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dc.contributor.authorRise, Marit By
dc.contributor.authorSkagseth, Martin
dc.contributor.authorKlevanger, Nina Elisabeth
dc.contributor.authorAasdahl, Lene
dc.contributor.authorBorchgrevink, Petter Chr.
dc.contributor.authorJensen, Chris
dc.contributor.authorTenggren, Hanne
dc.contributor.authorHalsteinli, Vidar
dc.contributor.authorJacobsen, Trym Nordstrand
dc.contributor.authorLøland, Svein Bjarte
dc.contributor.authorJohnsen, Roar
dc.contributor.authorFimland, Marius Steiro
dc.date.accessioned2019-02-19T13:15:19Z
dc.date.available2019-02-19T13:15:19Z
dc.date.created2018-07-06T12:31:11Z
dc.date.issued2018
dc.identifier.citationBMC Public Health. 2018, 18 (219), .nb_NO
dc.identifier.issn1471-2458
dc.identifier.urihttp://hdl.handle.net/11250/2586308
dc.description.abstractBackground Recent research has suggested that interventions at the workplace might be the most potent ingredient in return to work interventions, but few studies have investigated the different effects of workplace interventions as part of occupational rehabilitation programs. The comprehensive design described in this article includes effect (on return to work and health outcomes), and health economic evaluations of a workplace intervention added to a multicomponent rehabilitation program. Qualitative and mixed method studies will investigate sick-listed persons’, rehabilitation therapists’ and employers’ perspectives on the usability and outcomes of the rehabilitation program and the workplace intervention. The program and intervention are provided to patients with musculoskeletal, psychological or general and unspecified diagnoses. The program is multi-component and includes Acceptance and Commitment Therapy, physical exercise, patient education and creating a plan for increased work participation. Methods Persons who are employed, aged from 18 to 60 years, with a current sick leave status of 50% or more and a diagnosis within the musculoskeletal, psychological or general and unspecified chapters of International Classification of Primary Care-2 (ICPC-2) will be recruited to a researcher-blinded parallel-group randomized controlled trial. All participants take part in an in-patient occupational rehabilitation program, while the intervention group also takes part in an intervention at the workplace. The effect and economic evaluation will investigate the effect of the added workplace intervention. The primary outcome measures will be time until full sustainable return to work and total number of sickness absence days in the 12 months after inclusion. Health economic evaluations will investigate the cost-effectiveness and cost-utility. Qualitative studies will investigate rehabilitation therapists’ experiences with working towards return to work within an ACT-approach and stakeholders’ experiences with the workplace intervention. A mixed methods study will combine quantitative and qualitative findings on the participants’ expectations and motivation for return to work. Discussion The outline of this comprehensive study could represent an important addition to the standard designs of return to work evaluation. The mixed methods design, with qualitative approaches as well as a rigorous randomized controlled trial, might prove useful to shed light on contextual factors.nb_NO
dc.language.isoengnb_NO
dc.publisherBMCnb_NO
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.titleDesign of a study evaluating the effects, health economics, and stakeholder perspectives of a multi-component occupational rehabilitation program with an added workplace intervention - A study protocolnb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.description.versionpublishedVersionnb_NO
dc.source.pagenumber11nb_NO
dc.source.volume18nb_NO
dc.source.journalBMC Public Healthnb_NO
dc.source.issue219nb_NO
dc.identifier.doi10.1186/s12889-018-5130-5
dc.identifier.cristin1596104
dc.relation.projectNorges forskningsråd: 238015nb_NO
dc.description.localcode© The Author(s). 2018 Open Access 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. 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.nb_NO
cristin.unitcode194,65,35,0
cristin.unitcode194,65,20,0
cristin.unitcode194,65,25,0
cristin.unitnameInstitutt for psykisk helse
cristin.unitnameInstitutt for samfunnsmedisin og sykepleie
cristin.unitnameInstitutt for sirkulasjon og bildediagnostikk
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


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