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dc.contributor.authorAasdahl, Lene
dc.contributor.authorPape, Kristine
dc.contributor.authorVasseljen, Ottar
dc.contributor.authorJohnsen, Roar
dc.contributor.authorGismervik, Sigmund Østgård
dc.contributor.authorHalsteinli, Vidar
dc.contributor.authorFleten, Nils
dc.contributor.authorNielsen, Claus Vinther
dc.contributor.authorFimland, Marius Steiro
dc.date.accessioned2017-10-26T08:14:44Z
dc.date.available2017-10-26T08:14:44Z
dc.date.created2017-04-13T15:56:14Z
dc.date.issued2017
dc.identifier.citationJournal of occupational rehabilitation. 2017, 1-10.nb_NO
dc.identifier.issn1053-0487
dc.identifier.urihttp://hdl.handle.net/11250/2462270
dc.description.abstractPurpose: 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.nb_NO
dc.language.isoengnb_NO
dc.publisherSpringer Verlagnb_NO
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.titleEffect of Inpatient Multicomponent Occupational Rehabilitation Versus Less Comprehensive Outpatient Rehabilitation on Sickness Absence in Persons with Musculoskeletal- or Mental Health Disorders: A Randomized Clinical Trialnb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.description.versionpublishedVersionnb_NO
dc.source.pagenumber1-10nb_NO
dc.source.journalJournal of occupational rehabilitationnb_NO
dc.identifier.doi10.1007/s10926-017-9708-z
dc.identifier.cristin1465048
dc.relation.projectNorges forskningsråd: 238015nb_NO
dc.description.localcode© The Author(s) 2017. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.nb_NO
cristin.unitcode194,65,20,0
cristin.unitnameInstitutt for samfunnsmedisin og sykepleie
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


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Navngivelse 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Navngivelse 4.0 Internasjonal