Randomized Controlled Trial of Adding Telephone Follow-Up to an Occupational Rehabilitation Program to Increase Work Participation.
Karen Walseth Hara, Johan Håkon Bjørngaard, Søren Brage and 5 others
PMID 28597308WHAT IT FOUND
After a 3½-week occupational rehabilitation program, adding 6 months of telephone ACT booster sessions to standard community follow-up helped more people on long-term sick leave work at least 1 day per week.
The effect appeared after 6 months, not immediately.
Key findings
01The intervention group had higher odds of reentering work at least 1 day per week than the control group.
02The control group had higher reentry in the first 8 weeks, but the intervention group surpassed it after 6 months.
03The boosted follow-up averaged 5.77 contacts over 6 months and cost 390.5 EU per participant.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
Participants and coordinators could not be blinded, so expectations may have influenced behaviour. The study did not register details of how standard community-based follow-up was delivered. The authors question whether work of at least 1 day per week on average over 8 weeks represents a significant improvement. The cost analysis did not include coordinator training or biweekly counseling. Subgroup findings, including the young adult finding, had low precision. Combining different sources of registry data for hours worked created a potential for measurement bias. The study did not undertake a standard cost-effectiveness analysis because limited cost information was available.
Declared interests
The supplied text does not report funding or conflicts of interest, although the publication types include non-U.S. government research support.
The easy way to misread this
Do not conclude that telephone follow-up alone caused the return-to-work gain. Participants first completed a 3½-week occupational rehabilitation program, and the trial compared adding 6 months of follow-up to standard follow-up only.