Protocol for a feasibility randomised controlled study of a multicomponent intervention to promote a sustainable return to work of workers on long-term sick leave - PROWORK: PROmoting a Sustainable and Healthy Return to WORK.
Protocol for a feasibility randomised controlled study of a multicomponent intervention to promote a sustainable return to work of workers on long-term sick leave - PROWORK: PROmoting a Sustainable and Healthy Return to WORK.
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DOI：
10.1186/s40814-022-01143-8
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发表时间：
2022-08-19
影响因子：
1.7
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中科院分区：
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病假成本对个人和组织具有重大的社会、心理和财务影响。支持与工作场所进行高质量沟通和接触的重返工作岗位干预措施可将病假时间缩短15至30天。然而，在中小企业和大型企业中，促进精神健康状况不佳的工人因长期病假可持续地重返工作岗位的举措有限。本文介绍了一个试点随机对照试验（RCT）的协议，以测试在所有部门的中小企业和LE实施RTW干预的可行性。将在英国中部地区的中小企业和LE企业中进行为期4个月的干预双臂可行性RCT。将招募至少8个组织（4个对照组和干预组）和至少60名工人和/或管理人员，并随机分配到干预组和对照组（30个干预组，30个对照组）。长期病假（LTSA）（8至50天）的工人和管理人员有资格参加LTSA。干预措施是一个行为改变方案，包括管理人员和工人的RTW工具包，重点是通过提供知识、解决问题、行动规划、目标设定和积极沟通来支持病假和RTW，从而实现可持续的RTW。被分配到对照组的组织将继续其一贯做法。将在基线、2个月和4个月时测量心理健康、RTW、工作成果、生活质量、工作场所支持和沟通以及其他人口统计学数据。可行性将根据招募、保留、自然减员、措施完成情况和干预措施依从性进行评估，具体流程和研究结果已确定。过程评价将探讨干预措施和评价措施的经验和可接受性。将进行探索性经济评价，以进一步为最终试验提供信息。这是一种新颖的干预措施，采用工人-管理者办法，促进因精神健康状况不佳而长期休病假的工人可持续地重返工作岗位。如果这种干预措施被证明是可行的，其结果将为更大规模的随机对照试验提供信息。ISRCTN 90032009（回顾性注册，注册日期2020年12月15日）
The cost of sickness absence has major social, psychological and financial implications for individuals and organisations. Return-to-work (RTW) interventions that support good quality communication and contact with the workplace can reduce the length of sickness absence by between 15 and 30 days. However, initiatives promoting a sustainable return to work for workers with poor mental health on long-term sickness absence across small, medium and large enterprises (SMEs and LEs) are limited. This paper describes the protocol of a pilot randomised controlled trial (RCT) to test the feasibility of implementing a RTW intervention across SMEs and LEs across all sectors. A two-arm feasibility RCT with a 4-month intervention will be conducted in SMEs and LE enterprises from the Midlands region, UK. At least 8 organisations (4 controls and interventions), and at least 60 workers and/or managers, will be recruited and randomised into the intervention and control group (30 interventions, 30 controls). Workers on long-term sickness absence (LTSA) (between 8 and 50 days) and managers with a worker on LTSA will be eligible to participate. The intervention is a behavioural change programme, including a managers and workers RTW toolkit, focused on supporting sickness absence and RTW through the provision of knowledge, problem-solving, action planning, goal setting and positive communication that leads to a sustainable RTW. Organisations assigned to the control group will continue with their usual practice. Measurements of mental health, RTW, work outcomes, quality-of-life, workplace support and communication and other demographic data will be taken at baseline, 2 months and 4 months. Feasibility will be assessed based on recruitment, retention, attrition, completion of measures and intervention compliance for which specific process and research outcomes have been established. A process evaluation will explore the experiences and acceptability of the intervention components and evaluation measures. Exploratory economic evaluation will be conducted to further inform a definitive trial. This is a novel intervention using a worker-manager approach to promote a sustainable return to work of workers on long-term sick leave due to poor mental wellbeing. If this intervention is shown to be feasible, the outcomes will inform a larger scale randomised control trial. ISRCTN90032009 (retrospectively registered, date registered 15th December 2020)