Primary Health Care, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Region Västra Götaland, Research, Education, Development & Innovation Primary Health Care, Research, Education, Development & Innovation Center Södra Älvsborg, Borås, Sweden.
Scand J Prim Health Care. 2022 Dec;40(4):481-490. doi: 10.1080/02813432.2022.2159191. Epub 2023 Jan 9.
Evaluate feasibility, partnerships, and study design of intervention to minimise sick leave.
The design was a pilot single arm intervention study in primary health care. Outcome measures at follow-ups for each participant were compared with baseline data for the same person.
Twenty primary health care patients with recurrent or long-term sick leave or health-related unemployment.
Patient education through interactive study groups that met half a day a week for eight subsequent weeks. Groups were led by experienced but not medically trained facilitators. The intervention was designed to improve participant health literacy, sense of coherence, health-related quality of life, and patient involvement in healthcare.
Primary outcome was the level of sick leave. Sick leave data were obtained from medical records when available, otherwise patient reported. Secondary outcomes regarding health literacy, sense of coherence, and health-related quality of life were measured with validated questionnaires at baseline and follow-ups.
Level of sick leave decreased significantly and participation in work preparatory activities increased during follow-up. Health literacy, sense of coherence (subscale sense of meaningfulness), and health-related quality of life (subscale social functioning) showed statistically significant improvement. Intervention, partnerships, and study design were feasible.
An educational programme, conducted in cooperation between primary health care and partners outside the healthcare system, was feasible and showed an impact on sick leave, health literacy, sense of coherence, and health-related quality of life.KEY FINDINGSA pilot study to evaluate an educational programme with study groups conducted in cooperation between primary health care and partners outside the healthcare system showed good feasibility.Sick leave decreased significantly six months after baseline.Health literacy, sense of coherence (subscale sense of meaningfulness), and health-related quality of life (subscale social function) improved significantly 6 months after baseline.
评估最小化病假的干预措施的可行性、合作关系和研究设计。
该设计是在初级保健中进行的一项试点单臂干预研究。每位参与者的随访结果与同一人的基线数据进行了比较。
20 名经常请病假或长期病假或因健康原因失业的初级保健患者。
通过每周半天进行 8 次后续互动学习小组对患者进行教育。小组由经验丰富但非医学专业的协调员领导。干预措施旨在提高参与者的健康素养、应对感、健康相关生活质量和患者对医疗保健的参与度。
主要结果是病假水平。病假数据可从病历中获得（如有），否则由患者报告。健康素养、应对感（有意义感分量表）和健康相关生活质量（社会功能分量表）的次要结果在基线和随访时使用经过验证的问卷进行测量。
在随访期间，病假水平显著下降，参与准备工作的活动增加。健康素养、应对感（有意义感分量表）和健康相关生活质量（社会功能分量表）均显示出统计学意义上的改善。干预措施、合作关系和研究设计是可行的。
在初级保健和医疗保健系统之外的合作伙伴之间合作开展的教育计划是可行的，并且对病假、健康素养、应对感和健康相关生活质量产生了影响。
在初级保健和医疗保健系统之外的合作伙伴之间合作开展的教育计划的试点研究表明具有良好的可行性。
从基线开始六个月后，病假显著减少。
健康素养、应对感（有意义感分量表）和健康相关生活质量（社会功能分量表）在基线后 6 个月显著改善。
