Evidence map›Paper›PMID 17549228›Full record

ArticlePLoS clinical trials2007

A cluster-randomised trial evaluating an intervention for patients with stress-related mental disorders and sick leave in primary care.

Ingrid M Bakker, Berend Terluin, Harm W J van Marwijk, Daniëlle A W M van der Windt, Frank Rijmen, Willem van Mechelen, Wim A B Stalman

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In one paragraph

Article in PLoS clinical trials, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 10 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 10 syntheses or guidelines pooled it.

  1. Pooled it
  2. Interventions to improve return to work in depressed people.The Cochrane database of systematic reviews · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ingrid M BakkerInstitute for Research in Extramural Medicine, VU University Medical Center Amsterdam, Amsterdam, The Netherlands. IM_Bakker@hotmail.com
Berend Terluin
Harm W J van Marwijk
Daniëlle A W M van der Windt
Frank Rijmen
Willem van Mechelen
Wim A B Stalman

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveMental health problems often affect functioning to such an extent that they result in sick leave. The worldwide reported prevalence of mental health problems in the working population is 10%-18%. In developed countries, mental health problems are one of the main grounds for receiving disability benefits. In up to 90% of cases the cause is stress-related, and health-care utilisation is mainly restricted to primary care. The aim of this study was to assess the effectiveness of our Minimal Intervention for Stress-related mental disorders with Sick leave (MISS) in primary care, which is intended to reduce sick leave and prevent chronicity of symptoms.

designCluster-randomised controlled educational trial.

settingPrimary health-care practices in the Amsterdam area, The Netherlands.

participantsA total of 433 patients (MISS n = 227, usual care [UC] n = 206) with sick leave and self-reported elevated level of distress.

interventionsForty-six primary care physicians were randomised to either receive training in the MISS or to provide UC. Eligible patients were screened by mail. OUTCOME MEASURES: The primary outcome measure was duration of sick leave until lasting full return to work. The secondary outcomes were levels of self-reported distress, depression, anxiety, and somatisation.

resultsNo superior effect of the MISS was found on duration of sick leave (hazard ratio 1.06, 95% confidence interval 0.87-1.29) nor on severity of self-reported symptoms.

conclusionsWe found no evidence that the MISS is more effective than UC in our study sample of distressed patients. Continuing research should focus on the potential beneficial effects of the MISS; we need to investigate which elements of the intervention might be useful and which elements should be adjusted to make the MISS effective.

Identifiers

PMID17549228
PMCPMC1885369

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.