Department of Public Health and Primary Care-Environment and Health, KU Leuven, Leuven, Belgium
Knowledge, Information and Research Department, IDEWE, External Service for Prevention and Protection at Work, Heverlee, Belgium.
Occup Environ Med. 2023 Sep;80(9):538-544. doi: 10.1136/oemed-2023-108867. Epub 2023 Jul 27.
Burnout is a work-related mental health problem that often causes long-term sickness absence. Return-to-work (RTW) interventions for burned-out sick-listed employees aim to prevent long-term work disability. This systematic review addresses two questions: (1) Which interventions for burned-out sick-listed employees have been studied?; (2) What is the effect of these interventions on RTW?We performed a systematic literature review and searched PubMed, Cochrane Central Register of Controlled Trials, Embase, CINAHL and Web of Science from 1 January 2000 to 31 December 2022. We searched for articles of interventions for burned-out sick-listed employees. We conducted the review in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Outcome was RTW.We identified 2160 articles after removal of all duplicates. Eight studies met inclusion criteria. RTW outcomes were number of sick-leave days, sick-leave rates, median period of RTW and worked hours per week. Five studies described person-directed interventions, one described a workplace-directed intervention, one described a combination of both intervention types and one study described all three types of intervention. Only the workplace-directed intervention showed a significant improvement in RTW compared with the comparator group: at 18-month follow-up, 89% of the intervention group had returned to work compared with 73% of the comparator group.Only a limited number of studies have explored interventions specifically focused on burned-out sick-listed employees and the effect on RTW. Due to heterogeneity and moderate to high risk of bias of these studies, no firm conclusions can be drawn on the described interventions and their effect on RTW.The study was registered with the International prospective register of systematic reviews (PROSPERO, registration number: CRD42018089155).
倦怠是一种与工作相关的心理健康问题，常常导致长期病假。为了防止长期的工作残疾，针对倦怠的请病假员工的重返工作（RTW）干预措施应运而生。本系统评价旨在回答两个问题：（1）哪些干预措施针对倦怠的请病假员工进行了研究？（2）这些干预措施对 RTW 的效果如何？我们进行了系统的文献综述，检索了 PubMed、Cochrane 中央对照试验注册库、Embase、CINAHL 和 Web of Science，检索时间从 2000 年 1 月 1 日至 2022 年 12 月 31 日。我们检索了针对倦怠的请病假员工的干预措施的文章。我们按照系统评价和荟萃分析的首选报告项目进行了综述。结局是 RTW。在去除所有重复项后，我们共筛选出 2160 篇文章。八项研究符合纳入标准。RTW 的结局指标包括病假天数、病假率、RTW 的中位数时间和每周工作小时数。五项研究描述了针对个人的干预措施，一项研究描述了针对工作场所的干预措施，一项研究描述了两者的结合，一项研究描述了所有三种干预措施。只有针对工作场所的干预措施与对照组相比，在 RTW 方面显示出显著的改善：在 18 个月的随访中，干预组 89%的员工已经重返工作岗位，而对照组为 73%。只有少数研究专门探讨了针对倦怠的请病假员工的干预措施及其对 RTW 的影响。由于这些研究的异质性和高偏倚风险，无法对所描述的干预措施及其对 RTW 的影响得出确切结论。本研究已在国际前瞻性系统评价注册库（PROSPERO，注册号：CRD42018089155）进行了注册。
