Reducing sick leave by minimal postal intervention: a randomised, controlled intervention study.

Occupational and Environmental Medicine
N Fleten, R Johnsen

Abstract

The lack of efficient medical interventions for combating increasing sickness absence rates has lead to the introduction of alternative measures initiated by the Norwegian National Insurance Service or at workplaces. To determine whether minimal postal intervention had any effect on the length of sick leave. Randomised, controlled trial with a one year follow up in Northern Norway in 1997 and 1998; 990 consecutive newly sick-listed persons with musculoskeletal or mental disorders were studied. Within the intervention group, 495 eligible sick-listed persons received a general information letter and a questionnaire as their sick leave passed 14 days. Possible intervention effects were analysed by survival analysis of the probability of returning to work within one year, and logistic regressions with benefits at one year as the dependent variable. The overall reduction of 8.3 (95% CI -22.5 to 6.0) calendar days in mean length of sick leaves in the intervention group compared to controls, was not statistically significant. However, intervention significantly reduced length of sick leaves in subgroups with mental disorders, and with rheumatic disorders and arthritis, and overall for sick leaves lasting 12 weeks or more. Young people...Continue Reading

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Citations

Jan 17, 2012·Journal of Occupational Rehabilitation·Marie H T MartinReiner Rugulies
Apr 6, 2012·Journal of Occupational Rehabilitation·Nicole HoefsmitFrans J N Nijhuis
Apr 3, 2009·Current Opinion in Rheumatology·Theodora P M Vliet VlielandWilbert B van den Hout
Jul 5, 2007·BMC Health Services Research·Hans O Thulesius, Birgitta E Grahn
Aug 8, 2012·Best Practice & Research. Clinical Rheumatology·Monique A M GignacElizabeth M Badley
May 25, 2010·Psychiatry Research·Isaac BermejoMartin Härter
Jan 8, 2016·Occupational and Environmental Medicine·Jodi OakmanAndrew M Briggs
Sep 28, 2015·Work : a Journal of Prevention, Assessment, and Rehabilitation·Evangelia DemouEwan B Macdonald
Jun 15, 2011·Journal of Affective Disorders·Kirsi AholaJouko Lönnqvist
May 12, 2010·Perspectives in Public Health·Linda Seymour
Sep 9, 2017·Scandinavian Journal of Occupational Therapy·Pauliina Mattila-HolappaMarianna Virtanen
Aug 30, 2017·Scandinavian Journal of Public Health·Jan Høgelund, Lene Falgaard Eplov
Nov 7, 2014·The Cochrane Database of Systematic Reviews·Jan L HovingMonique H W Frings-Dresen
Dec 14, 2012·The Cochrane Database of Systematic Reviews·Iris ArendsJos H Verbeek
Oct 29, 2019·Work : a Journal of Prevention, Assessment, and Rehabilitation·Mitchell R VossWesley E Griffitt
Feb 7, 2008·The Cochrane Database of Systematic Reviews·A EngersM W van Tulder

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