or reduce sick leave among patients with work-related disorders.