Two-Year Follow-Up on Return to Work in a Randomised Controlled Trial Comparing Brief and Multidisciplinary Intervention in Employees on Sick Leave Due to Low Back Pain

Kathrine K. W. Pedersen; Vivian Langagergaard; Ole K. Jensen; Claus Nielsen; Vibeke N. Sørensen; Pernille Pedersen

doi:10.1007/s10926-022-10030-1

Two-Year Follow-Up on Return to Work in a Randomised Controlled Trial Comparing Brief and Multidisciplinary Intervention in Employees on Sick Leave Due to Low Back Pain

Kathrine K. W. Pedersen, Vivian Langagergaard, Ole K. Jensen, Claus Nielsen, Vibeke N. Sørensen, Pernille Pedersen^*

^*Corresponding author for this work

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

3 Citations (Scopus)

Abstract

PURPOSE: To study return to work (RTW) at 2-year follow-up in a randomised controlled trial comparing brief intervention (BI) and multidisciplinary intervention (MDI) in employees on sick leave due to low back pain (LBP) stratified for job relations.

METHODS: In total 476 employees on sick leave for 4-12 weeks due to LBP were divided into strata with weak or strong job relations, based on perceived risk of losing job and influence on job planning. In each stratum participants were allocated to BI or MDI. All participants received BI, i.e. a clinical examination by a rheumatologist and physiotherapist. In addition, MDI involved a case manager who made a rehabilitation plan in collaboration with the participant. The primary outcome was time to RTW. Secondary outcomes were median weeks in different employment status and selfreported pain, disability and psychological health. Sustained RTW was estimated by work status the last 4 weeks before the 2-year date.

RESULTS: Participants with strong job relations who received BI had a higher RTW rate (hazard ratio = 0.74 (95% CI 0.57; 0.96)) and spent more weeks working than participants who received MDI. In the stratum of weak job relations, no difference was seen regarding RTW and weeks working. For health-related outcomes and sustained RTW no significant results were found in neither stratum.

CONCLUSIONS: Employees with strong job relations achieved higher RTW rates when receiving BI compared to MDI, while no difference was found between intervention groups for employees with weak job relations.

TRIAL REGISTRATION: Current Controlled Trials ISRCTN14136384. Registered 4 August.

Original language	English
Journal	Journal of Occupational Rehabilitation
Volume	32
Issue	4
Pages (from-to)	697-704
Number of pages	8
ISSN	1053-0487
DOIs	https://doi.org/10.1007/s10926-022-10030-1
Publication status	Published - Feb 2022

Keywords

Low back pain
Return to work
Sick leave
Multidisciplinary intervention
Rehabilitation
Vocational rehabilitation
LIGHT MOBILIZATION
COST-EFFECTIVENESS
REHABILITATION
VALIDATION
Low Back Pain/psychology
Follow-Up Studies
Humans
Treatment Outcome
Return to Work
Employment
Sick Leave

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10.1007/s10926-022-10030-1

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Pedersen, K. K. W., Langagergaard, V., Jensen, O. K., Nielsen, C., Sørensen, V. N., & Pedersen, P. (2022). Two-Year Follow-Up on Return to Work in a Randomised Controlled Trial Comparing Brief and Multidisciplinary Intervention in Employees on Sick Leave Due to Low Back Pain. Journal of Occupational Rehabilitation, 32(4), 697-704. https://doi.org/10.1007/s10926-022-10030-1

@article{1361dcf715004c6ba4d07a0d0230698c,

title = "Two-Year Follow-Up on Return to Work in a Randomised Controlled Trial Comparing Brief and Multidisciplinary Intervention in Employees on Sick Leave Due to Low Back Pain",

abstract = "PURPOSE: To study return to work (RTW) at 2-year follow-up in a randomised controlled trial comparing brief intervention (BI) and multidisciplinary intervention (MDI) in employees on sick leave due to low back pain (LBP) stratified for job relations.METHODS: In total 476 employees on sick leave for 4-12 weeks due to LBP were divided into strata with weak or strong job relations, based on perceived risk of losing job and influence on job planning. In each stratum participants were allocated to BI or MDI. All participants received BI, i.e. a clinical examination by a rheumatologist and physiotherapist. In addition, MDI involved a case manager who made a rehabilitation plan in collaboration with the participant. The primary outcome was time to RTW. Secondary outcomes were median weeks in different employment status and selfreported pain, disability and psychological health. Sustained RTW was estimated by work status the last 4 weeks before the 2-year date.RESULTS: Participants with strong job relations who received BI had a higher RTW rate (hazard ratio = 0.74 (95% CI 0.57; 0.96)) and spent more weeks working than participants who received MDI. In the stratum of weak job relations, no difference was seen regarding RTW and weeks working. For health-related outcomes and sustained RTW no significant results were found in neither stratum.CONCLUSIONS: Employees with strong job relations achieved higher RTW rates when receiving BI compared to MDI, while no difference was found between intervention groups for employees with weak job relations.TRIAL REGISTRATION: Current Controlled Trials ISRCTN14136384. Registered 4 August.",

keywords = "Low back pain, Return to work, Sick leave, Multidisciplinary intervention, Rehabilitation, Vocational rehabilitation, LIGHT MOBILIZATION, COST-EFFECTIVENESS, REHABILITATION, VALIDATION, Low Back Pain/psychology, Follow-Up Studies, Humans, Treatment Outcome, Return to Work, Employment, Sick Leave",

author = "Pedersen, {Kathrine K. W.} and Vivian Langagergaard and Jensen, {Ole K.} and Claus Nielsen and S{\o}rensen, {Vibeke N.} and Pernille Pedersen",

year = "2022",

month = feb,

doi = "10.1007/s10926-022-10030-1",

language = "English",

volume = "32",

pages = "697--704",

journal = "Journal of Occupational Rehabilitation",

issn = "1053-0487",

publisher = "Springer",

number = "4",

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Pedersen, KKW, Langagergaard, V, Jensen, OK, Nielsen, C , Sørensen, VN & Pedersen, P 2022, 'Two-Year Follow-Up on Return to Work in a Randomised Controlled Trial Comparing Brief and Multidisciplinary Intervention in Employees on Sick Leave Due to Low Back Pain', Journal of Occupational Rehabilitation, vol. 32, no. 4, pp. 697-704. https://doi.org/10.1007/s10926-022-10030-1

Two-Year Follow-Up on Return to Work in a Randomised Controlled Trial Comparing Brief and Multidisciplinary Intervention in Employees on Sick Leave Due to Low Back Pain. / Pedersen, Kathrine K. W.; Langagergaard, Vivian; Jensen, Ole K. et al.
In: Journal of Occupational Rehabilitation, Vol. 32, No. 4, 02.2022, p. 697-704.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

TY - JOUR

T1 - Two-Year Follow-Up on Return to Work in a Randomised Controlled Trial Comparing Brief and Multidisciplinary Intervention in Employees on Sick Leave Due to Low Back Pain

AU - Pedersen, Kathrine K. W.

AU - Langagergaard, Vivian

AU - Jensen, Ole K.

AU - Nielsen, Claus

AU - Sørensen, Vibeke N.

AU - Pedersen, Pernille

PY - 2022/2

Y1 - 2022/2

N2 - PURPOSE: To study return to work (RTW) at 2-year follow-up in a randomised controlled trial comparing brief intervention (BI) and multidisciplinary intervention (MDI) in employees on sick leave due to low back pain (LBP) stratified for job relations.METHODS: In total 476 employees on sick leave for 4-12 weeks due to LBP were divided into strata with weak or strong job relations, based on perceived risk of losing job and influence on job planning. In each stratum participants were allocated to BI or MDI. All participants received BI, i.e. a clinical examination by a rheumatologist and physiotherapist. In addition, MDI involved a case manager who made a rehabilitation plan in collaboration with the participant. The primary outcome was time to RTW. Secondary outcomes were median weeks in different employment status and selfreported pain, disability and psychological health. Sustained RTW was estimated by work status the last 4 weeks before the 2-year date.RESULTS: Participants with strong job relations who received BI had a higher RTW rate (hazard ratio = 0.74 (95% CI 0.57; 0.96)) and spent more weeks working than participants who received MDI. In the stratum of weak job relations, no difference was seen regarding RTW and weeks working. For health-related outcomes and sustained RTW no significant results were found in neither stratum.CONCLUSIONS: Employees with strong job relations achieved higher RTW rates when receiving BI compared to MDI, while no difference was found between intervention groups for employees with weak job relations.TRIAL REGISTRATION: Current Controlled Trials ISRCTN14136384. Registered 4 August.

AB - PURPOSE: To study return to work (RTW) at 2-year follow-up in a randomised controlled trial comparing brief intervention (BI) and multidisciplinary intervention (MDI) in employees on sick leave due to low back pain (LBP) stratified for job relations.METHODS: In total 476 employees on sick leave for 4-12 weeks due to LBP were divided into strata with weak or strong job relations, based on perceived risk of losing job and influence on job planning. In each stratum participants were allocated to BI or MDI. All participants received BI, i.e. a clinical examination by a rheumatologist and physiotherapist. In addition, MDI involved a case manager who made a rehabilitation plan in collaboration with the participant. The primary outcome was time to RTW. Secondary outcomes were median weeks in different employment status and selfreported pain, disability and psychological health. Sustained RTW was estimated by work status the last 4 weeks before the 2-year date.RESULTS: Participants with strong job relations who received BI had a higher RTW rate (hazard ratio = 0.74 (95% CI 0.57; 0.96)) and spent more weeks working than participants who received MDI. In the stratum of weak job relations, no difference was seen regarding RTW and weeks working. For health-related outcomes and sustained RTW no significant results were found in neither stratum.CONCLUSIONS: Employees with strong job relations achieved higher RTW rates when receiving BI compared to MDI, while no difference was found between intervention groups for employees with weak job relations.TRIAL REGISTRATION: Current Controlled Trials ISRCTN14136384. Registered 4 August.

KW - Low back pain

KW - Return to work

KW - Sick leave

KW - Multidisciplinary intervention

KW - Rehabilitation

KW - Vocational rehabilitation

KW - LIGHT MOBILIZATION

KW - COST-EFFECTIVENESS

KW - REHABILITATION

KW - VALIDATION

KW - Low Back Pain/psychology

KW - Follow-Up Studies

KW - Humans

KW - Treatment Outcome

KW - Return to Work

KW - Employment

KW - Sick Leave

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U2 - 10.1007/s10926-022-10030-1

DO - 10.1007/s10926-022-10030-1

M3 - Journal article

C2 - 35147899

SN - 1053-0487

VL - 32

SP - 697

EP - 704

JO - Journal of Occupational Rehabilitation

JF - Journal of Occupational Rehabilitation

IS - 4

ER -

Two-Year Follow-Up on Return to Work in a Randomised Controlled Trial Comparing Brief and Multidisciplinary Intervention in Employees on Sick Leave Due to Low Back Pain

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