One-year follow-up in employees sick-listed because of XXXX : randomized clinical trial comparing multidisciplinary and brief intervention.

@entity1 @entity1643 @entity158
STUDY DESIGN: Randomized clinical trial comparing two interventions in employees sick-listed 3 to 16 weeks because of @entity1643 ( @entity1643 ). OBJECTIVE: To compare 1-year return to work (RTW), @entity158 , disability and physical and mental health dimensions in subjects offered a hospital-based multidisciplinary intervention or a brief intervention. SUMMARY OF BACKGROUND DATA: Previous studies in sick-listed employees with @entity1643 have indicated efficacy of both brief and more comprehensive multidisciplinary interventions. However, it remains unknown, which is the more effective, and which elements are instrumental in furthering RTW, and improving health. METHODS: The brief intervention comprised clinical examination and advice offered by a rehabilitation physician and a physiotherapist. In the multidisciplinary intervention, this intervention was supplemented with the expertise of a team and the assignment of a case manager who drew up a rehabilitation plan in collaboration with the @entity1 and the multidisciplinary team. One-year RTW was estimated by data from a comprehensive national database of social transfer payments. Questionnaires were used to obtain baseline and 1-year data on Roland Morris disability score, @entity1643 Rating Scale, SF36, and fear-avoidance. RESULTS: A total of 351 @entity1 were included and randomized and 344 (98%) @entity1 participated in all the consultations according to the study protocol. RTW was achieved by 125 (71.0%) @entity1 in the multidisciplinary and 133 (76.0%) @entity1 in the brief intervention group. The hazard ratio was 0.84 after adjustment for sex, age, smoking, compensation claims, disability score, and diagnosis (95% confidence interval [CI]: 0.65-1.08,P = 0.18). Multiple linear regression analysis displayed no differences in secondary outcomes, except for the mental health score (SF36), which was a little higher in the multidisciplinary intervention group than in the brief intervention group. CONCLUSION: Hospital-based multidisciplinary intervention may be no better than brief intervention to increase RTW and improve health in sick-listed employees with @entity1643 .
