A randomized clinical trial of a telephone depression intervention to reduce employee presenteeism and absenteeism

Psychiatric Services : a Journal of the American Psychiatric Association
Debra LernerFrancisca Azocar

Abstract

The study tested an intervention aimed at improving work functioning among middle-aged and older adults with depression and work limitations. A randomized clinical trial allocated an initial sample of 431 eligible employed adults (age ≥45) to a work-focused intervention (WFI) or usual care. Inclusion criteria were depression as measured by the Patient Health Questionnaire-9 (PHQ-9) and at-work limitations indicated by a productivity loss score ≥5% on the Work Limitations Questionnaire (WLQ). Study sites included 19 employers and five related organizations. Telephone-based counseling provided three integrated modalities: care coordination, cognitive-behavioral therapy strategy development, and work coaching and modification. Effectiveness (change in productivity loss scores from preintervention to four months postintervention) was tested with mixed models adjusted for confounders. Secondary outcomes included change in WLQ work performance scales, self-reported absences, and depression. Of 1,227 eligible employees (7% of screened), 431 (35%) enrolled and 380 completed the study (12% attrition). At-work productivity loss improved 44% in the WFI group versus 13% in usual care (difference in change, p<.001). WFI group scores on the ...Continue Reading

Citations

Apr 22, 2015·General Hospital Psychiatry·David A AdlerWilliam H Rogers
Jul 28, 2016·BMC Complementary and Alternative Medicine·Jennifer MongioviHeather Greenlee
Mar 31, 2017·The Cochrane Database of Systematic Reviews·Nicole VogelRegina Kunz
Dec 15, 2019·Pain Practice : the Official Journal of World Institute of Pain·Heidi Mochari-GreenbergerReena L Pande
Apr 22, 2017·Der Nervenarzt·W Gerlach-ReinholzJ Fritze
May 28, 2019·Work : a Journal of Prevention, Assessment, and Rehabilitation·Joel S EdmanJeffrey M Greeson
Feb 9, 2021·American Journal of Health Promotion : AJHP·Heidi Mochari-Greenberger, Reena L Pande
May 8, 2021·Psychiatric Services : a Journal of the American Psychiatric Association·Debra LernerWilliam H Rogers
Oct 15, 2020·The Cochrane Database of Systematic Reviews·Karen NieuwenhuijsenBabs Faber
Dec 20, 2017·Value in Health Regional Issues·José Miguel UribeMartín Rondón
Aug 31, 2021·Journal of the American Heart Association·Chris CalitzDavid Goff

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