Trial reportInternational journal of environmental research and public health2018
Multidisciplinary Intervention and Acceptance and Commitment Therapy for Return-to-Work and Increased Employability among Patients with Mental Illness and/or Chronic Pain: A Randomized Controlled Trial.
Trial report in International journal of environmental research and public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.
- Elements of Return-to-Work Interventions for Workers on Long-Term Sick Leave: A Systematic Literature Review.Journal of occupational rehabilitation · 2025Pooled it
- Well-Being at Work after Return to Work (RTW): A Systematic Review.International journal of environmental research and public health · 2020Pooled it
- Long-term health- and cost evaluation of two work-oriented rehabilitation models for women on long-term work disability due to common mental disorders or chronic pain - a randomized controlled trial.BMC public health · 2026Trial
- Trial
- Article
- Article
- ECHO OEM virtual community of learning for primary care.Occupational medicine (Oxford, England) · 2024Observational
- The effectiveness of occupational therapy supporting return to work for people who sustain serious injuries or develop long-term (physical or mental) health conditions: A systematic review.The British journal of occupational therapy · 2023Review
- Including a Three-Party Meeting Using the Demand and Ability Protocol in an Interdisciplinary Pain Rehabilitation Programme for a Successful Return to Work Process.International journal of environmental research and public health · 2022Article
- Coordination and Perceived Support for Return to Work: A Cross-Sectional Study among Patients in Swedish Healthcare.International journal of environmental research and public health · 2022Article
- Comparing Perceived Pain Impact Between Younger and Older Adults With High Impact Chronic Pain: A Cross-Sectional Qualitative and Quantitative Survey.Frontiers in pain research (Lausanne, Switzerland) · 2022Article
- A scoping review to ascertain the parameters for an evidence synthesis of psychological interventions to improve work and wellbeing outcomes among employees with chronic pain.Health psychology and behavioral medicine · 2021Article
- The Use of Acceptance and Commitment Therapy in Substance Use Disorders: A Review of Literature.Journal of clinical medicine research · 2020Review
- Trends in the Cumulative Incidence of Vocational Rehabilitation Indicators in Brazil, 2007-2016.International journal of environmental research and public health · 2020Article
- A Two-Day Acceptance and Commitment Therapy (ACT) Workshop Increases Presence and Work Functioning in Healthcare Workers.Frontiers in psychiatry · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPeople on long-term sick leave often have a long-lasting process back to work, where the individuals may be in multiple and recurrent states; i.e., receiving different social security benefits or working, and over time they may shift between these states. The purpose of this study was to evaluate the effects of two vocational rehabilitation programs, compared to a control, on return-to-work (RTW) or increased employability in patients on long-term sick leave due to mental illness and/or chronic pain.
methodsIn this randomized controlled study, 427 women and men were allocated to either (1) multidisciplinary team management, i.e., multidisciplinary assessments and individual rehabilitation management, (2) acceptance and commitment therapy (ACT), or (3) control. A positive outcome was defined as RTW or increased employability. The outcome was considered negative if the (part-time) wage was reduced or ceased, or if there was an indication of decreased employability. The outcome was measured one year after entry in the project and analyzed using binary and multinomial logistic regressions.
resultsParticipants in the multidisciplinary team group reported having RTW odds ratio (OR) 3.31 (95% CI 1.39⁻7.87) compared to the control group in adjusted models. Participants in the ACT group reported having increased employability OR 3.22 (95% CI 1.13⁻9.15) compared to the control group in adjusted models.
conclusionsThis study of vocational rehabilitation in mainly female patients on long-term sick leave due to mental illness and/or chronic pain suggests that multidisciplinary team assessments and individually adapted rehabilitation interventions increased RTW and employability. Solely receiving the ACT intervention also increased employability.
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Registered trials
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.