Predictors of return-to-work in patients with chronic musculoskeletal pain: A randomized clinical trial

Objective: To assess the predictive effect of a multidisciplinary intervention programme, pain, work-related factors and health, including anxiety/depression and beliefs, on return-to-work for patients sick-listed due to musculoskeletal pain. Design: A randomized clinical study....

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Main Authors: Randi Brendbekken, Arild Vaktskjold, Anette Harris, Tone Tangen
Format: Article
Language:English
Published: Foundation for Rehabilitation Information 2017-11-01
Series:Journal of Rehabilitation Medicine
Subjects:
Online Access: https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2296
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spelling doaj-0d4af3bc875e4a71b9e6d6ba07d1e6912020-11-25T01:10:31ZengFoundation for Rehabilitation InformationJournal of Rehabilitation Medicine1650-19771651-20812017-11-0150219319910.2340/16501977-22962377Predictors of return-to-work in patients with chronic musculoskeletal pain: A randomized clinical trialRandi Brendbekken0Arild VaktskjoldAnette HarrisTone Tangen Department of Physical Medicine and Rehabilitation, Innlandet Hospital Trust, NO-2312 Ottestad, Norway. randi.brendbekken@sykehuset-innlandet.no. Objective: To assess the predictive effect of a multidisciplinary intervention programme, pain, work-related factors and health, including anxiety/depression and beliefs, on return-to-work for patients sick-listed due to musculoskeletal pain. Design: A randomized clinical study. Methods: A total of 284 patients were randomized to either a multidisciplinary intervention programme (n = 141) or to a less resource-demanding brief intervention (n = 143). Work participation was estimated monthly from register data for 12 months. Return-to-work was defined as increased work participation in 3 consecutive months. Results: In the adjusted model, return-to-work by 3 months was associated with a multidisciplinary intervention programme (odds ratio (OR) = 2.7, 95% confidence interval (95% CI) = 1.1–6.9), the factor “belief that work was cause of the pain” (OR = 2.2, 95% CI = 1.1–4.3), anxiety and depression (OR = 0.5, 95% CI = 0.2–0.98), and by an interaction between the multidisciplinary intervention and perceived support at work (OR = 0.3, 95% CI = 0.1–0.9). At 12 months, only duration of sick leave was associated with return-to-work (OR = 0.6, 95% CI = 0.5–0.8). Conclusion: Multidisciplinary intervention may hasten return-to-work and benefit those who perceive low support at work, but at 12 months only duration of sick leave at baseline was associated with return-to-work. https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2296 multidisciplinaryrehabilitationreturn-to-worksicknessabsencesickleaverandomizedclinicaltrialprognosticfactorsmusculoskeletalpain.
collection DOAJ
language English
format Article
sources DOAJ
author Randi Brendbekken
Arild Vaktskjold
Anette Harris
Tone Tangen
spellingShingle Randi Brendbekken
Arild Vaktskjold
Anette Harris
Tone Tangen
Predictors of return-to-work in patients with chronic musculoskeletal pain: A randomized clinical trial
Journal of Rehabilitation Medicine
multidisciplinaryrehabilitation
return-to-work
sicknessabsence
sickleave
randomizedclinicaltrial
prognosticfactors
musculoskeletalpain.
author_facet Randi Brendbekken
Arild Vaktskjold
Anette Harris
Tone Tangen
author_sort Randi Brendbekken
title Predictors of return-to-work in patients with chronic musculoskeletal pain: A randomized clinical trial
title_short Predictors of return-to-work in patients with chronic musculoskeletal pain: A randomized clinical trial
title_full Predictors of return-to-work in patients with chronic musculoskeletal pain: A randomized clinical trial
title_fullStr Predictors of return-to-work in patients with chronic musculoskeletal pain: A randomized clinical trial
title_full_unstemmed Predictors of return-to-work in patients with chronic musculoskeletal pain: A randomized clinical trial
title_sort predictors of return-to-work in patients with chronic musculoskeletal pain: a randomized clinical trial
publisher Foundation for Rehabilitation Information
series Journal of Rehabilitation Medicine
issn 1650-1977
1651-2081
publishDate 2017-11-01
description Objective: To assess the predictive effect of a multidisciplinary intervention programme, pain, work-related factors and health, including anxiety/depression and beliefs, on return-to-work for patients sick-listed due to musculoskeletal pain. Design: A randomized clinical study. Methods: A total of 284 patients were randomized to either a multidisciplinary intervention programme (n = 141) or to a less resource-demanding brief intervention (n = 143). Work participation was estimated monthly from register data for 12 months. Return-to-work was defined as increased work participation in 3 consecutive months. Results: In the adjusted model, return-to-work by 3 months was associated with a multidisciplinary intervention programme (odds ratio (OR) = 2.7, 95% confidence interval (95% CI) = 1.1–6.9), the factor “belief that work was cause of the pain” (OR = 2.2, 95% CI = 1.1–4.3), anxiety and depression (OR = 0.5, 95% CI = 0.2–0.98), and by an interaction between the multidisciplinary intervention and perceived support at work (OR = 0.3, 95% CI = 0.1–0.9). At 12 months, only duration of sick leave was associated with return-to-work (OR = 0.6, 95% CI = 0.5–0.8). Conclusion: Multidisciplinary intervention may hasten return-to-work and benefit those who perceive low support at work, but at 12 months only duration of sick leave at baseline was associated with return-to-work.
topic multidisciplinaryrehabilitation
return-to-work
sicknessabsence
sickleave
randomizedclinicaltrial
prognosticfactors
musculoskeletalpain.
url https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2296
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