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Johannes R Anema - One of the best experts on this subject based on the ideXlab platform.
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Process Evaluation of a Participatory Supportive Return to Work Program for Workers Without a Permanent Employment Contract, Sick-Listed Due to a Common Mental Disorder
Journal of Occupational Rehabilitation, 2017Co-Authors: Lieke Lammerts, Frederieke G Schaafsma, Willem Mechelen, Johannes R AnemaAbstract:Purpose This study aimed to perform a process evaluation of a participatory supportive return to work program for workers without a (permanent) Employment Contract, sick-listed due to a common mental disorder. The program consisted of a participatory approach, integrated care and direct placement in a competitive job. Our main questions were: were these components realized in practice and in accordance with the protocol? The evaluation took place alongside a randomized controlled trial. Methods The study population consisted of workers who filed a sickness benefit claim at the Dutch Social Security Agency, professionals of this agency and of vocational rehabilitation agencies. We focused on sick-listed workers and professionals who had actually participated in the intervention. Data was collected mainly by questionnaires. Results Only 36 out of 94 intervention group participants started with the program. In half of these cases application of integrated care was reported. Most other steps in the program were completed. However, fidelity to the protocol was low to reasonable. Much delay was observed in the execution of the program and only two sick-listed workers were placed in a competitive job. Still, satisfaction with the participatory approach was good. Conclusions Despite the positive evaluation of the participatory approach, the full program was executed less successfully compared to similar programs evaluated in earlier studies. This will probably affect the outcomes of our trial. Findings from this study will help to interpret these outcomes. Nevertheless, more knowledge is needed about experiences of stakeholders who participated in the program. Trial Registration NTR3563.
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therapeutic work as a facilitator for return to paid work in cancer survivors
Journal of Occupational Rehabilitation, 2017Co-Authors: Marjolein Van Egmond, Saskia F A Duijts, P Van Muijen, A J Van Der Beek, Johannes R AnemaAbstract:Purpose The increase of flexible Employment in European labour markets has contributed to workers’ risk of job loss. For sick-listed workers with chronic illnesses, such as cancer, and especially those without an Employment Contract, participation in therapeutic work may be an important step towards paid Employment. The purpose of this study was to determine the role of therapeutic Employment as facilitator for return to paid work, in a cohort of sick-listed cancer survivors (CSs) with and without an Employment Contract. Methods In this longitudinal study, data were used from a cohort of Dutch CSs (N = 192), who applied for disability benefits after 2 years of sick leave. The primary outcome measure was return to paid work after 1 year. Logistic regression analysis was applied. Results Of the participating CSs (mean age 50.7 years, 33 % male), 69 % had an Employment Contract at baseline. CSs without an Employment Contract participated significantly less in therapeutic work (p < 0.001) and were less likely to return to paid work after 1 year (p = 0.001), than those with a Contract. Participation in therapeutic work significantly increased the chance of return to paid work after 1 year (OR 6.97; 95 % CI 2.94–16.51), adjusted for age, gender, level of work disability and having an Employment Contract. Conclusions Participation in therapeutic work could be an important facilitator for return to paid work in sick-listed CSs. The effectiveness of therapeutic work as a means to return to paid Employment for sick-listed workers should be studied in an experimental setting.
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a participatory supportive return to work program for workers without an Employment Contract sick listed due to a common mental disorder an economic evaluation alongside a randomized controlled trial
BMC Public Health, 2017Co-Authors: Johannes R Anema, Lieke Lammerts, Frederieke G Schaafsma, Willem Van Mechelen, Johanna M Van DongenAbstract:Abstract Background Mental disorders are associated with high costs for productivity loss, sickness absence and unEmployment. A participatory supportive return to work (RTW) program was developed in order to improve RTW among workers without an Employment Contract, sick-listed due to a common mental disorder. The program contained a participatory approach, integrated care and direct placement in a competitive job. The aim of this study was to evaluate the cost-effectiveness and cost-utility of this new program, compared to usual care. In addition, its return on investment was evaluated. Methods An economic evaluation was conducted alongside a 12-month randomized controlled trial. A total of 186 participants was randomly allocated to the new program ( n = 94) or to usual care ( n = 92). Effect measures were the duration until sustainable RTW in competitive Employment and quality-adjusted life years (QALYs) gained. Costs included intervention costs, medical costs and absenteeism costs. Registered data of the Dutch Social Security Agency were used to assess the duration until sustainable RTW, intervention costs and absenteeism costs. QALYs and medical costs were assessed using three- or six-monthly questionnaires. Missing data were imputed using multiple imputations. Cost-effectiveness analysis and cost-utility analysis were conducted from the societal perspective. A return on investment analysis was conducted from the social insurer’s perspective. Various sensitivity analyses were performed to assess the robustness of the results. Results The new program had no significant effect on the duration until sustainable RTW and QALYs gained. Intervention costs and medical costs were significantly higher in the intervention group. From the societal perspective, the maximum probability of cost-effectiveness for duration until sustainable RTW was 0.64 at a willingness to pay of about €10 000/day, and 0.27 for QALYs gained, regardless of the willingness to pay. From the social insurer’s perspective, the probability of financial return was 0.18. Conclusions From the societal perspective, the new program was neither cost-effective in improving sustainable RTW nor in gaining QALYs. From the social insurer’s perspective, the program did not result in a positive financial return. Therefore, the present study provided no evidence to support its implementation. Trial registration The trial was listed at the Dutch Trial Register (NTR) under NTR3563 on August 7, 2012.
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a participatory supportive return to work program for workers without an Employment Contract sick listed due to a common mental disorder an economic evaluation alongside a randomized controlled trial
BMC Public Health, 2017Co-Authors: Johannes R Anema, Lieke Lammerts, Frederieke G Schaafsma, Willem Van Mechelen, Johanna M Van DongenAbstract:Mental disorders are associated with high costs for productivity loss, sickness absence and unEmployment. A participatory supportive return to work (RTW) program was developed in order to improve RTW among workers without an Employment Contract, sick-listed due to a common mental disorder. The program contained a participatory approach, integrated care and direct placement in a competitive job. The aim of this study was to evaluate the cost-effectiveness and cost-utility of this new program, compared to usual care. In addition, its return on investment was evaluated. An economic evaluation was conducted alongside a 12-month randomized controlled trial. A total of 186 participants was randomly allocated to the new program (n = 94) or to usual care (n = 92). Effect measures were the duration until sustainable RTW in competitive Employment and quality-adjusted life years (QALYs) gained. Costs included intervention costs, medical costs and absenteeism costs. Registered data of the Dutch Social Security Agency were used to assess the duration until sustainable RTW, intervention costs and absenteeism costs. QALYs and medical costs were assessed using three- or six-monthly questionnaires. Missing data were imputed using multiple imputations. Cost-effectiveness analysis and cost-utility analysis were conducted from the societal perspective. A return on investment analysis was conducted from the social insurer’s perspective. Various sensitivity analyses were performed to assess the robustness of the results. The new program had no significant effect on the duration until sustainable RTW and QALYs gained. Intervention costs and medical costs were significantly higher in the intervention group. From the societal perspective, the maximum probability of cost-effectiveness for duration until sustainable RTW was 0.64 at a willingness to pay of about €10 000/day, and 0.27 for QALYs gained, regardless of the willingness to pay. From the social insurer’s perspective, the probability of financial return was 0.18. From the societal perspective, the new program was neither cost-effective in improving sustainable RTW nor in gaining QALYs. From the social insurer’s perspective, the program did not result in a positive financial return. Therefore, the present study provided no evidence to support its implementation. The trial was listed at the Dutch Trial Register (NTR) under NTR3563 on August 7, 2012.
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effectiveness of a return to work program for workers without an Employment Contract sick listed due to common mental disorders
Scandinavian Journal of Work Environment & Health, 2016Co-Authors: Lieke Lammerts, Frederieke G Schaafsma, Karin Bonefaasgroenewoud, Willem Van Mechelen, Johannes R AnemaAbstract:Objectives Both the presence of mental health problems and the absence of an Employment Contract have been related to long-term sickness absence and unEmployment, indicating a need for return-to-work (RTW) interventions. Our aim was to study the effectiveness of a new participatory, supportive RTW program for workers without an Employment Contract, sick-listed 2–14 weeks due to a common mental disorder, in comparison with usual care. Methods A participatory approach, integrated care and direct placement in a competitive job were part of the new program. The primary outcome measure was duration until first sustainable RTW in competitive Employment. Cox regression analysis was applied to study this outcome. Secondary outcome measures were average working hours, duration until any type of Employment, sickness benefit duration, and perceived health and functioning. Results In total, 186 participants were included in the study and randomly allocated to an intervention group (N=94), or control group (N= 92). A hazard ratio (HR) of 1.15 (95% CI 0.61–2.16) for duration until first sustainable RTW indicated no significant effect of allocation to the new program, compared to usual care. Furthermore, no significant differences were found in favor of the intervention group on any secondary outcome. Conclusions Compared to usual care, the new program did not result in a significant shorter duration until first sustainable RTW. However, due to low protocol adherence, it remains unclear what the results would have been if the program had been executed according to protocol.
Lieke Lammerts - One of the best experts on this subject based on the ideXlab platform.
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Process Evaluation of a Participatory Supportive Return to Work Program for Workers Without a Permanent Employment Contract, Sick-Listed Due to a Common Mental Disorder
Journal of Occupational Rehabilitation, 2017Co-Authors: Lieke Lammerts, Frederieke G Schaafsma, Willem Mechelen, Johannes R AnemaAbstract:Purpose This study aimed to perform a process evaluation of a participatory supportive return to work program for workers without a (permanent) Employment Contract, sick-listed due to a common mental disorder. The program consisted of a participatory approach, integrated care and direct placement in a competitive job. Our main questions were: were these components realized in practice and in accordance with the protocol? The evaluation took place alongside a randomized controlled trial. Methods The study population consisted of workers who filed a sickness benefit claim at the Dutch Social Security Agency, professionals of this agency and of vocational rehabilitation agencies. We focused on sick-listed workers and professionals who had actually participated in the intervention. Data was collected mainly by questionnaires. Results Only 36 out of 94 intervention group participants started with the program. In half of these cases application of integrated care was reported. Most other steps in the program were completed. However, fidelity to the protocol was low to reasonable. Much delay was observed in the execution of the program and only two sick-listed workers were placed in a competitive job. Still, satisfaction with the participatory approach was good. Conclusions Despite the positive evaluation of the participatory approach, the full program was executed less successfully compared to similar programs evaluated in earlier studies. This will probably affect the outcomes of our trial. Findings from this study will help to interpret these outcomes. Nevertheless, more knowledge is needed about experiences of stakeholders who participated in the program. Trial Registration NTR3563.
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a participatory supportive return to work program for workers without an Employment Contract sick listed due to a common mental disorder an economic evaluation alongside a randomized controlled trial
BMC Public Health, 2017Co-Authors: Johannes R Anema, Lieke Lammerts, Frederieke G Schaafsma, Willem Van Mechelen, Johanna M Van DongenAbstract:Abstract Background Mental disorders are associated with high costs for productivity loss, sickness absence and unEmployment. A participatory supportive return to work (RTW) program was developed in order to improve RTW among workers without an Employment Contract, sick-listed due to a common mental disorder. The program contained a participatory approach, integrated care and direct placement in a competitive job. The aim of this study was to evaluate the cost-effectiveness and cost-utility of this new program, compared to usual care. In addition, its return on investment was evaluated. Methods An economic evaluation was conducted alongside a 12-month randomized controlled trial. A total of 186 participants was randomly allocated to the new program ( n = 94) or to usual care ( n = 92). Effect measures were the duration until sustainable RTW in competitive Employment and quality-adjusted life years (QALYs) gained. Costs included intervention costs, medical costs and absenteeism costs. Registered data of the Dutch Social Security Agency were used to assess the duration until sustainable RTW, intervention costs and absenteeism costs. QALYs and medical costs were assessed using three- or six-monthly questionnaires. Missing data were imputed using multiple imputations. Cost-effectiveness analysis and cost-utility analysis were conducted from the societal perspective. A return on investment analysis was conducted from the social insurer’s perspective. Various sensitivity analyses were performed to assess the robustness of the results. Results The new program had no significant effect on the duration until sustainable RTW and QALYs gained. Intervention costs and medical costs were significantly higher in the intervention group. From the societal perspective, the maximum probability of cost-effectiveness for duration until sustainable RTW was 0.64 at a willingness to pay of about €10 000/day, and 0.27 for QALYs gained, regardless of the willingness to pay. From the social insurer’s perspective, the probability of financial return was 0.18. Conclusions From the societal perspective, the new program was neither cost-effective in improving sustainable RTW nor in gaining QALYs. From the social insurer’s perspective, the program did not result in a positive financial return. Therefore, the present study provided no evidence to support its implementation. Trial registration The trial was listed at the Dutch Trial Register (NTR) under NTR3563 on August 7, 2012.
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a participatory supportive return to work program for workers without an Employment Contract sick listed due to a common mental disorder an economic evaluation alongside a randomized controlled trial
BMC Public Health, 2017Co-Authors: Johannes R Anema, Lieke Lammerts, Frederieke G Schaafsma, Willem Van Mechelen, Johanna M Van DongenAbstract:Mental disorders are associated with high costs for productivity loss, sickness absence and unEmployment. A participatory supportive return to work (RTW) program was developed in order to improve RTW among workers without an Employment Contract, sick-listed due to a common mental disorder. The program contained a participatory approach, integrated care and direct placement in a competitive job. The aim of this study was to evaluate the cost-effectiveness and cost-utility of this new program, compared to usual care. In addition, its return on investment was evaluated. An economic evaluation was conducted alongside a 12-month randomized controlled trial. A total of 186 participants was randomly allocated to the new program (n = 94) or to usual care (n = 92). Effect measures were the duration until sustainable RTW in competitive Employment and quality-adjusted life years (QALYs) gained. Costs included intervention costs, medical costs and absenteeism costs. Registered data of the Dutch Social Security Agency were used to assess the duration until sustainable RTW, intervention costs and absenteeism costs. QALYs and medical costs were assessed using three- or six-monthly questionnaires. Missing data were imputed using multiple imputations. Cost-effectiveness analysis and cost-utility analysis were conducted from the societal perspective. A return on investment analysis was conducted from the social insurer’s perspective. Various sensitivity analyses were performed to assess the robustness of the results. The new program had no significant effect on the duration until sustainable RTW and QALYs gained. Intervention costs and medical costs were significantly higher in the intervention group. From the societal perspective, the maximum probability of cost-effectiveness for duration until sustainable RTW was 0.64 at a willingness to pay of about €10 000/day, and 0.27 for QALYs gained, regardless of the willingness to pay. From the social insurer’s perspective, the probability of financial return was 0.18. From the societal perspective, the new program was neither cost-effective in improving sustainable RTW nor in gaining QALYs. From the social insurer’s perspective, the program did not result in a positive financial return. Therefore, the present study provided no evidence to support its implementation. The trial was listed at the Dutch Trial Register (NTR) under NTR3563 on August 7, 2012.
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effectiveness of a return to work program for workers without an Employment Contract sick listed due to common mental disorders
Scandinavian Journal of Work Environment & Health, 2016Co-Authors: Lieke Lammerts, Frederieke G Schaafsma, Karin Bonefaasgroenewoud, Willem Van Mechelen, Johannes R AnemaAbstract:Objectives Both the presence of mental health problems and the absence of an Employment Contract have been related to long-term sickness absence and unEmployment, indicating a need for return-to-work (RTW) interventions. Our aim was to study the effectiveness of a new participatory, supportive RTW program for workers without an Employment Contract, sick-listed 2–14 weeks due to a common mental disorder, in comparison with usual care. Methods A participatory approach, integrated care and direct placement in a competitive job were part of the new program. The primary outcome measure was duration until first sustainable RTW in competitive Employment. Cox regression analysis was applied to study this outcome. Secondary outcome measures were average working hours, duration until any type of Employment, sickness benefit duration, and perceived health and functioning. Results In total, 186 participants were included in the study and randomly allocated to an intervention group (N=94), or control group (N= 92). A hazard ratio (HR) of 1.15 (95% CI 0.61–2.16) for duration until first sustainable RTW indicated no significant effect of allocation to the new program, compared to usual care. Furthermore, no significant differences were found in favor of the intervention group on any secondary outcome. Conclusions Compared to usual care, the new program did not result in a significant shorter duration until first sustainable RTW. However, due to low protocol adherence, it remains unclear what the results would have been if the program had been executed according to protocol.
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return to work of workers without a permanent Employment Contract sick listed due to a common mental disorder design of a randomised controlled trial
BMC Public Health, 2014Co-Authors: Johannes R Anema, Sylvia J Vermeulen, Lieke Lammerts, Frederieke G Schaafsma, Willem Van MechelenAbstract:Background: Workers without a permanent Employment Contract represent a vulnerable group within the working population. Mental disorders are a major cause of sickness absence within this group. Common mental disorders are stress-related, depressive and anxiety disorders. To date, little attention has been paid to effective return to work interventions for this type of sick-listed workers. Therefore, a participatory supportive return to work program has been developed. It combines elements of a participatory return to work program, integrated care and direct placement in a competitive job. The objective of this paper is to describe the design of a randomised controlled trial to evaluate the cost-effectiveness of this program compared to care as usual. Methods/Design: The cost-effectiveness of the participatory supportive return to work program will be examined in a randomised controlled trial with a follow-up of twelve months. The program strongly involves the sick-listed worker in the identification of obstacles for return to work and possible solutions, resulting in a consensus based action plan. This plan will be used as a starting point for the search of suitable competitive Employment with support of a rehabilitation agency. During this process the insurance physician of the sick-listed worker contacts other caregivers to promote integrated care. Workers eligible to participate in this study have no permanent Employment Contract, have applied for a sickness benefit at the Dutch Social Security Agency and are sick-listed between two and fourteen weeks due to mental health problems. The primary outcome measure is the duration until first sustainable return to work in a competitive job. Outcomes are measured at baseline and after three, six, nine and twelve months.
Frederieke G Schaafsma - One of the best experts on this subject based on the ideXlab platform.
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Process Evaluation of a Participatory Supportive Return to Work Program for Workers Without a Permanent Employment Contract, Sick-Listed Due to a Common Mental Disorder
Journal of Occupational Rehabilitation, 2017Co-Authors: Lieke Lammerts, Frederieke G Schaafsma, Willem Mechelen, Johannes R AnemaAbstract:Purpose This study aimed to perform a process evaluation of a participatory supportive return to work program for workers without a (permanent) Employment Contract, sick-listed due to a common mental disorder. The program consisted of a participatory approach, integrated care and direct placement in a competitive job. Our main questions were: were these components realized in practice and in accordance with the protocol? The evaluation took place alongside a randomized controlled trial. Methods The study population consisted of workers who filed a sickness benefit claim at the Dutch Social Security Agency, professionals of this agency and of vocational rehabilitation agencies. We focused on sick-listed workers and professionals who had actually participated in the intervention. Data was collected mainly by questionnaires. Results Only 36 out of 94 intervention group participants started with the program. In half of these cases application of integrated care was reported. Most other steps in the program were completed. However, fidelity to the protocol was low to reasonable. Much delay was observed in the execution of the program and only two sick-listed workers were placed in a competitive job. Still, satisfaction with the participatory approach was good. Conclusions Despite the positive evaluation of the participatory approach, the full program was executed less successfully compared to similar programs evaluated in earlier studies. This will probably affect the outcomes of our trial. Findings from this study will help to interpret these outcomes. Nevertheless, more knowledge is needed about experiences of stakeholders who participated in the program. Trial Registration NTR3563.
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a participatory supportive return to work program for workers without an Employment Contract sick listed due to a common mental disorder an economic evaluation alongside a randomized controlled trial
BMC Public Health, 2017Co-Authors: Johannes R Anema, Lieke Lammerts, Frederieke G Schaafsma, Willem Van Mechelen, Johanna M Van DongenAbstract:Abstract Background Mental disorders are associated with high costs for productivity loss, sickness absence and unEmployment. A participatory supportive return to work (RTW) program was developed in order to improve RTW among workers without an Employment Contract, sick-listed due to a common mental disorder. The program contained a participatory approach, integrated care and direct placement in a competitive job. The aim of this study was to evaluate the cost-effectiveness and cost-utility of this new program, compared to usual care. In addition, its return on investment was evaluated. Methods An economic evaluation was conducted alongside a 12-month randomized controlled trial. A total of 186 participants was randomly allocated to the new program ( n = 94) or to usual care ( n = 92). Effect measures were the duration until sustainable RTW in competitive Employment and quality-adjusted life years (QALYs) gained. Costs included intervention costs, medical costs and absenteeism costs. Registered data of the Dutch Social Security Agency were used to assess the duration until sustainable RTW, intervention costs and absenteeism costs. QALYs and medical costs were assessed using three- or six-monthly questionnaires. Missing data were imputed using multiple imputations. Cost-effectiveness analysis and cost-utility analysis were conducted from the societal perspective. A return on investment analysis was conducted from the social insurer’s perspective. Various sensitivity analyses were performed to assess the robustness of the results. Results The new program had no significant effect on the duration until sustainable RTW and QALYs gained. Intervention costs and medical costs were significantly higher in the intervention group. From the societal perspective, the maximum probability of cost-effectiveness for duration until sustainable RTW was 0.64 at a willingness to pay of about €10 000/day, and 0.27 for QALYs gained, regardless of the willingness to pay. From the social insurer’s perspective, the probability of financial return was 0.18. Conclusions From the societal perspective, the new program was neither cost-effective in improving sustainable RTW nor in gaining QALYs. From the social insurer’s perspective, the program did not result in a positive financial return. Therefore, the present study provided no evidence to support its implementation. Trial registration The trial was listed at the Dutch Trial Register (NTR) under NTR3563 on August 7, 2012.
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a participatory supportive return to work program for workers without an Employment Contract sick listed due to a common mental disorder an economic evaluation alongside a randomized controlled trial
BMC Public Health, 2017Co-Authors: Johannes R Anema, Lieke Lammerts, Frederieke G Schaafsma, Willem Van Mechelen, Johanna M Van DongenAbstract:Mental disorders are associated with high costs for productivity loss, sickness absence and unEmployment. A participatory supportive return to work (RTW) program was developed in order to improve RTW among workers without an Employment Contract, sick-listed due to a common mental disorder. The program contained a participatory approach, integrated care and direct placement in a competitive job. The aim of this study was to evaluate the cost-effectiveness and cost-utility of this new program, compared to usual care. In addition, its return on investment was evaluated. An economic evaluation was conducted alongside a 12-month randomized controlled trial. A total of 186 participants was randomly allocated to the new program (n = 94) or to usual care (n = 92). Effect measures were the duration until sustainable RTW in competitive Employment and quality-adjusted life years (QALYs) gained. Costs included intervention costs, medical costs and absenteeism costs. Registered data of the Dutch Social Security Agency were used to assess the duration until sustainable RTW, intervention costs and absenteeism costs. QALYs and medical costs were assessed using three- or six-monthly questionnaires. Missing data were imputed using multiple imputations. Cost-effectiveness analysis and cost-utility analysis were conducted from the societal perspective. A return on investment analysis was conducted from the social insurer’s perspective. Various sensitivity analyses were performed to assess the robustness of the results. The new program had no significant effect on the duration until sustainable RTW and QALYs gained. Intervention costs and medical costs were significantly higher in the intervention group. From the societal perspective, the maximum probability of cost-effectiveness for duration until sustainable RTW was 0.64 at a willingness to pay of about €10 000/day, and 0.27 for QALYs gained, regardless of the willingness to pay. From the social insurer’s perspective, the probability of financial return was 0.18. From the societal perspective, the new program was neither cost-effective in improving sustainable RTW nor in gaining QALYs. From the social insurer’s perspective, the program did not result in a positive financial return. Therefore, the present study provided no evidence to support its implementation. The trial was listed at the Dutch Trial Register (NTR) under NTR3563 on August 7, 2012.
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effectiveness of a return to work program for workers without an Employment Contract sick listed due to common mental disorders
Scandinavian Journal of Work Environment & Health, 2016Co-Authors: Lieke Lammerts, Frederieke G Schaafsma, Karin Bonefaasgroenewoud, Willem Van Mechelen, Johannes R AnemaAbstract:Objectives Both the presence of mental health problems and the absence of an Employment Contract have been related to long-term sickness absence and unEmployment, indicating a need for return-to-work (RTW) interventions. Our aim was to study the effectiveness of a new participatory, supportive RTW program for workers without an Employment Contract, sick-listed 2–14 weeks due to a common mental disorder, in comparison with usual care. Methods A participatory approach, integrated care and direct placement in a competitive job were part of the new program. The primary outcome measure was duration until first sustainable RTW in competitive Employment. Cox regression analysis was applied to study this outcome. Secondary outcome measures were average working hours, duration until any type of Employment, sickness benefit duration, and perceived health and functioning. Results In total, 186 participants were included in the study and randomly allocated to an intervention group (N=94), or control group (N= 92). A hazard ratio (HR) of 1.15 (95% CI 0.61–2.16) for duration until first sustainable RTW indicated no significant effect of allocation to the new program, compared to usual care. Furthermore, no significant differences were found in favor of the intervention group on any secondary outcome. Conclusions Compared to usual care, the new program did not result in a significant shorter duration until first sustainable RTW. However, due to low protocol adherence, it remains unclear what the results would have been if the program had been executed according to protocol.
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return to work of workers without a permanent Employment Contract sick listed due to a common mental disorder design of a randomised controlled trial
BMC Public Health, 2014Co-Authors: Johannes R Anema, Sylvia J Vermeulen, Lieke Lammerts, Frederieke G Schaafsma, Willem Van MechelenAbstract:Background: Workers without a permanent Employment Contract represent a vulnerable group within the working population. Mental disorders are a major cause of sickness absence within this group. Common mental disorders are stress-related, depressive and anxiety disorders. To date, little attention has been paid to effective return to work interventions for this type of sick-listed workers. Therefore, a participatory supportive return to work program has been developed. It combines elements of a participatory return to work program, integrated care and direct placement in a competitive job. The objective of this paper is to describe the design of a randomised controlled trial to evaluate the cost-effectiveness of this program compared to care as usual. Methods/Design: The cost-effectiveness of the participatory supportive return to work program will be examined in a randomised controlled trial with a follow-up of twelve months. The program strongly involves the sick-listed worker in the identification of obstacles for return to work and possible solutions, resulting in a consensus based action plan. This plan will be used as a starting point for the search of suitable competitive Employment with support of a rehabilitation agency. During this process the insurance physician of the sick-listed worker contacts other caregivers to promote integrated care. Workers eligible to participate in this study have no permanent Employment Contract, have applied for a sickness benefit at the Dutch Social Security Agency and are sick-listed between two and fourteen weeks due to mental health problems. The primary outcome measure is the duration until first sustainable return to work in a competitive job. Outcomes are measured at baseline and after three, six, nine and twelve months.
David Gimeno Ruiz De Porras - One of the best experts on this subject based on the ideXlab platform.
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incidence of sickness absence by type of Employment Contract one year follow up study in spanish salaried workers
Archives of public health, 2016Co-Authors: Elena Zaballa, Jose Miguel Martinez, Xavier Duran, Constanca Alberti, David Gimeno Ruiz De Porras, Fernando G BenavidesAbstract:To examine the differences in the incidence of registered sickness absence by type of Employment Contract in a large representative sample of salaried workers in Spain in 2009. A study of 653,264 salaried workers covered by the Social Security system who had 133,724 sickness absence episodes in 2009. Crude and adjusted rate ratios and their corresponding 95 % confidence intervals (CIs) were calculated with Poisson regression models. The incidence rate per 100 workers-year of sickness absence for temporary workers (IR = 32.2) was slightly higher than that of permanent workers (IR = 28.9). This pattern was observed in both men (RR = 1.12; 95 % CI 1.10–1.14) and women (RR 1.11; 95 % CI 1.09–1.12). However, after adjusting for age, company size, and occupational category, the differences disappeared in men (aRR = 1.01; 95 % CI 0.99–1.02) and decreased in women (aRR = 1.06; 95 % CI 1.04–1.07). Our findings provide evidence on the independence of sickness absence benefits from the type of Employment Contract as well as on the nonexistence of incentives for taking sickness absence in workers with a permanent Employment Contract. In the context of increasing market flexibility, these results show a positive functioning of the Social Security system.
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incidence of sickness absence by type of Employment Contract one year follow up study in spanish salaried workers
Archives of public health, 2016Co-Authors: Elena Zaballa, Jose Miguel Martinez, Xavier Duran, Constanca Alberti, David Gimeno Ruiz De Porras, Fernando G BenavidesAbstract:Background To examine the differences in the incidence of registered sickness absence by type of Employment Contract in a large representative sample of salaried workers in Spain in 2009.
Fernando G Benavides - One of the best experts on this subject based on the ideXlab platform.
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incidence of sickness absence by type of Employment Contract one year follow up study in spanish salaried workers
Archives of public health, 2016Co-Authors: Elena Zaballa, Jose Miguel Martinez, Xavier Duran, Constanca Alberti, David Gimeno Ruiz De Porras, Fernando G BenavidesAbstract:To examine the differences in the incidence of registered sickness absence by type of Employment Contract in a large representative sample of salaried workers in Spain in 2009. A study of 653,264 salaried workers covered by the Social Security system who had 133,724 sickness absence episodes in 2009. Crude and adjusted rate ratios and their corresponding 95 % confidence intervals (CIs) were calculated with Poisson regression models. The incidence rate per 100 workers-year of sickness absence for temporary workers (IR = 32.2) was slightly higher than that of permanent workers (IR = 28.9). This pattern was observed in both men (RR = 1.12; 95 % CI 1.10–1.14) and women (RR 1.11; 95 % CI 1.09–1.12). However, after adjusting for age, company size, and occupational category, the differences disappeared in men (aRR = 1.01; 95 % CI 0.99–1.02) and decreased in women (aRR = 1.06; 95 % CI 1.04–1.07). Our findings provide evidence on the independence of sickness absence benefits from the type of Employment Contract as well as on the nonexistence of incentives for taking sickness absence in workers with a permanent Employment Contract. In the context of increasing market flexibility, these results show a positive functioning of the Social Security system.
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incidence of sickness absence by type of Employment Contract one year follow up study in spanish salaried workers
Archives of public health, 2016Co-Authors: Elena Zaballa, Jose Miguel Martinez, Xavier Duran, Constanca Alberti, David Gimeno Ruiz De Porras, Fernando G BenavidesAbstract:Background To examine the differences in the incidence of registered sickness absence by type of Employment Contract in a large representative sample of salaried workers in Spain in 2009.