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  1. Home
  3. Expanding The Focus On Work Factors In An Outpatient Setting: Does A Nudge Of Patients And Clinicians Have An Effect On Return-to-work And Benefits? Findings From The Nsac Nudge Multicentre Randomised Controlled Trial.
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  3. Expanding The Focus On Work Factors In An Outpatient Setting: Does A Nudge Of Patients And Clinicians Have An Effect On Return-to-work And Benefits? Findings From The Nsac Nudge Multicentre Randomised Controlled Trial.

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Expanding the Focus on Work Factors in an Outpatient Setting: Does a Nudge of Patients and Clinicians have an Effect

Ingvild Bardal1,2, Nils Abel Prestegård Aars3,4, Laurent Olivier Trichet3

  • 1Centre for Work and Mental Health, Nordlandssykehuset HF, Bodø, Norway. Ingvild.Bardal@nordlandssykehuset.no.

Journal of Occupational Rehabilitation
|December 12, 2025

View abstract on PubMed

Summary
This summary is machine-generated.
Keywords:
Mental healthMusculoskeletal disordersReturn- to- workSickness absenceWork factors

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A nudge intervention did not improve return-to-work (RTW) rates or reduce sickness absence for patients with musculoskeletal or mental health conditions. The study found no significant impact on disability benefits after one year.

Area of Science:

  • Occupational health
  • Rehabilitation medicine
  • Health services research

Background:

  • Musculoskeletal disorders and mental illness are significant causes of sickness absence.
  • Promoting return-to-work (RTW) and preventing long-term sickness absence is a key healthcare objective.
  • Work-focused interventions aim to address factors influencing RTW.

Purpose of the Study:

  • To evaluate the effectiveness of a nudge intervention on patient return-to-work (RTW) and disability benefits.
  • To assess the impact of a questionnaire focusing on Motivation for work, Barriers for return-to-work, and Work environment (MBW) factors.
  • To determine if nudging clinicians with patient MBW reports influences RTW outcomes.

Main Methods:

  • A multicentre, single-blinded, parallel two-arm randomised controlled trial was conducted in Northern Norway.
  • Patients with mental or musculoskeletal disorders were randomised to receive either a standard questionnaire or one including MBW factors.
  • Clinicians received patient reports based on the MBW questionnaire; outcomes were tracked via national registries for one year.

    • Main Results:

    • Out of 1091 eligible patients, the intervention group (n=558) showed no significant difference compared to the control group (n=533) at baseline.
    • The nudge intervention had no statistically significant effect on sickness absence duration, RTW rates, or disability benefits after one year.
    • Prevalent MBW factors at baseline did not translate into improved RTW outcomes with the intervention.

    Conclusions:

    • The nudge intervention targeting MBW factors in patients and clinicians did not influence RTW or disability benefits within one year.
    • The findings suggest that enhancing focus on MBW factors has limited impact when clinicians already address these issues.
    • Further research may be needed to identify more effective strategies for promoting RTW in these patient populations.