Integrated mental healthcare and vocational rehabilitation for people on sick leave with stress-related disorders: 24-month follow-up of the randomized IBBIS trial
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Method A randomized, parallel-group, three-arm, multi-centre superiority trial was conducted to test the effectiveness of INT and MHC compared to SAU.
Results In total, 631 persons were randomized. Contrary to our hypothesis, SAU showed faster return to work than both INT [hazard rate (HR) 1.39, P=0.0027] and MHC (HR 1.30, P=0.013) at 24-month follow-up. Overall, no differences were observed regarding mental health and functional level. Compared to SAU, we observed some health benefits of MHC, but not INT, at 6-month follow-up but not thereafter, and lower rates of employment at all follow-ups. Since implementation problems might explain the results of INT, we cannot conclude that INT is no better that SAU. The MHC intervention was implemented with good fidelity and did not improve return to work.
Conclusion This trial does not support the hypothesis that INT lead to faster return to work. However, implementation failure may explain the negative results.
Originalsprog | Engelsk |
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Tidsskrift | Scandinavian Journal of Work, Environment and Health |
Vol/bind | 49 |
Udgave nummer | 4 |
Sider (fra-til) | 303-308 |
Antal sider | 6 |
ISSN | 0355-3140 |
DOI | |
Status | Udgivet - 2023 |
Bibliografisk note
Funding Information:
The Danish Agency for Labour Market and Recruitment sponsored most of the IBBIS project, which was conducted in collaboration with the Mental Health Services in the Capital Region of Denmark. The four collaborating municipalities partly financed the salary of the employment consultants. The Danish Agency for Labour Market and Recruitment had a say in the design of the study (decisions regarding target population and selected interventions modalities). The funding agency has not taken part of any decisions regarding analysis, interpretation of the data or publication of results.
Publisher Copyright:
© 2023, Nordic Association of Occupational Safety and Health. All rights reserved.
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