Evidence map›Paper›PMID 42087116›Full record

Trial reportBMC public health2026

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.

Anna Finnes, Magnus Johansson, Magnus Helgesson, Åsa Andersén, Erik Berglund, Ingrid Anderzén

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03343457 (A Randomized Intervention and Coordination Program Aiming at Return To Work for Women With Long Term Sick Leave), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT03343457 nacompletednot on this map

A Randomized Intervention and Coordination Program Aiming at Return To Work for Women With Long Term Sick Leave

TypeinterventionalSponsorUppsala UniversityRan2010 to 2012Enrolled400ConditionsAnxiety, Chronic PainArmsCognitive therapy
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Anna FinnesDepartment of Public Health and Caring Sciences, Uppsala University, Uppsala, SE- 751 22, Sweden. anna.finnes@ki.se.ORCID 0000-0002-5615-4266
Magnus JohanssonCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, SE-113 64, Sweden.
Magnus HelgessonDepartment of Public Health and Caring Sciences, Uppsala University, Uppsala, SE- 751 22, Sweden.
Åsa AndersénDepartment of Public Health and Caring Sciences, Uppsala University, Uppsala, SE- 751 22, Sweden.
Erik BerglundDepartment of Public Health and Caring Sciences, Uppsala University, Uppsala, SE- 751 22, Sweden.
Ingrid AnderzénDepartment of Public Health and Caring Sciences, Uppsala University, Uppsala, SE- 751 22, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLong-term outcomes of work rehabilitation for individuals on extended sick leave due to common mental disorders or chronic musculoskeletal pain remain insufficiently studied. This randomized controlled trial evaluated the long-term effects on work disability and cost-effectiveness over eight years, and health outcomes over ten years, comparing (1) unimodal Acceptance and Commitment Therapy (ACT) and (2) multidisciplinary assessment and treatment program including ACT (TEAM) with standard care (Control).

methodsWork disability days were analysed using ordered beta regression, and health outcomes were assessed using mixed models for repeated measures. Results are presented as estimated marginal means.

resultsBoth intervention groups demonstrated lower model-predicted median work disability days at all time points compared to Control, but the differences were only statistically significant for the TEAM group at years four, seven, and eight. Both ACT and TEAM interventions showed superior effects on psychiatric symptom reduction relative to Control at one- and two-years follow-up.

conclusionThe findings highlight the importance of extended follow-up to fully capture the effects of rehabilitation efforts. The results support the consideration of both rehabilitation models for women with prolonged work disability, with the choice between them potentially guided by available resources, individual patient complexity, and a stepwise approach to care.

trial registrationThe study was retrospectively registered at the Clinicaltrials.gov Register Platform on November 15, 2017 (ID NCT03343457).

Indexed as

Acceptance and Commitment TherapyChronic PainMental DisordersRehabilitation, VocationalSick LeaveAdultCost-Effectiveness AnalysisFemaleHumansMiddle AgedAbsenteeismAcceptance and commitment therapyCost-effectiveness analysisOrdered beta regressionVocational rehabilitationWomen

Identifiers

PMID42087116
PMCPMC13147580

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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.