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Re-work Program in Japan-Overview and Outcome of the Program.
Yoko Ohki1,2, Yoshio Igarashi2,3,4, Keita Yamauchi5
1Keio Research Institute at SFC, Fujisawa, Japan.
Frontiers in Psychiatry
|February 15, 2021
Summary
The Japanese re-work program (RP) significantly improved work continuation for employees on sick leave for mood disorders. This program effectively prevented recurrent sick leave compared to standard treatment alone.
Area of Science:
- Occupational Health
- Psychiatry
- Rehabilitation Medicine
Background:
- Recurrent sick leave due to mood disorders poses a significant challenge in occupational health.
- The Japanese re-work program (RP) was developed to support employees returning to work after sick leave.
- Understanding the efficacy of RP in preventing recurrent sick leave is crucial for workplace mental health strategies.
Purpose of the Study:
- To evaluate the effectiveness of the Japanese re-work program (RP) in preventing recurrent sick leave.
- To compare work continuation rates between employees participating in RP plus treatment as usual (TAU) and those receiving TAU only.
Main Methods:
- A multicenter retrospective cohort study involving workers returning to work (RTW) after sick leave for mood disorders.
- Comparison of work continuation between RP + TAU group and TAU-only group.
- Statistical analyses included Kaplan-Meier method, Cox proportional hazard models, and propensity score matching.
Main Results:
- The RP + TAU group demonstrated significantly better work continuation than the TAU-only group (p=0.001).
- Multivariate analysis indicated a 2.121-fold increased hazard rate of recurrent sick leave for the TAU-only group (p=0.001).
- In the propensity score-matched cohort, the TAU-only group had a 2.871-fold increased hazard ratio for recurrent sick leave (p=0.009).
Conclusions:
- The Japanese re-work program (RP) is effective in improving work continuation for employees returning from sick leave due to mood disorders.
- RP significantly reduces the risk of recurrent sick leave, highlighting its value in occupational mental health interventions.
- The findings support the integration of RP into strategies for managing mood disorders in the workplace.
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