Evidence map›Paper›PMID 27829455›Full record

Trial reportBMC public health2016

Effects of a randomized controlled intervention trial on return to work and health care utilization after long-term sickness absence.

Anne-Mette H Momsen, Christina Malmose Stapelfeldt, Claus Vinther Nielsen, Maj Britt D Nielsen, Birgit Aust, Reiner Rugulies, Chris Jensen

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. 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

7 authors.

Anne-Mette H MomsenDEFACTUM - Social & Health Services & Labour Market, Central Denmark Region, Aarhus, Denmark. anne-mette.momsen@stab.rm.dk.
Christina Malmose StapelfeldtDEFACTUM - Social & Health Services & Labour Market, Central Denmark Region, Aarhus, Denmark.
Claus Vinther NielsenSection of Clinical Social Medicine and Rehabilitation, Institute of Public Health, Aarhus University, Aarhus, Denmark.
Maj Britt D NielsenCOWI A/S, Lyngby, Denmark.
Birgit AustThe National Research Centre for the Working Environment, Copenhagen, Denmark.
Reiner RuguliesThe National Research Centre for the Working Environment, Copenhagen, Denmark.
Chris JensenNational Centre for Occupational Rehabilitation, Rauland, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of the RCT study was to investigate if the effect of a multidisciplinary intervention on return to work (RTW) and health care utilization differed by participants' self-reported health status at baseline, defined by a) level of somatic symptoms, b) health anxiety and c) self-reported general health.

methodsA total of 443 individuals were randomized to the intervention (n = 301) or the control group (n = 142) and responded to a questionnaire measuring health status at baseline. Participants were followed in registries measuring RTW and health care utilization. Relative risk (RR) and odds ratio (OR) were used as measures of associations. Results were adjusted for gender, age, educational level, work ability and previous sick leave.

resultsAmong all responders we found no effect of the intervention on RTW. Among participants with low health anxiety, the one-year probability of RTW was lower in the intervention than in the control group (RR = 0.79 95 % CI 0.68-0.93), but for those with high health anxiety there was no difference between the groups (RR = 1.15 95 % CI 0.84-1.57). Neither general health nor somatic symptoms modified the effect of the intervention on RTW. The intervention had no effect on health care utilization.

conclusionsThe multidisciplinary intervention did not facilitate RTW or decrease health care utilization compared to ordinary case management in subgroups with multiple somatic symptoms, health anxiety or low self-rated health. However, the intervention resulted in a reduced chance of RTW among participants with low health anxiety levels.

trial registrationISRCTN43004323 , and ISRCTN51445682.

Indexed as

AdultAnxietyBehavior TherapyDenmarkDiagnostic Self EvaluationFemaleHumansMaleMiddle AgedOccupational DiseasesOdds RatioPatient Acceptance of Health CareRegistriesReturn to WorkRiskSick LeaveEffect evaluationHealth anxietyHealth care utilizationInterdisciplinary interventionRandomized controlled trialRehabilitationReturn-to-workSickness absenceSomatic symptoms

Identifiers

PMID27829455
PMCPMC5103458

What OpenQuestion holds

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LicenceCC BY
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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.