Subgroup analyses on return to work in sick-listed employees with low back pain in a randomised trial comparing brief and multidisciplinary intervention
2011

Return to Work in Employees with Low Back Pain: Comparing Brief and Multidisciplinary Interventions

Sample size: 351 publication 10 minutes Evidence: moderate

Author Information

Author(s): Stapelfeldt Christina M, Christiansen David H, Jensen Ole K, Nielsen Claus V, Petersen Karin D, Jensen Chris

Primary Institution: Department of Clinical Social Medicine, Centre of Public Health, Central Denmark Region and Department of Clinical Social Medicine and Rehabilitation, School of Public Health, University of Aarhus, Denmark

Hypothesis

Particular subgroups defined by work-related factors would return earlier to work by a multidisciplinary than by a brief intervention.

Conclusion

Multidisciplinary intervention seemed more effective than brief intervention in subgroups of patients with low job satisfaction, no influence on work planning, and feeling at risk of losing their jobs due to their sick leave.

Supporting Evidence

  • The multidisciplinary intervention group ensured a quicker return to work than the brief intervention group in a subgroup with low job satisfaction.
  • The opposite effect was seen in the subgroup with high job satisfaction.
  • Participants without influence on work planning benefitted more from the multidisciplinary intervention.
  • Participants with influence on work planning returned to work faster with the brief intervention.

Takeaway

This study looked at how different types of help can help people with back pain go back to work faster, especially for those who are unhappy at their jobs.

Methodology

Participants were randomly assigned to receive either a brief or a multidisciplinary intervention, and their return to work was tracked over a year.

Potential Biases

Potential bias due to self-reported data and the exclusion of claimants may affect the results.

Limitations

The study's findings may not be generalizable due to the specific population and the exclusion of claimants in some analyses.

Participant Demographics

Participants were aged 16-60, with a mean age of approximately 42 years, and included both men and women.

Statistical Information

P-Value

p<0.05

Confidence Interval

95% CI not specified

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2474-12-112

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