%0 Journal Article %T Inpatient multimodal occupational rehabilitation reduces sickness absence among individuals with musculoskeletal and common mental health disorders: a randomized clinical trial %A Gismervik, Sigmund Ø %A Aasdahl, Lene %A Vasseljen, Ottar %A Fors, Egil A. %A Rise, Marit B. %A Johnsen, Roar %A Hara, Karen %A Jacobsen, Henrik B. %A Pape, Kristine %A Fleten, Nils %A Jensen, Chris %A Fimland, Marius S. %J Scandinavian Journal of Work, Environment & Health %D 2020 %8 July 46 %N 4 %@ 0355-3140 %F Gismervik2020 %X '

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OBJECTIVES ': 'This study aimed to investigate whether inpatient multimodal occupational rehabilitation (I-MORE) reduces sickness absence (SA) more than outpatient acceptance and commitment therapy (O-ACT) among individuals with musculoskeletal and mental health disorders.

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METHODS ': 'Individuals on sick leave (2-12 months) due to musculoskeletal or common mental health disorders were randomized to I-MORE (N=86) or O-ACT (N=80). I-MORE lasted 3.5 weeks in which participants stayed at the rehabilitation center. I-MORE included ACT, physical exercise, work-related problem solving and creating a return to work plan. O-ACT consisted mainly of 6 weekly 2.5 hour group-ACT sessions. We assessed the primary outcome cumulative SA within 6 and 12 months with national registry-data. Secondary outcomes were time to sustainable return to work and self-reported health outcomes assessed by questionnaires.

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RESULTS ': 'SA did not differ between the interventions at 6 months, but after one year individuals in I-MORE had 32 fewer SA days compared to O-ACT (median 85 [interquartile range 33–149] versus 117 [interquartile range 59–189)], P=0.034). The hazard ratio for sustainable return to work was 1.9 (95% confidence interval 1.2–3.0) in favor of I-MORE. There were no clinically meaningful between-group differences in self-reported health outcomes.

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CONCLUSIONS ': 'Among individuals on long-term SA due to musculoskeletal and common mental health disorders, a 3.5-week I-MORE program reduced SA compared with 6 weekly sessions of O-ACT in the year after inclusion. Studies with longer follow-up and economic evaluations should be performed.

%K cognitive behavioral therapy %K fatigue %K health services research %K inpatient care %K inpatient multimodal occupational rehabilitation %K mental health %K mental health disorder %K musculoskeletal disease %K musculoskeletal disorder %K occupational rehabilitation %K physical exercise %K problem solving %K psychiatry %K randomized clinical trial %K return to work %K sickness absence %R 10.5271/sjweh.3882 %U https://www.sjweh.fi/show_abstract.php?abstract_id=3882 %U https://doi.org/10.5271/sjweh.3882 %P 364-372