Journal of Occupational Rehabilitation最新文献

{"title":"Establishing Key Domains for Measuring Workplace Mental Health: The Indicators of A Thriving Workplace Survey.","authors":"Ross Iles, Dianne M Sheppard","doi":"10.1007/s10926-025-10302-6","DOIUrl":"10.1007/s10926-025-10302-6","url":null,"abstract":"<p><strong>Purpose: </strong>The importance, value, and benefits of fostering mentally healthy workplaces are well established. The Indicators of a Thriving Workplace (ITW) questionnaire measures a range of individual psychological and organisational factors as lead indicators of workplace mental health. The current study aimed to develop a valid summary set of indicators or domains of workplace mental health to enable comparisons across industries and sectors nationally.</p><p><strong>Methods: </strong>Exploratory factor analysis and principal components analysis were sequentially performed on survey data from two independent samples selected from a nationally representative and large (n = 9,947) cohort of Australian workers.</p><p><strong>Results: </strong>Five domains of workplace mental health aligning with the integrated approach to workplace mental health emerged and were confirmed: Leadership, Connectedness, Safety, Work Design, and Capability. When average domain scores were compared across industry, small but statistically significant differences were identified.</p><p><strong>Conclusion: </strong>The validation of these domains positions the ITW questionnaire as the first comprehensive measure of workplace mental health and well-being that focuses on thriving as a positive construct for Australian workers. Further, industry-based Domain profiling could provide a basis for the prioritisation of efforts to improve workplace mental health, with successful initiatives and practices perhaps adaptable to other industries. Interventions addressing workplace mental health are likely to be more successful when they are industry specific, although interventions responding to mental health challenges in the workplace, such as those tackling mental health-related stigma, may require less cross-industry tailoring.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"668-681"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13364827/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Job Accommodations for People with Physical Disabilities: Findings of a United States National Survey.","authors":"Deborah S Crown, Emily J Dinelli, Angelika Kudla, Pamela Capraro, Jasin Wong, Robert Trierweiler, Manasi Sheth, Allen W Heinemann","doi":"10.1007/s10926-025-10314-2","DOIUrl":"10.1007/s10926-025-10314-2","url":null,"abstract":"<p><strong>Purpose: </strong>Identify the job accommodations associated with increased job retention and satisfaction for people with physical disabilities.</p><p><strong>Methods: </strong>A national survey of 1265 people with physical disabilities in the United States, who worked for an employer after their disability onset. The sample was 58% males, average age of 44 years, 74% white, and worked an average of 36 h weekly. We assessed frequency, type, and use of job accommodations and used multivariate Poisson regression to evaluate the relationship between job accommodations, job tenure, and satisfaction.</p><p><strong>Results: </strong>The top job accommodations were modified work schedules, modified policies/rules, job sharing, allowing sitting/standing changes, and unpaid leave. The job accommodations needed but not received were limiting lifting, pushing, pulling; co-worker assistance; limiting twisting, bending; using modified/new equipment; and telework. Males reported higher frequency of accommodation use than females, while females reported not needing accommodations more often. Among respondents who used an accommodation, 82% rated it as moderately or very helpful. Most respondents (79%) reported that they were satisfied or very satisfied with their jobs. Poisson regression models revealed an association between using a job accommodation and job tenure for 4 years or longer for all job accommodation categories, with an increased likelihood of job tenure beyond 4 years by 10-70%. Four of 12 job accommodation categories were associated with job satisfaction.</p><p><strong>Conclusions: </strong>Use of employer- and self-provided job accommodations is associated with longer job tenure and increased job satisfaction. Each person, job, and environmental factor provides opportunities to tailor accommodations.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"806-823"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660723","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":"Changes and Determinants of Health-Related Quality of Life in Patients with Work-Related Traumatic Musculoskeletal Injuries: A Longitudinal Analysis of HRQoL and the EQ-VAS.","authors":"Ilda Adrovic, Michaela Coenen, Stefan Simmel, Sandra Kus","doi":"10.1007/s10926-025-10304-4","DOIUrl":"10.1007/s10926-025-10304-4","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to analyze change over time in health-related quality of life and the current overall health status of patients with severe musculoskeletal injuries, specifically focusing on those who have undergone inpatient rehabilitation following work-related injuries.</p><p><strong>Methods: </strong>Data were sourced from the icfPROreha research project (DRKS-ID: DRKS00014857), involving a multicenter longitudinal study conducted across ten German clinics. The study population comprised patients who had sustained severe musculoskeletal work-related injuries. The EuroQol 5 Dimensions 5 Levels (EQ-5D-5L) was used to assess changes in health-related quality of life (HRQoL) measured at admission (t1), discharge (t2), and four follow-up periods up to 78 weeks after discharge. Descriptive analyses were conducted to illustrate the development of HRQoL across all time points. In addition, the current overall health status was measured using the EuroQol Visual Analogue Scale (EQ-VAS) at the same time points. Multilevel growth models were used to analyze change over time in EQ-VAS scores, considering the biopsychosocial perspective of health as indicated by the International Classification of Functioning, Disability, and Health (ICF), developed by the WHO.</p><p><strong>Results: </strong>In total, 698 patients [males: 75.2%; mean age 47.5 years (SD ± 12.3)] with severe musculoskeletal work-related injuries were included in the analyses. The mean EQ-VAS at baseline was 50.3 and the mean EQ-5D-5L index was 0.6. Descriptive analyses of the EQ-5D-5L showed significant improvements across all five dimensions of HRQoL after discharge, with the most pronounced changes observed in mobility and usual activities. Moreover, the study demonstrated a significant improvement in the EQ-VAS over time. Baseline EQ-VAS had a substantial influence on subsequent changes, with various factors such as psychological well-being, visible consequences and severity of injury affecting recovery outcomes. Notably, differences in health status over time were observed across different injury types.</p><p><strong>Conclusion: </strong>The study demonstrates significant enhancements in the current overall health status among patients with traumatic musculoskeletal injuries following workplace or commuting accidents during inpatient rehabilitation. Furthermore, these findings emphasize the application of the ICF framework in capturing the multidimensional aspects of patient recovery. Despite improvements, patients' health status did not reach the levels observed in the general population, indicating the need for ongoing support and targeted interventions to ensure long-term recovery.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"699-712"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13364787/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Functional Limitations in Workers with a Common Mental Disorder or a Musculoskeletal Disorder: A Scoping Review of Questionnaires.","authors":"Anaïs Lépine Lopez, Geneviève Sauvé, Marc Corbière","doi":"10.1007/s10926-025-10310-6","DOIUrl":"10.1007/s10926-025-10310-6","url":null,"abstract":"<p><strong>Purpose: </strong>Approximately, 80% of sick leave involve workers dealing with a common mental disorder (CMD) or a musculoskeletal disorder (MSD). Upon returning to work (RTW), these workers may encounter challenges, including functional limitations at work. However, assessing these limitations is complex. This study aims to map existing questionnaires that evaluate functional limitations in individuals with CMD or MSD.</p><p><strong>Methods: </strong>A scoping review was conducted following the methods of the Joanna Briggs Institute's (JBI) Scoping Reviews Methodology Group, utilizing five databases: ProQuest, EBSCO, Scopus, Cochrane, and PsycNET. Articles were included if they presented a questionnaire evaluating functional limitations or related concepts in individuals with CMD or MSD.</p><p><strong>Results: </strong>A total of 541 articles were identified, with 6 articles selected after the screening process. The most frequently assessed dimensions in the selected questionnaires were physical (in 5 tools) and cognitive (in 3 tools). A thematic analysis was performed to develop a unified classification of dimensions and identify various types of functional limitations, addressing the inconsistent terminology across the questionnaires.</p><p><strong>Conclusion: </strong>Physical limitations seem to be more objective and easier to assess than psychological limitations. Future research should focus on psychological limitations to enhance understanding among healthcare professionals and individuals with CMD or MSD.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"767-782"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790417","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":"Multicultural Implementation-Experiences of Peer Support Workers in MH Services: Qualitative Findings of UPSIDES Innovative Intervention-An International Multi-Site Project.","authors":"G S Moran, Y Goldfarb, I Adler Ben-Dor, S Hadas-Grundman, J Kalha, D Baillie, E Kwebiiha, C Mahlke, M Ramesh, M Slade, M Haun, S Krumm","doi":"10.1007/s10926-025-10320-4","DOIUrl":"10.1007/s10926-025-10320-4","url":null,"abstract":"<p><strong>Purpose: </strong>Mental health peer support is growing as an essential recovery-oriented occupation that can help alleviate the burden of mental health (MH) conditions. Despite its international growth, there is lack of cross-cultural knowledge about peer support workers' (PSW) implementation experiences. This study explored PSWs' implementation experiences of Using Peer Support In Developing Empowering Mental Health Services (UPSIDES) innovative intervention-a multi-country project designed to empower and scale-up peer support in low-, middle- and high-income countries (LMIC & HIC).</p><p><strong>Method: </strong>Nine focus groups totaling 38 PSWs were conducted at six study sites: Ulm and Hamburg (Germany), Kampala (Uganda), Dar es Salaam (Tanzania), Be'er Sheva (Israel), and Pune (India). Transcripts were analyzed using qualitative analysis and MAXQDA software.</p><p><strong>Results: </strong>Four domains were identified: (i) PSWs' experiences of recovery; (ii) PSWs' experiences of vocational development; (iii) PSWs' experiences with staff  and work-role in MH systems;and  (iv) PSWs' strive to influence broader circles. In low-and-middle-income countries specifically, PSWs experienced gains for illness management, access to care, employability and financial standing. They also engaged in active interactions with stakeholders in the community (e.g., relatives, police, etc.) promoting social-educative and anti-stigma influences. In high-income countries, experiences related to self-disclosure and peer-vocational development issues. Across sites PSWs' expressed challenges and needs related to lack of role clarity, relations with MH staff and integration into services.</p><p><strong>Conclusions: </strong>The findings reveal the potential of mental health peer support workers (MH PSWs) to aid in mental health recovery and systemic change. However, implementation experiences vary across cultures, highlighting the need to further develop the PSW role and integrate it into mental health systems across different sites.   Trial Registration: ISRCTN26008944.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"863-876"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13364822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Work Ability and Work Participation Statuses of the Working-Age Population in Finland: A Register-Based Clustering Study.","authors":"Vaula Siltala, Mikko Henriksson, Matti Joensuu, Jenni Ervasti, Elina Ahola, Jarno Turunen","doi":"10.1007/s10926-025-10303-5","DOIUrl":"10.1007/s10926-025-10303-5","url":null,"abstract":"<p><strong>Purpose: </strong>Work ability is a complex concept without a single golden standard measure. This study explores the possibility to use register data to form distinct work ability clusters and examine the levels of work participation between these clusters, while considering the co-occurrence of factors contributing to work ability within the population.</p><p><strong>Methods: </strong>We used register data from a 90% sample of the Finnish working-age population in 2021 (ages 20-64, n = 2 920 099) to operationalize work ability based on literature. Employing K-Prototypes clustering, we identified distinct clusters of work ability. In this cross-sectional study, we then examined work participation by assessing the number of months spent in employment, unemployment, and receiving disability benefits within each cluster.</p><p><strong>Results: </strong>The analysis resulted in 11 distinct clusters. The clusters differed from each other in age, sex, educational attainment, occupation, household size and family type, and health. The average number of months spent in different work participation statuses in 2021 varied across these clusters with employment ranging from 7.3 to 11.6 months, unemployment from 0.3 to 2 months, and disability benefits from 0.2 to 2 months per year.</p><p><strong>Conclusions: </strong>Operationalization of the multifaceted concept of work ability using register data resulted in the identification of different clusters within the Finnish working-age population. Differences in various work ability-related variables highlight the complexity of work ability. Notably, the variation in work participation statuses among these clusters underscores the nuanced ways in which these factors interact to influence employment, unemployment, and reliance on disability benefits.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"682-698"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13364921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facilitators and Barriers for a Stepped Care Approach to Promote Return to Work of Employees with Distress: A Multi-perspective Qualitative Study.","authors":"Hanneke A M Lettinga, Sandra H van Oostrom, Hendrika P Zijlstra, Johannes R Anema, Karin I Proper","doi":"10.1007/s10926-025-10301-7","DOIUrl":"10.1007/s10926-025-10301-7","url":null,"abstract":"<p><strong>Purpose: </strong>A stepped care approach, beginning with a low-intensity e-Health program followed by a high-intensity Participatory Approach led by a return-to-work (RTW) coordinator is a promising intervention to promote RTW of employees on sick leave with distress. As this approach is new, determinants of its successful implementation remain unknown. This study aimed to identify the potential facilitators and barriers for a stepped care approach to promote RTW of employees with distress, from the perspective of employees, employers, and occupational physicians.</p><p><strong>Methods: </strong>A qualitative study was performed consisting of individual semi-structured interviews with 10 employees, 5 supervisors, and two focus groups with 15 occupational physicians. The verbatim transcripts were inductively thematically coded. The Consolidated Framework for Implementation Research (CFIR) was applied to classify themes within its domains.</p><p><strong>Results: </strong>Themes were constructed belonging to either the implementation or the content of the stepped care approach, falling within the CFIR domains \"innovation,\" \"outer setting,\" \"inner setting,\" and \"characteristics of the individual.\" From all three stakeholder groups, identified facilitators were the tailored program, enabling task adjustments, and the RTW coordinator to stimulate a good communicative relationship between employee and supervisor. Barriers identified were the timing of the stepped care approach, integrating the approach in the current RTW system, and low digital skills.</p><p><strong>Conclusion: </strong>Both facilitators and barriers were found for the implementation of the stepped care approach. This underlines the importance of an adaptive implementation strategy that takes into account workplace dynamics and tailored approaches to support the stakeholder groups' needs.</p><p><strong>Trial registration: </strong>ISRCTN: 90663076. Registered on October 5, 2023.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"656-667"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13364892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What are the Perceptions and Lived Experiences of Canadian Injured Workers about the Provision of Physiotherapy Services using Telerehabilitation?","authors":"Anne Hudon, Maxi Miciak, Teri Slade, Stacey Lovo, Jackie L Whittaker, Daniel Côté, Debbie E Feldman, Dahlia Kairy, Marie Laberge, Beverley McKeen, Lynn Cooper, Douglas P Gross","doi":"10.1007/s10926-024-10261-4","DOIUrl":"10.1007/s10926-024-10261-4","url":null,"abstract":"<p><strong>Purpose: </strong>Despite evidence of efficacy, the effectiveness of telerehabilitation in real-world clinical settings is still largely unknown. Telerehabilitation requires a substantial transformation of the organization and delivery of traditional services. Considering that a virtual setting can create unique challenges for providing physiotherapy services and given the physical and potential hands-on nature of evidence-based assessments and interventions, it is important to investigate what injured workers think of receiving physiotherapy care via telerehabilitation and to examine if rehabilitation needs are adequately met.</p><p><strong>Methods: </strong>A qualitative interpretive description study was conducted to explore the perspectives and experiences of 17 injured workers receiving physiotherapy via telerehabilitation. Data were collected through semi-structured interviews with participants from three provinces in Western Canada and analysed using thematic analysis. Qualitative rigour criteria of epistemological integrity, analytic logic, interpretive authority, and representative credibility were considered throughout this study.</p><p><strong>Results: </strong>Implementation of telerehabilitation during the COVID-19 pandemic resulted in mixed perceptions from injured workers. Some viewed telerehabilitation as a resourceful option for providing services during the pandemic lockdown, resulting in maintained communications while overcoming barriers to services (e.g., rural/remote workers, transportation barriers, etc.). However, many thought telerehabilitation was inferior to in-person therapy for assessment and when 'hands-on' interaction was needed. Many believed a hybrid option may be ideal now that pandemic restrictions are lifted, with telerehabilitation supplementing in-person physiotherapy when needed.</p><p><strong>Conclusions: </strong>Telerehabilitation was viewed as a resourceful option during the pandemic and in certain clinical situations (e.g., rural/remote). Workers should be able to make informed choices about service delivery format.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"643-655"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830317","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":"The Lived Experience of Return to Work in Individuals with Spinal Cord Injury in Saudi Arabia: An Interpretative Phenomenological Analysis.","authors":"Walaa AlAmmar, Teena J Clouston, Hadeel R Bakhsh","doi":"10.1007/s10926-025-10332-0","DOIUrl":"10.1007/s10926-025-10332-0","url":null,"abstract":"<p><strong>Purpose: </strong>Spinal cord injury (SCI) is a life-altering condition that often results in varying degrees of sensory and motor impairment. In Saudi Arabia, SCI predominantly affects young individuals aged 16-30 years, disrupting their daily activities and limiting their participation in work and community life. Despite this, no prior research in Saudi Arabia has explored the experiences of individuals with SCI regarding returning to work (RTW) or how they manage the long-term impacts of their disability. This study aimed to explore the lived experiences of returning to employment amongst individuals with SCI in Saudi Arabia.</p><p><strong>Methods: </strong>A qualitative study design was employed using interpretative phenomenological analysis. Semi-structured interviews lasting 45-90 min were conducted with three individuals living with SCI. Data were analysed following the IPA framework outlined by Smith et al. (2009).</p><p><strong>Results: </strong>Six themes emerged from the analysis: employment history, RTW barriers, RTW facilitators, personal factors, community, and RTW itself.</p><p><strong>Conclusion: </strong>The RTW experience of individuals with SCI in Saudi Arabia is shaped by personal, social, and systemic factors. The individual's capacity for coping and problem-solving is central to this process. However, structural barriers and limited societal inclusion often lead to occupational injustice. There is an urgent need for policymakers and rehabilitation professionals to implement supportive frameworks that promote equitable work reintegration and community participation for people with SCI.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"877-889"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356493","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":"Effect of Cognitive Behavioural Stress Management on Return-to-Work Amongst Sick-Listed Employees.","authors":"Charlotte Brøgger Bond, Morten Vejs Willert, Daniel Navy Ditlevsen, Louise Fleng Sandal, Lars Brandt","doi":"10.1007/s10926-025-10306-2","DOIUrl":"10.1007/s10926-025-10306-2","url":null,"abstract":"<p><strong>Background: </strong>The literature provides contradictory information on the effect of cognitive behavioural therapy (CBT) interventions on return to work (RTW) for patients on sick leave due to work-related stress.</p><p><strong>Aim: </strong>We compared the cumulative number of sick leave weeks between a cohort of patients who received a CBT-based stress management intervention in the period 2011-2018 (N = 331) and a cohort of patients from 2010 to 2011 (N = 221) who did not receive the intervention. We also compared time until sustainable RTW (3 consecutive months of no sick registrations) between the cohorts.</p><p><strong>Methods: </strong>Registry data on sickness absence were obtained from the national DREAM register (Danish Public Transfer Payments Database). The cumulative time of registered sick leave in DREAM until first sustainable period of RTW was visualized using Kaplan-Meier plots. A Cox proportional hazard model was used to compare the effectiveness of the intervention relative to the comparison cohort and was reported as hazard rate ratio.</p><p><strong>Results: </strong>The intervention cohort's cumulated number of weeks in DREAM across the total period from 0 to 36 months (median 29 range 26-32) was lower than that of the comparison cohort (median 40 range 34-52), (P = 0.005), corresponding to a 14% (95% CI 0.04-0.24) reduction. For RTW, a hazard ratio rate of 1.25 (95% CI 1.02-1.54) favouring the intervention group was found (P = 0.034).</p><p><strong>Conclusion: </strong>The CBT stress management intervention significantly reduced the amount of sick leave and reduced the time until sustainable RTW for the intervention cohort compared to the comparison cohort.</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":"729-736"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13364782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}