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可行方案的初步试验:一个针对受伤工人的治疗师支持的数字项目。

Pilot Trial of Workable: A Therapist-Supported Digital Program for Injured Workers.

机构信息

Black Dog Institute, Faculty of Medicine, University of New South Wales, Sydney, NSW 2031, Australia.

Uprise Services Pty Ltd., Sydney, NSW 2000, Australia.

出版信息

Int J Environ Res Public Health. 2023 Jan 30;20(3):2460. doi: 10.3390/ijerph20032460.

Abstract

Workplace sickness absence is a major public health and economic problem, and common mental disorders (CMDs) such as anxiety and depression are associated with particularly high rates of long-term sickness absence. Effective return-to-work (RTW) interventions are required. This pilot study investigates the feasibility, acceptability, and potential effectiveness of a new therapist-assisted Web-based RTW intervention ( for injured workers on sick leave for a psychological or physical injury. A single-group open pilot trial design was used, with assessments at pre-treatment and post-treatment. The intervention consisted of 6 weeks of online modules and 6 coaching calls from a psychologist. A total of 13 participants were recruited and 9 completed all questionnaires. Program adherence was high, with 92% of participants completing the 6-week intervention. Participants reported high levels of intervention satisfaction and ease of use. There were large and significant reductions between pre- and post-treatment on measures of depression, anxiety, stress, and workdays missed over the past four weeks, along with a significant increase in self-reported work ability. These results suggest that is a feasible and acceptable intervention for injured workers, with the potential to improve mental health and RTW outcomes. A randomized controlled trial is required to determine the efficacy of the intervention.

摘要

工作场所缺勤是一个主要的公共卫生和经济问题,常见的精神障碍(CMD),如焦虑和抑郁,与长期缺勤率特别高有关。需要有效的重返工作岗位(RTW)干预措施。这项试点研究调查了一种新的治疗师辅助网络 RTW 干预措施(针对因心理或身体受伤而请病假的受伤工人)的可行性、可接受性和潜在效果。采用单组开放试点试验设计,在治疗前和治疗后进行评估。该干预措施包括 6 周的在线模块和 6 次心理学家的辅导电话。共招募了 13 名参与者,其中 9 名完成了所有问卷。计划的依从性很高,92%的参与者完成了 6 周的干预。参与者报告说,干预的满意度和易用性很高。在抑郁、焦虑、压力和过去四周错过的工作日数方面,治疗前和治疗后之间存在显著的、大幅度的降低,同时自我报告的工作能力也显著提高。这些结果表明,对于受伤工人来说,是一种可行和可接受的干预措施,有可能改善心理健康和重返工作岗位的结果。需要进行随机对照试验来确定该干预措施的疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cc1/9916348/997eb2699b6e/ijerph-20-02460-g001.jpg

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