Abstract：
UNASSIGNED: To evaluate short-term effects of the PREVention of Sickness Absence for Musculoskeletal disorders (PREVSAM) model on sickness absence and patient-reported health outcomes.
UNASSIGNED: Patients with musculoskeletal disorders were randomised to rehabilitation according to PREVSAM or treatment as usual (TAU) in primary care. Sickness absence and patient-reported health outcomes were evaluated after three months in 254 participants.
UNASSIGNED: The proportion of participants remaining in full- or part-time work were 86% in PREVSAM vs 78% in TAU (p = 0.097). The PREVSAM group had approximately four fewer sickness benefit days during three months from baseline (p range 0.078-0.126). No statistically significant difference was found in self-reported sickness absence days (PREVSAM 12.4 vs TAU 14.5; p = 0.634), nor were statistically significant differences between groups found in patient-reported health outcomes. Both groups showed significant improvements from baseline to three months, except for self-efficacy, and only the PREVSAM group showed significantly reduced depression symptoms.
UNASSIGNED: The findings suggest that for sickness absence, the PREVSAM model may have an advantage over TAU, although the difference did not reach statistical significance at the p < 0.05 level, and similar positive effects on patient-reported health outcomes were found in both groups. Long-term effects must be evaluated before firm conclusions can be drawn.
Early identification of at-risk patients and team-based rehabilitation within primary care to prevent sickness absence and long-term problems due to acute/subacute musculoskeletal disorders has been scarcely studied.The PREVSAM model provides a framework for team-based interventions in primary care rehabilitation.The PREVSAM model may be used in the management of acute/subacute musculoskeletal disorders in the prevention of sickness absence.
UNASSIGNED: Patients with musculoskeletal disorders were randomised to rehabilitation according to PREVSAM or treatment as usual (TAU) in primary care. Sickness absence and patient-reported health outcomes were evaluated after three months in 254 participants.
UNASSIGNED: The proportion of participants remaining in full- or part-time work were 86% in PREVSAM vs 78% in TAU (p = 0.097). The PREVSAM group had approximately four fewer sickness benefit days during three months from baseline (p range 0.078-0.126). No statistically significant difference was found in self-reported sickness absence days (PREVSAM 12.4 vs TAU 14.5; p = 0.634), nor were statistically significant differences between groups found in patient-reported health outcomes. Both groups showed significant improvements from baseline to three months, except for self-efficacy, and only the PREVSAM group showed significantly reduced depression symptoms.
UNASSIGNED: The findings suggest that for sickness absence, the PREVSAM model may have an advantage over TAU, although the difference did not reach statistical significance at the p < 0.05 level, and similar positive effects on patient-reported health outcomes were found in both groups. Long-term effects must be evaluated before firm conclusions can be drawn.
Early identification of at-risk patients and team-based rehabilitation within primary care to prevent sickness absence and long-term problems due to acute/subacute musculoskeletal disorders has been scarcely studied.The PREVSAM model provides a framework for team-based interventions in primary care rehabilitation.The PREVSAM model may be used in the management of acute/subacute musculoskeletal disorders in the prevention of sickness absence.
摘要：
■评估肌肉骨骼疾患疾病缺勤（PREVSAM）模型对疾病缺勤和患者报告的健康结果的短期影响。
■根据PREVSAM或在初级保健中照常治疗（TAU），将肌肉骨骼疾病患者随机分为康复组。在254名参与者中，三个月后评估了疾病缺席和患者报告的健康结果。
■在PREVSAM中，全职或兼职工作的参与者比例为86％，在TAU中为78％（p=0.097）。PREVSAM组在距基线三个月内的疾病受益日数减少了约四个（p范围0.078-0.126）。在自我报告的疾病缺勤天数中没有发现统计学上的显着差异（PREVSAM12.4vsTAU14.5；p=0.634），在患者报告的健康结局方面,组间也没有统计学显著差异.两组从基线到三个月都有显著改善，除了自我效能感,只有PREVSAM组的抑郁症状明显减轻。
■研究结果表明，对于疾病缺席，PREVSAM模型可能比TAU有优势，尽管差异在p<0.05水平上没有达到统计学意义，两组对患者报告的健康结局有相似的积极影响.在得出确切结论之前，必须评估长期影响。
在初级保健中早期识别高危患者和以团队为基础的康复，以防止因急性/亚急性肌肉骨骼疾病引起的疾病缺席和长期问题，几乎没有研究。PREVSAM模型为基于团队的初级保健康复干预提供了框架。PREVSAM模型可用于预防疾病缺失的急性/亚急性肌肉骨骼疾病的管理。
■根据PREVSAM或在初级保健中照常治疗（TAU），将肌肉骨骼疾病患者随机分为康复组。在254名参与者中，三个月后评估了疾病缺席和患者报告的健康结果。
■在PREVSAM中，全职或兼职工作的参与者比例为86％，在TAU中为78％（p=0.097）。PREVSAM组在距基线三个月内的疾病受益日数减少了约四个（p范围0.078-0.126）。在自我报告的疾病缺勤天数中没有发现统计学上的显着差异（PREVSAM12.4vsTAU14.5；p=0.634），在患者报告的健康结局方面,组间也没有统计学显著差异.两组从基线到三个月都有显著改善，除了自我效能感,只有PREVSAM组的抑郁症状明显减轻。
■研究结果表明，对于疾病缺席，PREVSAM模型可能比TAU有优势，尽管差异在p<0.05水平上没有达到统计学意义，两组对患者报告的健康结局有相似的积极影响.在得出确切结论之前，必须评估长期影响。
在初级保健中早期识别高危患者和以团队为基础的康复，以防止因急性/亚急性肌肉骨骼疾病引起的疾病缺席和长期问题，几乎没有研究。PREVSAM模型为基于团队的初级保健康复干预提供了框架。PREVSAM模型可用于预防疾病缺失的急性/亚急性肌肉骨骼疾病的管理。
