Evidence map›Paper›PMID 26078309›Full record

SynthesisBMJ open2015

The effectiveness of return-to-work interventions that incorporate work-focused problem-solving skills for workers with sickness absences related to mental disorders: a systematic literature review.

Carolyn S Dewa, Desmond Loong, Sarah Bonato, Margot C W Joosen

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 4 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

32 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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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

4 authors.

Carolyn S DewaCentre for Research on Employment and Workplace Health, Centre for Addiction and Mental Health, Toronto, Ontario, Canada Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
Desmond LoongCentre for Research on Employment and Workplace Health, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Sarah BonatoLibrary Services, Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Margot C W JoosenTilburg University, School of Social and Behavioral Sciences, Tranzo, Tilburg, Tranzo, The Netherlands.

Funding

Canadian Institutes of Health Research FRN#:86895
6 · The paper itself

Abstract

objectivesThis paper reviews the current state of the published peer-reviewed literature related to return-to-work (RTW) interventions that incorporate work-related problem-solving skills for workers with sickness absences related to mental disorders. It addresses the question: What is the evidence for the effectiveness of these RTW interventions?

designUsing a multiphase screening process, this systematic literature review was based on publically available peer-reviewed studies. Five electronic databases were searched: (1) Medline Current, (2) Medline In-process, (3) PsycINFO, (4) Econlit and (5) Web of Science.

settingThe focus was on RTW interventions for workers with medically certified sickness absences related to mental disorders.

participantsWorkers with medically certified sickness absences related to mental disorders.

interventionsRTW intervention included work-focused problem-solving skills. PRIMARY AND SECONDARY OUTCOME MEASURES: RTW rates and length of sickness absences.

resultsThere were 4709 unique citations identified. Of these, eight articles representing a total of six studies were included in the review. In terms of bias avoidance, two of the six studies were rated as excellent, two as good and two as weak. Five studies were from the Netherlands; one was from Norway. There was variability among the studies with regard to RTW findings. Two of three studies reported significant differences in RTW rates between the intervention and control groups. One of six studies observed a significant difference in sickness absence duration between intervention and control groups.

conclusionsThere is limited evidence that combinations of interventions that include work-related problem-solving skills are effective in RTW outcomes. The evidence could be strengthened if future studies included more detailed examinations of intervention adherence and changes in problem-solving skills. Future studies should also examine the long-term effects of problem-solving skills on sickness absence recurrence and work productivity.

Indexed as

Problem SolvingSick LeaveAbsenteeismCognitive Behavioral TherapyHumansMental DisordersReturn to WorkTreatment Outcomeinterventionsmental disordersproblem-solvingreturn-to-worksickness absencework disability

Identifiers

PMID26078309
PMCPMC4480016

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.