Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
Department for Public Health Research, University of Skövde, Skövde, Sweden.
BMJ Open. 2021 Mar 22;11(3):e041157. doi: 10.1136/bmjopen-2020-041157.
To evaluate the effectiveness of a brief intervention about early identification of work-related stress combined with feedback at consultation with a general practitioner (GP) on the number of self-reported sick leave days.
Randomised controlled trial. Prospective analyses of self-reported sick leave data collected between November 2015 and January 2017.
Seven primary healthcare centres in western Sweden.
The study included 271 employed, non-sick-listed patients aged 18-64 years seeking care for mental and/or physical health complaints. Of these, 132 patients were allocated to intervention and 139 patients to control.
The intervention group received a brief intervention about work-related stress, including training for GPs, screening of patients' work-related stress, feedback to patients on screening results and discussion of measures at GP consultation. The control group received treatment as usual.
The number of self-reported gross sick leave days and the number of self-reported net sick leave days, thereby also considering part-time sick leave.
At 6 months' follow-up, 220/271 (81%) participants were assessed, while at 12 months' follow-up, 241/271 (89%) participants were assessed. At 6-month follow-up, 59/105 (56%) in the intervention group and 61/115 (53%) in the control group reported no sick leave. At 12-month follow-up, the corresponding numbers were 61/119 (51%) and 57/122 (47%), respectively. There were no statistically significant differences between the intervention group and the control group in the median number of self-reported gross sick leave days and the median number of self-reported net sick leave days.
The brief intervention showed no effect on the numbers of self-reported sick leave days for patients seeking care at the primary healthcare centres. Other actions and new types of interventions need to be explored to address patients' perceiving of ill health due to work-related stress.
NCT02480855.
评估在全科医生就诊时进行简短的工作相关压力识别干预并提供反馈，对自我报告的病假天数的影响。
随机对照试验。对 2015 年 11 月至 2017 年 1 月间收集的自我报告的病假数据进行前瞻性分析。
瑞典西部的 7 个初级保健中心。
该研究纳入了 271 名年龄在 18-64 岁之间、寻求精神和/或身体健康问题治疗的在职、无病假员工。其中，132 名患者被分配到干预组，139 名患者被分配到对照组。
干预组接受了简短的工作相关压力干预，包括对全科医生进行培训、筛查患者的工作相关压力、向患者反馈筛查结果，并在全科医生就诊时讨论应对措施。对照组接受常规治疗。
自我报告的总病假天数和净病假天数，同时也考虑兼职病假。
271 名参与者中，有 220 名（81%）在 6 个月时进行了评估，有 241 名（89%）在 12 个月时进行了评估。在 6 个月的随访中，干预组有 59/105（56%）名患者没有病假，对照组有 61/115（53%）名患者没有病假。在 12 个月的随访中，相应的数字分别为 61/119（51%）和 57/122（47%）。干预组和对照组在自我报告的总病假天数和自我报告的净病假天数的中位数方面没有统计学上的显著差异。
该简短干预对在初级保健中心就诊的患者的自我报告病假天数没有影响。需要探索其他措施和新型干预手段来解决因工作相关压力而导致的患者健康感知问题。
NCT02480855。
