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Marius Steiro Fimland - One of the best experts on this subject based on the ideXlab platform.
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effect of inpatient multicomponent Occupational Rehabilitation versus less comprehensive outpatient Rehabilitation on sickness absence in persons with musculoskeletal or mental health disorders a randomized clinical trial
Journal of Occupational Rehabilitation, 2018Co-Authors: Lene Aasdahl, Kristine Pape, Ottar Vasseljen, Roar Johnsen, Sigmund Østgård Gismervik, Vidar Halsteinli, Nils Fleten, Claus Vinther Nielsen, Marius Steiro FimlandAbstract:Purpose To assess effects of an inpatient multicomponent Occupational Rehabilitation program compared to less comprehensive outpatient Rehabilitation on sickness absence in persons with musculoskeletal- or mental health disorders. Methods Randomized clinical trial with parallel groups. Participants were individuals 18-60 years old on sick-leave for 2-12 months with a sick-leave diagnosis within the musculoskeletal, psychological or general and unspecified chapters of ICPC-2, identified in a national register. The inpatient program (4 + 4 days) consisted of Acceptance and Commitment Therapy (ACT), physical training and work-related problem-solving including creating a return to work plan and a workplace visit if considered relevant. The outpatient program consisted primarily of ACT (6 sessions during 6 weeks). Both programs were group based. Primary outcome was cumulated number of sickness absence days at 6 and 12 months follow-up. Secondary outcome was time until sustainable return to work. Results 168 individuals were randomized to the inpatient program (n = 92) or the outpatient program (n = 76). We found no statistically significant difference between the programs in median number of sickness absence days at 6 and 12 months follow-up. In the outpatient program 57% of the participants achieved sustainable return to work (median time 7 months), in the inpatient program 49% (log rank, p = 0.167). The hazard ratio for sustainable return to work was 0.74 (95% CI 0.48-1.32, p = 0.165), in favor of the outpatient program. Conclusions This study provided no support that the more comprehensive 4 + 4 days inpatient multicomponent Occupational Rehabilitation program reduced sickness absence compared to the outpatient Rehabilitation program.
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Effects of Inpatient Multicomponent Occupational Rehabilitation versus Less Comprehensive Outpatient Rehabilitation on Somatic and Mental Health: Secondary Outcomes of a Randomized Clinical Trial.
Journal of occupational rehabilitation, 2016Co-Authors: Lene Aasdahl, Kristine Pape, Ottar Vasseljen, Roar Johnsen, Sigmund Østgård Gismervik, Chris Jensen, Marius Steiro FimlandAbstract:Purpose To evaluate effects on somatic and mental health of a multicomponent inpatient Occupational Rehabilitation program compared to a less comprehensive outpatient program in individuals on sick leave for musculoskeletal complaints or mental health disorders. Methods A randomized clinical trial with parallel groups. Participants were individuals on sick-leave for 2-12 months with a sick-leave diagnosis within the musculoskeletal, psychological or general and unspecified chapters of ICPC-2. Potential participants were identified in the Social Security System Registry. The multicomponent inpatient program (4 + 4 days) consisted of Acceptance and Commitment Therapy, physical training and work-related problem-solving including creating a return to work plan and a workplace visit if considered relevant. The comparative outpatient program consisted primarily of ACT (6 sessions during 6 weeks). Self-reported health-related quality of life, subjective health complaints, pain and anxiety and depression symptoms were assessed up to 12 months after the program. Results 168 individuals were randomized to the multicomponent inpatient program (n = 92) or the outpatient program (n = 76). Linear mixed models showed no statistically significant differences between the programs, except for slightly more reduced pain after the outpatient program. Conclusions This study presents no support that a 4 + 4 days multicomponent inpatient Rehabilitation program is superior to a less comprehensive outpatient program, in improving health outcomes.
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Occupational Rehabilitation programs for musculoskeletal pain and common mental health disorders study protocol of a randomized controlled trial
BMC Public Health, 2014Co-Authors: Marius Steiro Fimland, Ottar Vasseljen, Sigmund Østgård Gismervik, Henrik Borsting Jacobsen, Petter C Borchgrevink, Marit By Rise, Vidar Halsteinli, Hanne Tenggren, Roar JohnsenAbstract:Long-term sick leave has considerably negative impact on the individual and society. Hence, the need to identify effective Occupational Rehabilitation programs is pressing. In Norway, group based Occupational Rehabilitation programs merging patients with different diagnoses have existed for many years, but no rigorous evaluation has been performed. The described randomized controlled trial aims primarily to compare two structured multicomponent inpatient Rehabilitation programs, differing in length and content, with a comparative cognitive intervention. Secondarily the two inpatient programs will be compared with each other, and with a usual care reference group. The study is designed as a randomized controlled trial with parallel groups. The Social Security Office performs monthly extractions of sick listed individuals aged 18–60 years, on sick leave 2–12 months, with sick leave status 50% - 100% due to musculoskeletal, mental or unspecific disorders. Sick-listed persons are randomized twice: 1) to receive one of two invitations to participate in the study or not receive an invitation, where the latter “untouched” control group will be monitored for future sick leave in the National Social Security Register, and 2) after inclusion, to a Long or Short inpatient multicomponent Rehabilitation program (depending on which invitation was sent) or an outpatient cognitive behavioral therapy group comparative program. The Long program consists of 3 ½ weeks with full Rehabilitation days. The Short program consists of 4 + 4 full days, separated by two weeks, in which a workplace visit will be performed if desirable. Three areas of Rehabilitation are targeted: mental training, physical training and work-related problem solving. The primary outcome is number of sick leave days. Secondary outcomes include time until full sustainable return to work, health related quality of life, health related behavior, functional status, somatic and mental health, and perceptions of work. In addition, health economic evaluation will be performed, and the implementation of the interventions, expectations and experiences of users and service providers will be investigated with different qualitative methods. ClinicalTrials.gov: NCT01926574 .
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Occupational Rehabilitation programs for musculoskeletal pain and common mental health disorders study protocol of a randomized controlled trial
BMC Public Health, 2014Co-Authors: Marius Steiro Fimland, Ottar Vasseljen, Sigmund Østgård Gismervik, Henrik Borsting Jacobsen, Petter C Borchgrevink, Marit By Rise, Vidar Halsteinli, Hanne Tenggren, Roar JohnsenAbstract:© 2014 Fimland et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Roar Johnsen - One of the best experts on this subject based on the ideXlab platform.
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biopsychosocial predictors and trajectories of work participation after transdiagnostic Occupational Rehabilitation of participants with mental and somatic disorders a cohort study
BMC Public Health, 2018Co-Authors: Karen Walseth Hara, Roar Johnsen, Johan Hakon Bjorngaard, Henrik Borsting Jacobsen, Petter C Borchgrevink, Tore C Stiles, Soren Brage, Astrid WoodhouseAbstract:Group-based transdiagnostic Occupational Rehabilitation programs including participants with mental and somatic disorders have emerged in clinical practice. Knowledge is sparse on subsequent participation in competitive work. This study aimed to investigate trajectories for (re)entry to work for predefined subgroups in a diagnostically heterogeneous sample of sick-listed participants after completing Occupational Rehabilitation. A cohort of 212 participants aged 18–69 on long-term sick leave (> 8 weeks) with chronic pain, chronic fatigue and/or common mental disorders was followed for one year after completing a 3½-week Rehabilitation intervention based on Acceptance and Commitment Therapy. Self-reported, clinical and registry data were used to study the associations between predefined biopsychosocial predictors and trajectories for (re)entry to competitive work (≥ 1 day per week on average over 8 weeks). Generalized estimating equations analysis was used to investigate trajectories. For all biopsychosocial subgroups (re)entry to work increased over time. Baseline employment, partial sick leave and higher expectation of return to work (RTW) predicted higher probability of having (re)entered work at any given time after discharge. The odds of increasing reentry over time (statistical interaction with time) was weaker for the group receiving the benefit work assessment allowance compared with those receiving sickness benefit (OR = 0.92, p = 0.048) or for those on partial sick leave compared with full sick leave (OR 0.77, p < 0.001), but higher for those who at baseline had reported having a poor economy versus not (OR 1.16, p = 0.010) or reduced emotional functioning compared with not (OR 1.11, p = 0.012). Health factors did not differentiate substantially between trajectories. Work participation after completing a transdiagnostic Occupational Rehabilitation intervention was investigated. Individual and system factors related to work differentiated trajectories for (re)entry to work, while individual health factors did not. Having a mental disorder did not indicate a worse prognosis for (re)entry to work following the intervention. Future trials within Occupational Rehabilitation are recommended to pivot their focus to work-related factors, and to lesser extent target diagnostic group.
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effect of inpatient multicomponent Occupational Rehabilitation versus less comprehensive outpatient Rehabilitation on sickness absence in persons with musculoskeletal or mental health disorders a randomized clinical trial
Journal of Occupational Rehabilitation, 2018Co-Authors: Lene Aasdahl, Kristine Pape, Ottar Vasseljen, Roar Johnsen, Sigmund Østgård Gismervik, Vidar Halsteinli, Nils Fleten, Claus Vinther Nielsen, Marius Steiro FimlandAbstract:Purpose To assess effects of an inpatient multicomponent Occupational Rehabilitation program compared to less comprehensive outpatient Rehabilitation on sickness absence in persons with musculoskeletal- or mental health disorders. Methods Randomized clinical trial with parallel groups. Participants were individuals 18-60 years old on sick-leave for 2-12 months with a sick-leave diagnosis within the musculoskeletal, psychological or general and unspecified chapters of ICPC-2, identified in a national register. The inpatient program (4 + 4 days) consisted of Acceptance and Commitment Therapy (ACT), physical training and work-related problem-solving including creating a return to work plan and a workplace visit if considered relevant. The outpatient program consisted primarily of ACT (6 sessions during 6 weeks). Both programs were group based. Primary outcome was cumulated number of sickness absence days at 6 and 12 months follow-up. Secondary outcome was time until sustainable return to work. Results 168 individuals were randomized to the inpatient program (n = 92) or the outpatient program (n = 76). We found no statistically significant difference between the programs in median number of sickness absence days at 6 and 12 months follow-up. In the outpatient program 57% of the participants achieved sustainable return to work (median time 7 months), in the inpatient program 49% (log rank, p = 0.167). The hazard ratio for sustainable return to work was 0.74 (95% CI 0.48-1.32, p = 0.165), in favor of the outpatient program. Conclusions This study provided no support that the more comprehensive 4 + 4 days inpatient multicomponent Occupational Rehabilitation program reduced sickness absence compared to the outpatient Rehabilitation program.
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Effects of Inpatient Multicomponent Occupational Rehabilitation versus Less Comprehensive Outpatient Rehabilitation on Somatic and Mental Health: Secondary Outcomes of a Randomized Clinical Trial.
Journal of occupational rehabilitation, 2016Co-Authors: Lene Aasdahl, Kristine Pape, Ottar Vasseljen, Roar Johnsen, Sigmund Østgård Gismervik, Chris Jensen, Marius Steiro FimlandAbstract:Purpose To evaluate effects on somatic and mental health of a multicomponent inpatient Occupational Rehabilitation program compared to a less comprehensive outpatient program in individuals on sick leave for musculoskeletal complaints or mental health disorders. Methods A randomized clinical trial with parallel groups. Participants were individuals on sick-leave for 2-12 months with a sick-leave diagnosis within the musculoskeletal, psychological or general and unspecified chapters of ICPC-2. Potential participants were identified in the Social Security System Registry. The multicomponent inpatient program (4 + 4 days) consisted of Acceptance and Commitment Therapy, physical training and work-related problem-solving including creating a return to work plan and a workplace visit if considered relevant. The comparative outpatient program consisted primarily of ACT (6 sessions during 6 weeks). Self-reported health-related quality of life, subjective health complaints, pain and anxiety and depression symptoms were assessed up to 12 months after the program. Results 168 individuals were randomized to the multicomponent inpatient program (n = 92) or the outpatient program (n = 76). Linear mixed models showed no statistically significant differences between the programs, except for slightly more reduced pain after the outpatient program. Conclusions This study presents no support that a 4 + 4 days multicomponent inpatient Rehabilitation program is superior to a less comprehensive outpatient program, in improving health outcomes.
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Occupational Rehabilitation programs for musculoskeletal pain and common mental health disorders study protocol of a randomized controlled trial
BMC Public Health, 2014Co-Authors: Marius Steiro Fimland, Ottar Vasseljen, Sigmund Østgård Gismervik, Henrik Borsting Jacobsen, Petter C Borchgrevink, Marit By Rise, Vidar Halsteinli, Hanne Tenggren, Roar JohnsenAbstract:Long-term sick leave has considerably negative impact on the individual and society. Hence, the need to identify effective Occupational Rehabilitation programs is pressing. In Norway, group based Occupational Rehabilitation programs merging patients with different diagnoses have existed for many years, but no rigorous evaluation has been performed. The described randomized controlled trial aims primarily to compare two structured multicomponent inpatient Rehabilitation programs, differing in length and content, with a comparative cognitive intervention. Secondarily the two inpatient programs will be compared with each other, and with a usual care reference group. The study is designed as a randomized controlled trial with parallel groups. The Social Security Office performs monthly extractions of sick listed individuals aged 18–60 years, on sick leave 2–12 months, with sick leave status 50% - 100% due to musculoskeletal, mental or unspecific disorders. Sick-listed persons are randomized twice: 1) to receive one of two invitations to participate in the study or not receive an invitation, where the latter “untouched” control group will be monitored for future sick leave in the National Social Security Register, and 2) after inclusion, to a Long or Short inpatient multicomponent Rehabilitation program (depending on which invitation was sent) or an outpatient cognitive behavioral therapy group comparative program. The Long program consists of 3 ½ weeks with full Rehabilitation days. The Short program consists of 4 + 4 full days, separated by two weeks, in which a workplace visit will be performed if desirable. Three areas of Rehabilitation are targeted: mental training, physical training and work-related problem solving. The primary outcome is number of sick leave days. Secondary outcomes include time until full sustainable return to work, health related quality of life, health related behavior, functional status, somatic and mental health, and perceptions of work. In addition, health economic evaluation will be performed, and the implementation of the interventions, expectations and experiences of users and service providers will be investigated with different qualitative methods. ClinicalTrials.gov: NCT01926574 .
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Occupational Rehabilitation programs for musculoskeletal pain and common mental health disorders study protocol of a randomized controlled trial
BMC Public Health, 2014Co-Authors: Marius Steiro Fimland, Ottar Vasseljen, Sigmund Østgård Gismervik, Henrik Borsting Jacobsen, Petter C Borchgrevink, Marit By Rise, Vidar Halsteinli, Hanne Tenggren, Roar JohnsenAbstract:© 2014 Fimland et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Sigmund Østgård Gismervik - One of the best experts on this subject based on the ideXlab platform.
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effect of inpatient multicomponent Occupational Rehabilitation versus less comprehensive outpatient Rehabilitation on sickness absence in persons with musculoskeletal or mental health disorders a randomized clinical trial
Journal of Occupational Rehabilitation, 2018Co-Authors: Lene Aasdahl, Kristine Pape, Ottar Vasseljen, Roar Johnsen, Sigmund Østgård Gismervik, Vidar Halsteinli, Nils Fleten, Claus Vinther Nielsen, Marius Steiro FimlandAbstract:Purpose To assess effects of an inpatient multicomponent Occupational Rehabilitation program compared to less comprehensive outpatient Rehabilitation on sickness absence in persons with musculoskeletal- or mental health disorders. Methods Randomized clinical trial with parallel groups. Participants were individuals 18-60 years old on sick-leave for 2-12 months with a sick-leave diagnosis within the musculoskeletal, psychological or general and unspecified chapters of ICPC-2, identified in a national register. The inpatient program (4 + 4 days) consisted of Acceptance and Commitment Therapy (ACT), physical training and work-related problem-solving including creating a return to work plan and a workplace visit if considered relevant. The outpatient program consisted primarily of ACT (6 sessions during 6 weeks). Both programs were group based. Primary outcome was cumulated number of sickness absence days at 6 and 12 months follow-up. Secondary outcome was time until sustainable return to work. Results 168 individuals were randomized to the inpatient program (n = 92) or the outpatient program (n = 76). We found no statistically significant difference between the programs in median number of sickness absence days at 6 and 12 months follow-up. In the outpatient program 57% of the participants achieved sustainable return to work (median time 7 months), in the inpatient program 49% (log rank, p = 0.167). The hazard ratio for sustainable return to work was 0.74 (95% CI 0.48-1.32, p = 0.165), in favor of the outpatient program. Conclusions This study provided no support that the more comprehensive 4 + 4 days inpatient multicomponent Occupational Rehabilitation program reduced sickness absence compared to the outpatient Rehabilitation program.
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Effects of Inpatient Multicomponent Occupational Rehabilitation versus Less Comprehensive Outpatient Rehabilitation on Somatic and Mental Health: Secondary Outcomes of a Randomized Clinical Trial.
Journal of occupational rehabilitation, 2016Co-Authors: Lene Aasdahl, Kristine Pape, Ottar Vasseljen, Roar Johnsen, Sigmund Østgård Gismervik, Chris Jensen, Marius Steiro FimlandAbstract:Purpose To evaluate effects on somatic and mental health of a multicomponent inpatient Occupational Rehabilitation program compared to a less comprehensive outpatient program in individuals on sick leave for musculoskeletal complaints or mental health disorders. Methods A randomized clinical trial with parallel groups. Participants were individuals on sick-leave for 2-12 months with a sick-leave diagnosis within the musculoskeletal, psychological or general and unspecified chapters of ICPC-2. Potential participants were identified in the Social Security System Registry. The multicomponent inpatient program (4 + 4 days) consisted of Acceptance and Commitment Therapy, physical training and work-related problem-solving including creating a return to work plan and a workplace visit if considered relevant. The comparative outpatient program consisted primarily of ACT (6 sessions during 6 weeks). Self-reported health-related quality of life, subjective health complaints, pain and anxiety and depression symptoms were assessed up to 12 months after the program. Results 168 individuals were randomized to the multicomponent inpatient program (n = 92) or the outpatient program (n = 76). Linear mixed models showed no statistically significant differences between the programs, except for slightly more reduced pain after the outpatient program. Conclusions This study presents no support that a 4 + 4 days multicomponent inpatient Rehabilitation program is superior to a less comprehensive outpatient program, in improving health outcomes.
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Occupational Rehabilitation programs for musculoskeletal pain and common mental health disorders study protocol of a randomized controlled trial
BMC Public Health, 2014Co-Authors: Marius Steiro Fimland, Ottar Vasseljen, Sigmund Østgård Gismervik, Henrik Borsting Jacobsen, Petter C Borchgrevink, Marit By Rise, Vidar Halsteinli, Hanne Tenggren, Roar JohnsenAbstract:Long-term sick leave has considerably negative impact on the individual and society. Hence, the need to identify effective Occupational Rehabilitation programs is pressing. In Norway, group based Occupational Rehabilitation programs merging patients with different diagnoses have existed for many years, but no rigorous evaluation has been performed. The described randomized controlled trial aims primarily to compare two structured multicomponent inpatient Rehabilitation programs, differing in length and content, with a comparative cognitive intervention. Secondarily the two inpatient programs will be compared with each other, and with a usual care reference group. The study is designed as a randomized controlled trial with parallel groups. The Social Security Office performs monthly extractions of sick listed individuals aged 18–60 years, on sick leave 2–12 months, with sick leave status 50% - 100% due to musculoskeletal, mental or unspecific disorders. Sick-listed persons are randomized twice: 1) to receive one of two invitations to participate in the study or not receive an invitation, where the latter “untouched” control group will be monitored for future sick leave in the National Social Security Register, and 2) after inclusion, to a Long or Short inpatient multicomponent Rehabilitation program (depending on which invitation was sent) or an outpatient cognitive behavioral therapy group comparative program. The Long program consists of 3 ½ weeks with full Rehabilitation days. The Short program consists of 4 + 4 full days, separated by two weeks, in which a workplace visit will be performed if desirable. Three areas of Rehabilitation are targeted: mental training, physical training and work-related problem solving. The primary outcome is number of sick leave days. Secondary outcomes include time until full sustainable return to work, health related quality of life, health related behavior, functional status, somatic and mental health, and perceptions of work. In addition, health economic evaluation will be performed, and the implementation of the interventions, expectations and experiences of users and service providers will be investigated with different qualitative methods. ClinicalTrials.gov: NCT01926574 .
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Occupational Rehabilitation programs for musculoskeletal pain and common mental health disorders study protocol of a randomized controlled trial
BMC Public Health, 2014Co-Authors: Marius Steiro Fimland, Ottar Vasseljen, Sigmund Østgård Gismervik, Henrik Borsting Jacobsen, Petter C Borchgrevink, Marit By Rise, Vidar Halsteinli, Hanne Tenggren, Roar JohnsenAbstract:© 2014 Fimland et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Ottar Vasseljen - One of the best experts on this subject based on the ideXlab platform.
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effect of inpatient multicomponent Occupational Rehabilitation versus less comprehensive outpatient Rehabilitation on sickness absence in persons with musculoskeletal or mental health disorders a randomized clinical trial
Journal of Occupational Rehabilitation, 2018Co-Authors: Lene Aasdahl, Kristine Pape, Ottar Vasseljen, Roar Johnsen, Sigmund Østgård Gismervik, Vidar Halsteinli, Nils Fleten, Claus Vinther Nielsen, Marius Steiro FimlandAbstract:Purpose To assess effects of an inpatient multicomponent Occupational Rehabilitation program compared to less comprehensive outpatient Rehabilitation on sickness absence in persons with musculoskeletal- or mental health disorders. Methods Randomized clinical trial with parallel groups. Participants were individuals 18-60 years old on sick-leave for 2-12 months with a sick-leave diagnosis within the musculoskeletal, psychological or general and unspecified chapters of ICPC-2, identified in a national register. The inpatient program (4 + 4 days) consisted of Acceptance and Commitment Therapy (ACT), physical training and work-related problem-solving including creating a return to work plan and a workplace visit if considered relevant. The outpatient program consisted primarily of ACT (6 sessions during 6 weeks). Both programs were group based. Primary outcome was cumulated number of sickness absence days at 6 and 12 months follow-up. Secondary outcome was time until sustainable return to work. Results 168 individuals were randomized to the inpatient program (n = 92) or the outpatient program (n = 76). We found no statistically significant difference between the programs in median number of sickness absence days at 6 and 12 months follow-up. In the outpatient program 57% of the participants achieved sustainable return to work (median time 7 months), in the inpatient program 49% (log rank, p = 0.167). The hazard ratio for sustainable return to work was 0.74 (95% CI 0.48-1.32, p = 0.165), in favor of the outpatient program. Conclusions This study provided no support that the more comprehensive 4 + 4 days inpatient multicomponent Occupational Rehabilitation program reduced sickness absence compared to the outpatient Rehabilitation program.
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Effects of Inpatient Multicomponent Occupational Rehabilitation versus Less Comprehensive Outpatient Rehabilitation on Somatic and Mental Health: Secondary Outcomes of a Randomized Clinical Trial.
Journal of occupational rehabilitation, 2016Co-Authors: Lene Aasdahl, Kristine Pape, Ottar Vasseljen, Roar Johnsen, Sigmund Østgård Gismervik, Chris Jensen, Marius Steiro FimlandAbstract:Purpose To evaluate effects on somatic and mental health of a multicomponent inpatient Occupational Rehabilitation program compared to a less comprehensive outpatient program in individuals on sick leave for musculoskeletal complaints or mental health disorders. Methods A randomized clinical trial with parallel groups. Participants were individuals on sick-leave for 2-12 months with a sick-leave diagnosis within the musculoskeletal, psychological or general and unspecified chapters of ICPC-2. Potential participants were identified in the Social Security System Registry. The multicomponent inpatient program (4 + 4 days) consisted of Acceptance and Commitment Therapy, physical training and work-related problem-solving including creating a return to work plan and a workplace visit if considered relevant. The comparative outpatient program consisted primarily of ACT (6 sessions during 6 weeks). Self-reported health-related quality of life, subjective health complaints, pain and anxiety and depression symptoms were assessed up to 12 months after the program. Results 168 individuals were randomized to the multicomponent inpatient program (n = 92) or the outpatient program (n = 76). Linear mixed models showed no statistically significant differences between the programs, except for slightly more reduced pain after the outpatient program. Conclusions This study presents no support that a 4 + 4 days multicomponent inpatient Rehabilitation program is superior to a less comprehensive outpatient program, in improving health outcomes.
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Occupational Rehabilitation programs for musculoskeletal pain and common mental health disorders study protocol of a randomized controlled trial
BMC Public Health, 2014Co-Authors: Marius Steiro Fimland, Ottar Vasseljen, Sigmund Østgård Gismervik, Henrik Borsting Jacobsen, Petter C Borchgrevink, Marit By Rise, Vidar Halsteinli, Hanne Tenggren, Roar JohnsenAbstract:Long-term sick leave has considerably negative impact on the individual and society. Hence, the need to identify effective Occupational Rehabilitation programs is pressing. In Norway, group based Occupational Rehabilitation programs merging patients with different diagnoses have existed for many years, but no rigorous evaluation has been performed. The described randomized controlled trial aims primarily to compare two structured multicomponent inpatient Rehabilitation programs, differing in length and content, with a comparative cognitive intervention. Secondarily the two inpatient programs will be compared with each other, and with a usual care reference group. The study is designed as a randomized controlled trial with parallel groups. The Social Security Office performs monthly extractions of sick listed individuals aged 18–60 years, on sick leave 2–12 months, with sick leave status 50% - 100% due to musculoskeletal, mental or unspecific disorders. Sick-listed persons are randomized twice: 1) to receive one of two invitations to participate in the study or not receive an invitation, where the latter “untouched” control group will be monitored for future sick leave in the National Social Security Register, and 2) after inclusion, to a Long or Short inpatient multicomponent Rehabilitation program (depending on which invitation was sent) or an outpatient cognitive behavioral therapy group comparative program. The Long program consists of 3 ½ weeks with full Rehabilitation days. The Short program consists of 4 + 4 full days, separated by two weeks, in which a workplace visit will be performed if desirable. Three areas of Rehabilitation are targeted: mental training, physical training and work-related problem solving. The primary outcome is number of sick leave days. Secondary outcomes include time until full sustainable return to work, health related quality of life, health related behavior, functional status, somatic and mental health, and perceptions of work. In addition, health economic evaluation will be performed, and the implementation of the interventions, expectations and experiences of users and service providers will be investigated with different qualitative methods. ClinicalTrials.gov: NCT01926574 .
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Occupational Rehabilitation programs for musculoskeletal pain and common mental health disorders study protocol of a randomized controlled trial
BMC Public Health, 2014Co-Authors: Marius Steiro Fimland, Ottar Vasseljen, Sigmund Østgård Gismervik, Henrik Borsting Jacobsen, Petter C Borchgrevink, Marit By Rise, Vidar Halsteinli, Hanne Tenggren, Roar JohnsenAbstract:© 2014 Fimland et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Vidar Halsteinli - One of the best experts on this subject based on the ideXlab platform.
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effect of inpatient multicomponent Occupational Rehabilitation versus less comprehensive outpatient Rehabilitation on sickness absence in persons with musculoskeletal or mental health disorders a randomized clinical trial
Journal of Occupational Rehabilitation, 2018Co-Authors: Lene Aasdahl, Kristine Pape, Ottar Vasseljen, Roar Johnsen, Sigmund Østgård Gismervik, Vidar Halsteinli, Nils Fleten, Claus Vinther Nielsen, Marius Steiro FimlandAbstract:Purpose To assess effects of an inpatient multicomponent Occupational Rehabilitation program compared to less comprehensive outpatient Rehabilitation on sickness absence in persons with musculoskeletal- or mental health disorders. Methods Randomized clinical trial with parallel groups. Participants were individuals 18-60 years old on sick-leave for 2-12 months with a sick-leave diagnosis within the musculoskeletal, psychological or general and unspecified chapters of ICPC-2, identified in a national register. The inpatient program (4 + 4 days) consisted of Acceptance and Commitment Therapy (ACT), physical training and work-related problem-solving including creating a return to work plan and a workplace visit if considered relevant. The outpatient program consisted primarily of ACT (6 sessions during 6 weeks). Both programs were group based. Primary outcome was cumulated number of sickness absence days at 6 and 12 months follow-up. Secondary outcome was time until sustainable return to work. Results 168 individuals were randomized to the inpatient program (n = 92) or the outpatient program (n = 76). We found no statistically significant difference between the programs in median number of sickness absence days at 6 and 12 months follow-up. In the outpatient program 57% of the participants achieved sustainable return to work (median time 7 months), in the inpatient program 49% (log rank, p = 0.167). The hazard ratio for sustainable return to work was 0.74 (95% CI 0.48-1.32, p = 0.165), in favor of the outpatient program. Conclusions This study provided no support that the more comprehensive 4 + 4 days inpatient multicomponent Occupational Rehabilitation program reduced sickness absence compared to the outpatient Rehabilitation program.
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Occupational Rehabilitation programs for musculoskeletal pain and common mental health disorders study protocol of a randomized controlled trial
BMC Public Health, 2014Co-Authors: Marius Steiro Fimland, Ottar Vasseljen, Sigmund Østgård Gismervik, Henrik Borsting Jacobsen, Petter C Borchgrevink, Marit By Rise, Vidar Halsteinli, Hanne Tenggren, Roar JohnsenAbstract:Long-term sick leave has considerably negative impact on the individual and society. Hence, the need to identify effective Occupational Rehabilitation programs is pressing. In Norway, group based Occupational Rehabilitation programs merging patients with different diagnoses have existed for many years, but no rigorous evaluation has been performed. The described randomized controlled trial aims primarily to compare two structured multicomponent inpatient Rehabilitation programs, differing in length and content, with a comparative cognitive intervention. Secondarily the two inpatient programs will be compared with each other, and with a usual care reference group. The study is designed as a randomized controlled trial with parallel groups. The Social Security Office performs monthly extractions of sick listed individuals aged 18–60 years, on sick leave 2–12 months, with sick leave status 50% - 100% due to musculoskeletal, mental or unspecific disorders. Sick-listed persons are randomized twice: 1) to receive one of two invitations to participate in the study or not receive an invitation, where the latter “untouched” control group will be monitored for future sick leave in the National Social Security Register, and 2) after inclusion, to a Long or Short inpatient multicomponent Rehabilitation program (depending on which invitation was sent) or an outpatient cognitive behavioral therapy group comparative program. The Long program consists of 3 ½ weeks with full Rehabilitation days. The Short program consists of 4 + 4 full days, separated by two weeks, in which a workplace visit will be performed if desirable. Three areas of Rehabilitation are targeted: mental training, physical training and work-related problem solving. The primary outcome is number of sick leave days. Secondary outcomes include time until full sustainable return to work, health related quality of life, health related behavior, functional status, somatic and mental health, and perceptions of work. In addition, health economic evaluation will be performed, and the implementation of the interventions, expectations and experiences of users and service providers will be investigated with different qualitative methods. ClinicalTrials.gov: NCT01926574 .
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Occupational Rehabilitation programs for musculoskeletal pain and common mental health disorders study protocol of a randomized controlled trial
BMC Public Health, 2014Co-Authors: Marius Steiro Fimland, Ottar Vasseljen, Sigmund Østgård Gismervik, Henrik Borsting Jacobsen, Petter C Borchgrevink, Marit By Rise, Vidar Halsteinli, Hanne Tenggren, Roar JohnsenAbstract:© 2014 Fimland et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.