Early workplace dialogue in physiotherapy practice improved work ability at 1-year follow-up-WorkUp, a randomised controlled trial in primary care
(2018) In Pain 159(8). p.1456-1464- Abstract
Workplace involvement in rehabilitation for patients with musculoskeletal pain may improve work ability. Convergence Dialogue Meeting (CDM) is a model aimed at helping the patient, the care giver, and the employer to support work ability and return-to-work. Our aim was to study the effect on work ability when adding a workplace dialogue according to CDM in physiotherapy practice for patients with pain in ordinary primary care. We conducted a prospective pairwise cluster randomised controlled trial (ClinicalTrials.gov ID: NCT02609750) in primary care involving 20 primary care rehabilitation units with 1-year follow-up. Adult patients with acute/subacute neck and back pain, worked ≥4 weeks past year and not currently on sick leave or no... (More)
Workplace involvement in rehabilitation for patients with musculoskeletal pain may improve work ability. Convergence Dialogue Meeting (CDM) is a model aimed at helping the patient, the care giver, and the employer to support work ability and return-to-work. Our aim was to study the effect on work ability when adding a workplace dialogue according to CDM in physiotherapy practice for patients with pain in ordinary primary care. We conducted a prospective pairwise cluster randomised controlled trial (ClinicalTrials.gov ID: NCT02609750) in primary care involving 20 primary care rehabilitation units with 1-year follow-up. Adult patients with acute/subacute neck and back pain, worked ≥4 weeks past year and not currently on sick leave or no more than 60 days of sick leave and considered at-risk of sick leave were included (n = 352). All patients received structured physiotherapy and the intervention was the addition of CDM, delivered by the treating physiotherapist. The main confirmatory outcome, work ability (defined as working at least 4 consecutive weeks at follow-up), was assessed by a weekly short text message question on number of sick leave days past week. Work ability was reached by significantly more patients in the intervention group (108/127, 85%) compared with the reference group (127/171, 74%) (P = 0.02). The intervention increased the odds of having work ability at 1-year follow-up, also after adjustment for baseline health-related quality of life (odds ratio 1.85, confidence interval 1.01-3.38). We conclude that an early workplace dialogue in addition to structured physiotherapy improved work ability significantly.
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- author
- Sennehed, Charlotte P ; Holmberg, Sara ; Axén, Iben ; Stigmar, Kjerstin LU ; Forsbrand, Malin LU ; Petersson, Ingemar F LU and Grahn, Birgitta LU
- organization
- publishing date
- 2018-08
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Pain
- volume
- 159
- issue
- 8
- pages
- 9 pages
- publisher
- Elsevier
- external identifiers
-
- pmid:29554017
- scopus:85058658318
- ISSN
- 1872-6623
- DOI
- 10.1097/j.pain.0000000000001216
- project
- WorkUp
- language
- English
- LU publication?
- yes
- id
- d02146a9-59de-459e-8a29-2ce8e8038f20
- date added to LUP
- 2018-11-28 14:13:16
- date last changed
- 2024-07-09 00:58:06
@article{d02146a9-59de-459e-8a29-2ce8e8038f20, abstract = {{<p>Workplace involvement in rehabilitation for patients with musculoskeletal pain may improve work ability. Convergence Dialogue Meeting (CDM) is a model aimed at helping the patient, the care giver, and the employer to support work ability and return-to-work. Our aim was to study the effect on work ability when adding a workplace dialogue according to CDM in physiotherapy practice for patients with pain in ordinary primary care. We conducted a prospective pairwise cluster randomised controlled trial (ClinicalTrials.gov ID: NCT02609750) in primary care involving 20 primary care rehabilitation units with 1-year follow-up. Adult patients with acute/subacute neck and back pain, worked ≥4 weeks past year and not currently on sick leave or no more than 60 days of sick leave and considered at-risk of sick leave were included (n = 352). All patients received structured physiotherapy and the intervention was the addition of CDM, delivered by the treating physiotherapist. The main confirmatory outcome, work ability (defined as working at least 4 consecutive weeks at follow-up), was assessed by a weekly short text message question on number of sick leave days past week. Work ability was reached by significantly more patients in the intervention group (108/127, 85%) compared with the reference group (127/171, 74%) (P = 0.02). The intervention increased the odds of having work ability at 1-year follow-up, also after adjustment for baseline health-related quality of life (odds ratio 1.85, confidence interval 1.01-3.38). We conclude that an early workplace dialogue in addition to structured physiotherapy improved work ability significantly.</p>}}, author = {{Sennehed, Charlotte P and Holmberg, Sara and Axén, Iben and Stigmar, Kjerstin and Forsbrand, Malin and Petersson, Ingemar F and Grahn, Birgitta}}, issn = {{1872-6623}}, language = {{eng}}, number = {{8}}, pages = {{1456--1464}}, publisher = {{Elsevier}}, series = {{Pain}}, title = {{Early workplace dialogue in physiotherapy practice improved work ability at 1-year follow-up-WorkUp, a randomised controlled trial in primary care}}, url = {{http://dx.doi.org/10.1097/j.pain.0000000000001216}}, doi = {{10.1097/j.pain.0000000000001216}}, volume = {{159}}, year = {{2018}}, }