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A two-year follow-up on a program theory of return to work intervention
1Arbejds- og Miljømedicinsk afdeling, Bispebjerg Hospital, Bispebjerg Bakke 23, 2400 Copenhagen, NV, Denmark. agclaudi@dadlnet.dk
Work (Reading, Mass.)
|January 18, 2013
Summary
This study validates a salutogenic theory for return to work (RTW), showing the intervention improved work ability and health. Employees experienced higher RTW rates and shorter sick leave, highlighting the importance of workplace support and personal resources.
Area of Science:
- Occupational Health
- Health Promotion
- Psychology
Background:
- The salutogenic theory focuses on health promotion and well-being.
- Understanding factors influencing return to work (RTW) is crucial for employee health and productivity.
- Existing theories require validation through practical program implementation.
Purpose of the Study:
- To validate a salutogenic theory for return to work (RTW).
- To assess an associated program process theory's effectiveness.
- To evaluate the impact of a cognitive and behavioral intervention on RTW.
Main Methods:
- A longitudinal non-randomized trial with a two-year follow-up.
- Comparison between an intervention group (118 employees) and a reference group.
- Intervention utilized cognitive and behavioral approaches to support attitude and behavior change.
Main Results:
- Significant improvements in Work Ability Index and perceived health (SF36).
- Higher RTW rates and shorter sick leave duration in the intervention group compared to the reference group.
- Positive predictors for RTW included maintaining pre-sick leave employment and enhanced work ability.
Conclusions:
- The study supports the salutogenic theory and its associated program process theory.
- The intervention positively influenced RTW, employee attitudes, behavior, and health by enhancing comprehensibility, meaningfulness, and manageability.
- Sustainable RTW resulted from synergistic workplace support and improved personal resources, particularly mental health.
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