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Efectiveness of adding 'exposure in vivo' techniques to the return-to-work plan of workers with mental health problems: a cluster randomised controlled trial.


- candidate number2413
- NTR NumberNTR874
- ISRCTNISRCTN72643128
- Date ISRCTN created11-apr-2007
- date ISRCTN requested24-mrt-2007
- Date Registered NTR22-jan-2007
- Secondary IDs 
- Public TitleEfectiveness of adding 'exposure in vivo' techniques to the return-to-work plan of workers with mental health problems: a cluster randomised controlled trial.
- Scientific TitleEfectiveness of adding 'exposure in vivo' techniques to the return-to-work plan of workers with mental health problems: a cluster randomised controlled trial.
- ACRONYMwork up study
- hypothesisOccupational rehabilitation with a gradual return to work based on the principles of exposure in vivo will be more (cost)effective in reducing absenteeism than usual occupational rehabilitation.
- Healt Condition(s) or Problem(s) studiedSick leave, Reintegration, Mental health complaints, Exposure in vivo, Anxiety
- Inclusion criteriaWorkers who: 1. are 2-6 weeks absent from work; 2. have either: a. a stress-related disorder (defined as having at least one psychological complaint with significant suffering or problems with functioning); b.an anxiety disorder; c. a depressive disorder.
- Exclusion criteriaWorkers with: 1. severe mental illnesses (psychotic disorders, bipolar disorder); 2. PTSD; 3. addiction problems; 4. a primary somatic disorder.
- mec approval receivedyes
- multicenter trialyes
- randomisedyes
- masking/blindingNone
- controlActive
- groupParallel
- Type-
- Studytypeintervention
- planned startdate 1-jan-2007
- planned closingdate1-jan-2009
- Target number of participants200
- InterventionsLevel of occupational physician: 1. Two days of training followed by 3 intervision meetings Level of worker: 1. Information folder with rationale; 2. Homework assignments; 3. Meeting with supervisor
- Primary outcome1. Time to full return to work; 2. Time to relapse; 3. Pecentage of contract hours worked; 4. Work functioning.
- Secondary outcome1. Psychological complaints; 2. Work ability; 3. Self efficacy in returning to work; 4. Coping with work situations; 5. Avoidance of work situations; 6. Work adjustments; 7. Satisfaction of worker with occupational physician.
- Timepoints
- Trial web site
- statusopen: patient inclusion
- CONTACT FOR PUBLIC QUERIESDrs. F.W. Noordik
- CONTACT for SCIENTIFIC QUERIESDrs. F.W. Noordik
- Sponsor/Initiator Academic Medical Center (AMC), Coronel Institute for Occupational and Environmental Health
- Funding
(Source(s) of Monetary or Material Support)
STECR Alladin Program
- Publications
- Brief summaryThis cluster randomised trial tests the effectiveness of using specific exposure in vivo techniques during the return-to-work (RTW) phase in the occupational rehabilitation of workers with mental health problems. This interventions entails making an inventory of work tasks and their level of anxiety they evoke. These tasks will be gradually integrated in the RTW plan. This intervention is compared to occupational rehabilitation as usual. The main outcome measure is time to full return to work. Cost-effecetiveness of the intervention will be conducted form a societal perspective. 60 occupational physicians were randomised in two groups and are expected to include 200 workers in total.
- Main changes (audit trail)
- RECORD22-jan-2007 - 12-apr-2007


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