Long-term effect of a care manager on work ability for patients with depression -the PRIM-CARE RCT.

IF 2.4 3区 工程技术 Q2 ENGINEERING, INDUSTRIAL
Eva Petersson, D. Hange, C. Udo, C. Björkelund, I. Svenningsson
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引用次数: 1

Abstract

BACKGROUND Collaborative care with a care manager in primary care improves care. OBJECTIVE To study whether care manager support leads to improved work ability, decreased job strain and reduced time of sick leave among primary care patients with depression. METHODS A clinical effectiveness study of care managers for depression patients seeking care in primary care was conducted in a RCT 2014 -2016. Patients in the intervention group were assigned a care manager. In the 12-month follow-up, patients with employment (n = 269; intervention n = 142, control n = 127) were studied concerning work ability, job strain and sick leave. RESULTS An association was shown between reduction of depressive symptoms and improved work ability for the entire group. At 12-month follow-up a statistically significant difference of reduction of depressive symptoms was seen between the groups (MADRS-S: intervention 10.8 vs control 13.1, p = 0.05) as well as increased quality of life (EQ-5D: intervention 0.77 vs control 0.70, p = 0.04). In the intervention group, a concordance was found between the patient's prediction of return to work and the actual return to work (91%for intervention and 68 %for control group, p = 0.047). CONCLUSIONS Compared to usual care, the care manager does not seem to further improve perception of work ability, job strain or perception of social support per se among the patients despite a long-term effect on depression symptoms. The lack of a long-term effect regarding these aspects may be due to the fact that care manager support was only provided during the first three months.
护理管理者对抑郁症患者工作能力的长期影响——PRIM-CARE随机对照试验。
背景:在初级保健中,与护理经理合作护理可以改善护理。目的研究护理管理者的支持是否能提高初级保健抑郁症患者的工作能力、减轻工作压力和减少病假时间。方法采用随机对照试验(RCT)对2014 -2016年在基层就诊的抑郁症患者进行护理管理人员的临床疗效研究。干预组的患者被指派一名护理经理。在12个月的随访中,就业患者(n = 269;干预组n = 142,对照组n = 127)对工作能力、工作压力和请病假进行了研究。结果整个组抑郁症状的减轻与工作能力的提高之间存在相关性。在12个月的随访中,两组之间抑郁症状的减轻有统计学意义(MADRS-S:干预10.8 vs对照组13.1,p = 0.05)以及生活质量的提高(EQ-5D:干预0.77 vs对照组0.70,p = 0.04)。干预组患者预测复工率与实际复工率基本一致(干预组91%,对照组68%,p = 0.047)。结论与常规护理相比,护理经理似乎没有进一步改善患者对工作能力、工作压力或社会支持本身的感知,尽管对抑郁症状有长期影响。这些方面缺乏长期效果可能是由于护理经理只在头三个月提供支持。
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来源期刊
Cognition Technology & Work
Cognition Technology & Work ENGINEERING, INDUSTRIAL-
CiteScore
6.90
自引率
7.70%
发文量
26
审稿时长
>12 weeks
期刊介绍: Cognition, Technology & Work focuses on the practical issues of human interaction with technology within the context of work and, in particular, how human cognition affects, and is affected by, work and working conditions. The aim is to publish research that normally resides on the borderline between people, technology, and organisations. Including how people use information technology, how experience and expertise develop through work, and how incidents and accidents are due to the interaction between individual, technical and organisational factors. The target is thus the study of people at work from a cognitive systems engineering and socio-technical systems perspective. The most relevant working contexts of interest to CTW are those where the impact of modern technologies on people at work is particularly important for the users involved as well as for the effects on the environment and plants. Modern society has come to depend on the safe and efficient functioning of a multitude of technological systems as diverse as industrial production, transportation, communication, supply of energy, information and materials, health and finance.
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