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The Danish national return-to-work program - aims, content, and design of the process and effect evaluation

Aust, Birgit; Helverskov, Trine; Nielsen, Maj Britt D.; Bjorner, Jakob Bue; Rugulies, Reiner; Nielsen, Karina; Sorensen, Ole H.; Grundtvig, Gry; Andersen, Malene F. and Hansen, Jorgen V., et al. (2012) In Scandinavian Journal of Work, Environment and Health 38(2). p.120-133
Abstract
The Danish national return-to-work (RTW) program aims to improve the management of municipal sickness benefit in Denmark. A study is currently ongoing to evaluate the RTW program. The purpose of this article is to describe the study protocol. The program includes 21 municipalities encompassing approximately 19 500 working-age adults on long-term sickness absence, regardless of reason for sickness absence or employment status. It consists of three core elements: (i) establishment of multidisciplinary RTW teams, (ii) introduction of standardized workability assessments and sickness absence management procedures, and (iii) a comprehensive training course for the RTW teams. The effect evaluation is based on a parallel group randomized trial... (More)
The Danish national return-to-work (RTW) program aims to improve the management of municipal sickness benefit in Denmark. A study is currently ongoing to evaluate the RTW program. The purpose of this article is to describe the study protocol. The program includes 21 municipalities encompassing approximately 19 500 working-age adults on long-term sickness absence, regardless of reason for sickness absence or employment status. It consists of three core elements: (i) establishment of multidisciplinary RTW teams, (ii) introduction of standardized workability assessments and sickness absence management procedures, and (iii) a comprehensive training course for the RTW teams. The effect evaluation is based on a parallel group randomized trial and a stratified cluster-controlled trial and focuses on register-based primary outcomes-duration of sickness absence and RTW and questionnaire-based secondary outcomes such as health and workability. The process evaluation utilizes questionnaires, interviews, and municipal data. The effect evaluation tests whether participants in the intervention have a (i) shorter duration of full-time sickness absence, (ii) longer time until recurrent long-term sickness absence, (iii) faster full RTW, (iv) more positive development in health, workability, pain, and sleep; it also tests whether the program is (v) cost-effective. The process evaluation investigates: (i) whether the expected target population is reached; (ii) if the program is implemented as intended; (iii) how the beneficiaries, the RTW teams, and the external stakeholders experience the program; and (iv) whether contextual factors influenced the implementation. The program has the potential to contribute markedly to lowering human and economic costs and increasing labor force supply. First results will be available in 2013. The trial registrations are ISRCTN43004323, and ISRCTN51445682. (Less)
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keywords
work resumption, sickness absence, process evaluation, organizational change, absence, long-term sickness, intervention, design, economic evaluation, Denmark
in
Scandinavian Journal of Work, Environment and Health
volume
38
issue
2
pages
120 - 133
publisher
Finnish Institute of Occupational Health
external identifiers
  • wos:000301166900004
  • scopus:84857935749
ISSN
0355-3140
DOI
10.5271/sjweh.3272
language
English
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yes
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c9cec13b-c5c9-4d98-91bc-662826d6dfc5 (old id 2517167)
date added to LUP
2012-05-07 07:47:12
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2017-07-02 03:11:54
@article{c9cec13b-c5c9-4d98-91bc-662826d6dfc5,
  abstract     = {The Danish national return-to-work (RTW) program aims to improve the management of municipal sickness benefit in Denmark. A study is currently ongoing to evaluate the RTW program. The purpose of this article is to describe the study protocol. The program includes 21 municipalities encompassing approximately 19 500 working-age adults on long-term sickness absence, regardless of reason for sickness absence or employment status. It consists of three core elements: (i) establishment of multidisciplinary RTW teams, (ii) introduction of standardized workability assessments and sickness absence management procedures, and (iii) a comprehensive training course for the RTW teams. The effect evaluation is based on a parallel group randomized trial and a stratified cluster-controlled trial and focuses on register-based primary outcomes-duration of sickness absence and RTW and questionnaire-based secondary outcomes such as health and workability. The process evaluation utilizes questionnaires, interviews, and municipal data. The effect evaluation tests whether participants in the intervention have a (i) shorter duration of full-time sickness absence, (ii) longer time until recurrent long-term sickness absence, (iii) faster full RTW, (iv) more positive development in health, workability, pain, and sleep; it also tests whether the program is (v) cost-effective. The process evaluation investigates: (i) whether the expected target population is reached; (ii) if the program is implemented as intended; (iii) how the beneficiaries, the RTW teams, and the external stakeholders experience the program; and (iv) whether contextual factors influenced the implementation. The program has the potential to contribute markedly to lowering human and economic costs and increasing labor force supply. First results will be available in 2013. The trial registrations are ISRCTN43004323, and ISRCTN51445682.},
  author       = {Aust, Birgit and Helverskov, Trine and Nielsen, Maj Britt D. and Bjorner, Jakob Bue and Rugulies, Reiner and Nielsen, Karina and Sorensen, Ole H. and Grundtvig, Gry and Andersen, Malene F. and Hansen, Jorgen V. and Buchardt, Helle L. and Nielsen, Lisbeth and Lund, Trine L. and Andersen, Irene and Andersen, Mogens H. and Clausen, Aksel S. and Heinesen, Eskil and Mortensen, Ole S. and Ektor-Andersen, John and Orbaek, Palle and Winzor, Glen and Bultmann, Ute and Poulsen, Otto M.},
  issn         = {0355-3140},
  keyword      = {work resumption,sickness absence,process evaluation,organizational change,absence,long-term sickness,intervention,design,economic evaluation,Denmark},
  language     = {eng},
  number       = {2},
  pages        = {120--133},
  publisher    = {Finnish Institute of Occupational Health},
  series       = {Scandinavian Journal of Work, Environment and Health},
  title        = {The Danish national return-to-work program - aims, content, and design of the process and effect evaluation},
  url          = {http://dx.doi.org/10.5271/sjweh.3272},
  volume       = {38},
  year         = {2012},
}