Evidence map›Paper›PMID 36621009›Full record

Trial reportEuropean psychiatry : the journal of the Association of European Psychiatrists2023

Supporting return to work after psychiatric hospitalization-A cluster randomized study (RETURN-study).

Johannes Hamann, Anne Lang, Lina Riedl, Daniela Blank, Monika Kohl, Adele Brucks, David Goretzko, Markus Bühner, Tamara Waldmann, Reinhold Kilian and 6 more

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in European psychiatry : the journal of the Association of European Psychiatrists, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
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

16 authors.

Johannes HamannDepartment of Psychiatry and Psychotherapy, Klinikum rechts der Isar, Technische Universität München, München, Germany.ORCID 0000-0002-3861-6017
Anne LangKbo-Isar-Amper-Klinikum, Haar, Germany.ORCID 0000-0002-4441-8279
Lina RiedlDepartment of Psychiatry and Psychotherapy, Klinikum rechts der Isar, Technische Universität München, München, Germany.ORCID 0000-0002-0658-5332
Daniela BlankKbo-Isar-Amper-Klinikum, Haar, Germany.
Monika KohlDepartment of Psychiatry and Psychotherapy, Klinikum rechts der Isar, Technische Universität München, München, Germany.
Adele BrucksDepartment of Psychiatry and Psychotherapy, Klinikum rechts der Isar, Technische Universität München, München, Germany.
David GoretzkoPsychological Methods and Assessment, Ludwig-Maximilians-Universität München, München, Germany.
Markus BühnerPsychological Methods and Assessment, Ludwig-Maximilians-Universität München, München, Germany.ORCID 0000-0002-0597-8708
Tamara WaldmannKlinik für Psychiatrie II am BKH Günzburg, Sektion Gesundheitsökonomie und Versorgungsforschung, Günzburg, Germany.ORCID 0000-0002-8084-2827
Reinhold KilianKlinik für Psychiatrie II am BKH Günzburg, Sektion Gesundheitsökonomie und Versorgungsforschung, Günzburg, Germany.ORCID 0000-0002-4401-5787
Peter FalkaiDepartment of Psychiatry and Psychotherapy, Klinikum der Ludwig-Maximilians-Universität München, München, Germany.
Alkomiet HasanMedical Faculty, Department of Psychiatry, Psychotherapy and Psychosomatics, Bezirkskrankenhaus Augsburg, University of Augsburg, Augsburg, Germany.
Martin E KeckDepartment of Psychiatry, Psychotherapy and Psychosomatics, Klinik Seewis, Seewis, Switzerland.ORCID 0000-0001-5111-9333
Michael LandgrebeDepartment of Psychiatry and Psychotherapy, kbo Lech-Mangfall-Hospital, Agatharied, Germany.
Stephan HeresKbo-Isar-Amper-Klinikum, Haar, Germany.
Peter BriegerKbo-Isar-Amper-Klinikum, Haar, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIf people with episodic mental-health conditions lose their job due to an episode of their mental illness, they often experience personal negative consequences. Therefore, reintegration after sick leave is critical to avoid unfavorable courses of disease, longer inability to work, long payment of sickness benefits, and unemployment. Existing return-to-work (RTW) programs have mainly focused on "common mental disorders" and often used very elaborate and costly interventions without yielding convincing effects. It was the aim of the RETURN study to evaluate an easy-to-implement RTW intervention specifically addressing persons with mental illnesses being so severe that they require inpatient treatment.

methodsThe RETURN study was a multi-center, cluster-randomized controlled trial in acute psychiatric wards addressing inpatients suffering from a psychiatric disorder. In intervention wards, case managers (RTW experts) were introduced who supported patients in their RTW process, while in control wards treatment, as usual, was continued.

resultsA total of 268 patients were recruited for the trial. Patients in the intervention group had more often returned to their workplace at 6 and 12 months, which was also mirrored in more days at work. These group differences were statistically significant at 6 months. However, for the main outcome (days at work at 12 months), differences were no longer statistically significant (

conclusionsThe RETURN intervention has shown the potential of case-management interventions when addressing RTW. Further analyses, especially the qualitative ones, may help to better understand limitations and potential areas for improvement.

Indexed as

Mental DisordersReturn to WorkEmploymentHospitalizationHumansSick LeaveWorkplaceMental healthrehabilitationreturn to work

Identifiers

PMID36621009
PMCPMC9879869

What OpenQuestion holds

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Registered trials

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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.