title: Blended E-health module on return to work embedded in collaborative occupational health care for common mental disorders: design of a cluster randomized controlled trial.
abstract: BACKGROUND
  Common mental disorders (CMD) have a major impact on both society and individual workers, so return to work (RTW) is an important issue. In The Netherlands, the occupational physician plays a central role in the guidance of sick-listed workers with respect to RTW. Evidence-based guidelines are available, but seem not to be effective in improving RTW in people with CMD. An intervention supporting the occupational physician in guidance of sick-listed workers combined with specific guidance regarding RTW is needed. A blended E-health module embedded in collaborative occupational health care is now available, and comprises a decision aid supporting the occupational physician and an E-health module, Return@Work, to support sick-listed workers in the RTW process. The cost-effectiveness of this intervention will be evaluated in this study and compared with that of care as usual.
  
  
  METHODS
  This study is a two-armed cluster randomized controlled trial, with randomization done at the level of occupational physicians. Two hundred workers with CMD on sickness absence for 4-26 weeks will be included in the study. Workers whose occupational physician is allocated to the intervention group will receive the collaborative occupational health care intervention. Occupational physicians allocated to the care as usual group will give conventional sickness guidance. Follow-up assessments will be done at 3, 6, 9, and 12 months after baseline. The primary outcome is duration until RTW. The secondary outcome is severity of symptoms of CMD. An economic evaluation will be performed as part of this trial.
  
  
  CONCLUSIONS
  It is hypothesized that collaborative occupational health care intervention will be more (cost)-effective than care as usual. This intervention is innovative in its combination of a decision aid by email sent to the occupational physician and an E-health module aimed at RTW for the sick-listed worker.
authors: Trimbos Institute, Netherlands Institute of Mental Health and Addiction, Utrecht ; Tranzo Department, Tilburg University, Tilburg.
authors: Daniëlle
authors: D
authors: Volker
authors: Moniek C
authors: MC
authors: Vlasveld
authors: Johannes R
authors: JR
authors: Anema
authors: Aartjan Tf
authors: AT
authors: Beekman
authors: Leona Hakkaart-van
authors: LH
authors: Roijen
authors: Evelien Pm
authors: EP
authors: Brouwers
authors: A Gijsbert C
authors: AG
authors: van Lomwel
authors: Christina M
authors: CM
authors: van der Feltz-Cornelis
keywords: blended E-health; common mental disorders; design protocol; randomized controlled trial; return to work; sickness absence
references: Arch Intern Med. 2006 May 22;166(10):1092-7
references: 16717171
references: Eur J Gen Pract. 2006;12(3):138-41
references: 17002964
references: J Occup Health Psychol. 1998 Oct;3(4):322-55
references: 9805280
references: Scand J Work Environ Health. 2010 Nov;36(6):488-98
references: 20798909
references: Am J Psychiatry. 2006 Sep;163(9):1569-76
references: 16946182
references: Soc Sci Med. 1995 Nov;41(10):1447-62
references: 8560313
references: Ind Health. 2007 Jan;45(1):37-43
references: 17284872
references: BMC Health Serv Res. 2008 May 05;8:99
references: 18457589
references: Stat Med. 2003 Apr 15;22(7):1069-82
references: 12652554
references: Med Care. 1992 Jun;30(6):473-83
references: 1593914
references: Occup Environ Med. 2003 Jun;60(6):429-37
references: 12771395
references: Br J Psychiatry. 2006 Dec;189:484-93
references: 17139031
references: Arch Intern Med. 2006 Nov 27;166(21):2314-21
references: 17130383
references: J Gen Intern Med. 2001 Sep;16(9):606-13
references: 11556941
references: Occup Environ Med. 2010 Sep;67(9):596-602
references: 20363809
references: J Psychosom Res. 2012 Feb;72(2):168-9
references: 22281461
references: J Psychosom Res. 1996 Jan;40(1):95-104
references: 8730649
references: Cochrane Database Syst Rev. 2009 Apr 15;(2):CD006955
references: 19370664
references: Ned Tijdschr Geneeskd. 1990 Oct 6;134(40):1950-4
references: 2234151
references: J Pers Assess. 1995 Feb;64(1):21-50
references: 16367732
references: BMC Public Health. 2008 Jan 14;8:12
references: 18194525
references: BMJ. 2005 Apr 9;330(7495):802-3
references: 15817531
references: Int J Technol Assess Health Care. 1996 Summer;12(3):405-15
references: 8840661
references: Neuropsychiatr Dis Treat. 2010 Sep 07;6:375-85
references: 20856601
references: Dis Manag. 2005 Oct;8(5):319-30
references: 16212517
references: Psychosom Med. 2002 Mar-Apr;64(2):258-66
references: 11914441
references: J Occup Rehabil. 2010 Sep;20(3):275-92
references: 20091105
references: Br J Psychiatry. 2012 Jun;200(6):510-1
references: 22116977
references: Cochrane Database Syst Rev. 2008 Apr 16;(2):CD006237
references: 18425942
references: Occup Environ Med. 2013 Apr;70(4):223-30
references: 23112266
references: Occup Environ Med. 2005 Feb;62(2):119-23
references: 15657194
references: JAMA. 2002 Dec 11;288(22):2836-45
references: 12472325
references: Ned Tijdschr Geneeskd. 2003 May 24;147(21):1005-9
references: 12811970
references: Can J Psychiatry. 2006 Feb;51(2):76-83
references: 16989106