Journal of Occupational Rehabilitation最新文献

{"title":"Predictors of Mental Health-Related Sick Leave at Referral to Clinical Psychology: A Population-Based Study Using Electronic Health Records.","authors":"César González-Blanch, Sandra Martínez-Gómez, Saioa Pérez-García-Abad, Jose Ruiz-Gutiérrez, María Del Mar Miras-Aguilar, Carmen Ramos-Barrón, Emilio Pariente-Rodrigo, Lourdes Piñán-Setién, Noelia Otero-Cabanillas, María Isabel Priede","doi":"10.1007/s10926-026-10414-7","DOIUrl":"https://doi.org/10.1007/s10926-026-10414-7","url":null,"abstract":"<p><strong>Purpose: </strong>To examine factors associated with sick leave status at referral to clinical psychology and its duration using electronic health records (EHRs).</p><p><strong>Methods: </strong>A population-based observational study was conducted with 2,765 patients referred from primary care to mental health units in a regional public healthcare system in Spain in 2021. Sociodemographic and clinical variables were analysed, and a subsample of 400 patients provided additional data on healthcare use and prior sick leave. Logistic regression and generalized linear models were applied.</p><p><strong>Results: </strong>At referral, 22.1% of patients were on sick leave (median = 181 d). In analyses based on the full sample, psychopharmacological treatment and being in a relationship were associated with higher odds, whereas female sex was associated with lower odds. In the subsample including prior history variables, prior sick leave emerged as the strongest predictor of both status and duration.</p><p><strong>Conclusions: </strong>Routine clinical variables have limited predictive value, whereas prior sick leave episodes are a key and readily available indicator of risk for prolonged sick leave. Incorporating standardized clinical and work-related measures into EHRs may facilitate early identification of individuals at risk of prolonged sick leave and permanent work disability.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strengthening the IPS Workforce: Designing a Competency-Based IPS Workforce Development Framework for Headspace Centres in Australia.","authors":"Marina Kunin, Gina Chinnery, Jo van Twest Farmer, James Whiting, Eóin Killackey","doi":"10.1007/s10926-026-10385-9","DOIUrl":"https://doi.org/10.1007/s10926-026-10385-9","url":null,"abstract":"<p><strong>Purpose: </strong>This project aimed to develop the Individual Placement and Support (IPS) Workforce Development Framework to address challenges in IPS workforce availability, capacity, and capability in headspace centres across Australia, with the goal of improving vocational recovery outcomes for young people with mental ill-health.</p><p><strong>Methods: </strong>A mixed-methods approach informed the development of an IPS Competency Framework and an aligned IPS Workforce Development Framework. Data were collected through workforce surveys, focus groups, interviews, and a literature review. Participants included IPS vocational specialists, supervisors, headspace centre and lead agency managers, and experts from the broader vocational and IPS sectors. A comprehensive options paper and Theory of Change guided the design of the IPS Competency Framework and IPS Workforce Development Framework.</p><p><strong>Results: </strong>The workforce assessment revealed capability gaps, variations in recruitment practices, concerns about career pathways, and staff retention issues. Considerable diversity in vocational specialists' backgrounds and experience, along with a lack of clearly defined competencies for the role, was also apparent. In response, an IPS Competency Framework was developed outlining six core competency domains and four foundational values necessary for IPS vocational specialists working with young people with mental ill-health. The IPS Workforce Development Framework defines flexible, scalable strategies such as training and credentialing, peer-to-peer learning, strengthening recruitment processes, and career pathways, aligned to the identified competencies.</p><p><strong>Conclusion: </strong>The competency-based IPS Workforce Development Framework offers a comprehensive, system-level response to workforce challenges and marks an important step towards strengthening the IPS workforce in Australia. Ongoing evaluation will be essential to refine its implementation and improve IPS delivery for young people.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147943211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of Sustainable Return to Work After Burnout or Depression: A Longitudinal Cohort Study.","authors":"Anke Deprez, Isabelle Boets, Sofie Vandenbroeck, Lode Godderis","doi":"10.1007/s10926-026-10407-6","DOIUrl":"10.1007/s10926-026-10407-6","url":null,"abstract":"<p><strong>Purpose: </strong>People with common mental disorders (CMDs) such as depression and burnout have a high recurrence rate of sickness absence (SA). Few studies have investigated the determinants of sustainable return to work (SRTW) after a CMD. The objective of this study was to identify determinants of SRTW, operationalized as recurrent SA and work ability after the return.</p><p><strong>Methods: </strong>Participants were 148 employees that returned to work from April 2022 to January 2024 after CMD-related SA. In this prospective longitudinal cohort study, participants were followed up for one year after their return to work (RTW) by means of five questionnaires. Survival analysis and linear regression were carried out for recurrent SA and work ability outcomes, respectively.</p><p><strong>Results: </strong>By twelve months after initial RTW, 27.9% of patients experience recurrent SA, as estimated by the Kaplan-Meier method. Cox proportional hazards regression reveals that patients having a higher symptom severity of anxiety and depression at time of RTW have a significantly higher risk of recurrent SA (HR = 1.176, 95% CI [1.027-1.346], p = 0.019). At time of RTW, better work ability is linked to being married, higher self-efficacy, and greater controllability, while fixed shifts and higher depressive symptoms predict poorer work ability. Three months after RTW, resilience emerges as a positive predictor, whereas at six and nine months, depressive symptoms and controllability remain significant predictors, respectively.</p><p><strong>Conclusion: </strong>Symptoms of depression and anxiety at the start of RTW influence recurrent SA and work ability thereafter for people suffering from a CMD.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role Perception and Needs of Employers of Small and Medium-Sized Enterprises Regarding the Return-to-Work of Long-Term Sick-Listed Employees.","authors":"Donna C E Beerda, Michiel A Greidanus, Frederieke G Schaafsma, Eva E M van Doeveren, Astrid de Wind, Angelique de Rijk, Sietske J Tamminga","doi":"10.1007/s10926-026-10402-x","DOIUrl":"https://doi.org/10.1007/s10926-026-10402-x","url":null,"abstract":"<p><strong>Purpose: </strong>Employers can have an important role in optimizing return-to-work (RTW) support during long-term sick leave. The scarce research shows that especially small and medium-sized enterprise (SME) employers experience this as complex and demanding. In the Netherlands, RTW support is even mandatory by law. This study aims to explore the experiences and needs of Dutch SME employers during long-term sick leave and RTW.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with employers in executive positions at SMEs (≤ 250 employees) who had supervised at least one long-term (> 6 weeks) sick-listed employee in the past year. Interviews were transcribed and thematically analysed.</p><p><strong>Results: </strong>Twenty participants (55% male, mean age: 48) from micro (n = 2), small (n = 8), and medium-sized (n = 10) enterprises across different sectors participated. Employers regarded supporting sick-listed employees as one of their many responsibilities, yet burdensome. This perception of their role was either more intrinsically motivated (e.g., taking care of employees as a core value) or more extrinsically motivated (e.g., concern over financial consequences). Their motivation was shaped by factors such as employee attributes (e.g., reason for sick leave) and organization characteristics (e.g., enterprise size). Interviewees expressed a need for relatedness and autonomy in managing sick leave, but felt restricted by rigid and unclear regulations. They acknowledged lack of competence in providing sick-leave and RTW support.</p><p><strong>Conclusion: </strong>In order to support their sick-listed employees, SME employers' needs for autonomy, competence and relatedness need to addressed while taking into account their role perception and contextual factors of SMEs.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147869977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"We [have] to Get Them Coming Back to Work … Make The Offer, Make It Available, Make It Meaningful:\" Returning to Work at a Canadian Municipal Police Service.","authors":"Rosemary Ricciardelli, Sara M Stretton","doi":"10.1007/s10926-026-10405-8","DOIUrl":"https://doi.org/10.1007/s10926-026-10405-8","url":null,"abstract":"<p><strong>Purpose: </strong>Sworn and civilian members of any police service are exposed to incidents that increase their risk for mental and/or physical injuries, which may require leave from work. Any leave requires reintegration back into their work environment and occupational responsibilities, yet the literature on the return-to-work (RTW) process is sparse, particularly in policing, revealing a pressing need to identify how RTW can be done successfully.</p><p><strong>Methods: </strong>Thus, using semi-structured interviews, we explored the RTW experiences, thoughts, and recommendations of 128 sworn and civilian police members. Coded data were analyzed to focus on common as well as root causes of contradictory experiences and interpretations, all emergent from the data.</p><p><strong>Results: </strong>Findings revealed how most participants who took a leave of absence were off for an extended period and had a negative experience due to a lack of organizational support, stigma, and poor communication. Those on leave for a shorter time had more positive experiences due to feelings of organizational support, including incorporating a gradual and task-modified return. Participants felt their leave and RTW processes could be improved with a reintegration strategy that included organizational support, effective communication, and modified duties.</p><p><strong>Conclusion: </strong>We suggest processes for re-entry should be individual-specific, meaningful, and flexible, including check-ins and accommodations upon their return.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147864740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reducing Time Off Work Through an Integrated Care Pathway for Shoulder Injuries: Evidence from a Workers' Compensation Cohort Study.","authors":"Anelise Silveira, Lauren A Beaupre, Donald Voaklander, Riikka Niemelainen, C Allyson Jones","doi":"10.1007/s10926-026-10409-4","DOIUrl":"https://doi.org/10.1007/s10926-026-10409-4","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the effect of implementing a care pathway on return-to-work (RTW) levels and identify prognostic factors among workers filing their first shoulder injury claim.</p><p><strong>Methods: </strong>This retrospective cohort study included 5075 workers with a first claim for shoulder injury: 2593 workers (2004-2008) received standard of care consultations, while 2482 workers (2014-2018) underwent specialized shoulder assessments through a care pathway that also included collaborative planning for RTW. Multinomial logistic regression determined the effect of implementing a care pathway on RTW levels and identified demographics, injury, occupational and program factors associated with RTW.</p><p><strong>Results: </strong>The most common injuries were traumatic (92.4%) and sprains/strains (64%). Median claim duration was 114 days (IQR = 140), with 80.6% receiving wage replacement benefits. The care pathway cohort was younger with shorter claim duration than the pre-care pathway cohort. They had 1.8 times (95% confidence interval (CI) 1.4; 2.3) greater risk of returning to modified duties than the pre-care pathway cohort. Days receiving wage replacement benefits 12-month post-claim closure were similar between cohorts (p = 0.8). RTW outcomes were impacted by demographics, injury, occupational, and program factors, with interpreter use, prolonged claims, poor compliance, and delayed treatment most strongly associated with failure to RTW at pre-accident levels.</p><p><strong>Conclusions: </strong>The findings demonstrate that the care pathway cohort was associated with quicker return to modified duties without compromising long-term RTW outcome. This underscores the importance of proactive intervention strategies like care pathways in optimizing workplace rehabilitation outcomes and minimizing long-term disability. Clinical Trial Number Not applicable.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Return to Work and Psychosocial Adaptation Trajectories in Young and Middle-Aged Patients with Stroke: A 12-Month Longitudinal Cohort Study.","authors":"Xueqi Sun, Xi Pan, Jiaxuan Li, Yating Li, Weiying Zhong, Lei Chen, Yi Zhang, Lan Xu","doi":"10.1007/s10926-026-10393-9","DOIUrl":"https://doi.org/10.1007/s10926-026-10393-9","url":null,"abstract":"<p><strong>Purpose: </strong>Return to work (RTW) is a key outcome of occupational rehabilitation for working-age stroke survivors, yet marked individual differences exist in RTW success and timing. This study aimed to identify longitudinal trajectories of psychosocial adaptation among young and middle-aged patients with stroke and to examine their bidirectional associations with RTW outcomes during the first year after discharge.</p><p><strong>Methods: </strong>In this prospective longitudinal cohort study, 237 stroke survivors aged 18-59 years were assessed at discharge and at 3-, 6-, and 12-month post-discharge. Psychosocial adaptation was measured using the Psychosocial Adaptation to Illness Scale-Self-Report (PAIS-SR). Latent class growth modeling identified distinct adaptation trajectories among patients who had not returned to work at 3 and 6 months (n = 189). Logistic regression and generalized estimating equations examined associations between adaptation trajectories and RTW status and timing.</p><p><strong>Results: </strong>Three psychosocial adaptation trajectories were identified: a High Adaptation-Enhanced group (24.87%); a Medium Adaptation group (40.74%); and a Persistently Low Adaptation group (34.39%). RTW rates at 12 months differed significantly across trajectories (46.81%, 22.08%, and 24.62%, respectively; P = 0.008). Compared with the Persistently Low Adaptation group, patients in the High Adaptation-Enhanced group had higher odds of RTW (OR = 2.70, 95% CI 1.21-6.02). In the full cohort, earlier RTW was associated with significantly better psychosocial adaptation at 12 months.</p><p><strong>Conclusion: </strong>Psychosocial adaptation trajectories are a key determinant of successful return to work after stroke, while earlier RTW is associated with better subsequent adaptation. Early identification of patients at risk of poor adaptation and implementation of supported RTW strategies may enhance occupational rehabilitation outcomes.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Do Self-Employed Workers Navigate Illness? A Gender-Based Analysis of Informal Support Systems.","authors":"Tauhid Hossain Khan, Ellen MacEachen","doi":"10.1007/s10926-026-10403-w","DOIUrl":"https://doi.org/10.1007/s10926-026-10403-w","url":null,"abstract":"<p><strong>Purpose: </strong>This study examines how solo self-employed (SE) men and women in Ontario, Canada, navigate informal support systems during periods of illness, injury, or income loss. It investigates gendered motivations for entering self-employment and addresses the research question: How do gender norms shape self-employed workers' access to and use of informal supports during health-related work disruptions?</p><p><strong>Methods: </strong>A qualitative narrative approach was adopted, guided by an interpretive paradigm and an intersectionality framework. Twenty-four solo self-employed workers who experienced illness or income loss were recruited through social media and interviewed online between January and July 2021. Interviews were transcribed verbatim and analyzed using Riessman's narrative thematic method. Deductive and inductive coding informed the development of analytical themes capturing gendered experiences of informal support.</p><p><strong>Results: </strong>Findings show distinct gendered patterns in motivations for self-employment and in accessing informal support. Women frequently entered this work for flexibility linked to caregiving roles and, when ill, relied heavily on close family and emotionally intimate networks. Men more often pursued self-employment for higher income and autonomy and drew on broader peer or community networks for practical assistance, while avoiding emotional disclosure. Across genders, reliance on personal savings emerged as a central coping mechanism due to limited access to formal income-replacement systems. However, low-income self-employed workers, specially gig workers, struggled to save adequately, exacerbating their vulnerability during illness.</p><p><strong>Conclusion: </strong>Informal support systems function as essential but uneven safety nets for solo SE'd workers, with access and usage shaped by gender norms. These findings highlight the need for gender-responsive policy reforms that extend income protection and address structural gaps in social security for the self-employed.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Occupational Exoskeletons as a Technological Solution for Musculoskeletal Disorders: A Systematic Review of Barriers and Facilitators for Sustainable Workplace Integration.","authors":"D M van Laar, H J Bieleman, C S I Rijnders, D P Saakes, M F Reneman, C C Roossien","doi":"10.1007/s10926-026-10397-5","DOIUrl":"https://doi.org/10.1007/s10926-026-10397-5","url":null,"abstract":"<p><strong>Purpose: </strong>Widespread adoption of occupational exoskeletons (OEX) depends on various human and environmental factors. This systematic review aimed to provide an overview of facilitators and barriers influencing OEX implementation, according to users and interest holders.</p><p><strong>Methods: </strong>A systematic search of PubMed and EMBASE identified 28 studies on active or passive OEX and opinions on acceptance or rejection during implementation.</p><p><strong>Results: </strong>Facilitators were reported slightly more often than barriers (128 times vs. 110 times), with 70 facilitators and 67 barriers identified. Barriers were most frequently associated with the Device domain (36.4%), followed by the Person/User (24.5%), Work/Job (20.0%), Company/Management (14.5%), and Attitude (4.5%) domains. In contrast, facilitators were primarily linked to the Person/User domain (28.1%), closely followed by the Work/Job domain (26.6%) and then the Device (20.3%), Company/Management (18.8%), and Attitude (6.3%) domains. Studies with short OEX exposure reported fewer barriers than those without actual OEX use or experience (25 vs. 50). Overall risk of bias was moderate across study designs, with common issues including limited reporting, small or convenience samples, and the unavoidable absence of blinding in trials.</p><p><strong>Conclusion: </strong>OEX adoption is shaped by multiple factors, some acting as both facilitators and barriers. User-centered strategies (such as training and hands-on familiarization) are critical, as short-term exposure appears to reduce barriers.</p><p><strong>Registration: </strong>PROSPERO (CRD420251090106).</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Telehealth Treatments of Common Psychological Disorders: An Overview and Meta-analysis.","authors":"Ryan Gerdes, Richard Roberts, Tanya D Jackson, Raihana Premji, Danika Deibert, Charlene Choi, Kieran J D Steer, Ali Bani-Fatemi, Liz Dennett, Ellina Lytvyak, Martin Ferguson-Pell, Ross Tsuyuki, Quentin Durand-Moreau, Douglas P Gross, Reidar Hagtvedt, Ben Vandermeer, Behdin Nowrouzi-Kia, Sebastian Straube","doi":"10.1007/s10926-026-10406-7","DOIUrl":"https://doi.org/10.1007/s10926-026-10406-7","url":null,"abstract":"<p><strong>Purpose: </strong>The evidence base for telehealth treatments for mental health has grown substantially in the years following the COVID-19 pandemic. We conducted a narrative synthesis and meta-analysis of reviews investigating the efficacy of live, one-to-one telehealth interventions for common mental disorders.</p><p><strong>Methods: </strong>We conducted a search for systematic reviews of randomized controlled trials or controlled before-and-after studies. Two independent reviewers screened potentially eligible references and extracted data from all eligible reviews. A meta-regression was conducted with reviews containing data suitable for quantitative analysis. A narrative synthesis of results was undertaken for included reviews that did not contain suitable quantitative data.</p><p><strong>Results: </strong>The search yielded 4180 references, from which 11 eligible reviews were identified. Seven systematic reviews with meta-analyses were included in the meta-regression. Only telehealth interventions for depression and anxiety disorders were identified in the eligible literature. A small significant effect was observed for interventions targeting depression and comparing to active control, where SMD = - 0.316, and p = 0.003.</p><p><strong>Conclusions: </strong>The results of the meta-regression and narrative synthesis indicate that live one-to-one telehealth produces similar reductions in symptom severity across diagnoses and comparator groups. We identified that most of the research on telehealth for common mental disorders includes low-intensity, self-help tools with reduced clinician involvement, highlighting that much of the research conducted in this area aims at providing care at reduced cost, despite the importance of therapeutic alliance in the provision of mental health care. Investigations of telehealth interventions targeting posttraumatic stress disorder in non-military populations are also needed.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}