Effects of a Self-management Course for Adults on Sick-leave (jos)
The purpose of the current study is to determine the efficacy of a self-management course for workers on sick-leave as an add-on to standard rehabilitation care and follow-up (treatment as usual). Outcomes are registry based measures of return to work, and questionnaire based measures of well-being and quality of life.
We thus, hypothesize that the program will improve workers return to work rates and self-reported/psychological well-being.
Workers on Sick-leave, Insured by The Danish Welfare State
Behavioral: Self-management program (SMP)
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Prevention
|Official Title:||Effects of a Self-management Course for Adults on Sick-leave; Outcomes in Registry Based Measures of Return to Work and Questionnaire Based Measures of Well-being and Quality of Life|
- Return to work, duration [ Time Frame: Weekly from baseline till 1 year follow-up ]DREAM-registry (supported by the Danish Ministry of Employment) combined with income/employment information from e-income (supported by the Danish Tax Authorities).
- Well-being and Quality of life [ Time Frame: up to 5 month follow-up ]WHO-5 Well-being and WHO Quality of Life/Satisfaction items (Bech, 2012)
- Common mental disorders [ Time Frame: Baseline, post-intervention and 4,5 month follow-up ]The CMDQ questionnaire i based on SCL-90 (Symptom Checklist) and measures somatization, health-anxiety, depression, anxiety and alcohol consumption (Christensen et al., 2005)
- Disease self-efficacy scale [ Time Frame: Baseline, post-intervention and 4,5 month follow-up ]The University of Washington Self-efficacy scale, 6 item version (Amtmann et al., 2012)
- Self-regulation (return to work) [ Time Frame: Baseline, post-intervention and 4,5 month follow-up ]Return to work self-regulation questionnaire, measuring internalization of reasons for trying to return to work; adapted from the Treatment Self-regulation Questionnaire (Levesque et al., 2007)
- Self-management scale [ Time Frame: Baseline, post-intervention and 4,5 month follow-up ]A measure of six cognitive strategies which are taught at the course (Lorig et al., 1996)
- Illness Perception questionnaire [ Time Frame: Baseline, post-intervention and 4,5 month follow-up ]A measure of 8 items measuring the threat of illness or disease (B-IPQ; Broadbent, Petrie, Main & Weinman, 2006)
- Health-care utilization [ Time Frame: Baseline, post-intervention and 4,5 month follow-up ]Items that measure utilization of health-care consultation (Lorig et al., 1996)
- Medicine consumption [ Time Frame: Baseline, post-intervention and 4,5 month follow-up ]Generic items that measure consumption of medicines such as anti-depressants and anxiety medicine, use of pain killers and sleep pills
- Adherence to treatment [ Time Frame: Baseline, post-intervention and 4,5 month follow-up ]Adherence to disease specific treatment (inspired by the MMAS-4; Morisky & DiMatteo, 2011)
- Common symptoms [ Time Frame: Baseline, post-intervention and 4.5 month follow-up ]Pain, breath, being tired, sleep quality; measured by VAS scales (Lorig et al., 1996)
- Decisional Balance (return to work) [ Time Frame: Baseline, post-intervention and 4,5 month follow-up ]Generic items that measures how the advantages and disadvantages of returning to work are balanced (Franche & Krause, 2002)
- Return to work expectations [ Time Frame: Baseline, post-intervention and 4,5 month follow-up ]Generic items that measure expectations about returning to work (Niewenhuiksen, Noordik, van Dijk & van der Klink. 2013; Schultz et al., 20014)
|Study Start Date:||September 2014|
|Estimated Study Completion Date:||October 2016|
|Estimated Primary Completion Date:||October 2016 (Final data collection date for primary outcome measure)|
Experimental: Self-management program (SMP)
Participants in the experimental group receive six weekly group-sessions of self-management and patient education; specifically targeting self-management of the return to work process and disease symptoms.
Behavioral: Self-management program (SMP)
A self-management course
Other Name: Stanford patient education
No Intervention: Treatment as usual
Participants in the control-group receive standard rehabilitation care and follow-up in the job-center.
The intervention course is a Danish adaptation of The Chronic Disease Self-Management Program (CDSMP), tailored towards workers on sick-leave. The original program has been developed by The Stanford Patient Education Research Center. The translation and adaptation has been conducted by The Danish Committee for Health Education.
Previous studies have examined the program with respect to specific chronic diseases (e.g., Arthritis), quality of life, well-being and health-care utilization, though non-otherwise specified workers on sick-leave and return work have not been examined before.
The framework of CDSMP is social-cognitive learning theory in which self-efficacy plays a central role.
Please refer to this study by its ClinicalTrials.gov identifier: NCT02136056
|Contact: Martin H Olesen, MSc, PhDfirstname.lastname@example.org|
|Contact: Mimi Y Mehlsen, MSc, PhDemail@example.com|
|The Danish Comitee for Health Education||Recruiting|
|Copenhagen, Denmark, 2100|
|Contact: Lea Hegaard, MSc +4522662671 firstname.lastname@example.org|
|Contact: Nicolaj H Faber, MSc +4522671012 email@example.com|
|Principal Investigator: Charan Nelander, MSc|
|Study Director:||Martin H Olesen, PhD||Aarhus University and Aarhus University Hospital|
|Study Chair:||Jan Høgelund, PhD||The Danish National Centre For Social Research|
|Principal Investigator:||Mimi Y Mehlsen, PhD||University of Aarhus|