PDF(Pubmed)
Abstract：
BACKGROUND: To assess the feasibility and acceptability of conducting a trial of the clinical effectiveness and cost-effectiveness of a new case-management intervention to facilitate the return to work of health care workers, on sick leave, having a common mental disorder (CMD).
METHODS: A mixed methods feasibility study.
RESULTS: Systematic review examined 40 articles and 2 guidelines. Forty-nine National Health Service Occupational Health (OH) providers completed a usual care survey. We trained six OH nurses as case managers and established six recruitment sites. Forty-two out of 1938 staff on sick leave with a CMD were screened for eligibility, and 24 participants were recruited. Out of them, 94% were female. Eleven participants received the intervention and 13 received usual care. Engagement with most intervention components was excellent. Return-to-work self-efficacy improved more in the intervention group than in the usual care group. Qualitative feedback showed the intervention was acceptable.
CONCLUSIONS: The intervention was acceptable, feasible and low cost to deliver, but it was not considered feasible to recommend a large-scale effectiveness trial unless an effective method could be devised to improve the early OH referral of staff sick with CMD. Alternatively, the intervention could be trialled as a new stand-alone OH intervention initiated at the time of usual OH referral.
METHODS: A mixed methods feasibility study.
RESULTS: Systematic review examined 40 articles and 2 guidelines. Forty-nine National Health Service Occupational Health (OH) providers completed a usual care survey. We trained six OH nurses as case managers and established six recruitment sites. Forty-two out of 1938 staff on sick leave with a CMD were screened for eligibility, and 24 participants were recruited. Out of them, 94% were female. Eleven participants received the intervention and 13 received usual care. Engagement with most intervention components was excellent. Return-to-work self-efficacy improved more in the intervention group than in the usual care group. Qualitative feedback showed the intervention was acceptable.
CONCLUSIONS: The intervention was acceptable, feasible and low cost to deliver, but it was not considered feasible to recommend a large-scale effectiveness trial unless an effective method could be devised to improve the early OH referral of staff sick with CMD. Alternatively, the intervention could be trialled as a new stand-alone OH intervention initiated at the time of usual OH referral.
摘要：
背景：为了评估对新的病例管理干预措施的临床有效性和成本效益进行试验的可行性和可接受性，以促进医护人员重返工作岗位，请病假,患有常见的精神障碍（CMD）。
方法：混合方法可行性研究。
结果：系统评价检查了40篇文章和2个指南。49个国家卫生服务职业健康（OH）提供者完成了常规护理调查。我们培训了六名OH护士作为病例经理，并建立了六个招聘地点。1938年有CMD请病假的工作人员中有42人接受了资格筛选，招募了24名参与者。在他们当中,94%是女性。11名参与者接受了干预，13名参与者接受了常规护理。与大多数干预组件的互动非常好。与常规护理组相比，干预组的重返工作自我效能感改善更多。定性反馈显示干预是可以接受的。
结论：干预是可以接受的，可行且交付成本低，但除非能够设计出一种有效的方法来改善CMD患者的早期OH转诊,否则建议进行大规模有效性试验是不可行的.或者，该干预措施可以作为新的独立OH干预措施进行试验，该干预措施是在通常OH转诊时启动的。
方法：混合方法可行性研究。
结果：系统评价检查了40篇文章和2个指南。
结论：干预是可以接受的，
