Cost-Effectiveness of Guideline-Based Care for Workers with Mental Health Problems

Rebergen, David S.; Bruinvels, David J.; Tulder, Maurits W. van; Beek, Allard J. van der; Mechelen, Willem van

doi:10.1097/jom.0b013e3181990d8e

Cited by 41 publications

(52 citation statements)

References 47 publications

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“…Although psychotherapeutic interventions are often provided to employees with CMD, the effect of these interventions on RTW are not well understood [6,16]. To give more insight into the benefits of combining cognitive-behavioural and work-focused techniques [8,17], we conducted an earlier study in which we compared the effectiveness of two CBTbased psychotherapeutic interventions: treatment as usual consisting of R-CBT and W-CBT [9].…”

Section: Cbt-based Interventions For Employees With Cmdmentioning

confidence: 99%

Predicting the Effectiveness of Work-Focused CBT for Common Mental Disorders: The Influence of Baseline Self-Efficacy, Depression and Anxiety

et al. 2018

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Purpose This study examined who benefits most from a cognitive behavioural therapy (CBT)-based intervention that aims to enhance return to work (RTW) among employees who are absent due to common mental disorders (CMDs) (e.g., depression, anxiety, or adjustment disorder). We researched the influence of baseline work-related self-efficacy and mental health (depressive complaints and anxiety) on treatment outcomes of two psychotherapeutic interventions. Methods Using a quasiexperimental design, 12-month follow-up data of 168 employees were collected. Participants either received work-focused cognitive behavioural therapy (W-CBT) that integrated work aspects early into the treatment (n = 89) or regular cognitive behavioural therapy (R-CBT) without a focus on work (n = 79). Results Compared with R-CBT, W-CBT resulted in a faster partial RTW, irrespective of baseline self-efficacy. Among individuals with high self-efficacy, W-CBT also resulted in faster full RTW. The effectiveness of W-CBT on RTW did not depend on baseline depressive complaints or anxiety. The decline of mental health complaints did not differ between the two interventions, nor depended on baseline self-efficacy or mental health. Conclusions Considering the benefits of W-CBT for partial RTW, we recommend this intervention as a preferred method for employees with CMDs, irrespective of baseline self-efficacy, depression and anxiety. For individuals with high baseline self-efficacy, this intervention also results in higher full RTW. For those with low self-efficacy, extra exercises or components may be needed to promote full RTW.

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Section: Cbt-based Interventions For Employees With Cmdmentioning

confidence: 99%

Predicting the Effectiveness of Work-Focused CBT for Common Mental Disorders: The Influence of Baseline Self-Efficacy, Depression and Anxiety

et al. 2018

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“…In some studies, all participants were working at baseline [28,29,34], while in others, all participants were on work disability leave [30] or sick leave [20][21][22]24]. Four studies included a mix of participants who were working, on sick leave, or unemployed [23,25,[31][32][33].…”

Section: Study Characteristics (See Appendix 5-electronic Supplementamentioning

confidence: 99%

“…Of the studies identified, four were conducted in The Netherlands [20][21][22][23][24], four in the USA [25][26][27][28][29] and one each in Canada, Finland, Denmark, and Japan [30][31][32][33][34]. Ten were randomised controlled trials (RCTs) [20][21][22][23][24][25][26][27][28][29][31][32][33] and two were non-randomised studies (NRSs) with a separate control group [30,34].…”

Section: Study Characteristics (See Appendix 5-electronic Supplementamentioning

confidence: 99%

“…Ten were randomised controlled trials (RCTs) [20][21][22][23][24][25][26][27][28][29][31][32][33] and two were non-randomised studies (NRSs) with a separate control group [30,34]. Studies were conducted in a variety of settings, including workplaces [20,29,30,34], primary care practices [25][26][27][28], occupational health services [21,22,24], and specialty medical clinics [23,[31][32][33].…”

Section: Study Characteristics (See Appendix 5-electronic Supplementamentioning

confidence: 99%

“…The 12 studies identified cover a diverse range of interventions that include psychological interventions [20,31,32], enhanced primary care [25][26][27][28], enhanced psychiatric care [23], enhanced occupational physician roles [21,22,24], integrated care management [29,30], exercise [33], and a worksite intervention [34].…”

Section: Study Characteristics (See Appendix 5-electronic Supplementamentioning

confidence: 99%

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Systematic Review of Intervention Practices for Depression in the Workplace

et al. 2011

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Design Systematic Review. Objective To determine which intervention approaches to manage depression in the workplace have been successful and yielded value for employers in developed economies. Data Sources We searched MEDLINE, EMBASE, CINAHL, Central, PsycINFO, and Business Source Premier up to June 2010 using search terms in four broad areas: work setting, depression, intervention, and work outcomes. Study Selection Two independent reviewers selected potential articles that met the following criteria: working age individuals with mild or moderate depression; interventions or programs that were workplace-based or could be implemented and/or facilitated by the employer; inclusion of a comparator group in the analysis; outcomes of prevention, management, and recurrences of work disability or sickness absence, and work functioning. Methods Two reviewers independently reviewed each article for quality and extracted data using standardised forms. Following guidelines from the GRADE Working Group, the quality of evidence addressing each outcome was graded as high, moderate, low, or very low on the basis of six criteria: study design, risk of bias, consistency, generalisability, data precision, and economic benefit. Using this information and following Cochrane Collaboration guidelines, the findings for each intervention were summarised and key messages were developed. Results We identified ten randomised trials and two non-randomised studies from various countries and jurisdictions that evaluated a wide range of intervention practices. The evidence was graded as Access to Data Andrea Furlan had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.Electronic supplementary material The online version of this article

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Interventions to facilitate return to work in adults with adjustment disorders

Arends

Bruinvels

Rebergen

et al. 2012

Cochrane Database of Systematic Reviews

155

136

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We found moderate-quality evidence that CBT did not significantly reduce time until partial RTW and low-quality evidence that it did not significantly reduce time to full RTW compared with no treatment. Moderate-quality evidence showed that PST significantly enhanced partial RTW at one-year follow-up compared to non-guideline based care but did not significantly enhance time to full RTW at one-year follow-up. An important limitation was the small number of studies included in the meta-analyses and the small number of participants, which lowered the power of the analyses.

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Cost-Effectiveness of Guideline-Based Care for Workers with Mental Health Problems

Abstract: GBC could be cost-effective, as lower direct costs lead to equal treatment outcomes of workers with common mental disorders.

Cited by 41 publications

References 47 publications

Predicting the Effectiveness of Work-Focused CBT for Common Mental Disorders: The Influence of Baseline Self-Efficacy, Depression and Anxiety

Predicting the Effectiveness of Work-Focused CBT for Common Mental Disorders: The Influence of Baseline Self-Efficacy, Depression and Anxiety

Systematic Review of Intervention Practices for Depression in the Workplace

Interventions to facilitate return to work in adults with adjustment disorders

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