Developing and testing a case-management intervention to support the return to work of health care workers with common mental health disorders.
case-management
health care workers
interventions
mental health
occupational health
sickness absence
Journal
Journal of public health (Oxford, England)
ISSN: 1741-3850
Titre abrégé: J Public Health (Oxf)
Pays: England
ID NLM: 101188638
Informations de publication
Date de publication:
14 Jun 2023
14 Jun 2023
Historique:
received:
10
08
2021
revised:
21
03
2022
medline:
19
6
2023
pubmed:
1
6
2022
entrez:
31
5
2022
Statut:
ppublish
Résumé
To assess the feasibility and acceptability of conducting a trial of the clinical effectiveness and cost-effectiveness of a new case-management intervention to facilitate the return to work of health care workers, on sick leave, having a common mental disorder (CMD). A mixed methods feasibility study. Systematic review examined 40 articles and 2 guidelines. Forty-nine National Health Service Occupational Health (OH) providers completed a usual care survey. We trained six OH nurses as case managers and established six recruitment sites. Forty-two out of 1938 staff on sick leave with a CMD were screened for eligibility, and 24 participants were recruited. Out of them, 94% were female. Eleven participants received the intervention and 13 received usual care. Engagement with most intervention components was excellent. Return-to-work self-efficacy improved more in the intervention group than in the usual care group. Qualitative feedback showed the intervention was acceptable. The intervention was acceptable, feasible and low cost to deliver, but it was not considered feasible to recommend a large-scale effectiveness trial unless an effective method could be devised to improve the early OH referral of staff sick with CMD. Alternatively, the intervention could be trialled as a new stand-alone OH intervention initiated at the time of usual OH referral.
Sections du résumé
BACKGROUND
BACKGROUND
To assess the feasibility and acceptability of conducting a trial of the clinical effectiveness and cost-effectiveness of a new case-management intervention to facilitate the return to work of health care workers, on sick leave, having a common mental disorder (CMD).
METHODS
METHODS
A mixed methods feasibility study.
RESULTS
RESULTS
Systematic review examined 40 articles and 2 guidelines. Forty-nine National Health Service Occupational Health (OH) providers completed a usual care survey. We trained six OH nurses as case managers and established six recruitment sites. Forty-two out of 1938 staff on sick leave with a CMD were screened for eligibility, and 24 participants were recruited. Out of them, 94% were female. Eleven participants received the intervention and 13 received usual care. Engagement with most intervention components was excellent. Return-to-work self-efficacy improved more in the intervention group than in the usual care group. Qualitative feedback showed the intervention was acceptable.
CONCLUSIONS
CONCLUSIONS
The intervention was acceptable, feasible and low cost to deliver, but it was not considered feasible to recommend a large-scale effectiveness trial unless an effective method could be devised to improve the early OH referral of staff sick with CMD. Alternatively, the intervention could be trialled as a new stand-alone OH intervention initiated at the time of usual OH referral.
Identifiants
pubmed: 35640243
pii: 6594717
doi: 10.1093/pubmed/fdac055
pmc: PMC10273376
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e285-e295Subventions
Organisme : Wellcome Trust
ID : 203380/Z/16/Z
Pays : United Kingdom
Organisme : National Institute for Health Research
ID : 15/107/02
Informations de copyright
© The Author(s) 2022. Published by Oxford University Press on behalf of Faculty of Public Health.
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