Interventions to Facilitate Working While Depressed and Anxious

NCT ID: NCT03748394

Last Updated: 2018-11-20

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2017-02-01
• Study Completion Date: 2018-12-31

Brief Summary

The study compares the effects of two add-on interventions in primary care rehabilitation, on work ability and psychological health, in workers with common mental disorders. One intervention consists of a person-centered plan using work-directed treatment modules of occupational therapy and physical therapy, during 8 weeks. The other intervention consists of supported physical activity during 8 weeks. The primary outcome is work ability, measured by the work ability index and days on sick leave.

Detailed Description

Common mental disorders (CMD), including mild to moderate depression, anxiety disorders and exhaustion disorder, are a major cause of sick leave and work disability. Compared to other disorders, work-related problems associated with CMD is sparsely explored. While recommended treatments, such as antidepressants or cognitive behavioral therapy have effects on psychiatric symptoms, the effect on work capacity is unclear, suggesting a need for alternative interventions.

The aim of this study is to evaluate the effects of an add-on work-directed intervention in primary care rehabilitation, compared to a physical activity control, for persons with CMD.

The goal of the experimental condition is to enhance the participant's ability to work by creating an individually tailored plan for self-management, supported by occupational and physical therapy techniques, such as structuring daily activities, stress management or body awareness techniques. Enhancing self-management is the core of this intervention and also a new approach compared to earlier efforts to promote work capacity.

Conditions

Work Capacity

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Work-directed rehabilitation

Work-directed, person-centered plan using modules of occupational therapy and physical therapy

Group Type: EXPERIMENTAL

Work-directed rehabilitation

Intervention Type: BEHAVIORAL

Each participant starts with a meeting together with an occupational therapist or a physical therapist, focusing on the participant's resources and obstacles for functioning well at work. A plan is designed and carried out over 8 weeks, including 1-4 different treatment modules of occupational and physical therapy, to support the person's ability to function at work

Physical activity

Physical activity according to national health recommendations

Group Type: ACTIVE_COMPARATOR

Physical activity

Intervention Type: BEHAVIORAL

In a meeting with a physical therapist, each participant receives advice on physical activity to support mental health, according to national recommendations. The participant is offered to train at a local gym during 8 weeks.

Interventions

Work-directed rehabilitation

Each participant starts with a meeting together with an occupational therapist or a physical therapist, focusing on the participant's resources and obstacles for functioning well at work. A plan is designed and carried out over 8 weeks, including 1-4 different treatment modules of occupational and physical therapy, to support the person's ability to function at work

Intervention Type: BEHAVIORAL

Physical activity

In a meeting with a physical therapist, each participant receives advice on physical activity to support mental health, according to national recommendations. The participant is offered to train at a local gym during 8 weeks.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Unipolar depression or anxiety disorder according to the Mini Neuropsychiatric Interview (DSM-5 criteria).
• Currently working to some extent, part time sick leave is accepted.

Exclusion Criteria

• Substance abuse according to the Mini interview
• High suicide risk according to the Mini interview
• Psychotic symptoms according to the Mini interview

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Göteborg University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Gunnel Hensing, Professor

Role: PRINCIPAL_INVESTIGATOR

Göteborg University

Locations

Närhälsan Gibraltar Rehabmottagning

Gothenburg, , Sweden

Site Status: RECRUITING

Countries

Sweden

Central Contacts

Louise Danielsson, PhD

Role: CONTACT

louise.danielsson@gu.se

+46702319907

Facility Contacts

Louise Danielsson, PhD

Role: primary

Other Identifiers

VGFOUREG-588531

Identifier Type: -

Identifier Source: org_study_id