Improved work ability and return to work following vocational multidisciplinary rehabilitation of subjects on long-term sick leave.
OBJECTIVE
To evaluate a vocational multidisciplinary rehabilitation programme for patients on long-term sick leave with respect to their work ability and return to work.


METHODS
A multidisciplinary rehabilitation programme was administered to an intervention group of 183 patients on long-term sick leave (mean 12.2 months). Effects of the treatment were compared with a control group (n = 96) recruited from the national sickness insurance record of patients on sick leave of 6-12 months duration (mean 11.5 months). Perceived work ability, return to work, background factors and psychosocial aspects of work were assessed on the basis of questionnaires at baseline and after 4 months.


RESULTS
Perceived work ability of the intervention group improved significantly after 4 months compared with the control group (p < 0.01). In the intervention group, 80% had returned to work compared with 66% in the control group (p = 0.06). Return to work after 4 months was predicted by good work ability at baseline, improved work motivation, improved work ability at follow-up and increased rumours of change in the workplace (R2 26.1-38.6%, p < 0.05).


CONCLUSIONS
This multidisciplinary rehabilitation programme significantly improved perceived work ability compared with treatment as usual.
Braathen
Tore Norendal
TN
Attføringssenteret i Rauland, Norway. tore.braathen@air.no
Veiersted
Kaj Bo
KB
Heggenes
Jan
J
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009664:Norway; D017063:Outcome Assessment, Health Care; D012047:Rehabilitation Centers; D012050:Rehabilitation, Vocational / Q000379:methods; D018582:Sick Leave; D012944:Social Support; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D013997:Time Factors; D014938:Work Capacity Evaluation