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Collaborative care for sick-listed workers with major depressive disorder: a randomised controlled trial from the Netherlands Depression Initiative aimed at return to work and depressive symptoms
- Source :
- OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 70(4), 223-230. BMJ PUBLISHING GROUP, Vlasveld, M C, van der Feltz-Cornelis, C, Ader, H J, Anema, J R, Hoedeman, R, van Mechelen, W & Beekman, A T F 2013, ' Collaborative care for sick-listed workers with major depressive disorder: a randomised controlled trial from the Netherlands Depression Initiative aimed at return to work and depressive symptoms ', Occupational and Environmental Medicine, vol. 70, no. 4, pp. 223-230 . https://doi.org/10.1136/oemed-2012-100793, Occupational and Environmental Medicine, 70(4), 223-230. BMJ Publishing Group, Journal of Occupational and Environmental Medicine, 70(4), 223-230. Lippincott Williams and Wilkins
- Publication Year :
- 2013
-
Abstract
- Objectives Major depressive disorder (MDD) is associated with absenteeism. In this study, the effectiveness of collaborative care, with a focus on return to work (RTW), was evaluated in its effect on depressive symptoms and the duration until RTW in sick-listed workers with MDD in the occupational health setting. Methods In this randomised controlled trial, 126 sick-listed workers with MDD were randomised to usual care (N=61) or collaborative care (N=65). Collaborative care was applied by the occupational physician care manager, supported by a web-based tracking system and a consultant psychiatrist. Primary outcome measure was time to response. Secondary outcome measures were time to remission, depressive symptoms as continuous measure and the duration until full RTW. Results Collaborative care participants had a shorter time to response, with a difference of 2.8 months. However, no difference was found on time to remission or depressive symptoms as continuous measure. With a mean of 190 days in the collaborative care group, and 210 days in the usual care group, the groups did not differ significantly from each other in the duration until full RTW. Adherence to the collaborative care intervention was low. Conclusions These results do not justify a widespread implementation of collaborative care in occupational healthcare, as it was operationalised in this study. However, since the study might have been underpowered for RTW and because treatment integrity was low, further research, with larger sample sizes, is needed to develop the best fitting (collaborative care) model for addressing RTW in depressed sick-listed workers. Trial registration: ISRCTN78462860
- Subjects :
- medicine.medical_specialty
Collaborative Care
Occupational safety and health
law.invention
SDG 17 - Partnerships for the Goals
DISTRESS
Randomized controlled trial
law
Health care
medicine
MANAGEMENT
Psychiatry
WORKPLACE INTERVENTION
business.industry
DISABILITY
Public Health, Environmental and Occupational Health
medicine.disease
ABSENCE
LIFE
Distress
SEVERITY
COMMON MENTAL-DISORDERS
Sick leave
Absenteeism
Major depressive disorder
EMPLOYEES
business
LOW-BACK-PAIN
Subjects
Details
- ISSN :
- 13510711 and 10762752
- Volume :
- 70
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Occupational and Environmental Medicine
- Accession number :
- edsair.doi.dedup.....c3d4ab5d5930b04458bdeb8e67c0f4a0