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Barriers and facilitators for implementation of a return-to-work intervention for sickness absence beneficiaries with mental health problems
Results from three Danish municipalities AIMS: Evidence for the effectiveness of return-to-work (RTW) interventions aimed at sickness absence beneficiaries with mental health problems (MHPs) is still relatively sparse and mostly inconclusive. This may in part reflect the varying settings and inconsistent implementations associated with the interventions. The aim of this paper is to identify barriers and facilitators for the implementation of a coordinated and tailored RTW-intervention implemented at three different sites. METHODS: We used qualitative and quantitative data to assess the implementation...
The Role of Stress in Absenteeism
Cortisol Responsiveness among Patients on Long-Term Sick Leave Objective: This study aimed to (1) See whether increased or decreased variation relate to subjective reports of common somatic and psychological symptoms for a population on long-term sick leave; and (2) See if this pattern in variation is correlated with autonomic activation and psychological appraisal.Methods: Our participants (n?=?87) were referred to a 3.5-week return-to-work rehabilitation program, and had been on paid sick leave >8 weeks due to musculoskeletal pain, fatigue and/or common mental disorders. An extensive survey...
Barriers to change in depressive symptoms following multidisciplinary rehabilitation for whiplash
The role of perceived injustice OBJECTIVE: Depressive symptoms complicate patients' recovery following musculoskeletal injury. There is strong evidence to support the utility of multidisciplinary approaches for treating comorbid pain and depressive symptoms. Despite this, a significant proportion of patients may not experience meaningful reductions in depressive symptoms following intervention. The purpose of this study was to identify barriers to change in depressive symptom during multidisciplinary rehabilitation for patients with whiplash injuries. METHODS: 53 patients with clinically meaningful...
Efficacy and cost-effectiveness of a web-based and mobile stress-management intervention for employees: design of a randomized controlled trial
BACKGROUND : Work-related stress is associated with a variety of mental and emotional problems and can lead to substantial economic costs due to lost productivity, absenteeism or the inability to work. There is a considerable amount of evidence on the effectiveness of traditional face-to-face stress-management interventions for employees; however, they are often costly, time-consuming, and characterized by a high access threshold. Web-based interventions may overcome some of these problems yet the evidence in this field is scarce. This paper describes the protocol for a study that will examine...
Factors associated with generalized anxiety in workers undergoing work rehabilitation for persistent musculoskeletal pain
Purpose: To document in workers having a work disability due to a musculoskeletal disorder (MSD), the presence and variation over time of their intolerance of uncertainty and its maintenance factors as defined in Dugas et al.’s generalized anxiety disorder (GAD) model, i.e. worries, negative problem orientation, beliefs about the usefulness of worrying, cognitive avoidance and their consequences on depressive symptoms. Methods : An observational, prospective repeated-measures design was retained. Thirty-nine workers with an MSD having caused a work absence of over three months and who were...
Work Conditions, Recovery and Health: A Study among Workers within Pre-School, Home Care and Social Work
The study investigated the working conditions associated with the accumulation of stress and lack of recovery and how recovery is related to health. The study group was employed in pre-school, home care and social work (n = 193). Recovery was assumed to be an explanatory variable for the relations between work and health. The response rate on a survey was 79 per cent. Cluster analysis identified three groups: the ‘Recovered’ (36 per cent of the total group) and ‘Not Recovered’ (25 per cent) and the ‘In-between’ (39 per cent). The Not Recovered displayed the whole...
Work-related psychosocial and mechanical risk factors for work disability
A 3-year follow-up study of the general working population in Norway Objectives This study examines the impact of work-related psychosocial and mechanical risk factors for work disability in the general working population. Methods A randomly drawn cohort from the general population in Norway aged 18–66 years was followed for 3 years (N=12 550, 67% response rate at baseline). Eligible respondents were in paid work for ≥10 hours per week in 2006 and were still in paid work or had quit working because of health problems (work disability) in 2009 (N=6745). Five work-related psychosocial factors...
Burnout and Behavior-Related Health Risk Factors: Results From the Population-Based Finnish Health 2000 Study
Ahola, Kirsi et coll. (2012). Burnout and Behavior-Related Health Risk Factors: Results From the Population-Based Finnish Health 2000 Study. Journal of Occupational & Environmental Medicine , 54(1): 17-22. Objective: To explore the relationship between burnout and behavior-related health risk factors. Methods: We collected data from a population-based sample ( n = 3264) through interviews, questionnaires, and health examinations. Burnout was assessed using the Maslach Burnout Inventory—General Survey. Smoking, alcohol consumption, and leisure-time physical activity were self-reported...
Return to Work Outcomes of the Redesigning Daily Occupations (ReDO) Program for Women with Stress-Related Disorders—A Comparative Study
Eklund, Mona et Lena-Karin Erlandsson (2011). Return to Work Outcomes of the Redesigning Daily Occupations (ReDO) Program for Women with Stress-Related Disorders—A Comparative Study. Women & Health , 11(7): 676-692. (Article en libre accès) Stress-related disorders are a frequent cause for sick leave, with consequences such as great distress and adverse economic effects for the affected person and substantial costs for society. Identifying effective interventions that facilitate return to work is thus important. The aim of this study was to evaluate the effectiveness of the 16...
Effects of a stress management intervention on absenteeism and return to work – results from a randomized wait-list controlled trial
Willert, Morten Vejs et al. (2011). Effects of a stress management intervention on absenteeism and return to work – results from a randomized wait-list controlled trial. Scandinavian Journal of Work Environment and Health , 37(3): 186-195. (Accès limité) Objectives High levels of work-related stress are associated with increased absenteeism from work and reduced work ability. In this study, we investigated the effects of a stress management intervention on absenteeism and return to work. Methods We randomized 102 participants into either the intervention or wait-list control...

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