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5 active trials for Sick Leave

Effects of Motivational Interviewing for Long-term Sick Absence

Long-term sickness absence has considerable impact on social functioning, families involved, the employer, and society as a whole. Preventing long-term sickness absence and increase the likelihood of return to work (RTW) are critical concerns for industrialized countries across the world. Motivational factors contributing to RTW and maintenance of work participation are therefore of importance to explore in order to get the person back to work after long-term sick leave. Motivational interviewing (MI) is an empirically validated psychological approach that may be particularly useful in a RTW context. Even though MI has been widely studied and is considered a flexible intervention strategy in different domains, its effectiveness in improving RTW has not yet been studied. The aim of this study is to evaluate whether MI provided by trained caseworkers at The Norwegian Labour and Welfare Administration (NAV) to sick-listed users with unselected diagnoses facilitates RTW compared with follow-up as usual.

Start: January 2018

Evaluation of Return to Work Rehabilitation

Long-term sick-listing from work has considerable impact on social function, on the families of the sick-listed persons, the companies they work for, and society as a whole. Hence, the need for documented effective vocational rehabilitation programs is pressing. Vocational rehabilitation services described in the scientific literature have been specific to one single or a specific group of medical conditions (e.g.low back pain). In contrast, most people on sick leave have several health complaints, and many of the factors influencing sick leave are shared regardless of disorder (e.g. social surroundings, workplace environment), calling for rehabilitation programs that can be employed for both musculoskeletal-, unspecific- and common mental disorders. Aim of this study is to investigate whether a group based rehabilitation program for musculoskeletal, mental or unspecific complaints can facilitate return-to-work (RTW), thereby testing two multicomponent return-to-work RTW rehabilitation programs.

Start: January 2013

Effects of Regulatory Tools on Work Environment and Employee Health

This study evaluates the effects of the Labour Inspection Authority's regulatory tools on workplace exposures to prevent employee ill health. Norwegian municipal enterprises with employees in the home care sector have been randomized to three different experimental groups and to one control group. We hypothesize a significant lower level of work environmental exposures and health complaints, after adjusting for pre-intervention measures, in the experimental groups compared to the control group.

Start: March 2019

Feasibility and Effects of Taking Cold Showers: A Randomized Controlled Study

Considering the beneficial individual and environmental effects, investigators set out to replicate the recent study on the effects of taking cold showers on sickness absence, illness days and subjective well-being and to assess both the acceptability of taking cold showers as well as its effects on sickness absence and illness days as well as well-being, sleep quality, skin and hair appearance for a period of 3 months in a population of healthy and volunteering participants.

Start: October 2019

Health Promoting Work Schedules: The Effect of Abolishing Quick Returns

Introduction In shift work, quick returns refer to transitions between two shifts with less than 11 hours available rest time. In a recent report, as many as twenty-three per cent of employees in European countries reported having quick returns. Cross-sectional studies have demonstrated that quick returns are related to shorter sleep duration, fatigue, sleepiness, work-related accidents, and sickness absence. The present study is the first randomized controlled trial (RCT) to investigate the effect of abolishing quick returns for six months, compared to a work schedule that maintain quick returns during the same time frame. Methods and analysis A parallel-group cluster randomized controlled trial in a target sample of about 2700 healthcare workers at Haukeland University Hospital in Norway will be conducted. A total of 69 hospital units will be randomized to a work schedule without quick returns for six months, or continue with a schedule that includes quick returns. The primary outcome is sickness absence data retrieved from the local records kept by the hospital; secondary outcomes are questionnaire data (n ? 2700 invited) on sleep and functioning, physical and psychological health, work-related accidents, and turnover intention. For a subsample, sleep diary and sleep radar (n ? 70) data will be collected. Ethics and dissemination The study protocol was approved by the Regional Committee for Medical and Health Research Ethics in Western Norway (2020/200386). Findings from the trial will be disseminated in peer-reviewed journals and presented at national and international conferences. Exploratory analyses of potential mediators and moderators will be reported separately. User-friendly outputs will be disseminated to relevant stakeholders, unions and other relevant societal groups.

Start: January 2021