At Work and Coping - Effect Study of Workcoping for Patients With Anxiety and Depression

NCT ID: NCT01146730

Last Updated: 2018-07-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

1202 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-06-30

Study Completion Date

2018-05-31

Brief Summary

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Mental disorders, mainly various anxiety and depressive disorders, are an increasing reason for sick leave and disability pension. Cognitive behaviour therapy (CBT) has been shown to have an effect on anxiety and depression, but the investigators know little about this in relation to employment. Close follow-up in ordinary employment increase employment participation for serious mental illness, but this is not yet investigated to the same degree for lighter mental disorders.

Center for Work-Coping (No: "Senter for Jobbmestring" - SJM) combines Cognitive behaviour therapy (CBT) and individual placement and support (IPS) and facilitation of work for people with anxiety and depression who are in danger of falling out of work.

The purpose of this project is to evaluate the effectiveness of the model in SJM. The effect will be evaluated through a randomized controlled trial (RCT) in which participants will be randomized to SJM or regular follow-up by The Norwegian Labour and Welfare Administration (NAV) or by their regular general practitioners (GP) and self-help resources. The main outcome measures are work participation with changes in mental health as a secondary outcome.

Detailed Description

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Conditions

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Anxiety Depression

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Workcoping and IPS

CBT based counseling and supported employment

Group Type EXPERIMENTAL

Workcoping and IPS

Intervention Type BEHAVIORAL

Maximum 15 sessions of CBT-based counseling with workcoping as primary focus in addition to work support according to the IPS-model (individual placement and support)

Ordinary care by GP or NAV

Ordinary care by GP or The Norwegian Labour and Welfare Administration (NAV)

Group Type ACTIVE_COMPARATOR

Ordinary care by GP or NAV

Intervention Type BEHAVIORAL

Ordinary care by the participants physician or the local Labour and Welfare Administration

Interventions

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Workcoping and IPS

Maximum 15 sessions of CBT-based counseling with workcoping as primary focus in addition to work support according to the IPS-model (individual placement and support)

Intervention Type BEHAVIORAL

Ordinary care by GP or NAV

Ordinary care by the participants physician or the local Labour and Welfare Administration

Intervention Type BEHAVIORAL

Other Intervention Names

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Cognitive behavior therapy Cognitive Counseling Treatment as usual

Eligibility Criteria

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Inclusion Criteria

* Problems coping with work due to psychological illness (anxiety and depression)
* Reasonable closeness to work (possible to return within a year)

Exclusion Criteria

* Other reasons as primary cause of work problems
* Serous psychiatric disorders
* Suicide risk
* Pregnancy
* Ongoing psychological treatment (therapy)
* Ongoing substance abuse
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Norwegian Labour and Welfare Administration

OTHER

Sponsor Role collaborator

NORCE Norwegian Research Centre AS

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Silje E Reme, PhD

Role: PRINCIPAL_INVESTIGATOR

NORCE Norwegian Research Centre AS

Locations

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Uni Reserach

Bergen, , Norway

Site Status

Countries

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Norway

References

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Lovvik C, Overland S, Hysing M, Broadbent E, Reme SE. Association between illness perceptions and return-to-work expectations in workers with common mental health symptoms. J Occup Rehabil. 2014 Mar;24(1):160-70. doi: 10.1007/s10926-013-9439-8.

Reference Type RESULT
PMID: 23595310 (View on PubMed)

Lovvik C, Shaw W, Overland S, Reme SE. Expectations and illness perceptions as predictors of benefit recipiency among workers with common mental disorders: secondary analysis from a randomised controlled trial. BMJ Open. 2014 Mar 3;4(3):e004321. doi: 10.1136/bmjopen-2013-004321.

Reference Type RESULT
PMID: 24589824 (View on PubMed)

Reme SE, Grasdal AL, Lovvik C, Lie SA, Overland S. Work-focused cognitive-behavioural therapy and individual job support to increase work participation in common mental disorders: a randomised controlled multicentre trial. Occup Environ Med. 2015 Oct;72(10):745-52. doi: 10.1136/oemed-2014-102700. Epub 2015 Aug 6.

Reference Type RESULT
PMID: 26251065 (View on PubMed)

Overland S, Grasdal A, Reme SE. Trial participant representativeness compared to ordinary service users in a work rehabilitation setting. Contemp Clin Trials Commun. 2015 Dec 17;2:12-15. doi: 10.1016/j.conctc.2015.12.005. eCollection 2016 Apr 15.

Reference Type RESULT
PMID: 29736442 (View on PubMed)

Olsen IB, Overland S, Reme SE, Lovvik C. Exploring Work-Related Causal Attributions of Common Mental Disorders. J Occup Rehabil. 2015 Sep;25(3):493-505. doi: 10.1007/s10926-014-9556-z.

Reference Type RESULT
PMID: 25451074 (View on PubMed)

Overland S, Grasdal AL, Reme SE. Long-term effects on income and sickness benefits after work-focused cognitive-behavioural therapy and individual job support: a pragmatic, multicentre, randomised controlled trial. Occup Environ Med. 2018 Oct;75(10):703-708. doi: 10.1136/oemed-2018-105137. Epub 2018 Jul 21.

Reference Type DERIVED
PMID: 30032103 (View on PubMed)

Related Links

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Other Identifiers

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Workcoping2010

Identifier Type: -

Identifier Source: org_study_id

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