TY - JOUR
T1 - A multisite randomized controlled trial on time to self-support among sickness absence beneficiaries.
T2 - The Danish national return-to-work programme
AU - Nielsen, Maj Britt D.
AU - Vinsløv Hansen, Jørgen
AU - Aust, Birgit
AU - Tverborgvik, Torill
AU - Thomsen, Birthe L.
AU - Bue Bjorner, Jakob
AU - Steen Mortensen, Ole
AU - Rugulies, Reiner
AU - Winzor, Glen
AU - Ørbæk, Palle
AU - Helverskov, Trine
AU - Kristensen, Nicolai
AU - Melchior Poulsen, Otto
N1 - © The Author 2014. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.
PY - 2015/2/1
Y1 - 2015/2/1
N2 - Background: In 2010, the Danish Government launched the Danish national return-to-work (RTW) programme to reduce sickness absence and promote labour market attainment. Multidisciplinary teams delivered the RTW programme, which comprised a coordinated, tailored and multidisciplinary effort (CTM) for sickness absence beneficiaries at high risk for exclusion from the labour market. The aim of this article was to evaluate the effectiveness of the RTW programme on self-support. Methods: Beneficiaries from three municipalities (denoted M1, M2 and M3) participated in a randomized controlled trial. We randomly assigned beneficiaries to CTM (M1: n = 598; M2: n = 459; M3: n = 331) or to ordinary sickness absence management (OSM) (M1: n = 393; M2: n = 324; M3: n = 95). We used the Cox proportional hazards model to estimate hazard ratios (HR) comparing rates of becoming self-supporting between beneficiaries receiving CTM and OSM. Results: In M2, beneficiaries from employment receiving CTM became self-supporting faster compared with beneficiaries receiving OSM (HR = 1.32, 95% CI: 1.08-1.61). In M3, beneficiaries receiving CTM became self-supporting slower than beneficiaries receiving OSM (HR = 0.72, 95% CI: 0.54-0.95). In M1, we found no difference between the two groups (HR = 0.99, 95% CI: 0.84-1.17). Conclusion: The effect of the CTM programme on return to self-support differed substantially across the three participating municipalities. Thus, generalizing the study results to other Danish municipalities is not warranted.
AB - Background: In 2010, the Danish Government launched the Danish national return-to-work (RTW) programme to reduce sickness absence and promote labour market attainment. Multidisciplinary teams delivered the RTW programme, which comprised a coordinated, tailored and multidisciplinary effort (CTM) for sickness absence beneficiaries at high risk for exclusion from the labour market. The aim of this article was to evaluate the effectiveness of the RTW programme on self-support. Methods: Beneficiaries from three municipalities (denoted M1, M2 and M3) participated in a randomized controlled trial. We randomly assigned beneficiaries to CTM (M1: n = 598; M2: n = 459; M3: n = 331) or to ordinary sickness absence management (OSM) (M1: n = 393; M2: n = 324; M3: n = 95). We used the Cox proportional hazards model to estimate hazard ratios (HR) comparing rates of becoming self-supporting between beneficiaries receiving CTM and OSM. Results: In M2, beneficiaries from employment receiving CTM became self-supporting faster compared with beneficiaries receiving OSM (HR = 1.32, 95% CI: 1.08-1.61). In M3, beneficiaries receiving CTM became self-supporting slower than beneficiaries receiving OSM (HR = 0.72, 95% CI: 0.54-0.95). In M1, we found no difference between the two groups (HR = 0.99, 95% CI: 0.84-1.17). Conclusion: The effect of the CTM programme on return to self-support differed substantially across the three participating municipalities. Thus, generalizing the study results to other Danish municipalities is not warranted.
KW - Adult
KW - Denmark
KW - Female
KW - Humans
KW - Male
KW - Proportional Hazards Models
KW - Return to Work
KW - Self Care
KW - Sick Leave
U2 - 10.1093/eurpub/cku016
DO - 10.1093/eurpub/cku016
M3 - Journal article
C2 - 24577065
SN - 1101-1262
VL - 25
SP - 96
EP - 102
JO - European Journal of Public Health
JF - European Journal of Public Health
IS - 1
ER -