|- candidate number||1193|
|- NTR Number||NTR119|
|- Date ISRCTN created||20-dec-2005|
|- date ISRCTN requested||18-okt-2005|
|- Date Registered NTR||14-aug-2005|
|- Secondary IDs||N/A |
|- Public Title||The Effects of the Dutch national guideline on the management of employees with mental health problems by occupational physicians.|
|- Scientific Title||The Effects of the Dutch national guideline on the management of employees with mental health problems by occupational physicians.|
|- hypothesis||Treatment according to the Dutch National Guideline on the Management of Employees with Mental Health Problems by Occupational Physicians will cause less work disability than treatment according to usual care, with minimal involvement of the occupational physician and frequent referral to a psychologist.|
|- Healt Condition(s) or Problem(s) studied||Mental health problems|
|- Inclusion criteria||1. Physical or mental health symptoms which cause suffering or malfunctioning for the patient;|
2. Disability to work on the moment of inclusion by the occupational physician.
|- Exclusion criteria||1. Symptoms are caused by a physical disorder;|
2. Disagreement about the diagnosis by the occupational physician and the patient;
3. Mistrust between occupational physician and patient;
4. Earlier inclusion in the study.
|- mec approval received||yes|
|- multicenter trial||no|
|- Type||2 or more arms, randomized|
|- planned startdate ||1-jan-2002|
|- planned closingdate||1-jan-2006|
|- Target number of participants||200|
|- Interventions||Treatment according to the Dutch national guideline on the management of employees with mental health problems by occupational physicians.|
This guideline focuses on four aspects of the management of mental health problems.
First, the occupational physician acknowledges the interaction between the disabled employee and his surroundings (work, personal and care).
Second, a simplified classification of mental health problems is introduced, with only four categories.
Third, the occupational physician acts as case manager, who intervenes when recovery stagnates.
Finally, the occupational physician may also act as care manager by counseling employees with work related problems.
|- Primary outcome||Return to work.|
|- Secondary outcome||1. Patient satisfaction;|
2. Satisfaction of the employer;
3. Evaluation of the occupational physician;
4. Cost benefits.
|- Trial web site||N/A|
|- status||stopped: trial finished|
|- CONTACT FOR PUBLIC QUERIES||MSc. David S. Rebergen|
|- CONTACT for SCIENTIFIC QUERIES||MSc. David S. Rebergen|
|- Sponsor/Initiator ||VU University Medical Center, VU University Medical Center, EMGO+ Institute|
(Source(s) of Monetary or Material Support)
|Ministry of Internal Affairs , OHSS committee|
|- Publications||BMC Public Health. 2007 Jul 26;7:183.|
|- Brief summary||Mental health problems often lead to prolonged sick leave. In the Netherlands, mental health problems are responsible for approximately one third of all employees disabled for over a year.|
Many share the view that better treatment and early intervention could prevent long lasting disability. Early 2000, the Dutch Association of Occupational Physicians (NVAB) has published an authorized guideline concerning the management of employees with mental health problems by occupational physicians.
In a randomized controlled trial (RCT), the effects of the guideline on sick leave and work disability of employees with mental health problems will be assessed.
Subjects in the intervention group will be treated by occupational physicians, who are trained in the use of the guideline (n=100).
The control group (n=100) will receive usual care, with minimal involvement of the occupational physician and frequent referral to a psychologist. In addition, all employees with mental health problems who not participated in the RCT will be included in a cohort study. Subjects will be recruited from two Dutch police departments.
Between January 2002 and January 2005 489 policemen were absent of work because of mental health problems. Of these, 231 (47%) enrolled in the RCT. Final results of the study, including the results of the RCT, will be available in 2006.
|- Main changes (audit trail)|
|- RECORD||11-aug-2005 - 16-okt-2008|