Evidence map›Paper›PMID 31064371›Full record

ArticleBMC psychiatry2019

Exploring the potential cost-effectiveness of a vocational rehabilitation program for individuals with schizophrenia in a high-income welfare society.

Stig Evensen, Torbjørn Wisløff, June Ullevoldsæter Lystad, Helen Bull, Egil W Martinsen, Torill Ueland, Erik Falkum

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01139502 (Cognitive Therapy and Cognitive Training in Work Rehabilitation for Persons With Severe Mental Illness. A Randomised Controlled Trial), which is not on this map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
9.3field-weighted citation impact, top 2% of its field
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.

NCT01139502 nacompletednot on this map

Cognitive Therapy and Cognitive Training in Work Rehabilitation for Persons With Severe Mental Illness. A Randomised Controlled Trial

TypeinterventionalSponsorOslo University HospitalRan2010 to 2014Enrolled140ConditionsMental IllnessArmsWork rehabilitation based on the cognitive therapeutical model, Work rehabilitation with the addition of cognitive training
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Economic analyses of supported employment programmes for people with mental health conditions: A systematic review.European psychiatry : the journal of the Association of European Psychiatrists · 2022
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Living beyond the limitation: Rehabilitation, life and productivity of individuals with schizophrenia in South-West Nigeria.Health expectations : an international journal of public participation in health care and health policy · 2021
    Article
  8. Review
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 at 2 institutions in 1 country.

Stig EvensenDepartment of Research, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway. stigevensen74@gmail.com.ORCID 0000-0003-3630-448X
Torbjørn WisløffDepartment of Infectious Disease Epidemiology and Modelling, Norwegian Institute of Public Health, Oslo, Norway.
June Ullevoldsæter LystadDepartment of Research, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.
Helen BullDepartment of Research, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.
Egil W MartinsenDepartment of Research, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.
Torill UelandDepartment of Research, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.
Erik FalkumDepartment of Research, Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.
Oslo University Hospital · NONorwegian Institute of Public Health · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOver the past decades research has shown that employment has a positive impact on quality of life, global functioning and recovery in individuals with schizophrenia. However, access to vocational rehabilitation services for this group is limited and unemployment rates remain high. In this study we explore the potential cost-effectiveness of a novel vocational rehabilitation program (The Job Management Program - JUMP) earmarked for individuals with schizophrenia in Norway.

methodsThe JUMP study was a vocational rehabilitation program augmented with either cognitive behaviour therapy or cognitive remediation. In addition to the JUMP protocol, we extracted treatment cost data from comprehensive and mandatory health and welfare registers. The costs over a two-year follow-up period were compared with the costs over the two-year period prior to inclusion in the study. We also compared the cost-effectiveness of JUMP with a treatment as usual group (TAU).

resultsWe identified significant reductions in inpatient services in the JUMP group, both for those who obtained employment and those who did not. Significant reductions were also found in the TAU group, but adjusted for baseline differences the total cost for JUMP participants were € 10,621 lower than in the TAU group during the follow-up period.

conclusionIn addition to supporting individuals with schizophrenia obtain employment, JUMP appears to have reduced the reliance on mental health services, which should be of interest to stakeholders.

trial registrationClinicalTrials.gov Identifier: NCT01139502 . Retrospectively registered on 6 February 2010.

Indexed as

AdultCognitive Behavioral TherapyCognitive RemediationCost-Benefit AnalysisEmploymentFemaleHumansMaleNorwayRehabilitation, VocationalRetrospective StudiesSchizophreniaTreatment OutcomeCognitive behaviour therapyCognitive remediationIncremental cost-effectiveness ratioQuality adjusted life years (QALY)SchizophreniaVocational rehabilitation

Identifiers

PMID31064371
PMCPMC6505225
OpenAlexW2947916713

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.