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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Foundation for Rehabilitation Information
2017-11-01
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https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2296
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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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